Fortysomething y/o male. smoker for 20 years, quit a year ago. 2.5 months ago I noticed a swelling that occured only when speaking at certain pitch and tone; swelling or mass (hate the word) that appears is just lateral to the larynx on my left side approximately 2.5 cm above clavicular notch. Mass is not well defined at all and is obviously movable. After palpating area and attempting to illicit the appearance of mass again with speaking and various muscle positions /tone, area becomes sore for prolonged period. Same motions of palpations on right side, no pain residual. Slight discomfort with swallowing. Discomfort starts at the same area of approximately 2.5 cm above clavicular notch moves up along medial side of the left sternocleidomastoid muscle. No other masses noted, no apparent glandular involvement
No recent history (over a year) of any fever, no weight loss, no significant night sweats, always did get a little diaphoretic at certain points in my sleep cycle, no change from that baseline. Note, chronic mild sinusitis, responds to Claritin D.
This has not been overly symptomatic in past 80 days since onset, many times during this time period, was unable to illicit any mass or discomfort.
Finally remembered to mention to my doc today in office, was able to reproduce mass with speech. Doc not a poker playerclearly saw his concern. Sending me for ultrasound, rule out lymph node vs thyroid, I got appointment for today (same day).
Meanwhile, any insight anyone?