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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Consistent Cough, No Relief With Antibiotics. X-ray Showed Bulky Hilum. Meaning?

i have been coughing since November, had amoxicillin 250mg tds but did not work. then back to GP first week of december and had another course of antibiotic and that time was erythromycin 250mg qds. still coughing and wasn t able to sleep due to coughing almost all night, went back to GP first week of january and had chest xray and sputum culture done. culture came back as no growth and xray saying right bulky hilum with right consolidation. treatment of another course of antibiotic again, with erythromycin again but increased dose to 500mg qds. what does bulky right hilum means on xray? thank you
Tue, 2 Jul 2013
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Pathologist and Microbiologist 's  Response
Hello,

Bulky hilum means that there are signs of inflammation and involvement of hilar lymph nodes.

Consolidation is also present. So it may be bacterial pneumonia.
But you're not improving with antibiotics.

The other like diagnosis may be Hilar Tuberculosis(Extra pulmonary TB).
This may be the reason for sputum negativity.

Consult a Paleontologist.
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Consistent Cough, No Relief With Antibiotics. X-ray Showed Bulky Hilum. Meaning?

Hello, Bulky hilum means that there are signs of inflammation and involvement of hilar lymph nodes. Consolidation is also present. So it may be bacterial pneumonia. But you re not improving with antibiotics. The other like diagnosis may be Hilar Tuberculosis(Extra pulmonary TB). This may be the reason for sputum negativity. Consult a Paleontologist.