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There are enlarged mediastinal and bilateral hilar lymph nodes. Most of the lymph nodes are calcified. Both coarse nodal calcification and 'icing sugar' calcification are present.
In both upper lobes, there is fibrosis with distortion of the bronchovascular structures around the hilar regions and perihilar mass-like consolidation. The left upper lobe airway is occluded and lingula airway is narrowed as they pass through the perihilar mass-like consolidation. There are small nodules throughout the lungs that have a centrilobular and subpleural distribution. Similar to the distribution of fibrosis, the nodules are seen predominantly in the upper lobes.