Hello, I recently had a pft test for being a former smoker (quit for 6 months now and will never go back) My primary dr. told me I had copd, and told me it could progress quickly and I could be gone in 5 years, well that scared me pretty bad, so I went to a pulmonolgist. He told me that I don't have copd because my fev1 is over 80%, that I just have lungs of a previous smoker, and that if I quit I would be fine. I was ok with that until someone online told me with my dlco being under normal, something is wrong. So I went back to the pulmonologist and he said if anything it would be mild emphysema. Can you give me your opinion, i am so worried constantly. I've read that a normal dlco/va is a good sign. Thank you for any help and for your forum. Here are my results:
PRE
FVC 96
FEV1 88
FEV 3 93
FEV1%FVC 92
PEF 96 Post
FEF75/85 0.40 0.63
MMEF75/25 65 78
VC EX 93
VC IN 90
MVV 89
DLCO SB 73
DLCO/VA 96
TLC-HE 96.2
FRC-HE 82.8
RV/HE 97.2
RV%TLC-HE 101.8
Interpretation says:
Forced expiration demonstrates mild large airways obstructive ventilatory defect without immediate response to broncholidators.
Spirograms are of good quality don't plateau, indicating slowly emptying areas of lungs.
The maximal voluntary ventilation (MVV) is normal.
Lung volumes by helium dilution show no abnormality.
Diffusing capacity by single breath CO is mildly reduced, indicating loss of effective alveolar-capillary surface area for gas exchange.
Flow volume loop reveals reduced FEF 75-85 and concave sloping of the terminal flow-volume curve, suggestive of small airways obstruction.
IMPRESSION:
Mild large airways obstructive ventilatory defect without an immediate response to aerosolized broncholdilators. Mild defect in gas transfer.