This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: All India exam, Subject name: Physiology
A 31-year-old man had shrapnel wound in the neck. O/E, it was noticed that when he blew his nose or sneezed, the skin above the right clavicleftbulged upward. The upward bulging of skin could be explained by 
Select and explain. 
A. Injury to the cervical pleura, B. Damage to the suprapleural membrane, C. Damage to the deep fascia in the root of the neck, D. Nonunited fracture of the first rib
B: Damage to the suprapleural membrane
Answer: B: Damage to the suprapleural membrane 
Explanation: The suprapleural membrane, also known as Sibson fascia is a strong fascial connective tissue layer above the superior thoracic inlet on each side, placed on top of the tips of the lungs. It's damage may cause bulge out appearance. Ref ganong's review of medical physiology 25e