Thanks for providing more information.
Hyperinflated lungs means that it is filled with more air than usual. This is a common finding in someone with COPD that includes emphysema.
The lung is an elastic tissue and when the hyperinflation occurs,this elasticity is compromised.
As you are having chest pain so a chest x-ray is not the best test to guide treatment of COPD or as a predictor of prognosis.
The best test would be spirometry, also referred to as pulmonary function tests, particularly a series of tests over time to see how the disease is progressing.
Of course, ongoing damage to the lungs, such as from continued smoking, would also have a significant impact on the disease.
And if your lung function is abnormal alongwith hyperinflation of lungs then you may require a prompt management by a pulmonologist.
Hope this helps.
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