Which of the following clinical conditions is most likely to result in hoarseness during speech?

Correct Answer: Bronchogenic carcinoma of the apical segment of the right lung
Description: A tumor of the apical segment of the upper lobe may impinge on the recurrent laryngeal nerve since it ascends from the superior mediastinum to the root of the neck in a groove between the trachea and esophagus. The recurrent laryngeal nerve supplies all intrinsic muscles of the larynx except the cricothyroid.
Category: ENT
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