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What Does Few Hilar Nodules In Chest X Ray Indicate?
Question: if your doctor says chest x ray shows few hilar nodules, what is the implication
Brief Answer:
It is important to rule out tuberculosis.
Detailed Answer:
Hello XXXX
Hilar nodes may be enlarged due to infection,inflammation,lymphoma etc.
You need proper evaluation of thorax. Contrast CT scan of thorax should be done for proper evaluation. CT scan can also assess other enlarged lymph nodes, parenchymal infiltration (which can be missed in X-rays) etc.
From the attached reports, it is clear that you also have generalized lymphadenopathy. Enlarged hilar nodes may be part of this. Biopsy of lymph nodes can be done after evaluation.
Cough with productive sputum may be due to tuberculosis (though you don't have fever). PCR test can be done for confirmation. Tubercular lymph nodes are generally necrotic in nature which can be well depicted in contrast CT scan.
Increased ESR also suggests infection inside the body.
Get well soon.
Hope I have answered your question.
Further queries are most welcome.
Take Care
Dr.Indu XXXXXXX
It is important to rule out tuberculosis.
Detailed Answer:
Hello XXXX
Hilar nodes may be enlarged due to infection,inflammation,lymphoma etc.
You need proper evaluation of thorax. Contrast CT scan of thorax should be done for proper evaluation. CT scan can also assess other enlarged lymph nodes, parenchymal infiltration (which can be missed in X-rays) etc.
From the attached reports, it is clear that you also have generalized lymphadenopathy. Enlarged hilar nodes may be part of this. Biopsy of lymph nodes can be done after evaluation.
Cough with productive sputum may be due to tuberculosis (though you don't have fever). PCR test can be done for confirmation. Tubercular lymph nodes are generally necrotic in nature which can be well depicted in contrast CT scan.
Increased ESR also suggests infection inside the body.
Get well soon.
Hope I have answered your question.
Further queries are most welcome.
Take Care
Dr.Indu XXXXXXX
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
can it be as a result of parasite infection from insect bite?
Again, when I cough the spuctum comes out through the nose. something like cream coloured mucus,
Again, when I cough the spuctum comes out through the nose. something like cream coloured mucus,
Brief Answer:
Please find detail answer below.
Detailed Answer:
Hello XXXX
Parasite infection from insect bite is an unlikely reason.
If mucus production is excessive then it may come out from the nose.Underlying cause should be treated.
Empirically full course of broad spectrum antibiotics can be tried.
Get well soon.
Hope I have answered your question.
Further queries are most welcome.
Take Care
Dr.Indu XXXXXXX
Please find detail answer below.
Detailed Answer:
Hello XXXX
Parasite infection from insect bite is an unlikely reason.
If mucus production is excessive then it may come out from the nose.Underlying cause should be treated.
Empirically full course of broad spectrum antibiotics can be tried.
Get well soon.
Hope I have answered your question.
Further queries are most welcome.
Take Care
Dr.Indu XXXXXXX
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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