PMC5748313_01
Photographs showing appearance of swelling in the neck: (a) when patient is not coughing and (b) when patient is coughing.
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He had 3 x 3 cm, nontender fusiform swelling in the right side of the neck, anterior to the sternocleidomastoid muscle, appearing only at the time of coughing, extending to the anterior triangle of the neck, and the clavicle (Figure 1).
Grayscale ultrasound of the neck reveals fusiform dilatation of the right internal jugular vein.
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USG of the neck showed fusiform dilatation of the lower segment of the IJV with a caliber of 2.5 cm, increasing on coughing to 3.1 cm (Figure 2).
(a, b) Colour Doppler study of the neck showing uniform colour flow in the dilated internal jugular vein with no thrombosis.
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The Doppler study revealed turbulence in the IJV without any evidence of thrombosis (Figure 3).
(a, b, and c) Axial T2-weighted MRI of the neck reveals dilatation of the right internal jugular vein.
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MRI of the neck demonstrated fusiform dilatation of the lower segment of the IJV, increasing in size during coughing (Figure 4).