29th April 2024

A 45-year-old female asylum seeker presents to the clinic with a chronic productive cough that has persisted for several years.

A 45-year-old female asylum seeker presents to the clinic with a chronic productive cough that has persisted for several years. She frequently produces large amounts of purulent sputum, especially in the mornings. She also reports recurring episodes of breathlessness and wheezing, which are occasionally accompanied by fever. Her medical history includes several severe lung infections during childhood. On examination, she exhibits coarse crackles and wheezes in both lungs. 

Which is the most likely diagnosis?