Multiple small lymph nodes are in the hila but are not visible on the chest x-ray. Enlargement of the hila may result from vascular or nodal enlargement. The first step in evaluation of hilar enlargement is to distinguish enlarged vessels from lymph nodes. Enlarged vessels maintain the vascular...
The X-ray was ordered as part of a pre-employment assessment. He was asymptomatic, a nonsmoker and had no significant past medical history. Full blood examination, lipids, glucose and liver and renal function were normal (also ordered as part of the pre-employment assessment). On examination...