Welcome to icliniq.com. We are here to help you, and I am really sorry to hear about his state. The description given by you, along with the x-ray findings, supports the diagnosis of lung cancer. Although tuberculosis is a possibility, it is less likely. Hoarseness of voice is a symptom of mass compression caused by a lung mass. Therefore, my strong recommendation would be to go for a CT scan of the chest as soon as possible, along with FNAC (fine needle aspiration cytology) of the mass to confirm the diagnosis and initiate treatment.