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

Answered by
Dr. Zubayeralam
and medically reviewed by Dr. K Shobana
This is a premium question & answer published on Jan 15, 2021

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?



Welcome to

I understand your concern. According to the statement, your mother has recently affected by COVID-19 (severe acute respiratory syndrome coronavirus 2). She is a patient of 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, chronic respiratory disorders like asthma, 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 high blood pressure and anemia.

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

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