Emphysema is a chronic obstructive pulmonary disease where the air sacs in the lungs (alveoli) become damaged, causing shortness of breath. It is primarily caused by cigarette smoking and long-term exposure to air pollution. The main symptoms are a productive cough, breathlessness, and wheezing. Signs include cyanosis, wheezing, fast breathing, hyperinflation of the lungs, and reduced breath sounds. Treatment focuses on stopping smoking, using bronchodilators and steroids, and supplemental oxygen. Prevention emphasizes avoiding pollution and respiratory infections by getting vaccinated.