we discovered an unusual unilateral variation in the course of the right EJV, in a 72-year-old female. An iPhone 7 mobile phone was utilized to photograph the case (Figure 1). The following findings were observed: these right-sided vessels appear larger than the left side, the EJV runs over the clavicle & joins the terminal part of the cephalic vein (CV). The transverse cervical vein (TCV) is located superficial to the omohyoid muscle (OH). Deep dissection of axilla shows angiogenesis of axillary vein as the brachial veins continue proximally joining the cephalic vein, large subscapular vein substitutes axillary vein (Figure 2). DiscussionThere have been numerous EJV variations noted in past literature; previous variations observed included abnormalities in both the confluence of the EJV as well as the location