A 68-year-old male with past medical history 84 pack year smoking history (quit in 2000). mild chronic obstructive pulmonary disease (COPD). adenocarcinoma of right upper lobe treated with surgery and chemoradiation. and melanoma resection in 2013 presented with a one-month history of cough with sputum production and progressive dyspnea on exertion. https://www.jmannino.com/quick-save-Arcade-Smokey-Bear-Belt-p10222-great-pick/