A Cancer Patient’s Worsening Cough

A 50-year-old man with Lung cancer develops a worsening cough, chest pain, and shortness of breath. Discover the unusual cause of his symptoms.

Bronchoesophageal fistula


A 50-year-old man with a history of large-cell neuroendocrince carcinoma of the lung presented with a 5-day history of shortness of breath, chest pain, and a cough. Physical examination noted diminished breath sounds in the right lower lobe and cough after fluid intake. What is the diagnosis?

What is the most likely diagnosis?

Bronchoesophageal fistula
Aspiration pneumonia
Pharyngeal pseudodiverticulum
Zenker’s diverticulum
Gastroesophageal reflux disease

Bronchoesophageal fistula, Cough, Dysphagia, Esophagography, Lung cancer

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