Pleural effusions present bilaterally, right more than the left side. There are also several atelectatic bands scattered bilaterally.
The right kidney is relatively small than left kidney and shows relatively parenchymal atrophic changes. A few non-enhanced simple cortical cysts are seen at both kidneys, with maximum diameters of 35mm. Several stones are seen at right kidney less than 23mm causing mild hydronephrosis. Additionally, several stones are also noted at left side less than 15mm.
Lymphadenopathy with SAD of 15mm is present at upper paracaval region.
The prostate gland is enlarged.
Degenerative changes as osteophytosis are seen at the cervicothoracolumbar spine. Additionally, diffuse ankylosis of whole spine is evident with bilateral sacroiliac joint narrowing.
With respect to prior CT scan the process is relatively subsided.