<s>[INST] lump size of a small grape on my11 year old neck, 1/2 inch to the right of center neck on the top of the breast bone. it is a hard lump does not move , no redness does not hurt  no fever at this time I have no health insurance so whats the best course of action do i need to worry? [/INST] Hi, dairy have gone through your question. I can understand your concern. He may have some enlarged supraclavicular lymph node. It can be reactive lymph node, tuberculosis or lymphoma. You should go for a course of antibiotics, if patient does not respond to treatment then biopsy diagnosis is advisable. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health. </s>