<human>: hello doctor this shaila from bangalore india. i have painfull swellen lymphnode on the right side of the neck. i did various test like, chest x-ray, mantoux test, fnac, complete blood test , and ultrasound also. in blood report there is ESR level is 42 which is higher. and despite this all the test report is normal. please help doctor plz
<bot>: Hi! Thanks for writing to us sharing your problem of painful lymph node on the right side of the neck with normal chest x-ray, manitou test, FNAC, complete blood test, and ultrasound reports! Only ESR is raised and surprisingly FNAC or needle biopsy is also normal! Therefore, I must consider few possibilities as follows:1. Viral infection2. Throat, thyroid, ear or oral infection3. Toxoplasmosis4. Kimchis disease Therefore, you have to consult a hematologist or immunologist for a detailed examination and necessary steps;regards,