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An elder adult female patient with 40 year history of smoking presents to the clinic with complains of progressive shortness of breath over the past several years. she notes that her breathlessness is most pronounced when climbing stairs or carrying groceries. she denies any chest pain, chronic cough, or sputum production. physical examination reveals a barrel chest and decreased breath sounds with prolonged expiration. pulmonary function test are ordered. condiserling the likely diagnosis what would be the most likely findings on the Diffusing capacity of the lungs for carbon monoxide test? options include increased DLCO due to compensatory erythrocytosis, normal DLCO as it is not affected in emphysema, decreased DLCO due to loss of alveolar surface area, or variable DLCO based on the time of day the test is performed?
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