In her first visit, a 43-year-old female with no significant past medical history presentS to the emergency department and is found to have lymphadenopathy. Three weeks prior to presentation, she began to notice swelling to her eyelids, worse when she woke up in the morning. One week prior to presentation, she noticed swelling to her right posterior neck and left anterior neck, as well as pain in her jaw when she chewed. The patient denied fevers, chills, congestion, sore throat, trouble breathing or swallowing, or cough. Her exam revealed very faint upper eyelid swelling and right suboccipital and left anterior cervical lymphadenopathy. Laboratory testing, including a CBC and BMP were normal, hCG was not consistent with pregnancy and HIV was nonreactive. The patient was discharged from the ED with PCP follow-up…

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