Brief Answer:
Need clinical examination and investigations.

Detailed Answer:
Hi XXXXXXX ! Good morning. I am Dr Shareef answering your query.

Good to know that you were a former smoker, which implies that you do not smoke any more - a great achievement and good for your health.

On the spongy swelling on your hip of reasonably good size, if I were your doctor, after a general physical examination with special attention to the lump, I might have advised you for an ultrasound of the area followed by a CT scan to confirm the nature of the lump. Sponginess points more towards a vascular related lump like a hemangioma, or a slow developing benign lesion like a lipoma and the tenderness which you have mentioned could be due to chronic irritation over it by your clothing. I would consider FNAC (Fine needle aspiration cytology) for a cytological diagnosis only after excluding a vascular origin for the lump.The pain in the leg could be due to pressure on the nerve by the lump.

I would also keep in mind two other possiblities like a rare type of hernia (gluteal hernia) or possibility of a cold abscess which is more common in this part of continent. However there are other symptoms like loss of weight and loss of appetite along with fever with a cold abscess, which you do not have I suppose. So, we might rule this out for the time being. However, in case of doubt, your doctor might advise you a CT/MRI of the spine as well to rule this out.

In conclusion, the nature of the swelling could be judged at best by a personal clinical examination of the lump along with related investigations as advised by your treating doctor. Till then for the pain you could go for an anti inflammatory along with a proton pump inhibitor drug for symptomatic relief of the pain. You could continue with your Synthroid for hypothyroidism.

I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts.

Thanks for choosing health care magic portal to clear doubts on your health problems. I wish you an early recovery. Dr Shareef.

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Brief Answer:
Would appreciate feedback on diagnosis by your doc

Detailed Answer:
Hi XXXX! Good afternoon. It was good to listen from you so soon. My regrets for not being able to respond in time.

Warmth to touch could mean either inflammation or more of vascularity as it might occur in a hemangoma or a arterio-venous malformation. It might be really difficult to opine on this over the net without a physical examination and related investigations. So, I would appreciate if you could please give me a feedback once your doctor over there diagnoses the condition after all the physical examination and investigations.

Thanks and good luck.

Dr Shareef.

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