A 63-year-old man presented to the clinic due to a chronic cough of two months duration. The patient notices blood in the cough in the morning. He has smoked 3 packs of cigarettes daily for the past 20 years. On examination, the right side of the face is engorged, red, and swollen. The right arm and the right side of the neck are swollen, with engorged subcutaneous veins. Which of the following structures is obstructed in this patient?

Question

Quizplus · Accepted Answer

Eductional Objective: The brachiocephalic veins are formed by the combination of the internal jugular vein and the subclavian vein. The right and left side brachiocephalic veins combine to form the superior vena cava. The brachiocephalic vein obstruction presents with right side swelling of the face, neck swelling, and right arm swelling.

A 63-Year-Old Man Presented to the Clinic Due to a Chronic