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Doctor insights on: Sternal Notch

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What can cause a palpable pulse in the supra sternal notch of an 18 year old?

What can cause a palpable pulse in the supra sternal notch of an 18 year old?

Blood vessel: Could be a high riding subclavian artery or possiblly a vascular malformation or aneurysm. Best to see your physician for an exam. ...Read more

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A 60 year old man has discomfort/pain when swallowing in the sternal notch area. It started abowut 1 month ago. Could you please give me the possible ?

A 60 year old man has discomfort/pain when swallowing in the sternal notch area. It started abowut 1 month ago. Could you please give me the possible ?

Swallow difficulty: May be GERD w/ or without h pylori, , or infeciton in esophagus like candida or stricture can be evaluated with EGD where they look down esophagus w/ scope. May also be achalasia -spasm/ irregular perastalsis ( the movement that pushes food along) rarely stroke, mass lesion. Get CT chest, thyroid ultrasound F/u/ w/ doc and gastroenterologist ...Read more

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There's a sharp pain when I inhale near my sternal notch. It comes & goes.

There's a sharp pain when I inhale near my sternal notch. It comes & goes.

Costochondritis: Near the stern all notch is some what a vague term however if the area you mean is along the border of the sternum then the probable cause of your pain is inflammation of the joint where the rib goes into the sternum. This area is a costochondral joint. As breathing occurs these type of areas move and if inflamed will e painful as you describe. ...Read more

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So lately i've noticed that I have a fairly prominent palpable pulse in my supra-sternal notch. I can sometimes even see it throbbing in the mirror.

So lately i've noticed that I have a fairly prominent palpable pulse in my supra-sternal notch. I can sometimes even see it  throbbing in the mirror.

Worth a check: If you look at very fit men, perhaps the track team members, you'll see others who are like you. Your physician can tell you whether this is your aortic or your venous pulse. One unlikely thing to rule out is a thoracic aortic aneurysm. If your cardiac exam is otherwise normal and you feel well, i'd not be concerned. ...Read more

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Hi, I have a lump in my sternal notch that is pretty firm. Ultrasound says "may" be a lipoma, watch for interval growth. Its bigger. Thoughts?

Hi, I have a lump in my sternal notch that is pretty firm. Ultrasound says "may" be a lipoma, watch for interval growth. Its bigger. Thoughts?

Doubt it: lipoma are usually soft specially in this location It is hard for me to say it is not without feeling it or seeing it. I am depending on the location and description. there is higher possibility that it is part of the sternum than it is a lipoma. any way if it is too visible or causing you a problem you can ask to have it removed. ...Read more

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8mm well circumscribed hyperechoic mass in sternal notch, slightly mobile, firm, growing. Possible lymph node?? Tech thought node, doc thinks lipoma??

8mm well circumscribed hyperechoic mass in sternal notch, slightly mobile, firm, growing. Possible lymph node?? Tech thought node, doc thinks lipoma??

Prob lipoma.: An ultrasound can see the difference between a lymph node and a lipoma. So if the doctor (radiologist) said lipoma, it's a lipoma. Even so, if it keeps growing, it's best to have it biopsied. Some tumors, like liposarcomas, can masquerade as lipomas because they are made of fat. Any lump that continues to grow eventually needs a biopsy. I hope that helps! ...Read more