Sophia is a 61-year-old female who stopped smoking six years ago after being a 20 PPY smoker. She presented to her doctor with an unintended weight loss of more than 10 pounds over a period of three months, shortness of breath and a persistent, nonproductive cough approximately one month in duration. She has no blood in her sputum and her hypertension is well controlled.
A CT scan of her chest revealed a primary mass in the upper lobe of Sophia's right lung. Malignant pleural effusion, as well as several pleural metastases, were also noted.
Based on these findings and Sophia's history, what is your recommended course of treatment and why?