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Image Challenge A 70-year-old man presented with weight loss and hemoptysis.

A 70-year-old man presented with weight loss and hemoptysis.

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Question

A 70-year-old man presented with weight loss and hemoptysis. Multiple painless cutaneous nodules had developed over several weeks. What is the most likely diagnosis?

Neurofibromatosis

Acute myelogenous leukemia

Disseminated leishmaniasis

Acquired immunodeficiency syndrome

Small-cell lung cancer

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