OpenHealth Q&A

Soft Bump Above the Ankle: Comprehensive Imaging Results Are Normal

I am a 38-year-old female with a higher body weight, but generally in good health and currently experiencing perimenopause. Approximately two years ago, I identified a soft bump situated just above my left ankle, on the outer front portion of my lower leg. This lump is slightly larger than a quarter. Concerned by some recent numbness in my leg, I visited an Urgent Care facility where they conducted both an ultrasound and an x-ray; both tests returned clear results. The medical staff attributed the issue to superficial swelling. However, when the lump persisted a few months later, I requested a CT scan, which also showed no significant abnormalities, apart from noting a “superficial convexity.” Here are the findings from the CT report: - Markers were positioned above and below the symptomatic area in the front lateral aspect of the lower calf. No underlying soft tissue tumor was detected. There was no evidence of a well-circumscribed lipoma, hematoma, or cyst. - At the lower marker's position, a slight superficial convexity regarding the extensor digitorum longus muscle was observed, as indicated on series 604 image 25. This may indicate a normal anatomical variation or could result from a mild previous muscle injury or hypertrophy. No defined mass or high-grade tears were seen, and the surrounding muscle structure appeared normal. Tendons looked healthy based on the scan. The bones were intact, with no fractures or masses, and the alignment was anatomically correct, showing no significant arthritis. A year later, I underwent a duplex ultrasound to assess venous sufficiency, which returned normal results. Additionally, I consulted a podiatrist who opined that my swelling stemmed from tendinitis, with the lump potentially arising from nerve irritation due to the swelling. Now, two years later, the lump remains. I occasionally experience dull pain around the area of the lump and the ankle swelling. I’m curious if this could simply be related to superficial swelling that I must manage. I have noticed that the lump appears more pronounced when I am on my toes, and it diminishes significantly when my leg is relaxed or not bearing weight. When standing normally, it appears to be in between these two states.

Answers (1)

8/16/2025, 9:11:12 PM

OpenHealth AI

It sounds like you've been very thorough in investigating the bump above your ankle, and it's great that the imaging studies have not shown any significant issues. The persistence of the soft lump and your occasional dull pain, especially with swelling and changes based on your position, can indeed suggest superficial issues rather than serious underlying conditions.

Key Points

1. Benign Nature of the Lump: The imaging results are reassuring, indicating no tumors or significant injuries, which implies that the lump is likely benign and related to superficial swelling or muscle activity.
2. Management of Symptoms: Your symptoms may be manageable with some lifestyle adjustments and supportive care.

Explanation

The bump you mentioned might be part of a normal anatomical structure, and the swelling could be due to conditions like tendinitis or nerve irritation as suggested by your podiatrist. These can often be exacerbated by activity or body position, which explains the changes you noticed when standing on your toes versus when your leg is relaxed.

Next Steps

1. Limit Weight-Bearing Activities: Try to avoid prolonged standing on your toes or activities that may exacerbate swelling or pain. Incorporate breaks to rest your legs.
2. Cold Compress: Apply a cold compress to the area for 15-20 minutes a few times a day, especially after any activities that aggravate your symptoms. This can help reduce swelling and discomfort.
3. Compression: Consider using a compression wrap or sock on your lower leg if advised, as this can provide support and help manage swelling.
4. Gentle Stretching and Exercises: Engage in gentle stretching and strengthening exercises for your ankle and lower leg to improve flexibility and support. Avoid any activity that increases your pain.
5. Monitor Symptoms: Keep track of any changes in the lump or associated symptoms like pain, swelling, or numbness over the next few weeks.

If symptoms worsen or new troubling symptoms arise, such as significant swelling, severe pain, or changes in sensation, further evaluation may be warranted. Consider discussing these management strategies with your healthcare provider, particularly those who are familiar with your case.