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Medicine
A 77-year-old man with a mass in the lung develops asymptomatic hyponatremia. His JVP is 4 cm, heart sounds are normal, and the lungs are clear. The urine sodium is 64 mEq/L and osmolality 550 mOsm/kg. Which of the following is the most likely diagnosis?
nephrotic syndrome
syndrome of inappropriate antidiuretic hormone (SIADH) production
renal metastases from lung cancer
lung metastases from hypernephroma
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