Chronic bronchitis Quiz: Ace Your Exams

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A 38-year-old male presents to the outpatient clinic due to shortness of breath. The patient’s symptoms began around a year ago and have progressively worsened. Past medical history is noncontributory. He has no history of tobacco or illicit substance use. Spirometry is performed and a flow-volume loop is obtained. The patient’s flow-volume loop is shown below on the right (normal is depicted by the flow-volume loop on the left).  

  
 Images reproduced from Wikimedia Commons  

Which of the following will most likely be discovered on further evaluation of this patient?  

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