A 39-year-old man comes to the physician for a follow-up appointment. He has a history of cystic fibrosis. A high-resolution CT of the chest is shown.

Which of the following is most likely to be seen in this patient as a result of these findings?
A) Copious foul-smelling sputum
B) Decreased alveolar capillary surface area
C) Increased pulmonary capillary wedge pressure
D) Increased Reid index
E) 6-month history of dry cough with dry inspiratory crackles

