I had lump in throat under jaw bone near ear lobe. I have had blod tests, fluid withdrawn, Ultra Sound and MRI scan. All these test "showed there to be nothing nasty" After these tests, Whilst driving, I felt something running down my throat. I stopped the car, and gagged up what was running down my theoat, it was a yellow mucus with a red spot and the lump has disappeared. Any ideas what this could be?
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what did the MRI show?
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Just a lump
the most likely cause for this is a pharyngeal pouch
this is an outpouching from the pharynx
it can present as a postero-medial lump
this lump typically contains a collection of food, debris, mucous, etc
it is likely that you had this, and this drained out suddenly, causing the lump to disappear
this is the most likely explanation for your condition
Is this common or is surgery required to be on safe side?
it is not common, but it does not really cause any harm
if it is asymptomatic, as it is now in your case, surgery is not required
but if it becomes chronic with chronic enlargement, then surgery will be required
PS it appeare to be around or associated with Salava gland
yes thats the site it can appear
the other possibility is that you had a parotid cyst
this are cystic dilatations of the parotid gland which occur due to obstruction
sudden clearing of the obstruction, usually a small stone, can also cause it to collapse
but the only reason that I think it is not as likely is that parotid or submandibular salivary gland swellings are fairly easy to diagnose and would have been seen in the MRI
MRI however cannot easily diagnose a pharyngeal pouch or Zenker's diverticulum
consult your doctor again and discuss about pharyngeal pouch/zenkers diverticulum
tests like barium swallow can distinguish this
preferably see an ENT specialist for this
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any further questions?
All your answers make sense and thank you