Hi doctor, Here are the details of my chest issues that I was hoping you could help me with. I will attach all the information I have in terms of x-rays and function tests. I am 37 year old otherwise healthy female with normal BMI. I have a smoking history of 16 packs a year. Four years ago, I quit smoking completely. Now, I regularly run for around 1 or 2 miles. My symptoms include mild dyspnea with a feeling that cannot get a satisfying breath. Tender feeling in the lungs on deep outward or inward breath or cough. The tender feeling in the upper back under shoulder blade. I have a feeling of the chest infection or inflammation, but there is no mucus production and no spontaneous coughing. I have chest tightness. I have good and bad days, but generally the symptoms remain constant. I do not get anxious, except about this. My oxygen saturations showing normal at rest and EKG is normal. I have attached chest x-rays of the last five years as well as current bloodwork and spirometry. The first basic pulmonary function included a post bronchodilator test and was done at clinic A (general clinic). The second PFT included lung functions and diffusion capacity and was carried out at clinic B (pulmonology clinic). I was prescribed Albuterol and started taking it 1.5 weeks ago. I have an initial appointment with a pulmonologist in a week. Basically, I am trying to get an opinion for the following. What is going on? Do things will get worse from here? Is there hyperinflation of my lungs for the last 6 years or is this a new finding? What are the values in the second PFT indicating fair lung volume and fair diffusion capacity? What does the isolated DLCO/VA value mean? Is this reversible? Please explain.
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