Skull is normocephalic, atraumatic. Hair with average texture. Visual acuity 20/20. Sclera white, conjunctiva with erythema. Pupils constrict from 3 to 1.5 mm, equal, round, and reactive to light and accommodation; disc margins sharp without hemorrhages, exudates, or arteriolar narrowing
External ear canals patent; tympanic membranes dull, with decreased cone of light
Trachea midline, neck supple without thyromegaly
No cervical, axillary, epitrochlear, or inguinal adenopathy
Thorax and lungs
Thorax symmetric with good expansion
Lungs with decreased resonance. Expiratory wheezes diffusely in all lung fields
Good S1, S2; no S3, S4; no murmurs, or extra sounds
Based on this information, what is your differential diagnosis?
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