instruction: hi doctor my friend has been having left shoulder pain for months for the last three weeks he is also having the coarseness in his voice can barely speak and little energy he is eating well but not gaining weight he has no other symptoms he is a carpenter and 50 years old he smokes cigarettes weed and crack cocaine I think he has been doing this for 30 years today his blood test and blood pressure are fine his chest ray came back with a large mass on his left lung it looked large to me he was given a to shot other than that they suggested a specialist it was an er visit so they did not say much other than it could be a cancer what does this sound like to you I deeply appreciate any of your help thanking you in advance
output: hi we are here to help you I am really sorry to hear about his state for further information consult an internal medicine physician online