Patient :Ciao- so I am a bit worried- I'm 36 female and have smoked a pack a day for 20 years. In the past two years I've developed neck and should pain and lots of cracking sounds- also a lump that runs diagonal from the right side of lower neck to shoulder- it gets bigger and smaller. I had an ultrasound of it and it came back normal... Now I'm reading shoulder pain is symptom of lung cancer and my anxiety is through the roof. Could the ultrasound have missed something?
Thanks for your query.
Read the history and understood your concerns.
Your reading shoulder pain is a symptom of lung cancer caused you severe anxiety and wants to know whether the ultrasound have missed something.
Since you have neck pain as well as lots of crackling sound in neck indicates otherwise. It may be due to cervical spine problem, Another cause of shoulder pain could have been local shoulder pain due to inflammation of the joint itself or the capsule around it, causing restricted movements.
Another reason can be gall bladder disease- it gives pain as a referred pain.
If the lump on the right side of the neck would have been due to a lymph node that gets bigger and smaller, ultrasound should not have missed it.
The cancer of the lungs can be confirmed or ruled out the best by a contrast enhanced CT scan of the chest and the neck. To be confirmed by FNAC that is fine needle aspiration cytology. Hence I would advise you to get this done as you have history of being 34 and smoking a pack a day for the last 20 years.
I hope this answer helps you, alleviating the fear you are unnecessarily developing.
Please feel free to ask for further relevant queries if you feel that there is a gap of communication.
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