Patient :My daughter has a bump on her forehead that has been there for over six months. There is a small hard bump but then there is also fluid like swelling around the bump that spreads from her upper forehead to right above her right eyebrow. It is mostly noticeable when she raises her eyebrows. She seen a doctor two months ago who said that it looked okay but it appears to have gotten bigger. I am concerned about what could cause such a bump and fluid to appear in her forehead. Please help.
Thanks for your query and the image you have sent.
Read and understood the history.
(To recapitulate: child - bump on the forehead for 6 months - small hard bump with fluid like swelling around - on right forehead up to right eyebrow - mostly noticeable when the eyebrow is raised - seen by a Doctor 2 months ago - but appears to have gotten bigger - wants to know the cause.)
The most probable reason I can think of after seeing the picture and reading an elucidate history is:
This may be enlargement of the frontalis muscle, hence getting prominence on raising the eyebrow and getting limited up to the eyebrow
The hard bump can be from an organised old hematoma or from the bone of the skull itself- difficult to say without actually palpating it.
I would advise you the following:
MRI would help the most to tell us about what the lump with its components may be.
Get a consultation of a Pediatric Surgeon, who on clinical evaluation, physical examination and correlation with MRI or whichever investigation will be in a position to tell the best possible diagnosis and treatment.
I hope this answer helps you to get the best possible diagnosis and a plan for further treatment.
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