Top
30
Doctor insights on: Hila And Mediastinum

Share
1

1
What is a normal size [mm] lymph nodes in the mediastinum bilateral hilum? I have the sizes of mine, but not sure how large mine are in comparison.

What is a normal size [mm] lymph nodes in the mediastinum bilateral hilum? I have the sizes of mine, but not sure how large mine are in comparison.

Size not important: Lymphatic system absorbs/carries things too big to go into the arteries/veins like bacteria eaten by white cells and digested food. Lymph nodes "taste" the lymph for anything bad like bacteria/viruses/cancers, etc. When it detects a problem, it alerts the immune system and your body reacts. They enlarge in response to the inflammation they create when they react. They shrink when all is well. ...Read more

Mediastinum (Definition)

It is the central space between the two lungs. It is again ...Read more


2

2
Can doctors tell me what does shotty lymph nodes in the mediastinum and hila mean?

Can doctors tell me what does shotty lymph nodes in the mediastinum and hila mean?

Monitoring Centers: The lymphatic system absorbs and carries things too big to go into the arteries and veins like bacteria eaten by white cells and digested food. The lymph nodes "taste" the lymph to see if anything bad is there like bacteria, viruses, cancers, etc. When it detects a problem, it alerts the immune system and your body reacts. They enlarge in response to the inflammation they create when they react. ...Read more

3

3
My CT results stares that I have calcified lymph nodes present within the mediastinum and right b hilum what does this mean?

My CT results stares that I have  calcified lymph nodes present within the mediastinum and right b hilum what does this mean?

It is usually a sign: of prior inflammation. There are a variety of causes...histoplasmosis, TB, and other infectious agents. Also, treated lymphoma, sarcoidosis, and silicosis. There may be no identifiable cause, and it is just an incidental finding. Talk to your doctor about what it might mean in your case. ...Read more

4

4
Prom Pericardial LNS; Axillary LNS w/ Prom Fat Hila; Incr prevasc LNS; Sm non-pathog LNS w/in Sup Medistinum; Enlarged R Hilar LNS. - All means what?

Prom Pericardial LNS; Axillary LNS w/ Prom Fat Hila; Incr prevasc LNS; Sm non-pathog LNS w/in Sup Medistinum; Enlarged R Hilar LNS. - All means what?

Lymph nodes: What symptoms did you have or do you have that made your doctor look for those nodes in your chest? Do you have a cough, wt loss, night sweats? As a 40 year old female, if the node had been a non caveating granuloma I would say sounds like sarcoidosis. May want to see an oncologist who deals with enlarged nodes or possible a rheumatologist. Biopsy of non cancer is relieving. ...Read more

5

5
Whats a mediastinum?

Whats a mediastinum?

Portion of the chest: The mediastinum is the compartment in the middle of the chest between the lungs that contains the heart and esophagus. ...Read more

8

8
What does scattered nodes in the mediastinum mean?

What does scattered nodes in the mediastinum mean?

Lymph nodes: Lymph nodes are present throughout the body. They are the body's plumbing system and help clear infection as well has support the immune system. Scattered nodes in the mediastinum suggests that these are small and probably not of major significance. Follow up is warranted. ...Read more

9

9
What is the definition or description of: mediastinum?

What is the definition or description of: mediastinum?

Part of chest: It is the central space between the two lungs. It is again subdivided into different areas. ...Read more

11

11
Is there a possibility that a person's heart is not located in the mediastinum?

Is there a possibility that a person's heart is not located in the mediastinum?

No: By definition the heart is part of the mediastinum, but in rare cases it is not located exactly in the expected position. ...Read more

12

12
What does the visualized superior mediastinum and visualized lungs are under mean ?

What does the visualized superior mediastinum and visualized lungs are under mean ?

Prominent U wave.: A prominent U wave on the ECG could be related to a low potassium level, fast thyroid, medication-effect (some heart medications), or actual heart disease. ...Read more

13

13
Cit scan showed non specific lymph nodes in mediastinum area. Should i go for biospy?

Cit scan showed non specific lymph nodes in mediastinum area. Should i go for biospy?

