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A 65-year-old woman presents to her physician's office for a follow-up appointment for recently diagnosed bronchitis. The patient reports that her cough has not resolved and feels fatigued. Medical history is significant for hypertension and hyperlipidemia, which is currently being treated with hydrochlorothiazide and atorvastatin. She also has a 30 pack-year smoking history. Her temperature is 99°F (37.2°C), blood pressure is 140/90 mmHg, pulse is 105/min, respirations are 22/min, and oxygen saturation is 93% on room air. On physical exam, the patient's eyes are shown in Figure A. Cardiac and abdominal exam is unremarkable. This patient’s symptoms are most likely due to a pathological development that affects which of the following?
Middle cervical ganglion
Superior vena cava
Recurrent laryngeal nerve
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