Abstract
Cervical synovial cysts are rare, especially hemorrhagic cervical synovial cysts. The patient was a 58-year-old male with a five-month history of tingling in his right shoulder region, radicular pain in his right arm, and increased pain on the right chest wall that worsened with lying supine down. The patient was diagnosed with a right-sided hemorrhagic synovial cyst at the C7-T1 level. In addition, we have a unique presentation of chest pain, when lying down from a musculoskeletal or neurological etiology instead of a cardiac etiology. The etiology of chest pain of this patient is atypical and not caused by angina. The patient underwent decompression surgery and cyst removal with total resolution of his pain and symptoms.