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Prominent bronchovascular
I have done my chest xray and I found Prominent bronchovascular markings in both perihilar region of lungs is this a serious condition...i went to nearby pulmonologist he said its a asthama allergic...so my question is after completing medication if I take again x ray...does again it show Prominent bronchovascular markings in both perihilar region of lungs.
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Hi. I understand your concerns . Do a in clinic visit for a detailed analysis of your symptoms and to suggest you further management plan and treatment prescription for the same.
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can be bronchitis, fluid overload due to heart conditions, sarcoidosis
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No need to worry about the x ray finding of increased bronchovascular marking , as it may be due to inflammation of airway , it will sub side once the inflammation sub sided.
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If symptomatic could be important
Otherwise leave it
Depends on your symptoms duration and severity
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the markings will take time to resolve
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“Prominent bronchovascular markings in both perihilar regions” on a chest X-ray is a very common and usually non-serious finding. It means the blood vessels and airways near the center of the lungs are appearing more visible than usual — often due to airway inflammation, infection, or allergies, rather than any permanent lung damage.
What it usually indicates
• In people with asthma or allergic airway disease, the airways become temporarily inflamed, leading to mild prominence of bronchial markings.
• It can also appear during respiratory infections, smoking exposure, or pollution, and often resolves once the underlying inflammation settles.
• It is not a sign of cancer or permanent scarring by itself.
After completing treatment
Once asthma and airway inflammation are controlled with medicines (inhalers, anti-allergics, etc.), the bronchovascular markings often become normal or less prominent on a follow-up X-ray. However:
• In some individuals, mild prominence may persist even when they are symptom-free — this can be a normal variant and not worrisome.
• The X-ray alone is not the best tool to monitor asthma improvement; clinical symptoms and lung function tests (PFT/spirometry) are much more accurate indicators of control.
Take care and wishing you good health.
— Dr. Neelesh Guttikonda
MD Pulmonary Medicine | Fellowship in Interventional Pulmonology
Next Steps
What you can do
• Continue the prescribed treatment regularly as advised by your pulmonologist.
• Avoid dust, smoke, and allergens.
• Get a Pulmonary Function Test after completing treatment to objectively assess improvement.
• A repeat X-ray can be done if your doctor recommends, but small residual markings are usually harmless.
Health Tips
Reassurance:
Prominent bronchovascular markings are common and reversible with proper treatment. The key is good asthma control rather than repeated X-rays. With regular follow-up and inhaler use, your lungs can remain healthy and symptom-free.
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If possible share chest xray
Bronchial asthma has nothing to do with prominent bronchovascular marking,so no need to repeat chest xray
If you need any further details feel free to contact
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Dr. A Raja Prasanna Kumar
Pulmonologist
46 yrs exp
Hyderabad
They take pretty long time to resolve. Pl consult.
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.