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

### input:
About 16 years ago I hit my forehead very hard on the edge of a door (I was bending over and raised up without noticing the door had slightly opened again....I was cleaning and I am accident-prone). The blow knocked the breath out of me but I was ok. I looked to see if I was bleeding and figured that was good. A couple days later I felt an itty-bitty line where my forehead hit the edge of the door. Flash-forward to today: I looked in the mirror and I was shocked to see a dent in that spot. What do I do?

### output:

Hi, Good Evening, Thanks for your query. I studied your query with all the details and understood your health concerns.-In my opinion-the cause -of the itchy painful lump on the forehead is mostly a -?fibrosis dent at the spot where the door hit the forehead.-Now after 16 yrs you are getting the itchy lump on forehead at the site of the hit by the door.Your concern is the dent in the forehead with itchy painful lump.-This lump is mostly a Keloid with itching in it. Excision of the painful itchy-Keloid-with Intramuscular escort with continuous "Subcuticular "absorbable suture would be the treatment for it.@Besides this -for the dent in the forehead would need treatment. Before planning its treatment-I would advise -MRI /CT of the skull to study any intramural old pathological damage.-@A Second Expert Opinion-by a NeuroSurgeon-would fix the plan of treatment according to the MRI /CT report.-Hope this would help you to plan the treatment with your doctor team. Wishing you early recovery. Wellcome to Chat Doctor for further query in this regard. Good night from India.-