Conversation: The conversation between human and AI assistant.
[|Human|] I have a grisly hard small lump about an inch underneath my right rib cage. I have had it for approx 3 months and I am aware of it every day ( pain ). The pain eases when that area is massaged but the relief is only short term. In the last two years I have also been diagnosed with osteophytosis and scoliosis
[|AI|]  Hello and welcome to Chat Doctor, A painful lump below the rib cage can be due to soft tissue swelling or bony swelling. Relief of pain on massaging is more suggestive of soft tissue lesion-probably muscular pain. Is there any history of trauma in the past? Swelling are often neoplastic- benign or malignant. The nature of the swelling has to be determined before treatment can be instituted. Aspiration cytology of the lesions needs to be done to know the cause of the swelling. The aspiration cytology determines the origin, site and nature of the lesion. Management can be instituted after the result to the investigations is received. Thanks and take care Chat Doctor.