Large mass (7.5 cm) in the right paratracheal region appears to extend
from the right hilum. The trachea deviates slightly to the left and the
SVC is partially narrowed in its mid-portion but not obstructed. The upper
lobe bronchus is patent.
Bibasal mild dependent changes in the lungs bilaterally. Small area of linear
atelectasis or scarring in the lingula. A tiny area of peripheral opacity in
the right middle lobe laterally adjacent to the pleura, likely inflammatory.
No pulmonary features of sarcoidosis.
No effusions. No pneumothorax.
Within the mediastinum, subcentimeter nodes are seen in the prevascular
space, but no other mediastinal nodes identified. Vascular structures appear
otherwise unremarkable. Upper abdominal viscera are unremarkable for arterial
phase examination. Multi-level degenerative change in the thoracic spine but
no other significant bony lesion identified.
Conclusion: Right paratracheal mass reaching hilum likely bronchogenic neoplasm but
requires tissue confirmation. Minor associated compression of the SVC but no obstruction. No airway obstruction.