5.5 cm soft tissue mass peripherally in the right upper lobe, infiltrating into chest wall with lytic destruction of the posterior ends of right second and third ribs and costovertebral junction. Background of emphysema and bronchial wall thickening bilaterally.
No significant mediastinal lymphadenopathy.
3 cm mass on the left adrenal, most likely metastasis. Normal spleen, pancreas and left kidney. The right kidney is very atrophic with a dilated pelvicalyceal system.