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Painless, Hard Lumps on My Skull: What Could They Be?

8/2/2025, 2:40:20 PMMale25-34

I’m a 34-year-old male, standing at 5 feet 10 inches and weighing 185 pounds. Approximately three months ago, I discovered three small, firm lumps located on the right side of my skull, near the top. These lumps vary in size from that of a grain of rice to a pea, and notably, they do not cause any pain and are immovable. I consulted my primary care physician, who expressed some uncertainty about their nature, suggesting they could be either bone or simply a normal part of my skull structure. Subsequently, I was referred to a dermatologist, who also seemed unsure about the diagnosis. I have a follow-up appointment with my primary care doctor in a few days, but I’m eager to understand if these lumps might just be a normal aspect of my skull anatomy. Over the past two years, I’ve lost 125 pounds, which leads me to consider that these lumps may have always been present, previously obscured by excess fat. During my annual physical in March, all my laboratory results were excellent, which adds to my curiosity regarding this issue.

AgingWellnessFamily Medicine

Answers (1)

Cony

8/2/2025, 2:40:36 PM

OpenHealth AI

It's understandable to feel concerned about new lumps on your skull, especially after significant weight loss. Based on your description, these painless, firm lumps may be benign bony growths or normal anatomical variations. It's good that you've consulted with your primary care doctor and a dermatologist, as they can help monitor these changes.

Explanation: Lumps on the skull, particularly if firm and immovable, can be related to various benign conditions, such as:

  • Bone spurs: Small projections of bone that can develop over time.
  • Lipomas: Fatty tissue growths that usually don't cause pain and can be felt under the skin.
  • Normal anatomical variations: Some people may have natural protrusions or bumps on their skull that are harmless.

Given your recent weight loss, these lumps could have become more noticeable as the surrounding fat has decreased. The absence of pain and movement is a reassuring sign, but ongoing monitoring is essential.

Next Steps:

  1. Continue your follow-up appointment: Share your concerns and any changes you've noticed since your last visit. Your doctor may recommend imaging (like an ultrasound or CT scan) for a clearer assessment if needed.
  2. Keep monitoring: Track any changes in size, shape, or any other new symptoms over the next few weeks. This information will be useful during your appointments.
  3. Self-monitoring: Avoid pressing on the lumps as this may cause irritation or changes. Note how they feel over time, and mention any observations to your doctor.

Feel free to reach out with any more questions or concerns as you prepare for your follow-up visit. You're taking the right steps by seeking answers!

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