Chest ct 2.5 months ago clear.xray now for sob shows lungs hyperinflated well arreated and clear.concern is emphysema but dr says no way w/clear ct 2.5 months ago+lungs can appear hyperinflated on xray due to my size.sob attrib to anxiety.accurate?

Virtual consult/PFTs: From your description the diagnosis of COPD and/or asthma may be considered. A pulmonary function test including lung volumes and DLCO will provide additional information that will help to establish the diagnosis. A treatment plan may include inhalers based on the diagnosis. A virtual consult is available to assist you and your physician in the process, and to review findings and the images.