RESULTS: 63 cases patients were all elderly women housewives, they were age old 60-76, the average of 3 groups were 68.38,65.24 and 66.86 age old. there were no Significant differences in patients of 3 groups (p>0.05). Multiple segmental atelectasis and patch shadows (12 cases, 57.14%, respectively) in The chest CT expres sions of patients with mountain elderly women were more than patients with non- mountain and town elderly women (5 cases, 23.8%, each goups), but pulmonary Space occupying lesions in patients of town (9 cases) and non-mountain (8 cases) were more than in patients of mountain (1 case). There were all bronchial charcoal powder in 21 cases of mountain elderly women, but bronchial charcoal powder in other 2 groups were funded by bronchoscopy. But there were different Levels of congestion, swelling and narrow in 3 groups of patients, mountains with most, non-mountain areas, and towns with at least. (less 50%). Farmers in patients with endotracheal white pseudomembrane and necrotic material than urban patients (4 cases and 1cases respectively). Several farmers of bronchial tuberculosis and pulmonary tuberculosis patients was significantly higher than urban patients (18cases and 3cases) respectively. Patients suffer with Lung Cancer were 6 cases of towns, non-mountain areas 8 cases, mountain 1 case patients; hospitalized urban patients with infectious disease than farmers. The history suggested that mountain village with forest wood as fuel, non- mountain mixed biofuels, and the town was dominated by coal or gas.