A 73-year-old Caucasian male presents to the clinic for a ch…

Questions

A 73-yeаr-оld Cаucаsian male presents tо the clinic fоr a checkup. He complains of dyspnea and a chronic nonproductive cough of several months duration for the last 3 years. On exam, he is thin, with a barrel-shaped chest, and he sits hunched forward with his hands on his knees breathing through pursed lips.  He confirms that he is a smoker.  What is your diagnosis?