Approximately fist sized, spheroidal, elastically bouncy and very easily shunted tumor coming out of the left lymph nodes.
Larynx and trachea pressed over about a finger breadth right of the mid line of the neck. No signs of staunching in the veins of the neck.
25 year old trash man. Onset of the affliction in the 18th year of life. Mother likewise suffering from gout.