Anatomy

A 32-year-old female is admitted to the emergency department with dyspnea, dysphagia, hoarseness, and severe anxiety. Her medical history reveals that she has lived on a liquid diet for some months and has lost more than 30 lb. Over the past several weeks, she has had bloody sputum during attacks of coughing. Fluoroscopy and a barium swallow reveal a 4-cm mass associated with a bronchus and associated compression of the esophagus. Which of the following nerves is most likely to be affected?