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Prominent right Hillar shadow
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.
Answers (24)
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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.
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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
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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
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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
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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.
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Connect to pulmonologist
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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
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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.
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kindly do connect and consult with me for better treatment plan and advice on your case via PRACTO app
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Tb specialist
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Pulmonologist
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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.
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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.
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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.
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Dr. Rohan Gumber
General Physician
1 yrs exp
Sri Ganganagar
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
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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
Get HRCT thorax reports done
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Dr. Gaurav Jaiswal
General Physician
7 yrs exp
Jhansi
Avoid fried and spicy food
Water intake more
Green leafy vegetables more
Fiber meal
Walk
Do connect and consult
Will help you
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. Ashita Kuruvilla
General Practitioner
8 yrs exp
Kolkata
Need few more details for further evaluation. Kindly consult
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Dr. Sachin Bhiwaji Sanap
General Practitioner
8 yrs exp
Hingoli
need more information
kindly consult
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Dr. Anuj Mothsra
General Practitioner
7 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Zahra Fathima Khan
General Physician
17 yrs exp
Delhi
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
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Dr. Reesha Varshney
General Physician
1 yrs exp
Bareilly
It requires proper assessment
Kindly visit pulmonologist
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Dr. Suraj Sharma
General Practitioner
4 yrs exp
Jaipur
TB chest physician
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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.