Neck abscess in an IVDU
Recent attempt at venous access in the right neck for illicit drug use. Now pain, swelling and fever.
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Swelling of the right sternomastoid is associated with a ring enhancing mass indicative of abscess. Edema in overlying fat. Note right jugular lymph node chain enlargement. The abscess sits immediately superficial to the internal jugular vein. The vein remains patent.