Case Presentation A 53-year-old male with a significant history of chronic smoking (30 pack-years, recently ceased) presented with a background of longstanding dyspnea and chronic bronchitis. He also had notable environmental exposures, including prolonged contact with wood smoke and poultry/livestock droppings, which may have contributed to his underlying respiratory condition.
Presenting complaints (2 months duration): Left-sided chest pain (mild to moderate intensity) Progressive dyspnea (Stage II) Initially dry cough → later productive with whitish sputum Occasional hemoptysis (blood-streaked sputum) General deterioration (weight loss, anorexia, fatigue) No fever Examination findings: Conscious, stable general condition (WHO PS 0) Respiratory rate: 26/min Heart rate: 92 bpm Oxygen saturation: 94% on room air Blood pressure: 110/70 mmHg Reduced breath sounds with left basal pleural…
