Which of the Following Is the Most Likely Diagnosis for Mr. Santos

Mr. Santos, a 65-year-old Male, Presents to the Emergency Department with Worsening Shortness of Breath, Chronic Cough and Increased Sputum Production. He Has a History of Smoking for 40 Years. Physical Examination Reveals Decreased Breath Sounds, Wheezing and Prolonged Expiratory Phase. Based on the Provided Information and Answer the Following Question