 
                            What Causes Swelling Above The Sternum, Breathing Difficulty And Fast Heart Beat?
 
 
                                    
                                     Wed, 29 Jun 2016
                                                
                                            
                                                Answered on
                                                
                                                Wed, 29 Jun 2016
                                                
                                            
                                                Answered on
                                             
                                             Wed, 20 Jul 2016
                                                
                                                
                                                Last reviewed on
                                                
                                                Wed, 20 Jul 2016
                                                
                                                
                                                Last reviewed on
                                             
                                            Clinical evaluation and examination, investigations to get a cause
Detailed Answer:
Hi.
Thanks for your query and the pictures.
To recapitulate: Female/46 - mass above the breast - in mid line - breathing is difficult - heart is racing - wants to know what this could be ...
Please give some additional information:
- Since when is the mass present?
- Is this mass compressible or hard?
- Does the mass pulsate if you put your fingers or palm on it?
- Is it painful or tender or painless even on pressure?
The swelling is above the sternum, the manubrium part of it.
It can be due to:
- Accumulation of fat or a lipoma if there is no pulsation or pain or tenderness.
- If the swelling has developed recently and is tender it can be an inflammatory mass.
- If there is pulsation, and is compressible it can be an aneurysm.
I would advise you the following in such a situation:
- Get a clinical evaluation, actual examination by a Doctor and get the investigations and reference for the Specialists.
- Needs an ultrasonography and color doppler study, contrast enhanced CT scan.
- Consultation with a Cardiothoracic Surgeon and/or Pulmonologist as per the findings.
- These will give the probable reason for the mass and your symptoms to get an appropriate diagnosis and a plan for proper treatment.
I hope this answer helps you to get an early diagnosis and proper treatment, please feel free to ask for further relevant queries if you feel that there is a gap of communications.
 
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