Conversation: The conversation between human and AI assistant.
[|Human|] I have had intermittent right sided abdominal pain for around 6 months but not particularly worried as it comes and goes, rarely lasting for more than a few hours. This weekend the pain has lasted much longer and I am wondering what it might be. It is in a very specific place and is worse to the touch. It also seems worse when I have a full bladder.I am a 52 year old woman and my only other symptom is a number of lumps in my neck, the longest of which has been there for a year. Over the last 6 months these have increased to at least 5 lumps that I can identify. I have been to my GP twice but she does not seem concerned as all blood tests seem normal.
[|AI|]  Hi. This is very specific but an atypical presentation. Let us consider a diagnosis of something in abdomen which is pressed upon by a full bladder that too on right side in a specific place. I would consider this lump which can be a mass from lymph nodes or ovaries or the area of ileocaecal junction with an appendix. I would do a thorough clinical examination and may be per-vaginal palpation to see the lump. Furthermore, I would also advise going for sonography per-abdomen and per vaginal. Maybe a CT scan with a marking on that specific point. I would do FNAC of the lumps in neck too.