What is the diagnosis?

A 70 year old woman presents to her family doctor complaining of chronic cough with occasional chest pain. She states that when she exerts herself or coughs, she experiences pain in the right side of the chest with difficulty breathing. She states that she lost 20 pounds over the last 3 months. She has been a single landlord earning passive income since she divorced 30 years ago. She has never smoked and drinks alcohol socially. She denies any marijuana, cocaine, or heroin use. She has not traveled anywhere in years, preferring the comfort of her home. On exam, the patient is an emaciated woman with an unremarkable cardiac exam. Auscultation of the lungs reveals decreased breath sounds and dullness to percussion over the right upper lobe. Chest radiograph is shown in the picture. What is the most likely diagnosis?

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Yes it is tumor rt apical zone with h/o wt loss malignant ?adenocarcinoma lung To differentiate needs biopsy
Thanx dr Sandeep Ghodekar
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A. Small cell carcinoma.
There is a round shaped opacity rt apical zone suggestive of secondary metastasis. PECT of chest Bronchoscopic biopsy and HPE to confirm . A case of Adenocarcinoma
D/D tuberculosis,Malignancy mass opacity right lung upper mid zone paracardic region ad CBNAAT Sputum exam HRCT thorax
Rt upper zone round opacity ?ca lung Bronchoscopy biopsy /CT thorax
Malignancy adv CECT and FNAC