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Doctor insights on: Emphysema Barrel Chest

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Is a pigeon chest and barrel chest the same thing?

Is a pigeon chest and barrel chest the same thing?

No: A pigeon chest is a deformity of the sternum in teenagers called pectus carinitum or excavatum. These are usually not responsible for any symptoms but are mostly cosmetic. A barrel chest is the result of COPD or emphysema and is an over expansion of the lungs from smoking resulting in the entire rib cage billowing out ke a barrel. ...Read more

Dr. Ana Adelstein
1 Doctor shared a insight

Copd (Definition)

COPD may include chronic bronchitis, emphysema, or both. Chronic bronchitis is the production of increased mucus caused by inflammation. Bronchitis is considered chronic if you cough and produce excess mucus most days for three months in a year, two years in a row. Emphysema is a disease that damages the air sacs and/or the smallest breathing tubes in the lungs. ...Read more


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Barrel chested" is a term used to indicate increased chest diameter due to hyperinflation. It is commonly seen in copd?

Barrel chested" is a term used to indicate increased chest diameter due to hyperinflation. It is commonly seen in copd?

Yes..: Barrel chest, when present, is most commonly seen in copd. But, patients can have COPD without being barrel chested. ...Read more

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Is my chest xray emphysema or allergy?

Is my chest xray emphysema or allergy?

Cannot tell on X-ray: The diagnosis of emphysema or allergies cannot be made with a chest x-ray alone. Please consult your doctor for a thorough evaluation. If there are concerns about your chest x-ray, you could seek the opinion of a lung specialist. ...Read more

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Is chest pain and subcutaneous emphysema related?

Is chest pain and subcutaneous emphysema related?

Yes: Subcutaneous emphysema is typically a painful to touch condition, usually caused by physical trauma. Treatment is supportive as it is a self limiting condition in most cases. ...Read more

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Is it possible to have mild emphysema with a normal chest x-ray?

Is it possible to have mild emphysema with a normal chest x-ray?

Yes: Emphysema can occur with a normal chest xray. Mild changes may only be visible with ct scan, however the underlying physiologic abnormality with emphysema or COPD is diagnosed with pulmonary function tests which measure lung function and involve breathing into a device which can measure aspects while breathing. ...Read more

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Is it possible to have mild emphysema but have a normal chest x-ray?

Is it possible to have mild emphysema but have a normal chest x-ray?

Absolutely: Emphysema is really a diagnosis that can be seen on cat scan of the chest or on a microscope slide. It is totally normal to have mild emphysema and have a normal chest xray. Even people with severe emphysema can sometimes have normal chest xrays. ...Read more

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Is it possible for mild emphysema to show up on a normal chest x-ray?

Is it possible for mild emphysema to show up on a normal chest x-ray?

Yes: Yes -- it would take a ct or MRI to detail minor abnormality in the lung tissue with more accuracy. ...Read more

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What could cause emphysema -like changes on chest xray that isn't emphysema? 58 yr old never smoked

What could cause emphysema -like changes on chest xray that isn't emphysema? 58 yr old never smoked

Emphysema: Is difficult to diagnose on chest xray unless it is advanced. Sometimes emphysema can be suggested with lung hyperinflation. This finding however is nonspecific and can occur with just taking a really deep breath. Consider seeing a pulmonologist if you are concerned. ...Read more

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What could be causes of stabbing chest pain with deep breaths? Patient is 86, with MDS, emphysema, & osteoporosis. Started after vertebrate surgery.

What could be causes of stabbing chest pain with deep breaths? Patient is 86, with MDS, emphysema, & osteoporosis. Started after vertebrate surgery.

Chest pains: Stabbing or shooting chest pains with deep breaths are often caused by pinched intercostal nerves which run between 2 ribs. They can also occur with rib fractures or bruises, pleurisy, pulmonary blood clots or pneumonia. A spot xray or bone scan would spot a rib fracture which could occur in this patient with osteoporosis and COPD. ...Read more

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Quit smoking 12/9/12, 23 pack years. Occasionally still bring up brown speckled phlegm. Most times it is clear. Chest xray normal. Mild emphysema. Normal?

Not really: It is surprising that you have emphysema with your limited smoking history. You might have a genetic predisposition to have lung problems, or you might actually have asthma. ...Read more

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Chest CT w/o contrast clear 7th jan, urge to take a deep breath every 30 seconds. Gets better when I lie down straight. Smoker... Cancer? Emphysema?

Chest CT w/o contrast clear 7th jan, urge to take a deep breath every 30 seconds. Gets better when I lie down straight. Smoker... Cancer? Emphysema?

Impossible to say: With a normal ct a few weeks ago, lung cancer is unlikely unless it is inside a bronchus. Most causes of shortness of breath get worse when lying down. Your doctor should do pulmonary function tests in addition to a complete history and physical examination. If symptoms persist, you need a full cardiac/pulmonary workup, and consider anxiety/depression related issues if neg. ...Read more

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Double pneumonia 3 yrs ago. Bad chest infection 3 months ago. CT scan showed 1.6cm enlarged hilar lymph node & emphysema & unchanged 3 months later.?

Double pneumonia 3 yrs ago. Bad chest infection 3 months ago. CT scan showed 1.6cm enlarged hilar lymph node & emphysema & unchanged 3 months later.?

Repeated pneumonias: For a non-smoker getting emphysema (COPD) and then recurrent pneumonia raises some questions. Any history of travel to Asia or Africa? Specifically reasons to suspect TB? Also weight loss and or night sweats will sway me to get a biopsy of that hilar node. If the answer is No to above questions then simply repeating the CT scan after 6 months may suffice. Talk to a pulmonologist (lung doc). ...Read more

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I have stage 2 emphysema and 4 lung nodules on a ct scan (3mm and smaller) shadow xray and CT scan. Shortness breath, chest pain, night sweats?

