Conversation: The conversation between human and AI assistant.
[|Human|] Hello, I am a 39 yr old male, Height is about 6ft 3in, and weigh about 260 lbs. I am a smoker who has been diagnosed with emphazema.  They also found a nodule on right lung.  At last scan there was no change in size.  I also am a drinker and have been diagnosed with a fatty liver. Unfortunately, I havent been able to quit as of yet.  In the last 2 weeks I have felt a pressure around my chest and neck. Pretty much right on my collar bone and right shoulder area.  Is it possible that my liver has swollen to be putting pressure on my right lung?
[|AI|]  Hi thanks for contacting Chat Doctor... Noted you have emphysema and fatty liver.... Here your smoking habit is contributing in both these condition... As smoking can release elastane and that can damage alveoli.... Alpha 1 antitrypsin deficiency also has to be rule out as both liver and lung affected... Here first try to avoid smoking for improvement Because of emphysema here you have chest tightness and pain... If dyspnea is associated bronchodilator might be needed.... For fatty liver low fat diet taken. Refined food avoided with using less oil in cooking. Regular exercise done.... Avoid exposure to environmental pollution to less..... Regular follow up needed. For small nodule that is present if increasing in size then USG guided FNAC done for further work up.... Take care... Chat Doctor.