Probably not based: on the CT appearance. Talk to your doctor about whether your clinical situation warrants further evaluation of the lymph nodes. ...Read more

14

14
Pls translate <<< few small sub centimetre lymph nodes are seen in mediastinum small benign looking nodes seen in both axillary. Thanks?

Pls translate 

<<< few small sub centimetre lymph nodes are seen in mediastinum small benign looking nodes seen in both axillary. Thanks?

Probably OK: It means you probably had a radiologic exam and a few small lymph nodes were seen inside your chest and armpits. Benign-looking means that your doctor does not suspect cancer. Everybody has lymph nodes and if they are not enlarged it is unlikely they are abnormal. ...Read more

15

15
Hey! I'm a 21 year old female who has been suffering from chronic breathing issues for years could "soft tissue in anterior mediastinum" be why?

Hey! 

I'm a 21 year old female who has been suffering from chronic breathing issues for years could "soft tissue in anterior mediastinum" be why?

Probably not: Decades ago enlarged thymus (soft tissue in anterior mediastinum) was though to cause asthma in children, so many received radiation to shrink the thymus. Years later many developed thyroid cancer, but they still had asthma. A consult with a chest specialist can sort out your breathing issues. Thanks for trusting HealthTap! ...Read more

16

16
I have a 3.0 by 1.6 CM anterior mediastinum lobulated soft tissue lesion in my chest area. Its changed shape and is bigger now. What could it be?

I have a 3.0 by 1.6 CM anterior mediastinum lobulated soft tissue lesion in my chest area. Its changed shape and is bigger now. What could it be?

Not an issue for: this forum. It is not feasible to provide a meaningful opinion without examining you and looking at the imaging studies. Depending on the findings, a biopsy may be warranted. Please consult your doctor for a proper evaluation. ...Read more

17

17
Xray states:narrowed mediastinum attributed to marked air trapping in keeping with copd, plueral spaces in tact.Is it serious?What can be done to help

Xray states:narrowed mediastinum attributed to marked air trapping in keeping with copd, plueral spaces in tact.Is it serious?What can be done to help

Copd: The findings suggest airway changes from smoking. Did you also have a history of asthma which can contribute to these findings? The best thing you can do to avoid worsening of the COPD is to stop smoking entirely and avoid air pollution in general. If you have pulmonary symptoms, i suggest you have an evaluation by a pulmonologist. ...Read more

18

18
What are symptoms of Shotty lymphadenopathy in the anterior mediastinum?

What are symptoms of Shotty lymphadenopathy in the anterior
mediastinum?

May be none: Shotty nodes in the mediastinum, per se, are not likely to produce any symptoms. The symptoms would be driven by the etiology of lymph node lesions.
Wish you good health!
For good health - Have a diet rich in fresh vegetables, fruits, whole grains, milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Drink enough water daily, so that your urine is mostly colorless. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form.
Practice safe sex, if you have sex. ...Read more

19

19
3.3cm soft tissue dens ant/sup mediastinum likely residual or reactive thymus tissue? Does ur need biopsy?

3.3cm soft tissue dens ant/sup mediastinum likely residual or reactive thymus tissue? Does ur need biopsy?

Could be either: The thymus tends to involute in adults and often is just a small vestige of an organ. It can however become active under certain circumstances. The most concerning issue would be a thymoma or tumor of the thymus gland. That is often seen in neurological conditions like myasthenia gravis. I would be curious to know how/why this was found. ...Read more

20

20
1.5 to 1.9cm, 2 lymph nodes neat suspected thymoma in ant mediastinum. Pet suv was 3.8 for thymoma and 4.7 for 1.9 node. Could it it by lymphoma?

1.5 to 1.9cm, 2 lymph nodes neat suspected thymoma in ant mediastinum. Pet suv was 3.8 for thymoma and 4.7 for 1.9 node. Could it it by lymphoma?

