A painless lump over the left lateral aspect of the neck was the sole presenting complaint of a 54-year-old gentleman. On examination, the lump was cord-like, non-tender, non-pulsatile and mobile (figure 1). There were no other lumps or elsewhere in the body. Doppler ultrasonography of the neck was suggestive of left external jugular vein thrombosis. Contrast enhanced multi-detector CT imagery showed that the lump …