Chest X-ray ward round

Case 5:

A 60-year-old smoker presents with known COPD presents with increased SOB

Chest CXR (Click to enlarge)

Questions:

What does the X-ray show?

What is the diagnosis and differentials?

Small cell lung cancer, Non-small cell lung cancer (80%) - Adenocarcinoma, squamous cell carcinoma, or large cell carcinoma

What is the management?

Investigations:

Treatment: