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In 2014, I had an ultrasound done on the neck--

EXAMINATION: RIGHT ANTERIOR NECK US
PATIENT HISTORY: LUMP LATERAL TO THE RIGHT THYROID GLAND

CONCLUSION: ULTRASONOGRAPHY OF THE RIGHT ANTERIOR NECK DEMONSTRATES THE FOLLOWING:
1. Bulging of the right internal jugular vein when the patient coughs or swallows. There is no bulging of the right internal jugular vein at rest. The left internal jugular vein appears satisfactory. The AP diameter of the right internal jugular vein is 1.7 cm. The left internal jugular vein has an internal diameter of 1 cm.
2. The thyroid gland appears satisfactory.

RECOMMENDATION: Consider correlation with plain radiographs to exclude an obstructive process involving the internal jugular vein at the thoracic inlet.

From the age of 13 I've felt pressure, inflammation and pain on the right side of the head. Could there be a correlation?


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replied January 1st, 2018
Vascular and Circulatory Disorders Answer A62872
Hi, and thanks for your query on eHealth forum!

Yes, there can be a correlation between pain/pressure /inflammation right side of head and US finding of dilatation of RJV on cough. One reason could b Phlebectasia of JV, this is a rare dilatation of JV. You may have had X-rays to see if there is a rib pressure or a disc protrusion etc.
Also may be you had angiography to see the conditions of the jugular vein. Another possibility is thoracic outlet syndrome, which occurs as the result of narrowing of space below and behind the collar bone.

Symptoms like you have in one half of head can also be due to migraine, near and far sightedness and sinusitis, dental pain, TMJ, pinched nerve in the neck or due to cluster headache. Please consult your healthcare provider for further guidance. You need comprehensive investigation to find the cause.

This reply to your query is just for education and counseling purposes and cannot be an alternative to actual visit and treatment by a doctor who can examine you. Hope this helped you in making an informed decision about your health. Take care!


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