A 66-Year-Old Man Comes to the Office Due to Increasing

A 66-year-old man comes to the office due to increasing shortness of breath over the past 3 weeks.  He has had a nonproductive cough for several months, which he attributes to allergies, but also notes a 9-kg (20-lb) , unintentional weight loss over this time.  The patient has no prior medical conditions and takes no medications.  He has a 50-pack-year smoking history.  Temperature is 36.7 C (98 F) , blood pressure is 120/80 mm Hg, pulse is 72/min, and respirations are 18/min.  Chest x-ray is shown below. Which of the following would be the expected physical examination finding over the right lower chest?

A) Bronchial breath sounds
B) Decreased tactile fremitus
C) Fine inspiratory crackles
D) Focal, monophasic wheeze
E) Increased resonance on percussion
F) Rhonchi that clear with cough

Correct Answer:

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