Conversation: The conversation between human and AI assistant.
[|Human|] Hi I have a deep lump on the edge of my right scapular near my spine. the shoulder has been painful for some time and the pain is felt in the ribs and under the arm. I have pain also in the upper arm and my thumb mostly but sometimes all of my fingers are numb.
[|AI|]  HI. All the symptoms you have mentioned may be due to the Cervical spine problem, it may be cervical Spondylitis or Spondylolisthesis with Neurological manifestations. The lump on the edge of the right scapula can be a muscle in spasm or a lipoma or a sebaceous cyst. MRI of the cervical spine and of the Brachial Plexus can give the reason for the pain in the ribs, under the arm, upper arm and the thumb. You may have to go for surgery of the spine if the compression Inter-vertebral discs are more prominent and causing symptoms of compression; if not Physiotherapy will help.