Top
40
Doctor insights on: Mild Prominence Of The Hila

Share
1

1
What does a "bulky right hilum" mean?

Study: I am a proponent of following up with the doctor who ordered your study to get an interpretation. My reasoning is one, they know why it was ordered, they know your clinical story and two they both have access to the radiologist who read it to discuss it and that little thing at the bottom of the report which says clinical impression. ...Read more

2

2
What could this be (from radiology report)-"on lateral a metallic linear density seen overlying the lower hila which is not seen on the frontal view."?

What could this be (from radiology report)-"on lateral a metallic linear density seen overlying the lower hila which is not seen on the frontal view."?

Foreign object: This sounds like a metallic object was seen on one of the two X-ray pictures that was taken. When a finding like this is not seen on both X-ray views, it is usually an artifact and NOT something inside of you. The radiologist or ordering physician will re-order the car y if there is a concern that something is wrong ...Read more

3

3
Enlarged right hilum abnormal x ray?

Enlarged right hilum abnormal x ray?

Tuberculosis, sarcoid: It can be due to
1pulmonary tuberculosis
2sarcoidosis
3pulmonary hupertension
4bronchogenic carcinoma
5hilar lymadenopathy. ...Read more

4

4
What does a calcified node above the left hilum meaning?

What does a calcified node above the left hilum meaning?

Site of healing: Here in kansas city, many (probably most) of us have little calcified granulomas from where we met and walled off histoplasmosis. Tb can do the same thing. It's little cause for concern; rarely these calcium nuggets get sharp edges and can scrape the surrounding structures. ...Read more

6

6
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

7

7
My x ray report shows prominent hila and broncho vascular marking. I have dry cough from last 3 week. Age 31 non smoker. Coughing more in AC.?

My x ray report shows prominent hila and broncho vascular marking. I have dry cough from last 3 week. Age 31 non smoker. Coughing more in AC.?

X-ray quality issue: Prominent hila and bronchovascular markings are often a sign of pulmonary edema, but this would be rare in an otherwise healthy young male. A low quality x-ray acquired front to back (AP) not back to front (PA) can artifactually accentuate some of the mediastinal finding. Further exam with your PCP will likely include pulmonary function tests (PFTs) and to check for signs of asthma. ...Read more

9

9
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

10

10
If you have a lymph node w/ a central hila but hypervascular can that be hypervascular due to a chronic two tooth abcess?

If you have a lymph node w/ a central hila but hypervascular can that be hypervascular due to a chronic two tooth abcess?

Lymph node: Lymph node involvement may be caused by infection anywhere in the body. The closer the proximity to the cause of infection, the higher the incidence of involvement. There may also be other causes. See your Dentist to have infection treated ASAP. ...Read more

12

12
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

14

14
Chest X-ray shows - increased interstitial markings and prominent hila. What does this mean? What would be the treatment?

Chest X-ray shows - increased interstitial markings and prominent hila. What does this mean? What would be the treatment?

Usually ↑ed lung H20: Reflected in ↑ed interstitial (between cells) water, thus "markings" and more dense hila [the central lung area; portion near central chest, (called mediastinum) in which lung arteries, veins & bronchi connect into lungs], also commonly due to ↑ed interstitial water. Thus a "judgement" call about X-Ray "appearance" (assuming exposure correct) suggesting ↑ed lung water; as in pulmonary edema. ...Read more

15

15
Can lpr cause an echogenic hypervascular lymph node with hila and a few foci? Biopsy no cancer found

Can lpr cause an echogenic hypervascular lymph node with hila and a few foci? Biopsy no cancer found

LPR: I don't think that laryngopharangeal reflux would cause those pulmonary findings. A pulmonologist would be best qualified to evaluate you and advise you about what follow-up, testing or further imaging studies, if any, would be advisable. ...Read more

16

16
What percentage of extensive calcified lymph nodes in pulmonary hila, combined with bright red blood in sputum are cancerous in nature?

What percentage of extensive calcified lymph nodes in pulmonary hila, combined with bright red blood in sputum are cancerous in nature?

Very low: Cancerous nodes very seldom calcify much. In my old home in Kansas City, many (maybe most) folks had some calcium flecks from old histoplasmosis. I'm very concerned though if you're coughing up blood. That's cancer until proved otherwise, and you're entitled to have calcified nodes from some other cause. Please get it properly worked up. Best wishes. ...Read more

17

17
Chronically low T4 Free, low to normal Thyrotropin Mildly heterogeneous thyroid echotexture lymph nodes without fatty hila endo says no problem?

Chronically low T4 Free, low to normal Thyrotropin Mildly heterogeneous thyroid echotexture lymph nodes without fatty hila endo says no problem?

