The photo shows a soft, diffuse, non-tender swelling in the right supraclavicular / lower neck region (just above the collar bone), which appears symmetrical in nature when comparing both sides (your right side looks fuller, but the left side also has visible soft tissue fullness). The area you circled is not a discrete hard lymph node mass — it looks like normal or mildly prominent supraclavicular fat pad / subcutaneous fat + possible mild soft-tissue laxity in the lower neck.
At 98 kg (assuming average or above-average height), this is very commonly seen in people with higher body fat percentage — especially in the neck/shoulder girdle area (sometimes called “buffalo hump” appearance in severe cases, but yours is mild and unilateral prominence only). It is not the typical appearance of a pathological supraclavicular lymph node (Virchow’s node or metastatic node), which usually presents as a hard, fixed, irregular, non-compressible lump that is not symmetric and often grows over weeks/months.
Key reassuring features from your description & photo:
• Soft and “fluppy” (compressible) when pressed
• Present for many years (not new or rapidly growing)
• No pain, no fever, no weight loss, no night sweats, no other systemic symptoms
• Bilateral asymmetry is common in body fat distribution (right side often appears fuller due to handedness/posture)
• No overlying skin changes, redness, or ulceration
This is extremely unlikely to be cancer (supraclavicular node metastasis is hard, fixed, rapidly enlarging, and almost always accompanied by other red flags — none of which you have).
Next Steps
1. No need to panic or rush to emergency — this does not have the appearance of a sinister lymph node mass.
2. Still get it checked for complete peace of mind (your severe health anxiety makes this important):
• See an ENT surgeon or general surgeon within the next 1–2 weeks (not urgent).
• They will do a simple clinical examination + possibly neck ultrasound (very quick, non-invasive, cheap).
• Ultrasound will clearly show whether it is just fat pad / lipomatous tissue or any abnormal node.
Health Tips
• Do not press / squeeze the area repeatedly — this can cause local inflammation and make it feel more prominent temporarily.
• Posture check — forward head posture or rounded shoulders (common in desk job / phone use) can make one side appear fuller. Try gentle shoulder rolls and chin tucks daily.
• Weight & fat distribution — if overall body fat is high, gradual weight loss (even 5–10 kg) usually reduces neck/shoulder fullness.
• Anxiety management — your 3-year health anxiety is amplifying normal body asymmetry into a cancer fear (very common pattern). Consider talking to a therapist or psychiatrist for CBT / anxiety tools — this can reduce the cycle dramatically.
This is most likely normal anatomical variation (fat pad + body asymmetry) — not cancer. A quick clinical exam + ultrasound (if doctor feels necessary) will confirm it in minutes and give you lasting reassurance.
For complete peace of mind (detailed review of the photo, explanation of why it looks benign, which ENT/surgeon in your city is best for quick neck ultrasound, how to manage health anxiety around this, and what to expect in consultation), please book an online consultation with me — I’ll guide you step-by-step so you can stop worrying and confirm it’s nothing serious.
You are doing the right thing by checking — let’s put this fear to rest together