<s>[INST] Hello, I am 23 years old and over the last 6 months or so I have this weird thing going on in my throat. I feels like there is a lump just to the right (my right) and a tiny bit below my adam's apple. I don't notice it all the time but it seems to "swell" up when I sneeze and when I push on it, it clicks and goes away. It doesn't hurt at all but I am wondering if anyone has ever heard of this happening? [/INST] Hi,Good Evening and Thanks for the query to My virtual Clinic at HCM.This  could be  a laryngocel?pharyngocele-if increases with valsalvas manouever ?or could be Zenkers diverticulum -or pharyngeal pouch -if  with swallowing difficulty.So mostly-it is layrngocele or pharyngocele as no dysphagia is complained by you.CT study of the pharynx and larynx would fix the diagnosis.This reply would help you to plan treatment with ER Surgeon /Ent Surgeon.Welcome for any further query in this regard.Hit Thanks if this reply is helpful to you.With Regards. </s>