Clinical ImageCLINICAL IMAGE A swell case Lauren Fill, DO; and Robert W. Hostoffer, DO Notes and Affiliations Notes and Affiliations Received: March 8, 2023 Accepted: July 18, 2023 Published: June 3, 2025 Lauren Fill, DO, University Hospitals, Cleveland Medical Center, Mayfield Heights, OH, USA Robert W. Hostoffer, DO, University Hospitals, Cleveland Medical Center, Cleveland, USA https://doi.org/10.1515/jom-2023-0055