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Madhu is a 54-year-old male who presents to his primary care provider with complaints of shortness of breath and headaches for the past week. His primary care provider notes dilated neck veins, and edema of the face, arm, neck, and supraclavicular region on his physical exam. Due to these concerning symptoms, his primary care provider recommends he go to the Emergency Department. In the Emergency Department, a Chest X-ray is performed revealing a right suprahilar mass. A Chest CT is then performed and reveals an intrathoracic mass with narrowing of the superior vena cava (SVC). Based on the information given to you so far, answer the questions below: What are your top 3 differential diagnoses for this patient so far? Explain your rationale for why you chose these differentials. What further diagnostics would need to be obtained to help you narrow your differential list? Explain your rationale for why you chose these diagnostics. What is the expected treatment plan for Madhu if he is confirmed to have your top diagnosis?
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