mild supraclavicular lymphadenopathy (upper edge of scan).
non-enlarged elliptical axillary lymph nodes with no fatty hila
mediastinal lymphadenopathy in many stations, with subcarinal nodes reaching 17 mm (short axis)
bilateral hilar lymphadenopathy with delicate peripheral nodules of calcification
severe bilateral pulmonary fibrosis, particularly in the upper lobes. Innumerable perilymphatic nodules diffusely dispersed throughout the lungs
bilateral posteromedial pleural thickening
supradiaphragmatic lymphadenopathy, with nodes measuring up to 17 mm (short axis).
gastrohepatic ligament lymphadenopathy, with the largest mass/conglomerate measuring 39 mm across.
hypodense lesion in posteromedial aspect of the spleen measuring 30 x 23 x 30 mm, unchanged compared to previous scan (not shown) - probably a haemangioma.
the coeliac trunk is severely stenotic at its origin.