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MediumRespiratoryBronchiectasisau-amcau-racp

A 62-year-old woman with COPD presents with worsening cough and green sputum for 3 weeks, weight loss and haemoptysis. She has clubbing and a history of recurrent chest infections. Chest X-ray shows tram-track opacities and ring shadows. What is the most likely diagnosis?

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