What diagnsos is most consistent with his history

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Problem: A 55 year old man presents with history of persistent cough, hemoptysis, and weight loss, and states that he has had several lung infections over the past 4 months. he complains of right shoulder and chest pain. he is afebrile and pale, and has dyspnea on exertion. his chest radiograph shows mediastinal widening and perihilar adenopathy. He is a 20 pack per year smoker. What diagnsos is most consistent with his history?

Reference no: EM133689229

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