Spots all over my lungs in an X-ray please HELP!?

First, you never asked a specific question. Secondly, all x-rays are read by a radiologist and if their reading is different than that of the ER doctor, the ER doctor is notified. If it happened to be a pneumonia instead of bronchitis, no different treatment would be ordered because you have already been started on an antibiotic. If you hadn't been started on an antibiotic, they would have called you at home and asked you what pharmacy you used and called in a prescription - that is how reading x-rays goes. As for the blood you are still coughing up, your platelets are too low and you probably need a platelet transfusion, otherwise, the bleeding will never stop because you don't have enough of the right factors to make your blood clot right now (if your platelets are actually 22, not 220,000 which would only be borderline low). Your doctor is ping the buck because this is not "out of her league". She has the exact same education as the ER doctor. The ER doctor only has more specialized training in emergency medicine and she should NOT have referred you back to the ER. You should probably make an appointment with a pulmonary doctor (pulmonologist) and get a proper diagnosis. Going back to the ER will get you no-where because you probably need to see a specialist (or your doctor who manages your ITP) and they do not have specialists in the ER - only ER doctors. Make an appointment today.