Just had mine drained. Full of blood, feels as you described because the amount of pressure makes it difficult to tell if it is fluid or a mass.
Bursitis was the diagnosis, but blood is being analyzed because of Cancer in my family.
What nut would walk around with an elbow with a sack of fluid above his elbow the size of an egg and not think a physician should look at it.
Maybe you ought to have the sack on the top of his neck checked as well.