A 64-year-old woman reported having cough and shortness of breath on exertion for the past 2 years, but now having persistent symptoms even without exertion.
PE: revealed diminished breath sounds and minimal expiratory wheezing in right lung; not physically fit
PMH: mild hypertension well managed on lisinopril
SH: smoker, 15 pack-years
CT scan revealed 2 masses in RUL and several small masses in the liver
Biopsy of right lung mass confirmed grade 2 adenocarcinoma