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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does Prominent Bilateral Hila With Increased Broncho Vascular Markings Mean?

I just had my p/a X-ray done. The findings are BILATERAL HILA APPEAR PROMINENT WITH INCREASED BRONCHO VASCULAR MARKINGS IN BOTH THE SIDES. I have a symptoms like cold, cough, sometimes fever, breathlessness and heavy weight loss (near about 17kg loss). My doctors says nothing it is. But I have a doubt. what does this mean?
Mon, 11 Aug 2014
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Pathologist and Microbiologist,  's  Response
Hello and welcome to HCM,

Weight loss of 17 kg (over ? duration not mentioned) is significant.
Weight loos occurs in chronic diseases like tuberculosis and malignancies.
Increased broncho-vascular markings do not signify any disease process per se.
However, bilateral hilar prominence has to be investigated,
Hilar prominence can be due to enlarged lymph nodes or due to a mass lesion.
However, the hilar prominence may not be significant as suggested by your doctor.
There could be some other lesion in some other organ. organ system responsible for the symptom of weight loss.

I would suggest you to get a second opinion for the hilar prominence.
Along with this, a complete body examination is required to look for abnormality of some other organ/ organ system.

Thanks and take care
Dr Shailja P Wahal

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What Does Prominent Bilateral Hila With Increased Broncho Vascular Markings Mean?

Hello and welcome to HCM, Weight loss of 17 kg (over ? duration not mentioned) is significant. Weight loos occurs in chronic diseases like tuberculosis and malignancies. Increased broncho-vascular markings do not signify any disease process per se. However, bilateral hilar prominence has to be investigated, Hilar prominence can be due to enlarged lymph nodes or due to a mass lesion. However, the hilar prominence may not be significant as suggested by your doctor. There could be some other lesion in some other organ. organ system responsible for the symptom of weight loss. I would suggest you to get a second opinion for the hilar prominence. Along with this, a complete body examination is required to look for abnormality of some other organ/ organ system. Thanks and take care Dr Shailja P Wahal