Patient Four - Diagnosis

Patient Chart

History

AC is a 65-year-old male presents to the emergency department complaining of severe dyspnea. He has a history of shortness of breath. His home medications include Spiriva and Symbicort. He has a respiratory rate of 38, and temperature of 99.1o F. His SpO2 on room air is 84%. He has an occasional cough productive of small amounts of thick, pale yellow sputum. Use the Auscultation and Blood Pressure tabs to capture heart rate, blood pressure and lung sounds.

Which of the following is the most likely diagnosis for this patient?