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so heres a really quick and simple way to determine whether a mass such as this one thats projected over the hilar region on a chest radiograph is in fact within the pulmonary hylam or not and all you have to do is ask yourself one question and thats whether you can clearly see the pulmonary vasculature separate from the mass so if we look at this x-ray here we can see the mass here in the highly region and if we look closely we can clearly see the pulmonary vasculature here distinct from the mass itself now if this is the case we know that that mass is not sitting within the hilo region its either anterior or posterior to the pulmonary hilum thats because if this mass was within the hilum it would be a butting or encasing those vessels and we would lose the silhouette of that pulmonary vasculature and not be able to distinguish whats mass and whats vessel and this is whats known as the hilum overlay sign and its a really powerful tool especially if we only have a frontal radi