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Respiratory Therapist/Question on xray results.


I am 5'7" and 190lbs. Just had a kid in November. I am a sufferer of asthma. But I have had a sudden onset of severe symptoms that I have never experienced before. I have been to the ER twice Sunday night and Monday night. They took x-rays both nights because of chest pains and not being able to breathe out easily. Sundays xray was normal. Monday they thought I had a blood clot due to an abnormal EKG, but the blood test came back OK. The xray they took says I had underexpanded lungs with cartilage markings. I am wondering what that may mean. They told me nothing in the ER. I am concerned I still could have a blood clot with all my sudden severeness of symptoms. And it does add up to my symptoms. But they say there blood test is very sensitive to that. Is this cause for concern? Or should I watch out for anything that would warrant me going back in regards to this issue?

Hi Ariel,

I sincerely hope you start to feel better soon. While this question does have a breathing componenet, it sounds like a question that should be answered by a trained physician that specializes in Pulmonology. This is a little more complicated and specific than most questions I field, and I have to be careful to not try to answer a question that extends beyond my scope of practice.

Best of health to you,

Larry W, RRT

Respiratory Therapist

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Larry W. Wical, BA-RRT


I CAN answer: ALL questions and queries related to the following topics... - Oxygen - Asthma - COPD - Bronchitis - Emphysema - Pneumonia (Viral/Bacterial) - Tuberculosis (TB) - SARS - Influenza (Flu) - Vaccines - Pulmonary Embolism - Pleural Effusion - Atelectasis - Inhalation injuries (burns, chemicals, etc.) - PFTs - Cardiovascular health - Sleep Apnea - BiPap/CPAP - Ventilators ("Respirators") - Aspiration injuries - Thoracic injuries - Lung contusions - Tracheal injuries - Artificial Tracheostomy - Secretions - Prolotherapy/Regenerative Injection Therapy (RIT): A patient's experience/perspective - General health and fitness I CANNOT answer: Questions that vary too far from my primary scope of pulmonary and cardiovascular care and fitness. I promise to be open and honest about my knowledge of submitted topics, and will always openly provide my personal as well as professional feedback as it relates.


Registered Respiratory Therapist (RRT, RCP) since 2005. I have worked primarily in the acute care, critical care, burn care and home care settings.

NBRC - National Board of Respiratory Care AARC - American Association of Respiratory Care

-All About Kids Magazine -The Clermont Sun -Cincy Sports & Fitness Magazine -Many online Fitness and Health blogs and "webazines"

- B.A. in Communication (1997) - A.A.S. in Respiratory Science (2005) - RRT license (state of OH, KY and IN) - Basic Life Saving (BLS) - Advanced Cardiovascular Life Support (ACLS) - Advanced Burn Life Support (ABLS)

Past/Present Clients
Currently work in the city's largest academic/research hospital.

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