An Unusual Neck Mass In An 11 Year Old Female Volleyball Player

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An Unusual Neck Mass In An 11 Year Old Female Volleyball Player - Page #1

Author: Brent Nathan, BA Co Author #1: Dr Jeffrey Mjaanes, MD Assistant Professor, Departments of Orthopedic Surgery and Pediatrics, Rush University Medical Center Director, Chicago Sports Concussion Clinic at Rush Patient Presentation: Neck pain and swelling History: 11 year old female complains of right-sided neck pain after serving repeatedly in volleyball practice. She felt she “pulled a muscle” and had intermittent soreness for the next week or so. Approximately 2 weeks after the initial injury, her mother went to massage the area and felt a small bump. Over the next two to three weeks, the area became more swollen and visibly noticeable. Overall, the neck mass does not bother her unless she turns her head to the left or reaches her right arm over her head. She has had no numbness, tingling, or weakness in her arm or hand. She has no constitutional symptoms. Physical Exam: Vital signs are within normal limits. The patient is well developed, well appearing and afebrile. Palpation reveals a non-tender, homogenous, well-circumscribed mass measuring 4 cm x 4 cm in the right supraclavicular region. There is no regional lymphadenopathy. Overlying skin is neither indurated nor erythematous. Neck range of motion is normal in all directions but tightness is felt on lateral flexion. Shoulder and upper extremity exam reveal normal strength and sensation. Case Photo #1 Click here to continue. Challenge yourself by writing down a broad differential diagnosis before moving to the next slide.		Back
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