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You see a 68-year-old man in clinic, with a 40 (cigarette) pack year history, wh...

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You see a 68-year-old man in clinic, with a 40 (cigarette) pack year history, who has been experiencing breathlessness on exertion and a productive cough of white sputum over the last four months.  For 3 years Cardiological investigations are normal.

Which of the following is the most likely diagnosis?

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