A 67-year-old, 5’5″ and 363 lb. male patient has smoked two…

A 67-year-old, 5’5″ and 363 lb. male patient has smoked two packs per day for 35 years.  He has been complaining of shortness of breath at rest and a productive cough.  He states he has a lot of white sputum in the morning.  Based on his history, what should the respiratory therapist conclude is his diagnosis?