2-year Productive Cough On in Medicine / Internal Medicine — 63yo Man | Respiratory / Pulmonology | SMLE Q#18694
SMLE Question #18694
Medicine / Internal Medicine
Respiratory / Pulmonology
Objective: OBJ-RESP-CHRONIC-COUGH-OCCUP
Last updated: February 2026
A 63-year-old man presents with a 2-year history of productive cough on most days. He has never smoked and has no known chronic medical conditions. He worked for many years in a cotton-textile factory and retired 2 years ago. He is breathing comfortably at rest, and chest auscultation reveals diffuse rhonchi. Chest imaging and spirometry are not yet available. Which of the following is the most likely diagnosis?
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