Conversation: The conversation between human and AI assistant.
[|Human|] every time I swallow, just abovde my adams apple there is a lump that moves up and down, it kinda clicks in and out as I swallow and you can easily feel something loose in there. it just appeared about 3 weeks ago but is hanging around! Im female in early 40s, non smoker and reasonably healthy
[|AI|]  Hi, Thanks for your question. I can understand your concern after going through your concern.Mid-line neck swelling moving with swallowing may be due to -1) Thyroid swelling - it does not move with tongue movement.2) Hypoglossal cyst - it also moves with tongue movement. I would like to advise you to consult general surgeon for detailed examination. Following test will help in diagnosis and decision taking-1) Ultrasonography of neck.2) T3, T4, TSH.3) Complete blood count. Depending upon clinical examination and above test result there may be need for FNAC (Fine needle aspiration cytology), thyroid scan. Once diagnosis is confirmed appropriate treatment can be planned. For hypoglossal cyst surgical removal need to be done. For thyroid swelling treatment depends on presence of hypo or hyper functioning of thyroid gland, ultrasonography and FNAC report. Hope this helps you, if so vote as helpful.