What does "bilateral hilar and basal bronchial congestion seen" mean?
Patient: I m ramesh, age 39 years, ht. 167 cm, wt 50 kg - in my x-ray of chest PA it is mentioned that 'there are bilateral hilar and basal bronchial congestion seen' what is it? Also in my CBC report, lymphocytes and eosinophils are shown high (47 and 7 respectively) any relation between these reports? Please reply. Doctor: Hello Ramesh There are bilateral hilar and basal bronchial congestion  i.e. bronchoconstriction or bronchospasm in the portion of lungs ( bilateral or both lungs ) from where blood vessels, lymph nodes  enter and leaves i.e mid portion of lungs .There is also congestion of bronchi in the base of lungs . This type of congestion occurs due to allergy to certain allergens , these are ,pollen , mite , dust , fine dusting powder , hay , fodder, sudden increase or decrease of temperature , certain drugs.These allergen produces bronchoconstriction ( as in your case on both lungs and in the base of lungs ( bilateral hilar and basal congestion ) and this bronchoconstriction causes bronchospasm , hence there develop cough , bronchitis etc.Now about the C B C report ) clearly mentioned that eosinophils count is high ( normal 2-5 %) , and this is due to allergy and bronchial congestion.Lymphocytes ( normal 20-40 -45 ) . This is non-specific , so don't bother about that . In my opinion you are having allergic bronchitis , so consult your physician and get his opinion.Good luck.