<s>[INST] Yes, my three year old grandson has a swollen gland in the right side of his neck. It is the side of a marble and sticks out. He also has red spots , about five on the back of his neck. This gland has always stuck out, but is now larger. What could this be? [/INST] Hi...this could just be a simple right cervical lymphadenopathy which can occur even with simple upper respiratory infections. But at the same time - associated illnesses like Tuberculosis and lymphoreticular malignancy should be ruled out after thorough clinical examination and laboratory evaluation if it is found to be warranted after clinical examination. I suggest you consult your pediatrician with these tips. The redo spots and the swelling seem to be unrelated.Regards - Dr. Sumanth </s>