62-year-old Woman in Medicine / Internal Medicine — 62yo Woman | Respiratory / Pulmonology | SMLE Q#11153
SMLE Question #11153
Medicine / Internal Medicine
Respiratory / Pulmonology
Objective: OBJ-123
Last updated: February 2026
A 62-year-old woman reports 6 weeks of progressive weight loss, anorexia, exertional dyspnea, and orthopnea requiring two pillows. Examination shows reduced right chest expansion, markedly decreased breath sounds and reduced tactile fremitus over the right mid-to-lower lung zones, and stony dullness to percussion. The trachea and cardiac apex are displaced to the left. What is the most likely diagnosis?
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