A 65-year-old male presents with a chronic cough that has progressively worsened over the past three months. He reports unintentional weight loss, fatigue, and hemoptysis. He has a 40-year smoking history and worked in construction. Physical examination reveals decreased breath sounds on the right side and clubbing of the fingers. A chest X-ray is performed, revealing a mass in the right upper lobe with evidence of mediastinal shift.
Question:
- What is the most likely diagnosis, and what are the next steps in management?
- What are the key risk factors associated with this condition?
- Identify the characteristic findings in the given chest X-ray image.
- Outline the treatment options available based on the staging of this condition.