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My mother has bilateral mild interstitial prominence in her chest X-ray. Is it an issue?

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Patient's Query

Hi doctor,

My mother is suffering from asthma, high blood pressure, and diabetes. She recently got COVID-19. She got an X-ray of her lungs. These are findings observed in the X-ray. There is a bilateral mild interstitial prominence. There is no definite infiltrates and pleural abnormality. The heart is enlarged and the mediastinum appears intact. The impression suggests bilateral mild interstitial prominence with cardiomegaly. Is this a cause for concern?

Kindly help.

Answered by Dr. Muhammad Zubayer Alam

Education:

MBBS

Professional Bio:

Dr. Muhammad Zubayer Alam is a General Practitioner and Family Physician with broad clinical experience. He specializes in Pulmonology and Internal Medicine, delivering expert care for respiratory and internal conditions. With a patient-centered approach, he emphasizes accurate diagnosis, effective treatment, and prevention, providing comprehensive, personalized care to improve health outcomes and quality of life for patients across all ages.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome to icliniq.com.

I understand your concern.

According to the statement, your mother has recently been affected by COVID-19 (severe acute respiratory syndrome coronavirus 2). She is a patient with asthma, high blood pressure, and diabetes.

She has done a chest X-ray, and it reveals bilateral mild interstitial prominence with cardiomegaly. Bilateral interstitial prominence occurs due to age, long-term exposure to a number of toxins, and pollutants such as silica dust, asbestos, grain dust, airborne toxins in the workplace or home. Interstitial lung disease, autoimmune disorders like rheumatoid arthritis, sarcoidosis, Sjogren's syndrome, mixed connective tissue disorder, gastroesophageal reflux disease, medications, and chronic respiratory disorders like asthma and COPD (chronic obstructive pulmonary disease) can initiate the scarring of lung tissue, and it results in dry cough or shortness of breath in affected individuals.

Cardiomegaly can occur with high blood pressure and anemia. Your mother needs to do some investigations, such as CBC (complete blood count), HRCT (high-resolution computed tomography) of the chest, pulmonary function test, oxygen saturation rate, and ABG (arterial blood gas test) analysis to find the underlying etiology, and it needs to be treated accordingly.

I hope this helps.

Thank you.

Medically reviewed by Dr. K. Shobana
Published At January 15, 2021
Reviewed At June 22, 2026

Education:

MBBS

Professional Bio:

Dr. Muhammad Zubayer Alam is a General Practitioner and Family Physician with broad clinical experience. He specializes in Pulmonology and Internal Medicine, delivering expert care for respiratory and internal conditions. With a patient-centered approach, he emphasizes accurate diagnosis, effective treatment, and prevention, providing comprehensive, personalized care to improve health outcomes and quality of life for patients across all ages.

This doctor is not available for online consultations on the platform anymore.

Education:

BDS

Professional Bio:

Dr. K. Shobana is a Dental Surgeon specializing in oral health and dental care. She is skilled in preventive dentistry and provides oral hygiene education. She can do restorative treatments such as fillings and crowns. She can handle periodontal problems such as gum diseases and periodontitis. She can do root canal treatment.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MBBS

Professional Bio:

Dr. Muhammad Zubayer Alam is a General Practitioner and Family Physician with broad clinical experience. He specializes in Pulmonology and Internal Medicine, delivering expert care for respiratory and internal conditions. With a patient-centered approach, he emphasizes accurate diagnosis, effective treatment, and prevention, providing comprehensive, personalized care to improve health outcomes and quality of life for patients across all ages.

This doctor is not available for online consultations on the platform anymore.

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