21st February 2025

A 57-year-old woman presents with a 4-week history of worsening right-sided chest pain, fevers and weight loss.

A 57-year-old woman presents with a 4-week history of worsening right-sided chest pain, fevers and weight loss. She says the trigger for seeking medical attention today was that her husband was concerned she had new facial asymmetry. A chest X-ray carried out as part of the initial assessment revealed a large right apical mass suspicious for malignancy.
Which combination of examination findings is most likely to be found in this woman?

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