Hello, Thanks for your query. Well, without a clinical evaluation it would be difficult to determine the cause of the lump. Possibilities that may need to be considered include enlarged bursa, lipomas, cysts, growths from underlying connective tissue etc. I would suggest getting this evaluated by your doctor for an accurate diagnosis and appropriate management. You may get FNAC (fine needle aspiration cytology) of lump under his/her guidance. I do hope that you have found something helpful and I will be glad to answer any further query. Take care