A member asked:

Does xray mild "hyperinflation" with "mildly flattened diaphragms" and then comments of "suspect low grade chronic bronchitis" always mean copd? never smoked in my life. have high peak flow meter 650+. pulse ox is daily 97-99.

2 doctors weighed in across 2 answers
Dr. Amrita Dosanjh answered

Specializes in Pediatric Allergy and Asthma

Consider other: Mild hyperinflation of the lungs may be caused by a number of conditions, including asthma. Chronic bronchitic changes would include the symptom of chronic cough and sputum production typically. A full set of pulmonary function tests may be indicated. COPD and COPD asthma may affect non smokers.

Answered 5/29/2020

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COPD: A chest xray is not an accurate way of diagnosing COPD. Pulmonary function testing is needed. However it can be suspected by those xray patterns. Normal oximetry and peak flow meter reading don't rule out COPD completely but normal peak flow rules out severe COPD.

Answered 5/29/2020

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