A 67-year-old man with a 40 pack-year smoking historycomplains of shortness of breath for the past 6 months andswelling in his legs. He often wakes up at night gasping forbreath and feels most comfortable sleeping on 3 pillows. Hehas no past history of COPD or CHF, but he has diabetes andhypertension.What is the most likely diagnosis?A. Congestive heart failureB. Chronic obstructive pulmonary diseaseC. AsthmaD. Lung cancerE. Pulmonary embolism
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