<s>[INST] i have been suffering right upper abdominal pain for the last 6 years.CT SCAN, ENDOSCOPY, ULTRASONOGRAHY,VARIOUS BLOOD TEST, AND HEPATO BILLIARY TEST FOUND NOTHING.NOW I AM FINDING A LITTLE HARD LIKE A PIPE THING JUST BELOW RIGT RIB CAGE. PLEASE SUGGEST. [/INST] HI. This may be a very small hernia in the center which is missed by all. Another possibility is costo-chon Chat Doctor. Hard-like-pipe thing is suggestive of this. Needs the investigations on this ground and a good clinical examination one can find these, if the Doctor is aware of such rare things. Can you post further information as to :::Respiratory problems? Bowel problems ? Nausea and vomiting ? </s>