I'm a bit confused and worried about my health situation. I had a lump on the right side of my neck and got an FNAC done, which pointed to tuberculosis. I went ahead with a Mantoux test, and it came back with a really large red induration, like 29mm. My chest X-ray shows bilateral hilar prominence, and my ESR is raised too. But here's the thing, I don't have any symptoms - no weakness, no cough, nothing at all. What's going on? Should I be concerned even without symptoms?

Answered by 1 Apollo Doctors

Dr Anshul Maheshwari

General Practitioner

MBBS
5+ Yrs

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without symptoms also tuberculosis will be present

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Answered 04/07/2025

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I'm a bit worried about my friend who's been dealing with a cold for nearly a week now. We visited a pulmonologist, and he checked her mouth and ears, then performed this thing called fremitus on her chest. But he didn't ask her to say '99' or 'bluemoon' and there was no request for her to cough either. Is it normal to do the fremitus test like this, without having her say anything? Is the procedure different based on the situation? Just trying to understand if this is the right approach for her condition.

do the test

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I'm really anxious after getting my X-ray results back. It mentions bilateral prominent perihilar lung markings, and I'm not sure what that means. Should I be worried about this? Can you help explain what it indicates or what might cause it?

Bilateral prominent perihilar lung markings on an x-ray typically indicate an increased density or prominence of blood vessels and lymphatic channels around the central part of the lungs. This can be a normal variant in some cases, but it can also be seen in conditions such as pulmonary congestion, infections, or inflammation. Treatment would depend on the underlying cause. If you are experiencing symptoms such as cough, shortness of breath, or chest pain, it is important to follow up with your healthcare provider for further evaluation and management.

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