He complains of night sweats, shortness of breath and poor appetite with a 50-70 lb weight loss over the last year. His pleural effusion was tapped, and 1L of fluid was removed. Cytology was negative.
Past history is significant for diabetes and emphysema.
Current medications include 20 mg prednisone, 0.25 mg digoxin, aspirin, potassium, furosemide and terazosin HCl. He is an ex-smoker having quit five years ago. He is married and worked his entire life as a farmer. On physical examination he is a well developed elderly man. His vital signs were normal.