Agent McGee presents to the clinic a productive cough for se…

Agent McGee presents to the clinic a productive cough for several years, barrel chest, digital clubbing, frequent respiratory infections. He has a history of smoking. PFT results are as follows: FVC- decreased    FEV1 decreased    FEV1/FVC ratio- decreased   DLCO- normal Which of the following would most likely be the diagnosis?

Agent Gibbs has excessive foul smelling bronchial secretions…

Agent Gibbs has excessive foul smelling bronchial secretions, bilateral wheeze, increased HR and RR. He is cyanotic and has digital clubbing. CXR shows increased alveolar-capillary membrane thickness and flattened diaphragm. Sputum culture is positive for Pseudomonas aeruginosa. Which of the following is the most likely diagnosis?