A 31-Year-Old Soldier Received a Shrapnel Wound in the Neck

A 31-year-old soldier received a shrapnel wound in the neck during the Persian Gulf War. Recently, during a physical examination, it was noticed that when he blew his nose or sneezed, the skin above the right clavicle bulged upward.
-The upward bulging of the skin could be explained by

A) injury to the cervical pleura.
B) damage to the suprapleural membrane.
C) damage to the deep fascia in the root of the neck.
D) ununited fracture of the first rib.