Question: 24 year old female. No major health issues. Just under two weeks ago I had a tender marble-sized lump appear on the back of my right knee. I could not remember getting injured in that area but I was moving around a lot playing with a young child and could have bumped it. I immediately to urgent care they said it could be a broken blood vessel but sent me to the ER to rule out DVT because I am on birth control and recently flew (3 hour flight). I went to the ER and they did an ultrasound of my leg and said that it was a "varicose vein" and that they did not see any clotting. Over time it has changed- a huge bruise has appeared and the lump has decreased in size but is in the middle of the bruise and is skin colored (white). As of now there the lump is a perfect circle a little smaller than a quarter in the middle of a bruise that is purplish and about the size of my fist (I have small fists though). The lump is painful when pressed upon and has not gone down in size since the second day. My feet are usually pretty cold but I have noticed that my right foot is a little colder than the left. I also sometimes get tingling in my right hand and foot since this issue started. No redness, no warmth. I am just concerned because of the lump- I don't know what it is and when it will get better. I called my PCP and they said they couldn't get me in for a week.

Dr. XXXXXXX Tayal,

Thank you so much for your response. In your response you noted that "if the swelling is not increasing in size and is not tender then most likely it will subside gradually over 2-3 weeks," my concern is that the lump itself is very tender when pressed upon. The bruising is not, but the flesh-colored lump is still very tender almost 2 weeks out. Is this normal? Thank you!

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