A Pulsatile Cervical Mass Revealing a High Riding Brachiocephalic Artery: A Case Report

Abstract

Anterior neck swellings are a common indication for cervical ultrasound in every radiology department. However, pulsatile masses in this region are relatively rare. This 62-years-old lady presented with anterior neck swelling for more than ten years which became more pulsatile recently due to hypertension. Ultrasound was first performed revealing a vascular cervical mass and a CT angiography made the diagnosis of cervical brachiocephalic artery. Right sided pulsatile cervical mass should make every clinician think of this diagnosis to avoid any interventional procedures that could be fatal for the patient.