A 75-year-old woman presents with a 2-year history of a persistent cough and fatigue. The cough is occasionally productive of purulent sputum. She was treated for community-acquired pneumonia two years earlier and underwent an anterior cervical discectomy and fusion previously. Chest auscultation reveals wheezing in the mid zones bilaterally and a later chest radiograph and CT scan demonstrate the findings seen here [Figure 1]. Which of the following is responsible for this patient’s most likely diagnosis? Learn more about this case, take the quiz, and join the conversation on Figure 1.
The Image of the Week for July 1 is brought to you in partnership with:
Submit your diagnosis to see full explanation.
Learn more about this case, and join the conversation on Figure 1.