Large anterosuperior mediastinal mass with central necrosis, encasing and compressing the left pulmonary arteries and left bronchi resulting in segmental lung collapse. The superior vena cava is compressed between the mass and the enlarged right paratracheal node. Filling defect within the left brachiocephalic vein suggestive of thrombus.
Multiple scattered bilateral lung nodules with bilateral mild pleural effusions, more on the left.
Enlarged, matted lymphadenopathy at the porta hepatis (encasing the hepatic inferior vena cava) and paraaortic regions. Grossly enlarged kidneys with confluent hypodense masses replacing the normal renal parenchyma suggestive of diffuse infiltration. The left renal pelvis is compressed with calyceal dilatation. Bilateral small adrenal nodules. Bilateral ovarian masses with central necrosis were also seen. Uterus is not enlarged. Moderate ascites.
No suspicious bony lesion.