Figure 1 Quiz of the Week A 75-year-old female presents with a two-year history of a persistent cough and fatigue. The cough is occasionally productive of purulent sputum. She was treated for a community-acquired pneumonia two years earlier and underwent an anterior cervical discectomy and fusion previously, but is otherwise well. On examination, she appears…
What’s causing this persistent cough?
![](https://www.amsa.org/wp-content/uploads/2021/02/2018-07-03_figure1_quiz-of-the-week-1.jpg)