HI, I had gone through your questions, and understand your concerns. First of all fat pad seen in your X-ray or CT scan is not the cause for your coughing and breathlessness. This will not cause you any complication or illness. From your history I understand that you get cough, mucus production, shortness of breath and wheezing since 6 weeks, and X-ray ruled out pneumonia. You haven t mentioned your age and whether you are/were a smoker. Also you had any previous history of similar symptoms. 2 probabilities are 1) allergic bronchitis or asthma, if you had similar symptoms in the past or other allergic symptoms. 2) chronic bronchitis or COPD if you are above 35 and a smoker. Depends on the condition you will need treatment with nebulizers, inhalers (broncho dilators and sometimes containing steroids) or a combination), antibiotics (if signs of infection like colored mucus, fever, raised WBC count etc.), and may be a short course of oral steroids. In both conditions there will be excess mucus production and narrowing of airways which cause wheezing. The treatment I mentioned will take care of both. You might have to continue some tablets or inhalers for long time. Hope I have answered your queries. Thanks for using HCM