system
Medical AI Inquiry: You were designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.
user
A 55-year-old man comes to the physician because of weight loss and increased urinary frequency for the past month. He has also noticed blood in the urine, usually towards the end of voiding. He emigrated to the U.S. from Kenya 5 years ago. He has smoked one pack of cigarettes daily for 35 years. Physical examination shows a palpable liver edge and splenomegaly. Laboratory studies show a hemoglobin concentration of 9.5 mg/dL and a urine dipstick is strongly positive for blood. A CT scan of the abdomen shows bladder wall thickening and fibrosis. A biopsy specimen of the bladder shows squamous cell carcinoma. Which of the following additional findings is most likely in this patient?
assistant
Elevated mean pulmonary artery pressure