Thyroid is not: The problem. It is not clear what problems you have, however, it is unlikely that the problem is due to your thyroid. You did not state if you have any symptoms. If you do not, it would be a good idea to not chase lab results. ...Read more

18

18
Level 1 lymph node 1.2 cm w/ hila small punctate foci hypervascular fna show reactive inflam node found out have 2 molar abcesses can this cause?

Level 1 lymph node 1.2 cm w/ hila small punctate foci hypervascular fna show reactive inflam node found out have 2 molar abcesses can this cause?

Yes: Any inflammation in the area drained by a lymph node can lead to enlargement of the node. It may take weeks to months for the lymph node to subside after successful treatment of the infection.
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
Rheumatoid arthritis -15yr. Chestxray- increased interstitial markings, prominent hila. Handxray- reduced PIP&MCP joints. Reason for this? Treatment?

Rheumatoid arthritis -15yr. Chestxray- increased interstitial markings, prominent hila. Handxray- reduced PIP&MCP joints. Reason for this? Treatment?

See details: Joint narrowing suggest damage. The chest x ray findings may be related to infection or to interstitial lung disease secondary to the RA. This individual needs immediate evaluation to determine the cause and extent of the pulmonary issue. Aggressive treatment is needed and that treatment depends on the cause. Have you seen a rheumatologist? ...Read more

20

20
What is axillary lymph nodes with intact hilum?

What is axillary lymph nodes with intact hilum?

Lymph node: All lymph nodes have a hilum. The statement you provided, does not suggest any pathology.
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

21

21
My X-RAYS report says- Tiny calcified focus below right hilum. What it is?

My X-RAYS report says- Tiny calcified focus below right hilum. What it is?

Calcium in lung: Old tbc, histoplasmosis or other fungus. No way to tell but would not worry if I is tiny. ...Read more

22

22
My X-RAYS report says - Tiny calcified focus below right hilum. What it is? What I do?

My X-RAYS report says - Tiny calcified focus below right hilum. What it is? What I do?

Calcified focus: Your body has attacked and taken care of tbc or a fungus most likely. Discuss with your Dr. Who took the X-ray. ...Read more

23

23
What does fullness in the I hilum mean? An could this cause severe fatigue. An weakness?

Is this a: Chest xray finding? It means there is possible enlargement of a part of the hilum, which is located in the central part of the lung, where the pulmonary blood vessels emerge from the heart. Usually this is just due to anatomic variations of the blood vessels, but it could also be due to adenopathy, a pulmonary circulatory abnormality, or mass. Talk to your doc, you may need a chest CT to sort it out ...Read more

24

24
Ovoid subcutaneous hypoechoic focal lesion size 1.6 x 0.9 echogenic central hilum. Minimally enlarged reactive node. Should I be worried? 3 years now

Ovoid subcutaneous hypoechoic focal lesion size 1.6 x 0.9 echogenic central hilum. Minimally enlarged reactive node. Should I be worried? 3 years now

Biopsy.: It is not possible to determine malignant metastasis solely via ultrasound of lymph nodes, but some are more suspicious than others. Best to do a fine needle aspiration or excisional biopsy depending on where it is.

http://www. Orlfrance. Org/college/biblio/Bibliographies_Reco_chirurgie_ganglionnaire/Lymph%20Node%20sonography. Pdf ...Read more

25

25
I have a 1.5cm rim calcified lesion adjacent to the splenic hilum, there are prominent lymph nodes measuring 2.2cm?

I have a 1.5cm rim calcified lesion adjacent to the splenic hilum, there are prominent lymph nodes measuring 2.2cm?

Suspect infection: It may be old infections since there is calcification. You did not sya where you a re form but certain fungus infections are in certain parts of the country. The insert picture can suggest Arizona and we think of coccidiomycos. It you lived in the Ohio -Mississippi river valley we woudl consider histoplasmosis. What did your physicians tell you? ...Read more

26

26
Submandibular region demonstrate a mid echogenicity mass 15 mm in length with a central vascular hilum. Meaning? Causes?

Submandibular region demonstrate a mid echogenicity mass 15 mm in length with a central vascular hilum. Meaning? Causes?

Nothing good.: You likely need to have this biopsied, if you smoke or drink see an ENT doctor to make sure you do not have a cancer of the throat. ...Read more

27

27
Left lateral neck hypoechoic lymph node 18x24mm. Hyperaemic with effacement of fatty hilum. What exactly does this mean? Thanks

Left lateral neck hypoechoic lymph node 18x24mm. Hyperaemic with effacement of fatty hilum. What exactly does this mean? Thanks

Needs evaluation.: A completely normal lymph node will be less than 15mm and have a fatty center. When it enlarges and loses the fatty portion with increased blood flow (hyperemic), it should be sampled with a needle to make sure there is no infection or malignancy within it.
More specific advice @ healthtap. Com/saurbornmd Click Send Message to begin. ...Read more

28

28
What does an eccentric hilum for a 2.2cmx1.2cm cervical lymph node with. 5cm hypogenic area inside indicate? Lymphoma or just reactive node?

