A 43-Year-Old Man Comes to the Office Due to Several

A 43-year-old man comes to the office due to several weeks of nagging, left-sided chest pain that worsens with deep inspiration.  He has also had a progressive, nonproductive cough and mild dyspnea.  The patient denies fever or chills.  He was diagnosed with Hodgkin lymphoma in his early 20s and was treated with chemotherapy and radiation.  Blood pressure is 144/90 mm Hg and pulse is 92/min.  The patient appears thin.  Examination is otherwise normal.  Chest x-ray is shown in the image below: Which of the following is the most likely cause of this patient's current manifestations?

A) Aspergillus infection
B) Lung cancer
C) Pulmonary tuberculosis
D) Radiation-induced fibrosis
E) Recurrence of Hodgkin lymphoma

Correct Answer:

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