### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
my daughter has been having shoulder pain for over a year. We ve been to ortho doctor. Finally after several xrays, MRI and physical therapy and xray showed something on collar bone. Had a CT done and ortho doctor said its normal. However, I got a print out of the ct and it shows a small cystic area at the medial aspect of the right clavicle posteriorly. A small adjacent osseous projection extending posteriorly. What does this mean? and what can they do to get rid of the pain she has? She cant even play softball because of pain. But ortho doctor says its normal.

### output:

Hi, thank you for providing the brief history of your daughter. As she has a cyst formed in the medial posterior aspect of the bone I think it should be a calcium deposition. Since the child is in the growing stages she may have some changes of growth of the bones. As bones also has some remodeling phase during the growing ages of a Child certain things are time framed and goes off on its own. As the or tho said, this is not to worry as he might want to speak about the growing phase of your child and also the remodeling of the bone which he must have not explained. In my opinion this is not so worrying thing as its only giving pain due to the remodeling of the bone. In case the pain worsens over a period of time and this remodeling doesn't remove the excess deposition of the cyst may be an excision of the cyst will be performed. In my clinical practice many parents comes with child having pain and aches, but this is the growing phase of the child and may have some aches and pains. I advise them to take the child for swimming as it will help better for muscle movements for its relaxation, strengthening and stretching. I will recommend you the same to try out swimming, and I am sure your daughter will be fine. I wish your daughter a good health and a blessing from God. Regards Jay In Chat Doctor. 