Hi, i had a chest xray after having some tightness around my chest and these are what was found: -Prominence of both hilar regions with lobulated densities suspicious or hilar lymphadenopathy -Mild widening of the superior mediastinum suggesting possible additional mediastinal lymph node enlargement. - the lung fields and pleural spaces are clear What does this mean and should i be worried?
Thanks for your question on Chat Doctor. In my opinion you should get done CT THORAX with contrast. In your chest x-ray bilateral him are prominent with widening of superior mediastinum. This suggests enlargement of lymph nodes in Hilary area and superior mediastinum. Chest x-ray will not clearly tell you about these lymph nodes.  As bony sternum is overlying it and makes difficult to interpret. So CT THORAX is needed for better evaluation. This will also give you the idea from where biopsy can be possible. So CT will give a lot of information for diagnosis.