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

### input:
I am 45 years old and female. I rarely get sick. I recently visited my doctor, a resident, at the local university hospital. My first visit was due to a small, pea-sized growth on my right clavicle/sternum joint. I had a follow-up visit a month later to check the size. Although the size had not changed, below the clavicle was noticeably swollen. The entire clavicle, and the rib below the clavicle, protrudes more than the left side. An x-ray was ordered and the radiographer mentioned the right side seemed to protrude on the image. I went back today for the follow-up, saw different doctors, explained my symptoms, answered the same questions again, and then again after a team of three other doctors entered the exam room. They will be referring me to an orthopedic specialist in order to determine if this growth is a ganglion cyst. I have no pain or discomfort at all in the joint or bone, I have had a sporadic low fever several on and off the past month, 3 upper body skin rashes, several incidents of burning/itching palms over the past 9 months, no swollen lymph nodes. Sometimes, mild, dull pain in my upper right side back. I don t drink or smoke. I run about 4/3 times per week. I try to eat healthy and rarely eat red meat. If I am fatigued, it sometimes gets better with exercise. Any suggestions as to my next step or second opinion?

### output:

Hi, Thanks for your query. After going through your query I came to know that you have small growth of pea size on my right sternoclavicular joint. You have no symptoms at joint level so no need too much worry. Your doctors suspected this growth is a ganglion cyst. This cyst is not harmful so no need to worry much. But you have sporadic fever off and on in this month, I think possibility of lymph node enlargement. So I will prefer an excisional biopsy of swelling which may provide a direct diagnosis You can discuss with your treating Doctor about it. I do hope that you have found something helpful. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care.