Conversation: The conversation between human and AI assistant.
[|Human|] Hi my name is Pam and I have an occult primary cancer, removal of 37 lymph nodes left side of neck, had chemo and 35 radiation treatment - completed september 2012My blood count continues to go down - white cell count 3.0, lymphocytes  0.5  - lymphopenia and slight anaemiaI know have pain under my left ribs - abdo area -is this an area of concern
[|AI|]  Hi and welcome to Chat Doctor. If you think of cancer metastasis it is always possible, but isn't usual in this place. IT can be basal pulmonary infection(especially considering your low WBC) or stomach and spleen issue. Also, chemo and radio have effect on many organs including spleen and liver. I suggest doing abdominal ultrasound and chest X-ray and everything will be clear. If you have reaching difficulties, vomiting or sharp pain around heart and left shoulder you should go to hospital as soon as you can. Wish you good health.