Mgt/workup: Your findings are of concern, and an exam documenting any lymphadenopathy is important. I would suggest seeing your PCP. Your symptoms may also be due to TB, cardiac disease, pulmonary embolism.
A virtual online appt is available for follow up and to review your HRCT.
healthtap. Com/DosanjhMD
Code: NCYHPZ ...Read more

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What are the reasons I might be ineligible for lung reduction surgery for emphysema?

What are the reasons I might be ineligible for lung reduction surgery for emphysema?

There are many: There are strict criteria for someone to be eligible for lung volume reduction surgery. The best approach is to seek the opinion of a board certified thoracic surgeon. ...Read more

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Can you please explain why decreased lung compliance is seen in emphysema?

Can you please explain why decreased lung compliance is seen in emphysema?

Other way around: Actually, lung compliance in increased in emphysema. Compliance of the lung is how "stretchy" the lung is. The more compliant the lung is, the more "stretchy" it is. In emphysema, the lung has been destroyed by smoking (most often), and thus it is more "stretchy" and can fill with air more easily.

Conditions which cause decreased lung compliance include fibrosis (scarring) and heart failure. ...Read more

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My husband has been diagnosed with emphysema. His lung capacity is at 40%. Is this severe emphysema and how will it affect his life?

My husband has been diagnosed with emphysema. His lung capacity is at 40%. Is this severe emphysema and how will it affect his life?

Depends: It really depends on which number is 40%. There are several ratios that are on a lung function test. If the fev1 number if 40% of normal, then that is severe emphysema.

How it will affect his life depends on how his symptoms are. If he is not very short of breath, then it may not affect him at all. It really depends on his functional ability. Would go see a lung specialist. ...Read more

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Would a lung X-ray show if someone had emphysema?

Would a lung X-ray show if someone had emphysema?

Not always: There are certain characteristic (e.g. Hyperinflated lungs) which a doctor may see on chest x-ray of a patient with emphysema, but not always. Clinical history and pft/spirometry are usually needed to make the diagnosis. ...Read more

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Could I get a lung transplant for emphysema?

Could I get a lung transplant for emphysema?

Yes: It depends on the severity of your emphysema. There are other options as well like lung volume reduction surgery that you may be a good candidate for. Either way you need to be evaluated by a team of doctors that specialize in treating this type of conditions. Your doctor can refer you to an appropriate lung specialist who can discuss all options with you. ...Read more

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If I have emphysema, could I get a lung transplant?

If I have emphysema, could I get a lung transplant?

Criteria...: There are specific criteria for lung transplant. If you meet the criteria, you would then be deemed eligible. You would need to be evaluated by a transplant center to see if you qualify. Since organs are not readily available, the criteria are quite strict, including smoking cessation. See your doctor to discuss this and to proceed with referral, if it is thought that you qualify. ...Read more

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What are the symptoms of lung cancer compared to emphysema?

What are the symptoms of lung cancer compared to emphysema?

Cough: Emphysema typically causes breathlessness with exertion. Cancer is silent at first, but later can cause persistent cough or even coughing up blood. Chest pain that is persistent may occur. Emphysema generally doesn't cause much coughing, unlike chronic bronchitis which often occurs in combination (copd). ...Read more

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What are some of the symptoms of lung cancer and emphysema?

What are some of the symptoms of lung cancer and emphysema?

Varies: Common symptoms of emphysema include cough, wheezing, and shortness of breath. The problem with lung cancer is...many times, there are no symptoms (like coughing up blood) until it is too late. That is why lung cancer is so deadly.

And that is why smoking, which causes lung cancer, is so harmful. ...Read more

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Need expert help here. What are the symptoms of lung cancer and emphysema?

Need expert help here. What are the symptoms of lung cancer and emphysema?

Cough/chest pain: Symtoms are non specific and include cough, shortness of breath, chest pain, coughing up blood, weight loss to name a few. A medical evaluation including radiography (chest x-ray ad possible ct), pfts and physical assessment. ...Read more

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What's the lung condition cure rate for a 74 year old man who has emphysema?

No cure: There is no "cure" for emphysema. The damage that is done is permanent, but with attention to smoking cessation, and treatment (inhaled medicine to breath easier, vaccination against pneumonia and flu, treatment of infections that involve the lung, etc.) most patients can live with the disease for many years and have symptoms controlled and quality of life improved. ...Read more

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What are the typical results for lung volume reduction surgery for patients with emphysema?

What are the typical results for lung volume reduction surgery for patients with emphysema?

For certain patients: Lvrs is successful in regards to improved survival in a certain type of patient. It helps patients live longer who have their emphysema confined to the upper parts of their lungs on chest ct, and who have poor exercise capacity as determined by pulmonary physiology tests. To understand the role of lvrs in treating emphysema, talk to a board certified thoracic surgeon. ...Read more

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What's the difference between lung cancer and emphysema?

What's the difference between lung cancer and emphysema?

COPD versus cancer: In emphysema the air sacs of the lung (alveoli) are damaged. The result is the lung "traps air in the damaged sacs and it becomes hard to exhale. The lung becomes over inflated. Breathing (getting oxygen in and carbon dioxide out) are progressively harder. In lung cancer a cell is damaged and can not regulate its growth, (ie becomes cancerous) with tumor formation. Both are linked to smoking. ...Read more

Dr. Sue Ferranti
498 Doctors shared insights

Emphysema (Definition)

A group of lung diseases that block airflow and make ...Read more