A 63-year-old woman with COPD presented to our hospital with complaints of breathlessness on exertion. productive cough and weight loss. Chest X-ray showed a bright silhouette extending from the aortic knob in the right paratracheal area on the PA-view and a posterior indentation of the tracheal air column on the lateral view. No other abnormalities were observed. https://www.goodvibesbadhabiters.shop/product-category/enema-anal/