A healthy 53-year-old man presented with a 10-day history of left-sided neck and arm pain, and left arm swelling. On exam, pulses, strength, and sensation were unremarkable and symmetrical bilaterally.

A healthy 53-year-old man presented with a 10-day history of left-sided neck and arm pain, and left arm swelling. On exam, pulses, strength, and sensation were unremarkable and symmetrical bilaterally.