Maybe: There are typical appearances of certain cancers but none are specific enough to provide a diagnosis. What you describe sounds worrisome for a malignant thymoma or thymic carcinoma with metastases to lymph nodes. Could it be lymphoma? Yes. Could it be lung cancer metastatic to nodes and thymoma? Yes. A biopsy is needed to make the correct diagnosis. Case presentation at a tumor board is best. ...Read more

21

21
Why is lung cancer spread through the mediastinum dangerous?

Why is lung cancer spread through the mediastinum dangerous?

Usually incurable: Once lung cancer spreads to the mediastinum, usually to the lymph nodes, but also other organs, it is generally incurable by surgical resection or other treatments. ...Read more

22

22
What does mild residule thymic tissue withn the anterior mediastinum on CT w/o contrast mean?

It is: normal. The thymus normally involutes with age, and it is not uncommon for a young adult to have residual thymic tissue on CT. ...Read more

25

25
My CT scan said Mediastinum: residual thymic tissue more then expected for patients age. What does this mean?

Thymus: The thymus is an immune system organ that typically shrinks in size from childhood into adulthood with very little residual tissue left. Unless you are having immune system problems, previous radiation therapy to the chest, or a family/personal history of cancer/growths in the chest cavity, this likely is a benign finding with nothing to worry about. Just ensure follow up with your PCP. ...Read more

26

26
What does accentuated Bronchovascular Markings - central mediastinum - clear costophrenic sinsues means in chest X-ray report ?

What does accentuated Bronchovascular Markings - central mediastinum - clear costophrenic  sinsues means in chest X-ray report ?

Many different thing: Those markings at the biotin of the chest often represent blood vessels. When they are larger or better seen they could be due to bronchitis or early pneumonia amount others. Depends on why you had the chest X-ray in the first place. And these markings can be prominent in those who smoke. So talk to your doctor and see if they are related to anything they were looking for ...Read more

27

27
I had a CT scan of chest to rule out widen mediastinum. What are the chances of getting cancer from that once CT scan. ?

I had a CT scan of chest to rule out widen mediastinum. What are the chances of getting cancer from that once CT scan.   ?

Very small: Very small if not zero. Can be negleted with once ct chest.
Ct scans may slightly increase the risk of developing cancer with accumulating doses. This risk is usually very small in adult, may be slightly higher in pediatric population and type of the scan. Because of the possible risk, no imaging exam should be done unless there is a clear indication. ...Read more

28

28
What does "prominence of the ascending thoracic aorta" on x-ray mean? Concerning? The heart and mediastinum are within normal limits

What does "prominence of the
ascending thoracic aorta" on x-ray mean?   Concerning? The heart and mediastinum are within normal limits

Consult physician: Some times dilation of ascending aorta reflects systemic hypertension, aortic valvular stenosis and insufficiency. You should consult your physician about presence of hypertension and/or murmur. In your age an aneurysm usually less likely. ...Read more

29

29
CT scan shows "greater prominence of triangular soft tissue in anterior-superior mediastinum suggestive of reactive thymic tissue" Concerned?

CT scan shows "greater prominence of triangular soft tissue in anterior-superior mediastinum suggestive of reactive thymic tissue" Concerned?

May not be: The only concern would be if this a thymoma. This is something to evaluate by your physician. It can be associated with other medical problems and rarely can be malignant ...Read more

30

30
Have chronic cough, small 4mm nodule. 3.3cm soft density tissue in anterior mediastinum. etiologies residual thymus,thymoma,lymphoma. should i worry?

Have chronic cough, small 4mm nodule. 3.3cm soft density tissue in anterior mediastinum. etiologies residual thymus,thymoma,lymphoma. should i worry?

Probably not, but: Chronic cough in a non-smoker is never normal. I doubt that it is connected to the radiological findings. Based on the sizes of the findings I suspect you had a CT scan. See a pulmonary doctor to sort out things, both for the cough and the radiological findings. ...Read more