Restrictive Lung Disease USMLE Step 1 Practice Question
A 74-year-old retired shipyard worker presents with progressive dyspnea and recurrent unilateral pleural effusions. Vital signs show BP 138/82 mmHg, HR 92/min, RR 22/min, SpO2 88% on room air. CT chest reveals diffuse pleural thickening encasing the lung with pleural calcification. Chest X-ray shows no parenchymal masses. He denies fever or hemoptysis. Which of the following is the most likely diagnosis?
Answer choices
- APulmonary embolism
- BBronchogenic carcinoma
- CMesotheliomaCorrect answer
- DAsbestosis
- EPleural effusion
- FTuberculosis with fibrous adhesions
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