A 19-year-old woman with cystic fibrosis comes to the physician for a follow-up examination. She has a lifetime of lower respiratory tract infections and exocrine pancreatic insufficiency. BMI is 19. Vitals are normal. Examination shows clubbing and dusky nail beds. The liver edge is palpable 4cm below the costal margin. There is mild peripheral edema. A 2/6 holosystolic murmur is auscultated that increases with inspiration. Which of the following best explains this patient’s examination findings?
Bronchiectasis
Ciliary dyskinesia
Pulmonary edema
Pulmonary hypertension
Subapical blebs
