29th April 2024

A 19-year-old male presents with a history of recurrent respiratory infections, chronic productive cough, and persistent digestive issues.

A 19-year-old male presents with a history of recurrent respiratory infections, chronic productive cough, and persistent digestive issues. He reports that he has had difficulties with weight gain and has bulky, foul-smelling stools. His medical history includes a diagnosis of pancreatic insufficiency and he was treated for bronchiectasis last year. On examination, he exhibits digital clubbing and diffuse wheezing in both lung fields. 

Which is the most likely diagnosis?