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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Could Rapidly Spreading Painful Lumps Below Rib Cage Indicate?

I am a 29yr old Female have over the last 2 months felt weakness, tired, and abdominal discomfort. During those 2 months I have had 2 firm and painful masses under both sides of my rib cages. It has gotten progressivly more painful and uncomfotable and feels like the masses are rapidly increasing in size. This am i woke up to another lump/mass under my right breast feeling like its throbbing and shotting pains off and on. My Dr feels the masses has run blood work, 3 xrays, a CT scan, and MRI all showed nothing... Any suggestions as this is just getting worse and the pain is so sever I am at a loss...
Weight: 190lbs
Hight: 5'9"

History: C-Section w/ tubal ligation 2006 Gallbladder 2008 Apendix 2009 Tonsils 2010
Fri, 22 Aug 2014
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General Surgeon 's  Response
Hi.
Read your history. As you have got pain and lumps but the CT, MRI And X-ray are able to detect them , the most probable diagnosis is fat necrosis. This happens duo to unknown reason and is common in calf muscle area and the one you have noted.
This is not detected by the investigations. Any surgeon who has seen this condition can diagnose this by clinical history and examination.
You may please request your surgeon to remove this mass and subject to histopathological examination.
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What Could Rapidly Spreading Painful Lumps Below Rib Cage Indicate?

Hi. Read your history. As you have got pain and lumps but the CT, MRI And X-ray are able to detect them , the most probable diagnosis is fat necrosis. This happens duo to unknown reason and is common in calf muscle area and the one you have noted. This is not detected by the investigations. Any surgeon who has seen this condition can diagnose this by clinical history and examination. You may please request your surgeon to remove this mass and subject to histopathological examination.