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Upon completion, further tests were performed: pulmonary function testing showed a restrictive pattern, without bronchodilator reversibility

Indirect signs of small airway disease result from alterations in the lung parenchyma distal to the affected small airways and include air trapping, subsegmental atelectasis, centrilobular emphysema, and nodules (118)

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Be sure to clean any surfaces beforehand with alcohol and a cloth, an alcohol pad, or a good surface cleaner