Have I got emphysema?

Patient

Q: A few months ago I had a spirometry test, my nurse told me I have the lungs of an 85 year old woman, I am 55 years old and have had asthma for 20 years for which I take 3 inhalers, but they don't seem to be working as well, I am breathless doing minor tasks, although I am fine when sat down. I gave-up smoking 3 months ago and thought my breathing would improve, but in fact it has got steadily worse. Do you think it could be emphysema?

Doctor

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