23rd May 2025

A 36-year-old woman has noted some neck swelling in the last few months and presents with a small swelling on the front of her neck.

A 36-year-old woman has noted some neck swelling in the last few months and presents with a small swelling on the front of her neck. On examination, the patient appears plethoric with JVP distention, especially on lifting the arms. There is sternal dullness on percussion. Which sign is described in this clinical picture?

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