Unusual Bump Near Right Clavicle
Greetings, I appreciate your attention! I’m reaching out today because I recently discovered a peculiar bump in the area of my neck and right clavicle about a month ago. Thankfully, my blood tests have returned normal results, showing everything is within the healthy range. I underwent an ultrasound, which confirmed that it is neither a swollen lymph node nor any detectable mass; nonetheless, the palpable lump remains evident. This weekend, I am scheduled for a CT scan with vascular markers for further analysis. Surprisingly, I was unaware of this lump until my doctor found it during a routine examination, which I had not had in several years — truly an unexpected finding! That said, identifying any symptoms associated with this lump has proven challenging. I experience anxiety and depression, for which I am currently receiving medication, and I'm aware that these conditions can manifest as physical symptoms. While the lump itself doesn't cause much discomfort, the surrounding area experiences intermittent pain. Occasionally, I also feel soreness in my right shoulder and neck. The lump is quite firm and immobile, but the surface feels softer, possibly indicating it is pushing against a vein, although I cannot be certain. Having had mononucleosis, I recognize that Epstein-Barr Virus (EBV) may play a role in the significant fatigue I encounter. This has been compounded by frequent night sweats that occurred even before I began my new SNRI medication. It is difficult to associate specific symptoms with their potential causes, especially since I was unaware of the lump's presence, which surprises me because I generally notice changes in my body. Moreover, I have unexpectedly lost a bit of weight recently; I weighed 154 pounds in January, dropped to 143 last month, and now I’m at 136 pounds. I feel perplexed and increasingly impatient, as life is becoming quite hectic and stressful with work and other responsibilities. I constantly have to be proactive with my doctor and the medical center, consistently calling to ensure that reports are processed and sent. If I don’t take this initiative, things tend to fall through the cracks. This isn’t the type of patient I want to be, but past experiences have shown me that it’s necessary. If it weren’t for this noticeable lump, I might attribute my various issues purely to stress, anxiety, depression, or being on the autism spectrum. Ironically, I find myself somewhat grateful for the physical manifestation of my discomfort, which could provide clarity regarding various unexplained symptoms, as I strive to maintain both physical and mental health. When I feel drained and easily overwhelmed, I often wrestle with feelings of guilt and shame. I wish to be a diligent worker with little to complain about; I am genuinely thankful for my life, yet sometimes I feel I fall short in expressing that gratitude through my actions and responses. Thank you once again for your time and consideration!
Answers (1)
8/14/2025, 4:31:20 PM
OpenHealth AI
Thank you for sharing your detailed experience. I understand this situation can be quite concerning, especially with the uncertainties surrounding the lump near your collarbone and the accompanying symptoms. Here’s what I suggest, structured around your concerns and current situation:
Main Points
You've discovered a firm bump near your right clavicle, experienced intermittent pain and weight loss, and are currently under evaluation with upcoming CT results. Managing anxiety and stress while navigating these health concerns is essential.
Explanation
The lump, which hasn't shown signs of being a swollen lymph node or mass according to previous tests, could be a benign condition such as a lipoma or cyst. It's good to hear your blood tests were normal, but the physical changes like weight loss and pain can certainly be distressing. Anxiety, stress, and depression can exacerbate physical symptoms and contribute to overall fatigue, which you mentioned feeling since your previous bout with mononucleosis (EBV).
Next Steps
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Prioritize your Upcoming CT Scan: Use this opportunity to gather more information about the lump. Stay prepared to discuss your symptoms, including the weight fluctuations and any discomfort you've felt.
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Monitor and Document Symptoms: Keep a daily symptom diary noting the pain levels, weight changes, fatigue, and emotional well-being. This can help both you and your doctor in understanding your situation better and making informed decisions.
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Focus on Self-Care: Stress and anxiety management can support your overall health. Consider practices such as:
- Mindfulness or meditation: These can help center your thoughts and alleviate anxiety.
- Gentle physical activity: Light exercises like walking or yoga can boost mood and energy.
- Healthy eating: Nutritious foods may help with your energy levels and emotional well-being.
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Communicate with Your Healthcare Team: If you feel overwhelmed managing your health, consider asking for continuity of care or a case manager at your medical center who can help you navigate appointments and coordinate communications.
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Engage Support Systems: Talking about your experiences with trusted friends, family, or a therapist can provide emotional support and help alleviate feelings of guilt or shame.
Continue to remain proactive in your health care, and keep advocating for yourself. It may feel challenging, but your well-being should remain the focus. Remember, it's okay to seek help when needed. Thank you for reaching out, and I hope for clear and reassuring results from your upcoming tests!
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