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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Can Abnormal Hilar Indicate T.B?

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My son has hypermobolity syndrome. He recently had a CT scan which showed left hilar abnormality. He is having aPPD test. What will happen next assuming he does not have TB? Also, what are the possible causes?
Tue, 1 Aug 2017
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Pulmonologist,  's  Response
Thanks for your question on Healthcare Magic.
I can understand your concern.
In children, hilar shadow is mostly due to enlarged hilar Lymphadenopathy.
And tubercular infection is the likely cause for this.
So if PPD is positive and his symptoms (weight loss, low grade fever, cough) are suggestive of TB then start anti tubercular drugs.
Sometimes simple pneumonia can also cause similar kind of hilar opacity.
Hope I have solved your query. I will be happy to help you further. Wishing good health to your son. Thanks.
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Can Abnormal Hilar Indicate T.B?

Thanks for your question on Healthcare Magic. I can understand your concern. In children, hilar shadow is mostly due to enlarged hilar Lymphadenopathy. And tubercular infection is the likely cause for this. So if PPD is positive and his symptoms (weight loss, low grade fever, cough) are suggestive of TB then start anti tubercular drugs. Sometimes simple pneumonia can also cause similar kind of hilar opacity. Hope I have solved your query. I will be happy to help you further. Wishing good health to your son. Thanks.