He denied color changes in his hands. Presented with bilateral neck tumors. He is intolerant to aspirin and non-steroidals. He is an attorney, is married with no children. He is active physically, playing tennis regularly.
Family history is positive for heart disease and diabetes.
He is 6 ft. tall, and weighs 185 lbs. There were no signs of a Horner's syndrome. He had left healing scar in the left supraclavicular fossa which appeared unremarkable. There was no hyperalgesia or allodynia in the area around the scar. His left hand and wrist appeared mildly swollen compared with the right.