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CT scoutogram demonstrates bulkiness of the left hilum with collapse of the left lower lobe and a small pleural effusion.
CT though the chest with contrast demonstrates numerous necrotic lymph nodes in the subcarinal region and left hilum with almost complete obliteration of left lower lobe bronchus with left lower lobe collapse.
There is a tiny left pleural effusion and bilateral enhancing adrenal lesions.
Enhancing right adrenal mass.