Top
29
Doctor insights on: Sternal Notch

Share
1

1
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

2

2
Been told I have a lipoma in my sternal notch. It's currently only about 1cm, but has tripled in size within about 6 weeks. Should I push for biopsy?

Been told I have a lipoma in my sternal notch. It's currently only about 1cm, but has tripled in size within about 6 weeks. Should I push for biopsy?

Maybe: My rule of thumb for soft tissue masses is if they are bothering you or enlarging, that's a good enough reason to remove them. ...Read more

3

3
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

4

4
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

5

5
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

7

7
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

9

9
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

11

11
Is it normal on CT to show what appears to be erosion on the posterior side of the manubrium? I have residual thymus, and a mass in my sternal notch.

Is it normal on CT to show what appears to be erosion on the posterior side of the manubrium? I have residual thymus, and a mass in my sternal notch.

Not normal: Normal residual thymic tissue should not erode the manubrium. The nature of this mass needs to be fully explored. ...Read more

13

13
I have a persistent tightness in my throat slightly superior to the supra sternal notch. Skin around notch tender if pressed. Anxiety?

I have a persistent tightness in my throat slightly superior to the supra sternal notch. Skin around notch tender if pressed. Anxiety?

Maybe, but may not: Your anxiety may be cause by your physical tightness and notch tender that may be cause by organic condition. You must consult and be examined by a Throat Specialist (ENT). ...Read more

15

15
Only when lying on left side I notice a pulsation between Sternal Head and between Jugular Notch on the right side only Normal Venous Pulsation?

Only when lying on left side I notice a pulsation between Sternal Head and between Jugular Notch on the right side only Normal Venous Pulsation?

Venous pulse: Need to know what you mean by notice? Do you feel it or hear it or see it. And not clear if you see a normal venous pulsation or are asking if this is normal? ...Read more

16

16
Cardiologist said Aneurysm External and Internal Carotid very rare in Neck and rare inside Sternal Head andJugular Notch No Ultrasound Needed? True?

Cardiologist said Aneurysm External and Internal Carotid very rare in Neck and rare inside Sternal Head andJugular Notch No Ultrasound Needed? True?

Carotid thoughts: I assume there are no symptoms.
Aneurysms are rare but do occur. See: http://www. Sciencedirect. Com/science/article/pii/S0741521400498800
Why not instead worry about garden variety plaque/stenosis in a 49 yo and try for a screening carotid U/S? No harm in a screening U/S, but may not be so available in the UK.
Would advise if a signif. History of smoking or family history of vascular disease. ...Read more

17

17
What are some reasons for sternal pain?

What are some reasons for sternal pain?

Usually Musculoskele: Sternal pain is usually musculoskeletal. If you are concerned with "chest pain", call 911 immediately. Ms CP is usually due to inflammation of the cartilage attaching the ribs to the sternum. This itreated with posture, heat or ice, anti-inflammatories like Ibuprofen and rest. If continued, see your pcp for further evaluaiton and treatment. ...Read more

18

18
Could a sternal rub potentially cause costochondritis?

Could a sternal rub potentially cause costochondritis?

Yes: Any rubbing, stretching, or trauma to the rib region can injure these muscles. ...Read more

20

20
What would be the cause of mid lower sternal discomfort with a slight radiation to the right?

What would be the cause of mid lower sternal discomfort with a slight radiation to the right?

High Acid: High gastric acid is on the top list as I could see you are taking sulindac. Please try Prilosec otc and if this does not get better, then you want to see a doctor. ...Read more

21

21
Pinching, pinpoint sternal chest pain. Localized and pain level fluctuates between a 6 and 9 on pain scale. Has lasted a month?

Pinching, pinpoint sternal chest pain. Localized and pain level fluctuates between a 6 and 9 on pain scale. Has lasted a month?

Arthritis: You may have an inflamed joint where your rib bone connects to the sternum (breast bone). However, any type of chest pain should be evaluated by your physician, to make sure it isn't your heart. ...Read more

22

22
What are causes for sternum to hurt... or the sternal angle?

What are causes for sternum to hurt... or the sternal angle?

Heartburn: Hyperacidity can cause pain in the upper stomach opening causing pain under the sternum, other several reasons like stress and such are common too. ...Read more

23

23
I was wondering are sternal lymph nodes located under the ribs?

I was wondering are sternal lymph nodes located under the ribs?

Under the breastbone: Lymphatic system absorbs/carries things too big to go into the arteries/veins like bacteria eaten by white cells and digested food. Lymph nodes "taste" the lymph for anything bad like bacteria/viruses/cancers, etc. When it detects a problem, it alerts the immune system and your body reacts. They enlarge in response to the inflammation they create when they react. They shrink when all is well. ...Read more

24

24
2wk s/p MVC, CXR in ED neg, now w/worsening sternal pain, worse when bending or laying down, no SOB only pain w/deep breath, should I be concerned?

2wk s/p MVC, CXR in ED neg, now w/worsening sternal pain, worse when bending or laying down, no SOB only pain w/deep breath, should I be concerned?

U may have injured.: ..either the xyfoid or even have a small compression fracture of the sternum or injured the articular cartilages at the level of the attachments 2 the sternum. These will not show up on x-rays. A CT can show a fracture, but usually there is no treatment, especially if a 1 cortex compression. Same with the sprained attachments @ the sternum. Ice NSAIDS, rest activity modification & tincture of time ...Read more

26

26
Could you explain what is a "sternal congenital malformation"?

Could you explain what is a "sternal congenital malformation"?

Abnormal sternum: "sternal congenital malformation" could be any abnormal formation or form of the sternum. For example "pectus excavatum" is an abnormal formation of the rib cage that gives the chest a caved-in or sunken appearance. The sternum itself can also have prominences or clefts. ...Read more

27

27
If sternal debridement is performed on the sternum do they have to leave it open and do you have to wear a wound vac?

If sternal debridement is performed on the sternum do they have to leave it open and do you have to wear a wound vac?

Many options: If the sternum was debrided due to infection, then yes, it has to be left open to heal from the bottom up. Using suction therapy (vac is just one brand) is an excellent way to help large/deep open wounds heal but the infection must be treated first by removing the infected, non-healing tissue and then antibiotics directed specifically at the bacteria that caused the problems. Wound consult helps. ...Read more

28

28
I have sternal pain since 10 yrs, MRI has shown edema in manubrium. What are the possibilities to treat this?, cus its really terrible!

I have sternal pain since 10 yrs, MRI has shown edema in manubrium. What are the possibilities to treat this?, cus its really terrible!

Need to know: What is causing the edema (ununited fracture, infection, tumor, sternoclavicular joint arthritis, etc.) treatment depends on cause. ...Read more

29

29
Having a goiter that has grown over years could be sub sternal thyroid?

Having a goiter that has grown over years could be sub sternal thyroid?

Possibly: It could be or it could just be an enlarging goiter. A thyroid u/s is the first test to evaluate this. Other tests can follow but you usually will know the seriousness of this with a thyroid ultrasound. Good luck. ...Read more