Instructions
You are a medical student on placement in the medical outpatient clinic. Your next patient is Priya Nair, 31, referred with painful red lumps on her shins and swollen ankles. Her chest x-ray report is below.
Take a focused history
Explain the chest x-ray result and your management plan to the patient
Chest X-ray report (PA and lateral, one week ago)
| Item | Value | Reference range |
|---|---|---|
| Report | There is bilateral, symmetrical enlargement of the hilar lymph nodes with a lobulated contour, and fullness of the right paratracheal stripe. The lung fields are clear with no nodules, reticulation or consolidation. Heart size is normal. No pleural effusion. No bony abnormality. Impression: bilateral hilar lymphadenopathy - clinical correlation recommended. | n/a |
Reported by a consultant radiologist.