thank u mrs mohitnanda for consulting us in HCM ur ct (cardiothoracic ratio) is 8.5/17...i will say this is almost normal...need not to worry borderline increase in cardiac size...need not to bother tooo u have from ur history exertional breathlessness that is to be investigated ur cholesterol level normal please mention the unit of the value of serum vit b12 i ll suggest u to do the following ECG TRADEMILL TEST ECHOCARDIOGRAPHY PFT routine hemogram serum iron and ferritin level serum vit b12 assay u have hb 9-10...this slightly below the normal range but this will not trouble u much b/c it is not worried much in female sply prominent bronchovascular markings with peripheral pruning may occur in pulmonary arterial hypertension, infection of the chest or fluid overload it is very much necessary to examine u clinically anemia may also cause exertional breathlessness need not to worry u do the above mentioned investigations if all the investigations are normal, then it is better to do a HRCT thorax if u can kindly post ur chest x-ray here consult doctors/us on HCM with reports thank u