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In the brain there are three ring-enhancing lesions: one in the right frontal lobe and two in the left frontal lobe. The ventricles are normal in size and appearance. There is no midline shift. The basal cisterns are unremarkable. There is a small amount of fluid in the right ethmoid sinus with loss of the lamina papyracea at this location. There is mild mucosal thickening of the left maxillary antrum. The remaining imaged paranasal sinuses are clear. There is no bony destruction. The orbital contents are unremarkable
In the chest, there are innumerable cavitating lesion throughout the lung with air fluid levels. The pleural spaces are clear. The mediastinal structures are unremarkable with no lymphadenopathy. The pericardial space is clear.