1st April 2022

A 79-year-old man presents to A&E. He has had a constant cough for the past month

A 79-year-old man presents to A&E. He has had a constant cough for the past month, and over the past few days has become increasingly breathless, as well as having intermittent sharp chest pains, which worsen when he takes a deep breath. He has lost around a stone in weight over the past month and has been feeling unusually fatigued. His past medical history includes hypertension, and a myocardial infarction, around 15 years ago. He stopped smoking after his heart attack but has a 40 pack year history. He is a retired electrician. 

Which of the following is the most likely diagnosis?

Select the SINGLE most appropriate option from the list below. Select ONE option only.