Conversation: The conversation between human and AI assistant.
[|Human|] I am a 40 year old female. Average weight/petite. I have a walnut-sized lump on the front of my neck that is getting bigger over the last year. I have had two ultrasounds of my thyroid and all is normal. Food gets caught in my throat and cbc was normal. Should I see an ENT even if ultrasounds showed nothing? Everyone sees the bump, it is protruding farther out than my Adam s apple to the left and above it. It is hard to the touch and the dr. said it is not a lipoma. My other symptoms are muscle weakness, upper back pain (having physical therapy for pain between my shoulder blades and daily headache) worse when I wake up in the morning, and severe fatigue (weakness, constant napping on weekends, going to bed at 7-7:30 at night..progrssively getting worse). I am taking B12 and vitamin D and synthroid. My thyroid levels were within range. Bad cholesterol a little high. I also have a uterine fibroid(1.5-2 cm), and ovarian cyst(3cm)as of ultrasound last August (probably unrelated, but thought I would add). Otherwise I am healthy. Hardly ever sick with colds or flu!
[|AI|]  Hi, dairy have gone through your question. I can understand your concern.  You have hard enlarged lump in neck.  It may be due to some enlarged cervical lymph node. It can be due to reactive hyperplasia, tuberculosis, lymphoma or metastatic carcinoma.  Or it may be some soft tissue tumor. You should go for fine needle aspiration cytology or biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health.