15th September 2020

A 76-year-old retired coal miner presents to the acute medical unit with an infective exacerbation of COPD

A 76-year-old retired coal miner presents to the acute medical unit with an infective exacerbation of COPD. He was admitted 18 months ago with a similar presentation. He has a past medical history of chronic bronchitis and osteoarthritis. As part of routine investigations, a chest X-ray is ordered and shows multiple round opacities less than < 1 cm in diameter in the left upper zone. Apart from a chronic productive cough, he has been asymptomatic between admissions.

For the patient above, please select the SINGLE most likely diagnosis. Select ONE option from the list above.