A 77-year-old male with a history of emphysema complains of an acute worsening of his shortness of breath and pleuritic chest pain that occurred after a forceful cough. Auscultation of his lungs reveals scattered wheezing on the left side and diminished breath sounds on the right. This patient's clinical presentation is MOST consistent with:

A. acute pulmonary edema.
B. exacerbated emphysema.
C. spontaneous pneumothorax.


Answer: C. spontaneous pneumothorax.

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