4th September 2020

This 67-year-old homeless man presents to ED with a one-year history of a productive cough

This 67-year-old homeless man presents to ED with a one-year history of a productive cough, chest pain, and feeling run-down, which has gradually worsened. His sputum is often bloodstained. The pain is sharp when he takes a deep breath. He has no past medical history of note and has not been registered with a GP surgery for 20 years. He is a non-smoker. On examination, he appears cachectic and has some inspiratory crackles over both lung apices.

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