Conversation: The conversation between human and AI assistant.
[|Human|] i have had this hump on the back of my neck for sometime now, and i see the elderly with a similar hump on their necks. But it creates severe pain for me at times and so i went to my family doctor andhe said it was a dowagers hump and had me get an MRI then he said it was just fat. But if its just fat then why am i in such terrible pain and why does it get bigger over the years? and could my doctor wrong?
[|AI|]  Welcome to Chat Doctor .1. History suggests that the lump / lesion in the back of the neck - possibilities could be a lipoma (fat content) or a spinal involving lesion.2. I would recommend you to get an ultrasound examination of the lesion - that will help in identification of the lesion sours and its nature (solid, cystic, tubular, mixed) and where all the lesion extending.3.MRI is definitive investigation of choice - its very good in anatomical delineation and spinal related pathologies.4.Anyone can be got wrong before getting its imaging findings. 5. An FNAC - fine needle aspiration cytology might be needed for histology findings - nature of cells.6. After all these - if safe to excise - excision is treatment of choice. Good luck. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. Thank you.