Prominent right Hillar shadow

2026-08-20 04:45:15
Please check the X-ray report that I have attached with this question and suggest what I should do. Is it a matter of concern? Dry cough for the past 1 to 1.5 years. It sometimes gets better but then returns again. Shortness of breath / difficulty taking a full breath. I sometimes experience a feeling of heaviness in the chest.
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A "prominent right hilar shadow" on a plain X-ray is a non-specific finding - it can simply be a normal or prominent pulmonary vessel or a technical/positional effect, but it can also mean enlarged lymph nodes from tuberculosis, sarcoidosis or infection. Given your dry cough with intermittent breathlessness and chest heaviness for 1 to 1.5 years, this needs proper evaluation rather than reassurance from an image alone; it is not an emergency, but it should not be ignored either. with breathlessness and chest heaviness does need proper evaluation rather than reassurance from an X-ray alone, and asthma or allergic airway disease, post-nasal drip and acid reflux are common treatable causes at your age.
Next Steps
Please see a pulmonologist or physician in person with the actual X-ray film. The usual next steps are a CECT chest (which settles whether the hilum is truly abnormal), spirometry with reversibility to check for asthma, a CBC with ESR, and TB testing including sputum if indicated. Long-standing dry cough with breathlessness is often asthma or allergic airway disease, which is very treatable once confirmed. Seek prompt care for coughing blood, unexplained weight loss, evening fevers or worsening breathlessness. I would be glad to review your films on a Practo consult or at Synergy Multispeciality Hospital, Miraj.
Health Tips
Seek prompt medical attention if you cough up blood, run a fever with night sweats, lose weight, or the breathlessness becomes severe or occurs at rest.

Answered2026-08-31 21:27:37

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Hi A prominent right hilar shadow on a chest X-ray means the root area of your right lung appears larger or denser than normal, usually due to enlarged lymph nodes, blood vessels, or a mass. Especially in India, and 1 to 1.5 years of cough, breathlessness, chest heaviness point towards TB. Get a HRCT chest for better understanding of hilar shadow. Sputum for AFB as well
Next Steps
feel free to consult me on practo for further evaluation and management
Health Tips
don't delay. get HRCT and sputum for AFB without fail. you definitely need evaluation

Answered2026-08-22 17:08:07

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Pulmonologist opinion needed Further investigations required based on detailed history It could be HRAD/COPD/old or new infection Kindly consult

Answered2026-08-22 14:47:54

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That could be due to reactive airway disorder, infection.You can consult a pulmonologist for a clinical examination,lung function tests and appropriate treatment

Answered2026-08-21 07:11:07

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Prominent Hilar shadow is most probably due to infection. For chronic dry cough and associated symptoms you need to consult a physician near you as it require examination of oral cavity and pharyngeal wall. May be due to GERD or COPD.

Answered2026-08-20 18:01:27

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Connect to pulmonologist

Answered2026-08-20 15:45:33

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If you would like to discuss your concern in more detail, please feel free to contact me on WhatsApp at nine one one nine two five five six nine nine. Alternatively, you can connect with me through the Practo app for a detailed consultation

Answered2026-08-20 14:32:50

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Prominent hilar shadows means enlargement of lymph nodes or swollen blood vessels. Can be due to any recurrent infection or inflammation. Please share detailed history of your symptoms,  then I can help you further.

Answered2026-08-20 13:38:57

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kindly do connect and consult with me for better treatment plan and advice on your case via PRACTO app

Answered2026-08-20 12:55:33

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Tb specialist

Answered2026-08-20 12:09:42

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Pulmonologist

Answered2026-08-20 08:17:34

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NEXT work up is- CECT ABD. Or HRCT CBC, CRP ,ESR, SPUTUM AFB, CBNAAT for TB Screening Adv-Pulmonologist opinion
Next Steps
If you want to discuss your symptoms in detail, you can connect with me on Practo or WA business- 77 260 46 121, I’ll take your complete history and guide you about the appropriate next step.

Answered2026-08-20 07:48:02

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Prominent hilar region could be due to soft tissue massage or enlarged lymph nodes. Go for ct chest and consult a specialist regarding this.

Answered2026-08-20 07:42:22

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Requires a proper assessment to understand the underlying cause and guide you. Please book a consultation for a detailed evaluation, personalized treatment plan and further advice.

Answered2026-08-20 07:26:30

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If you would like to discuss your concern in more detail, please feel free to contact me on WhatsApp at eight six one nine six six nine nine zero six. Alternatively, you can connect with me through the Practo app for a detailed consultation

Answered2026-09-04 12:59:59

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Get HRCT thorax reports done

Answered2026-08-24 08:52:15

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Avoid fried and spicy food Water intake more Green leafy vegetables more Fiber meal Walk Do connect and consult Will help you

Answered2026-08-23 12:20:46

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Need a few more details please consult for further evaluation and treatment

Answered2026-08-21 13:00:54

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Need few more details for further evaluation. Kindly consult

Answered2026-08-21 11:43:19

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need more information kindly consult

Answered2026-08-21 03:12:52

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Can help you, kindly consult and provide detailed history for proper diagnosis and further management

Answered2026-08-20 13:30:50

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Get HRCT chest done and consult a pulmonologist. Such long history of cough and X-ray findings can’t be assessed here .
Next Steps
For any further assistance and advice, please consult on PRACTO

Answered2026-08-20 13:13:08

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It requires proper assessment Kindly visit pulmonologist

Answered2026-08-20 09:37:08

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TB chest physician

Answered2026-08-20 08:54:24

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