 [ Symptoms ] my 50 year brother did a chest x ray here are results what do we do next [ Disease ] i have no way of diagnosing or treating you blindly over the internet but a bartholin cyst is most likely what you have since this cyst is painful and engorged it would be wise to see a gynecologist right away so it can be properly drained if this cyst is recurrent you may need a marsupilization procedure where the entire cyst sac is removed to keep it from coming back