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.
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.
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.
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Answered byDr. Vivek Chail
Medically reviewed byDr. Vinodhini J.
Same symptoms don't mean you have the same problem. Consult a doctor now!
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