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Hello there,
Since your condition is very sensitive I would say that the best you can do is to travel to the San Francisco and get this over with. If it is something (but hopefully it isn’t) serious it is better for you to be in a big city where you can even ask for second medical opinion.
Although that shadow on a x-ray can be just a shadow which represents nothing it is always better to be safe than sorry.
Anyway I hope that you will resolve your problem without any treatment but if you want you can be double sure and even check with your local surgeon and than go to the San Francisco to confirm the results.
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