A 68-year-old female presented with chief complaints of chronic nonproductive cough and some blood streaked sputum. She had a history of expectorated bright red blood. She was smoker since 15 years. She reported increased fatigability, reduced appetite, and unintentional weight loss. She has no fever, chills, or night sweats to suggest infection. On examination, her chest reveals scattered bilateral rhonchi without wheezes or crackles.

She has clubbing of the fingers. What would be the most likely diagnosis? *This case is from Docplexus Editorial Team for educative purpose only. Source: clinical cases in internal medicine The answers are posted in the comment section click here .