Hodgkin lymphoma - nodular sclerosing variant

CT scout image already demonstrates striking widening of the upper mediastinum. 

Diffuse, confluous 15-20 mm short diameter pathological lymph nodes throughout the mediastinum, particularly in the paratracheal and upper-anterior part, where a larger conglomerate can be observed. 

An about 60 x 40 mm axial diameter spiculated intrapulmonary mass in right segment 5, smaller nodules elsewhere. 

Findings are in line with a large right-sided pulmonary neoplasm and marked lymphadenomagely predominantly in the upper-anterior mediastinum, suggestive of pulmonary manifestations of lymphoma.