Chest X-ray taken after CT head shows rounded lesion 1.5 cm in diameter projected onto right lung lower zone, elliptical lesion measuring 5.4 x 4.0 cm projected onto left lung lower zone.
Width of upper mediastinum, aortic arch and cardiac silhouette all within normal range.
Impression:
Taken together with the findings of the CT head, the patient most probably has a malignancy with metastases to the lungs and brain.