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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Cough And Weakness With Hilar Prominence?

I m finding weekness from the last 2 months , having cough from last 20 days, weight loss n loss of appetite but not able to diagnose the exact problem, took chest x-ray that shows
1) cough in the left lungs
2) right hilar is prominent?vascular? nodal.
please suggest
Mon, 16 Oct 2017
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Internal Medicine Specialist,  's  Response
Hello,
I am sorry that you have been struggling with this for 2 months. A possible disease that is characterized by coughing and enlarged hilar lymph nodes is sarcoidosis. If your symptoms are typical, you many not need any further tests. If your symptoms are not typical however, you may need a further work up. The first next step would be a CT of the chest to evaluate the lungs and the lymph nodes. Based on this, bronchoscopy may be required. This is where a long tube with a camera and light at the end of it is inserted through the nose or mouth down into the airway to inspect the inside of the airway and possibly take samples of lung tissue or lymph node tissue.
I hope you feel better.
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What Causes Cough And Weakness With Hilar Prominence?

Hello, I am sorry that you have been struggling with this for 2 months. A possible disease that is characterized by coughing and enlarged hilar lymph nodes is sarcoidosis. If your symptoms are typical, you many not need any further tests. If your symptoms are not typical however, you may need a further work up. The first next step would be a CT of the chest to evaluate the lungs and the lymph nodes. Based on this, bronchoscopy may be required. This is where a long tube with a camera and light at the end of it is inserted through the nose or mouth down into the airway to inspect the inside of the airway and possibly take samples of lung tissue or lymph node tissue. I hope you feel better.