Owen Grady presents to the pulmonary clinic with pinpoint no…
Owen Grady presents to the pulmonary clinic with pinpoint nodules throughout the lungs. He has a non productive cough, distended jugular vein, and digital clubbing. Mr. Grady lives with his wife on Smith Lake. He is a retired explosive engineer for the local mining quarry. His wife is still working as the companies secretary. They have 3 grown children with 6 grandkids. He admitts to casual drinking and No smoking or drug use. Which of the following is the most likely diagnosis?