What is the possibility of lung cancer in a smoker with family history of cancer?

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. I mean you were rotated in position when the x-ray was taken and this 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 can be done.

Hi,

Welcome back to icliniq.com.

The change in position is not due to taking the picture from 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. Mantoux test is to look for the tendency of tuberculosis and does not confirm TB in every patient. It can be falsely positive in some patients.

CT scan is a confirmation test and will help to look for suspected disease areas in detail. It is good to do a CT chest scan plain and contrast if there are any symptoms and if required after clinical examination.