2 Months Of Persistent in Medicine / Internal Medicine — 40yo Man | Respiratory / Pulmonology | SMLE Q#17153

SMLE Question #17153

Medicine / Internal Medicine Respiratory / Pulmonology

Objective: OBJ-123

Last updated: February 2026
A 40-year-old man presents with 2 months of persistent nonproductive cough, unintentional 6-kg weight loss, and drenching night sweats. He immigrated from a region with high tuberculosis prevalence 5 years ago and has not had regular medical care. He denies haemoptysis. Examination shows mild crackles over the upper lung fields. Chest X-ray demonstrates upper-lobe predominant opacities with cavitation. What is the most likely diagnosis?

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