Obese people have Pickwickian syndrome with reduced total lung capacity and it is almost opposite to your pulmonary finding by PFT. I wonder if you have a complete PFT including DLCO and arterial blood gases. Beside that, you also need to have echocardiogram done. Pulmonary hypertension should be one of the differential diagnoses. You may consider a second opinion.
Answered 1/8/2023
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