A 55-year-old man is brought to the emergency department by family members because of confusion and.

A 55-year-old man is brought to the emergency department by
family members because of confusion and progressive generalized weakness.
Examination in the emergency department shows the patient is dehydrated,
lethargic, and confused. Chest radiograph reveals a cavitary lesion in the
right upper lobe. Results of arterial blood gas analysis are normal. Results of
chemical analysis urgently performed with the blood gas analysis reveal a
sodium level of 150 mEq/L (normal 135 to 145 mEq/L) and a calcium level of 17
mg/dL (normal 9 to 10.5 mg/dL). How is the lung mass related to this patient’s
presentation and biochemical abnormalities?

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