A 48-year-old male presents to clinic with complaints of cough ongoing for a few years. The patient says the cough has been getting progressively worse and is now associated with difficulty in breathing. The patient denies use of tobacco products and illicit substances. Further questioning reveals the patient has been a miner for over 20 years. Physical examination reveals crackles bilaterally. Osteopathic structural examination would likely reveal which of the following diagnoses?