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Swelling in the right upper chest due to lipoma - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: General Health
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
Doctor :   Hi
Doctor :   Im sorry,
User :   hi
Doctor :   SHe is out for the day
Doctor :   thats fine
Doctor :   just give me a few minutes
Doctor :   and i will go thru ur history
User :   k.. just bcos she new my history
User :   k.. i hav this lump above my right collar bone
User :   from past 3 weeks
Doctor :   ok
Doctor :   do u have the reports
User :   surgeaon had suggested me a xray n blood test
Doctor :   ok
User :   he was suspecting this as TB
Doctor :   please proceed with the reports findings
User :   so my reports are out
User :   In my reports,My mean platelet volume is 12.7 (h)
User :   and erthyro sedimentation rate,blood is 25
User :   these two are only items which are out of range
Doctor :   that is fine
Doctor :   the ESR is not that high, even though it is above the range
Doctor :   Have they done the sputum tests ?
User :   any comments
Doctor :   please give me a few minutes
User :   no
Doctor :   i will go thru ur entire history
User :   what are those
Doctor :   and give you a very specific and clear cut advise
User :   k
User :   k
Doctor :   ok
Doctor :   so you had a lump for last few weeks
Doctor :   and you had seen a surgeon , who advised you a few tests and gave u pain killers and antibiotics
Doctor :   to go ahead, can u tell me a few details about the lump
Doctor :   Is it still there ?
User :   yes
User :   yes
Doctor :   when u press there, do u have any pain ?
User :   its just above the collar bone
Doctor :   Is there any redness, in that area ?
Doctor :   can u tell me the size of the swelling ? in cm ?
User :   no
User :   no
Doctor :   Is the swelling movable ?
Doctor :   which side is the lump on ?
User :   but when surgeon feels the lump.. i do hav inconvienence
Doctor :   ok right side
User :   3 to 4 cms
User :   no
User :   right
Doctor :   preveiously,m u mentioned to the other doctors, that u dont have fever, cough, chest pain, loss of weight , etc ? is this right ?
Doctor :   Have u done any other tests other than the blood tests mentioned ?
User :   yes
Doctor :   was that normal ?
User :   no
User :   X ray
User :   chect x ray
Doctor :   In such a case, there is no need to worry about any form of infection, including that of TB
User :   yes
User :   i wil type the contents of my reports
Doctor :   yes sure, typing the report details will be helpful.
User :   "there is no active pleutral or lung parenchymallesion seen
User :   the heart and arota are normal
User :   no mediastinal shift or mas seen
User :   bonythorax normal
Doctor :   ok , so the chest report is completely normal and there is no need to wprry about TB
User :   normal chest pa view
Doctor :   worry
User :   done
Doctor :   so i shall assume that the swelling is still of the same size , from the beginning ? Is this right ?
User :   what could b problem behind this lump
Doctor :   Did this swelling appear suddenly , or you observed it when it was very big ?
User :   as in i feel this tired in right hand
User :   no
User :   gradually
User :   sowly its visible
Doctor :   In such a case, it seems that the swelling could be a lipoma , which is compressing on the nerve roots , that supply to the hand and forearm and arms
Doctor :   do u have any weakness in the arms , as well
Doctor :   any tingling, pins and needle sensation in the arms and hands ?
User :   yes
User :   no
Doctor :   The way to go ahead, would be to get a CT or a MRI of the right upper chest
Doctor :   this will help to know the extent of the swelling
Doctor :   whether it is growing from inside the chest ? or whether is is a localised swelling
Doctor :   In case it is a localised swelling, a general surgeon , can do a excision of the lump, in total
Doctor :   once the lump is removed , your symptoms in the hand will be normal
User :   i feel the swelling
Doctor :   is the lump compressible ?
User :   its visible from outside
Doctor :   is it soft like a rubber ball ? OR hard like a marble ?
User :   no
Doctor :   can u feel any pulsations in the lump ?
Doctor :   Are u there ?
Doctor :   It seems that you have loged out of the system
Doctor :   please log in again , if u have any additional query
Doctor :   take care and bye for me
Doctor :   bye for now

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