Case history

A 50-year-old man was referred to us complaining of a swelling in his neck while coughing. He had a 1-year history of a dry cough. He was an ex-smoker with a 10 pack-year history. Examination of his chest at rest was normal, without any cervical lymphadenopathy or signs of superior vena cava obstruction (figure 1A). Examination while coughing revealed a visible swelling on the right side of the neck (figure …