case_images: PMC3275944_01
case_images: Large mass covering whole right side of neck
case_images: JOACP-28-117-g001.jpg
case_images: PMC3275944_01_JOACP-28-117-g001.jpg
case_images: F1
case_images: On clinical examination, a large nontender mass was present in front of the neck extending laterally to the right sideand the back, covering the entire right side of the neck [Figure 1].
case_images: Swollen right arm with skin plethora
case_images: JOACP-28-117-g002.jpg
case_images: PMC3275944_01_JOACP-28-117-g002.jpg
case_images: F2
case_images: There was skin plethora at neck, shoulder, and upper part of chest along with a swollen right arm [Figure 2].
case_images: CT angiogram showing massive AVM
case_images: JOACP-28-117-g003.jpg
case_images: PMC3275944_01_JOACP-28-117-g003.jpg
case_images: F3
case_images: A differential diagnosis of AVM and enlarged lymph node was made and the patient was advised computed tomography (CT) angiogram, which showed a large cervical AVM with predominant supply from right subclavian and vertebral arteries [Figure 3].
case_images: Chest X-ray showing deposition of high-density material
case_images: JOACP-28-117-g004.jpg
case_images: PMC3275944_01_JOACP-28-117-g004.jpg
case_images: F4
case_images: In the intensive care unit (ICU), the chest radiograph showed tiny numerous high density materials in both lung fields especially in basal segments [Figure 4].