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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Constant Pain Near Sternum, Normal Chest X-ray. History Of Lymph Node In Superior Mediastinum. Causes?

I am a 34 yo female. I have had pain just right to the sternum located around I think the 3rd rib. I noticed the pain about 3 months ago. The pain started out as an intermittent ache. Now it is pretty constant and is not relieved with heat, topical icyhot, or ibuprofen . I had a chest x-ray that was normal. My concern is that a year ago I had a chest CT and a 9mm lymph node was found in the superior mediastinum . Is there a chance that the lymph node has gotten bigger? My Dr. thinks the pain is just muscle but it doesn t feel like it to me. What test would help determine the cause of pain? Thank you for your time.
Fri, 6 Sep 2013
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Pulmonologist,  's  Response
Chest xray may not reveal even a 10 mm lymph node. If you have persistent pain, have a repeat Chest CT scan done to reveal if there is increase in lymph node size or is it compressing surrounding structures or is it eroding your breast bone.
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Constant Pain Near Sternum, Normal Chest X-ray. History Of Lymph Node In Superior Mediastinum. Causes?

Chest xray may not reveal even a 10 mm lymph node. If you have persistent pain, have a repeat Chest CT scan done to reveal if there is increase in lymph node size or is it compressing surrounding structures or is it eroding your breast bone.