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    Mediastinal lymph nodes likely reactive.Reactive lymph nodes are usually a sign that your immune system is fighting off an infection. They should go down in size as you heal. If they feel hard or don’t seem to be shrinking back to their usual size as your illness resolves, contact your doctor.Mediastinal lymphadenopathy implies lymph node disease and is not synonymous with mediastinal lymph node enlargement. Enlarged lymph nodes may be simply reactive as in most bacterial pneumonias, or diseased due to invasion by e.g. tuberculosis or cancer.
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