COPD USMLE Step 1 Practice Question
A 72-year-old retired insulation worker presents with progressive dyspnea and pleuritic chest pain. Vital signs show BP 142/88 mmHg, HR 98/min, RR 22/min, and SpO2 88% on room air. Temperature is normal. CT chest reveals diffuse pleural thickening encasing bilateral lungs with no parenchymal masses. Chest X-ray shows pleural calcification. He denies hemoptysis. Which neoplasm is most likely associated with this clinical presentation and imaging findings?
Answer choices
- ABronchial carcinoid tumor
- BSquamous cell carcinoma of the larynx
- CSmall cell carcinoma
- DMalignant mesotheliomaCorrect answer
- EPulmonary hamartoma
- FAdenocarcinoma of the lung
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