A man in his 40s presented with a 2-year history of progressive dyspnea, dry cough, and intermittent blood-streaked sputum. He also complained of dyspnea with exercise tolerance of walking one to two street blocks, wheezing, recurrent upper respiratory tract infections, and frequent bouts of bronchitis. He denied frank hemoptysis, fever, rashes, or chest pain. Review of systems revealed recent weight gain and snoring. No syncopal events or choking with meals were reported.