PMC4178367_01
Swelling in the right supraclavicular area
NJMS-5-90-g001.jpg
PMC4178367_01_NJMS-5-90-g001.jpg
F1
An 18-year-old boy presented with a large swelling in the right supraclavicular area and occasional cough [Figure 1].
Plain X-ray showing soft tissue density in the supraclavicular area
NJMS-5-90-g002.jpg
PMC4178367_01_NJMS-5-90-g002.jpg
F2
The plain x-ray was suggestive of a vague swelling on the right upper thorax and lower neck [Figure 2].
A CT scan thorax showing the intrathoracic lesion
NJMS-5-90-g003.jpg
PMC4178367_01_NJMS-5-90-g003.jpg
F3
A computed tomography (CT) scan suggested nonvascular swelling making a probable diagnosis of lymphangioma occupying both the thoracic cavity and lower neck [Figure 3].
Intraoperative image showing the intrathoracic large cyst
NJMS-5-90-g004.jpg
PMC4178367_01_NJMS-5-90-g004.jpg
F4
Thoracotomy was performed first and the neck component of the lesion was delivered through the thorax, however, it needed an incision over the neck [Figure 4].