thanks all! I found and spoke to an infectious disease specialist as @gej53 suggested. And as @med08 mentioned, she quickly wanted to do work to find an underlying cause as she said I am quite young to have this (33). We have a plan for blood work and a few more tests and I feel much more comfortable with this doctor as she seems more knowledgable and is taking it more seriously (while the pulmonologist just wanted me to another CT scan in January 2023).

I feel like I am on a good track now and definitely will also keep in contact with this forum. Thanks again for the direction and insight!