Hi Sue thank you for responding. I will see my pulmonologist March 17. I have never been told or have any symptoms regarding having COPD or emphysema. So when the CT scan showed it I spoke with my ID because he was the one that ordered the scan. It read “stable mild centrilobular emphysema “ My lung function is still 98-99 percent. I will have to talk to the pulmonologist next month. Both doctors are at Cedars-Sinai where they have a large Advance Lung department. They are a teaching hospital.They also do a lot of lung transplants. For some reason my luck has been so bad the last five years. I definitely would not play the lottery. My anxiety and depression is off the chart. Will have to see what they say next. I may have to reach out for another opinion some where else. Thanks