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Does a white patch on a lung X-ray mean lung cancer in men?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I am a 31-year-old male. I have been a smoker for 12 years. I am having throat congestion, a cold, and now having excess mucus production with no history of weight loss. I have taken a chest X-ray in which there is a white patch on the right side. I wanted to know if it is cancer? My father is a known case of lung cancer. All my blood test reports are normal.

Please help.

Thank you.

Answered by Dr. Vivek Chail

Education:

MBBS

Professional Bio:

Dr. Vivek Chail is a General Practitioner and Family Physician committed to delivering holistic and comprehensive healthcare for individuals and families. He provides preventive, diagnostic, and therapeutic care for a wide spectrum of medical conditions. He provides patient education and lifestyle counseling for long-term health and wellness. He is well-versed in chronic disease management for conditions like diabetes, hypertension, asthma, and thyroid disorders. He is an expert in the diagnosis and management of acute and chronic illnesses across all age groups.

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

Hi,

Welcome to icliniq.com.

I have seen your X-ray (attachment removed to protect patient identity).

The chest X-ray shows a prominent right hilar area, most likely due to rotation. You were rotated in position when the X-ray was taken, which might cause a false appearance of right hilar vascular prominence.

To me, it does not look like cancer, but thought is to be given to your symptoms. If possible, please decrease and stop smoking. I will suggest a discussion of your symptoms and clinical examination by your doctor, and if there is a need, then a CT (computed tomography) chest scan can be done.

I hope this information will help you.

Kindly follow up if you have more concerns.

Thank you.

Patient's Query

Hi doctor,

Thank you for your reply,

I have taken the photo (from the computer) through my phone in a tilted position. Is there any chance of the lesion being a tubercular lesion? I have done the Mantoux test this morning.

I am planning to take a CT chest. Is it good to take a CT now?

Please suggest.

Thank you.

Answered by Dr. Vivek Chail

Education:

MBBS

Professional Bio:

Dr. Vivek Chail is a General Practitioner and Family Physician committed to delivering holistic and comprehensive healthcare for individuals and families. He provides preventive, diagnostic, and therapeutic care for a wide spectrum of medical conditions. He provides patient education and lifestyle counseling for long-term health and wellness. He is well-versed in chronic disease management for conditions like diabetes, hypertension, asthma, and thyroid disorders. He is an expert in the diagnosis and management of acute and chronic illnesses across all age groups.

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

Hi,

Welcome back to icliniq.com.

The change in position is not due to taking the picture with a phone. The X-ray position rotation is due to the positioning problem while taking the X-ray. Tubercular lesions can be of many types and patterns. Any pattern can be found in TB. The Mantoux test is used to look for the tendency of tuberculosis, but it does not confirm TB in every patient. It can be falsely positive in some patients. A CT (computed tomography) scan is a confirmation test that will help to look for suspected disease areas in detail. If there are any symptoms, and if required after clinical examination, a CT chest scan, plain and contrast, is good.

I hope this information will help you.

Kindly follow up if you have more concerns.

Thank you.

Medically reviewed by Dr. Vinodhini J.
Published At February 5, 2020
Reviewed At May 8, 2026

Education:

MBBS

Professional Bio:

Dr. Vivek Chail is a General Practitioner and Family Physician committed to delivering holistic and comprehensive healthcare for individuals and families. He provides preventive, diagnostic, and therapeutic care for a wide spectrum of medical conditions. He provides patient education and lifestyle counseling for long-term health and wellness. He is well-versed in chronic disease management for conditions like diabetes, hypertension, asthma, and thyroid disorders. He is an expert in the diagnosis and management of acute and chronic illnesses across all age groups.

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

Education:

BDS

Professional Bio:

Dr. Vinodhini J. is a Dental Surgeon with extensive years of clinical experience. She specializes in the diagnosis, prevention, and treatment of dental and oral health issues, including restorative, surgical, and cosmetic procedures. With a patient-centered approach, she focuses on maintaining oral health, alleviating discomfort, and enhancing smiles. Her expertise ensures comprehensive care tailored to each patient’s dental needs and overall wellbeing.

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. Vivek Chail is a General Practitioner and Family Physician committed to delivering holistic and comprehensive healthcare for individuals and families. He provides preventive, diagnostic, and therapeutic care for a wide spectrum of medical conditions. He provides patient education and lifestyle counseling for long-term health and wellness. He is well-versed in chronic disease management for conditions like diabetes, hypertension, asthma, and thyroid disorders. He is an expert in the diagnosis and management of acute and chronic illnesses across all age groups.

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

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