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Premium cigars are more expensive because of the time and effort required by cigar rollers to hand-roll your cigar

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Paraseptal (Distal acinar): Affects alveoli near pleura May lead to spontaneous pneumothorax Diagnosis: Chest X-ray / CT scan: shows hyperinflated lungs, flattened diaphragm Pulmonary function tests: reduced FEV, increased residual volume Arterial blood gases (ABG): may show hypoxemia and hypercapnia Management: There is no cure, but treatment aims to relieve symptoms and slow progression