History: 60 year old woman presents with acute shortness of breath. She also endorses hoarseness, chest discomfort, cough, and increasing sputum production over the past 6 months. She denies any chest pain, hemoptysis, fever, chills, night sweats, weight loss. She endorses significant secondhand smoke exposure for the past six years.
Chest x-ray performed one month ago did not reveal any abnormalities. She was diagnosed with a URI and treated with two courses of antibiotics at the time.
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