What does an eccentric hilum for a 2.2cmx1.2cm cervical lymph node with. 5cm hypogenic area inside indicate? Lymphoma or just reactive node?

Impossible to tell: If this is the only area. Your doctor may elect to follow this. But if there are other areas or there are clinical issues. They may elect for a biopsy to determine the clinical importance. ...Read more

30

30
2.2 cm lymph node in groin. US showed abnormal structure, small hilum, thickened cortex. Can any disease process cause node to look like that?

2.2 cm lymph node in groin. US showed abnormal structure, small hilum, thickened cortex. Can any disease process cause node to look like that?

RO lymphoma or met.: This is an abnormal node that needs excisional bx. Path review defines dx. This can represent early lymphoma or met to node. Met can arise from perianal area Ca or region adjacent to vulva. ...Read more

32

32
My ultrasound says I have unusual 12mm axiliary lymph node, it lacks hilum fatty. I'm doing a biopsy. Is this something I should be concerned? Thanks

My ultrasound says I have unusual 12mm axiliary lymph node, it lacks hilum fatty. I'm doing a biopsy. Is this something I should be concerned? Thanks

Yes: I am assuming you are feeling well. This is most likely due to a minor skin problem on your arm or hand, past or present. At your age, it is very likely that this will simply be a big lymph node. The chance of Hodgkin's / malignant lymphoma is quite small, and of some other illness even less. The decision to biopsy reflects only the reasonable concern that treatable disease might be found early. ...Read more

33

33
Had sono of neck, level 5 perform found a subcutaneous hypoechoic nodule consist w/ lymph node meas 1.1 x 0.2 x 0.9 C.M. Fatty hilum observe? What mea

Had sono of neck, level 5 perform found a subcutaneous hypoechoic nodule consist w/ lymph node meas 1.1 x 0.2 x 0.9 C.M. Fatty hilum observe? What mea

It is not serious: Observe means it can be watched and monitored for any further growth in size. If it increases in size such that you can feel it, then it should be removed or a biopsy done to find out the cause and rule out cancer in the lymph node. ...Read more

34

34
I have a well defined ovoid hyperechoic focus with a central hyperechoic hilum in the left lateral chest wall? Lymph node measuring 9mm in diameter c

I have a well defined ovoid hyperechoic focus with a central hyperechoic hilum in the left lateral chest wall? Lymph node measuring 9mm in diameter c

Question? Diagnosis?: Not sure of your question, but I surmise you want a diagnosis (you want to know what this IS). Without symptoms & physical exam (pictures), it is impossible to know. Even knowing symptoms & appearance, sometimes the ultrasound is not definitive enough to give a diagnosis. See a surgeon for a biopsy; this may be a lipoma (benign fatty growth) or a lymphoma (benign or malignant, both types exist). ...Read more

35

35
What would cause a cervical lymph node to lose it's central fatty hilum and lack central vascularity?

What would cause a cervical lymph node to lose it's central fatty hilum and lack central vascularity?

Homework?: This sound like a homework assignment. I don't think you will get an answer here- so start reading up right now for the exam. ...Read more

38

38
What does fullness in left pulmonary hilum mean on a chest xray?

What does fullness in left pulmonary hilum mean on a chest xray?

An Increace in the: Density of the tissues in that area. You will likely need more detailed imaging.Follow up soon with your doctor or see a Pulmonologist. This needs to be sorted out next week. ...Read more

39

39
Why a liver duplex ult is prescribed after finding on an abd ult everything normal except some few minimal prominent veins in the splenic hilum?

Why a liver duplex ult is prescribed after finding on an abd ult everything normal except some few minimal prominent veins in the splenic hilum?

Portal hypertension: Your doc is looking to make sure you don't have a rare tumor or other reason for portal hypertension, a condition which affects the liver and blood vessels of the belly. ...Read more

40

40
Ovoid subcutaneous hypoechoic focal lesion size1.6x0.9 echogenic central hilum. Minimally enlarged reactive node in neck. Ultra sound 2012. Concern??

Ovoid subcutaneous hypoechoic focal lesion size1.6x0.9 echogenic central hilum. Minimally enlarged reactive node in neck. Ultra sound 2012. Concern??

Lymph nodes: Are normal structures. If they are mildly enlarged, it is usually due to benign causes. If it has been stable since 2012, in all likelihood it is of no concern. ...Read more