The patient with the ?chest infection is not seen again at the practice for another 4 months when he returns to see a GP. On discussion with the GP at this subsequent consultation, he describes several episodes of haemoptysis. The blood coming up is now dark. At this presentation, the pain in the right lung is now worse (5/10) and he is short of breath. The patient is still smoking. The GP immediately requests a same day chest x-ray and finds an area of unknown growth in the right lung.
The GP admits the patient that evening for further investigation. The patient is diagnosed with lung cancer.