Chief's Challenge - by Dr. Breger, Chief Resident UCLA
A 53 year-old man presented to the ER with hoarseness for 3 days.
His past medical history is significant for hypertension and a 30 pack year history of smoking. He takes - losartan, HCTZ, and aspirin. He denies recent chest pain, fevers or cough. His exam is remarkable for hoarseness. His heart exam is normal. His distal pulses are intact bilaterally. His admission chest x-ray is shown.
What condition does this patient have?
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