<s>[INST] Hi I have noticed a small lump on the left hand side of my neck just above the shoulder. I have had a virus also I have Lupus and under active thyroid. Just wanted ti know if the lump may be something to worry about or should I have it checked out? Thanks Denise [/INST] Hi, dairy have gone through your question. I can understand your concern. You may have enlarged cervical lymph node.  It can be due to reactive hyperplasia, tuberculosis, lymphoma or metastatic carcinoma.  You should go for fine needle aspiration cytology or biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health. </s>