What Does This Chest X-ray Report Indicate?

Posted on Tue, 23 Aug 2016

Question: Hello i had a chest xray done for a upcoming surgery.and the impression said radiographic finding concerning for bilateral hilar adenopathy....what does that mean .....could i have lung cancer?

Answered by Dr. Drkaushal85 (15 minutes later)

Brief Answer:
Do you have cough or breathlessness?

Detailed Answer:
Thanks for your question on Healthcare Magic.
I can understand your concern.
Bilateral hilar adenopathy is commonly seen due to enlarged mediastinal Lymphadenopathy.
And they are mostly seen in bronchitis, lung cancer etc.
So please let me know
1. Do you have cough or breathlessness?
2. Do you have chest pain?
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 (13 minutes later)

No cough chest pain or breathlessness.they are asking for a ct scan with contrast

Answered by Dr. Drkaushal85 (1 minute later)

Brief Answer:
Do you smoke?

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
Yes, CT scan is must to confirm the diagnosis.
Please let me know
1. Do you smoke?
2. Do you have fever, weight loss or anorexia?
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 (4 minutes later)

Former smoker no fever weight loss or anorexia.....

Answered by Dr. Drkaushal85 (4 minutes later)

Brief Answer:
Which surgery is planed in your case?

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
You should definitely get done CT thorax today rule out lung cancer as you are previous smoker.
Please let me know
1. Which surgery is planed in your case?
2. Can you upload the x ray image?
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)

no i dont have image.but the report reads....cardiac contour is not enlarged.bulky hair sillohoutes.the lungs are free of infiltrates.pulminary vascularity is normal.no pneumothorax.the visualized bony structures are unremarkable.....im having cervical disk herniation surgery

Answered by Dr. Drkaushal85 (2 minutes later)

Brief Answer:
Well, CT scan is needed to rule out underlying lung cancer.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
Well, CT scan is needed to rule out underlying lung cancer.
Sometimes bilateral hilar prominence is seen normally because of artifacts.
This will also diagnose by CT thorax.. So better to get done CT thorax before surgery.
Hope I have solved your query.
If you are not having further queries, then please close the conversation and rate my answer.
You can ask me directly on bit.ly/askdrkaushalbhavsar.
Wish you good health. Thanks.

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

Follow up: Dr. Drkaushal85 (5 minutes later)

I just wanted to know is cancer what th dr.is looking for in my case is that the most common cause or are their other reasons for this

Answered by Dr. Drkaushal85 (4 minutes later)

Brief Answer:
Yes, doctors are looking for cancer.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
Yes doctors are mostly looking for lung cancer in your case.
As I told you simple lymphnode enlargement can also cause similar x ray findings. Simple lymphnode enlargement is the most common cause for bilateral hilar prominence.
So to confirm the cause CT thorax is needed.
Hope I have solved your query.
Do you have allergies?
Allergies can cause benign lymphnode enlargement.
Please let me know if you have allergies.
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 (24 hours later)

Hello dr i had my ct scan today and the impression read....mediastinal suncarinal and bilateral perihilar lymphadenopathy.neoplastic vs inflamatory process.hypodemse mass is suggestd in left hepatic lobe.right adrenal mass....recommend ct of absomen....the requestimg is likely due to hemotoma due to surgery

Answered by Dr. Drkaushal85 (4 hours later)

Brief Answer:
Yes, you will need CT abdomen.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I have gone through the report you have mentioned.
This is not a good report.
You are having multiple mediastinal Lymphadenopathy.
You are also having liver mass like lesion which is looking like cancer.
But detailed study by CT abdomen and Biopsy are needed to confirm the diagnosis.
You will also need bronchoscopy and fine needle aspiration cytology from the lymphnodes to confirm malignant involvement.
Please let me know
1. Have you shown this report to your treating doctor?
2. Do you drink alcohol?
3. Do you have any abdominal symptoms?
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