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What Does A Hilar Prominence Of Lungs Indicate?

Posted on Thu, 7 Jan 2016

Question: What is prominent Central Vasculature in bilateral hila; small pericardial fluid; and mild emphysema

Answered by Dr. Drkaushal85 (3 hours later)

Brief Answer:
Possibility of either heart failure or Emphysema.

Detailed Answer:
Thanks for your question on Health Care Magic.
I can understand your concern.
Your x ray picture is suggestive of following conditions.
1. Heart failure
2. Emphysema.
So please let me know
1. Do you smoke?
2. Do you have hypertension or diabetes or other heart diseases?
3. Do you have breathlessness or cough or edema feet?
Please reply me answers of above asked questions, so that I can guide you better.
I will be happy to help you further. Wish you good health. Thanks.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Drkaushal85 (10 minutes later)

Never smoked. Hypertension is a problem. On meds for years but it is still is uncontrollable at times. Take two meds 2x a day. Very breathless, have mild asthma, cough, and edema feet is a problem at time. Said at first that there appeared to be something wrong with lymph nodes in lungs.

Answered by Dr. Drkaushal85 (2 hours later)

Brief Answer:
You need to start diuretics.

Detailed Answer:
Thanks for your follow up question on Health Care Magic.
I can understand your concern.
So in my opinion you are having congestive heart failure (CCF) due to uncontrolled hypertension.
Edema feet, pericardial effusion, breathlessness, prominent hilar markings etc are features of CCF.
And treatment of this is diuretics.
Please let me know
1. What is your 2 d echo report?
2. Which drugs you are taking?
Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health . Thanks.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar