15th September 2020

A 65-year-old man presents to his GP with a 3-month history of increasing dyspnoea

A 65-year-old man presents to his GP with a 3-month history of increasing dyspnoea, chest pain and unintentional weight loss. He recently retired from construction work after 40 years in the building trade. He has never smoked and has no significant past medical history. Physical examination reveals finger clubbing and decreased breath sounds in the right lung base associated with stony dull percussion. A chest X-ray shows unilateral pleural effusion and irregular pleural thickening.

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