PMH: None; no surgery; no transfusions
Family Hx: Mother died age 63 cirrhosis + ETOH; father died age 50 cause unknown; 4 brothers, 3 sisters A/W; patient is the youngest in family Physical exam
Vitals: BP=100/60RR=12 HR=60 T=97.6 WT=122lb HT=6'0 HEENT: PERRL/A EOMI; conjunctiva pink, sclera clear; poor dentition without mucosal lesion Neck: Midline trachea, no LAD, no TM, no bruits Back: No spinal/CVAT CVS: RRR nl S1/S2 no S3/S4 no murmurs Chest: Lg smooth protruding mass on L chest wall inf-medial to nipple: 3.5cm x 3.0cm x 1.5cm high. Mass is fixed, firm, smooth, nl temp, and tender to palpation. There is a faint rose hue inf-med. CTA, no dullness Abd: Flat, scaphoid, nl BS, no bruits, no HSM, no masses, nl liver span GU: Nl male, nl testes CNS: No focal deficits, nl strength-gait Rectal: Nl prostate, non tender, OB negative. Lymph: L axillary LAD with largest being 1 cm rubbery, firm, non-tender and freely mobile Skin: Without lesion CT SCAN RESULTS
7 x 6 cm pleural based...