Constant dull aching deep pain (NRS 5/10) in the left side of the front of neck, which started insidiously. It increases (NRS 7/10) on swallowing both liquids and solids and is relieved only on taking oral analgesics like Paracetamol and NSAIDs. However, a baseline pain is always there and she has never been pain free since the past 2 months. The pain does not radiate to any other part of the neck and is not associated with any fever, body ache, sweating or palpitation. She also complains of difficulty in swallowing since the past 4 months for both liquids and solids. She gives no history of vomiting and regurgitation of food or water from nose or mouth. She gave history of rapidly increasing hoarseness of voice since the past 6 months. Presently she is finding it difficult to talk for more than 2 to 3 minutes at a stretch and at times talking leads to bouts of coughing. There is no history of expectoration of blood or blood tinged sputum. She is a known hypertensive and diabetic since the past 10 years and has been diagnosed with ischemic heart disease since 2016 for which she has undergone PTCA to LAD.