A member asked:

Does no focal consolidation and no pleural effusion in xray rule out copd?

12 doctors weighed in across 4 answers
Dr. Barton Butterbaugh answered

Specializes in Family Medicine

Xray findings: No. These are xray findsings associated with other chronic lung diseases, and also with acute pulmonary processes. If you are experiencing pulmonary problems, or have actually been diagnosed with COPD in its stage i, strong encouragement from me to seek the ongoing care of a pulmonary specialist who is current on the modern day treatments and theories of copd.

Answered 6/3/2019

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No: No focal consolidation means that there is nothing like pneumonia within the lungs, while no pleural effusion means that there is no fluid in between the two layers lining the lungs. COPD is a functional disorder where there is chronic obstruction of the pulmonary airways. Anatomically, one might see flattening of the diaphragms and hyperinflation on chest x-ray.

Answered 8/22/2017

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Dr. Hesham Hassaballa answered

Specializes in Pulmonary Critical Care

No not really: COPD is a functional diagnosis, meaning that it is diagnosed by doing a lung function test, also known as a pft. During this test, you do a serious of breathing maneuvers to determine if you have copd, which is basically inability to blow all the air out of your lungs. Having a chest xray with "no focal consolidation and no pleural effusion" means that it is clear. You could still have copd.

Answered 6/14/2018

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Dr. Sue Ferranti answered

Specializes in Internal Medicine

No...: COPD is diagnosed by the presence of chronic airway obstruction. This is best demonstrated via pulmonary function testing, not chest x-ray or ct scan.

Answered 1/4/2018

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