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

### input:
I have a 15 year old daughter who is having some issues for the last 2 and a half months now. it started with 1 lump on the side of her neck, which they gave her 2 rounds of amoxicilian, then went back to gp and he sent us for chest x ray and ct scan. Ct scan showed reactive lymph nodes, went to the ent, ent ordered steroids because the swollen lymph noid is pressing against her shoulder nerve. Went back to ent 1 week later for pain and 2 more lumps next to that one. He said it must be viral sent us backc to GP. Gp ordered more steroids and antiviral medication along with long list of blood work to be done. Blood work came back all good except alt/sgpt levels at 51 (normal below 35 they said). Now she has a lump on her spine right below her neck and severe pain with moving neck and arm. They have no idea what this is, any suggestions????

### output:

Hi, Good Evening. Thanks for the query to Chat Doctor. I studied it in depth and I understood your health concerns.-Causes -for lumps and pain in neck and arm-1- Mostly it appears to be -Lymphadenitis with pharyngitis of viral origin?of infectious mono?or TB hyperplasia? Lymphoma?2-For to fix the causes I would advise you to show to Physician who would rule out the causes. I would advise Grant detect latent or pre-existing TB .3-FNAC Biopsy by a Surgeon would fix lymphoma ? Or other causes.4-Thus a Team of Physician and Surgeon would fix the causes of the lumps with pain in arm and neck, which mostly could be infective? H-lymphoma.Don't get scared and uneasy, but be cautious and act fast. Hope this would help you a lot to relieve you. Wish you fast recovery-and healthy life. Wellcome to Chat Doctor with more queries till you are satisfied. Have a Good Day...!! Chat Doctor. N.M.S.GENL-CVTS, Super specialist and Senior Consultant-and Expert in Non-Curable-Disease therapy for Cancer, Asthma,etc., Rejuvenation therapy and Tissue failure -reversal therapies.