A 40 year old man presented with swelling over his right upper chest for the previous 8 months. He had also had low grade fever, cough with mucoid expectoration, weight loss, and breathlessness on exertion for 2 months. The swelling initially appeared in the right infraclavicular region and gradually increased in size. The swelling could be decreased in size on application of local pressure, but it regained its original size when the pressure was released. He had been treated elsewhere for pulmonary tuberculosis (TB) 3 …