A 58-year-old man comes to the physician because of a 5-day history of progressively worsening shortness of breath and fatigue. He has smoked one pack of cigarettes daily for 30 years. His pulse is 96/min, respirations are 26/min, and blood pressure is 100/60 mm Hg. An x-ray of the chest is shown. Which of the following is the most likely cause of this patient's findings? A) Left ventricular failure B) Tricuspid regurgitation C) Spontaneous pneumothorax D) Acute respiratory distress syndrome E)
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