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161328 Surgery

A 65-year-old miner has lost 7 kg weight within two months, has presented with cough, and blood streaked sputum. He was treated for pulmonary tuberculosis 10 years ago. He also has drooping of his left eyelid for one month. On physical examination, there is ptosis of the left eye and papillary miosis. Chest X-ray revealed round opacification in the left upper apical lobe. What is the most probable diagnosis?

ASecondary tuberculosis
BAdenocarcinoma
CSquamous cell carcinoma
DAsbestosis
Surgery
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