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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Could A Small Bump Directly Inferior To The Xiphoid Bone Be?

I found a small (golfball size ) bump directly inferior to the xyphoid . A Mri with contrast was done it is not a hernia. It is accompanied by dull pain or no pain but sometimes the pain radiates across the whole abdomen like it is following the diaphram. I also have been gaining weight, almost a pound a week. The doctor will do an enteroscopic exam Thursday. What could it be?
Wed, 2 Nov 2022
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General Surgeon 's  Response
Hi,

Once you say there is a golf-ball sized swelling just below the xiphisternum, then the MRI examination may be irrelevant as such radiological examinations may sometimes miss a proper diagnosis. The most proper diagnosis comes from proper clinical examination. The basics. Many a times exploration of the area with surgery can find the problem and be corrected.

Consult a General Surgeon and request for a proper clinical actual examination in lying down, sitting and standing position, with coughing to see for impulse on coughing. Clinical examination helps. Simple high resolution ultrasound can help better than MRI.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. T. Chandrakant, General Surgeon
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What Could A Small Bump Directly Inferior To The Xiphoid Bone Be?

Hi, Once you say there is a golf-ball sized swelling just below the xiphisternum, then the MRI examination may be irrelevant as such radiological examinations may sometimes miss a proper diagnosis. The most proper diagnosis comes from proper clinical examination. The basics. Many a times exploration of the area with surgery can find the problem and be corrected. Consult a General Surgeon and request for a proper clinical actual examination in lying down, sitting and standing position, with coughing to see for impulse on coughing. Clinical examination helps. Simple high resolution ultrasound can help better than MRI. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. T. Chandrakant, General Surgeon