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I read your query and can understand your concern. The lump is normal, and you need not get tested unless you have the symptoms I asked you about. It is normal unless one side is super big and the other is small. Some people and kids generally have big tonsils. It does not mean infection without symptoms of pain, fever, difficulty swallowing, or a change in voice. Big tonsils are more susceptible to cause symptoms when there is an infection. Since they are big already, the infection causes them to produce more obstructive symptoms. But you do not seem to have that. Mild redness is seen in the picture (attachment removed to protect the patient's identity), which could very well be due to the camera. But such a redness without symptoms signifies past infection or chronic infection but not an acute one warranting any test or immediate consult. Hope this helps. Thanks and take care.