Hi Dear !! Thanks for your query to HCM .
Read and reviewed your query and health concerns.
IN the given situation of Yours,You seem to suffer from-TOS(Thorasic Outlet Syndrome) with APS(Hughes Syndrome-Anti-phsospholipid antibody syndrome) causing thrombotic hardening of ext.
jugular vein.
USG with Colour Doppler study would fix the clot in ext jugular vein and would be treated accordingly with blood thinners / or catheter directed thrombolysis(CDT) with phosphotidyle choline -or R-tpase-Activase(Recombinant tissue Plasminogen Activators) injections.
Other causes needs to be ruled out with Vascular Surgeon Consults and team of doctors, to resolve your issue.
Hope this would help you to plan further of this complex illness of yours.
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Good Day!!
Wishing Good Healthy Life in time to come!!
Dr.Savaskar M.N.
Senior Surgical Specialist
M.S.Genl-CVTS