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There are multiple small nodules scattered throughout both lungs. They are uniform in size and distribute diffusely on subpleural, peribronchovascular, and centrilobular consistent with random distribution.
The centrilobular nodules with a linear branching pattern are suggestive of the tree-in-bub sign.
Some of the mass-like consolidations result from the coalescence of smaller nodules suggestive of the galaxy sign.
The cavity with the irregular thick wall is also seen on the left upper lobe.
CT bone window demonstrates lytic destruction of the thoracic vertebral body (T10, T11, T12) with relative preservation of the disc spaces.