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Dr. David
Dr. David, Board Certified MD
Category: Medical
Satisfied Customers: 43430
Experience:  Board Certified Physician
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I have a diagnosis of bullous emphysema from a CT scan and

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I have a diagnosis of bullous emphysema from a CT scan and yet a recent chest xray looked normal am confused!
Submitted: 1 year ago.
Category: Medical
Expert:  Dr. David replied 1 year ago.
This is Dr. David
chest CT scans are much much more detailed than a chest xray which are older 2 dimentional technology from 1940s.
I would trust the CT scan
do you have a history of smoking?
if you have smoked in the past, this will increase your risks for bullous emphysema
have you smoked in the past?
a pulmonary function breathing test will also tell if you have damaged lungs and emphysema which is a type of COPD.
let me know if you have questions.
Customer: replied 1 year ago.
Wouldnt the bulla show up on a chest x ray? I was a smoker for many years and the lung function tests also confirmed emphysema I am just confused as to why I should get a clear x ray yesterday
Expert:  Dr. David replied 1 year ago.
chest CT scans see much much much more detail than a chest xray.
early emphysema would not be seen on chest xray.
chest xrays are like 1970s black and white TV portable
chest CT scans are like 60 inch high definition color 4K television.
the difference in imaging detail is actually more than that difference.
Customer: replied 1 year ago.
Thank you, ***** ***** emphsysema was originally diagnosed 4 years ago, by CT scan and lung function test, so I suppose I must go with the original diagnosis though I do wonder why the bulla didnt show up on the xray...I suppose that I was hoping that it had gone away :)
Expert:  Dr. David replied 1 year ago.
yes, it would be wishful thinking to think it has gone away
I hope at least you have quit smoking.
quitting smoking would be the test thing you can do for your lungs.
eating healthy and regular exercise can help as well
let me know if you have other questions.
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Dr. David, Board Certified MD
Category: Medical
Satisfied Customers: 43430
Experience: Board Certified Physician
Dr. David and 2 other Medical Specialists are ready to help you
Customer: replied 1 year ago.
Thank you that has been helpful

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