Man With Chest Pain and Lump in Neck

A 44-year-old man with a history of coronary artery bypass graft 1 year previously presented to the emergency department with substernal chest pain and a painful lump at the base of his neck (Figure 1), noted the day before presentation after he completed push-ups. The lump at the base of the neck was noted to be more prominent and painful when the patient turned his head to the left.

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