4th September 2020

A 72-year-old lady presents with a 6-month history of pleuritic chest pain, shortness of breath and weight loss

A 72-year-old lady presents with a 6-month history of pleuritic chest pain, shortness of breath and weight loss. No fevers or night sweats. She has lost 5kg of weight over this time. She has well-controlled atrial fibrillation and hypertension. Her regular medications are bisoprolol, ramipril and edoxaban. She is a non-smoker and previously worked as a plumber. Examination reveals finger clubbing and an enlarged axillary lymph node.

For the patient above, please select the SINGLE most likely diagnosis. Select ONE option from the list above.