Exam at time of diagnosis 1.5 yr previously
Large lobulated soft tissue mass in the right upper lobe. Metastatic nodules in the middle and lower right lobes. Enlarged lymph nodes in the mediastinum and right lower hilum. Enlargement of the left adrenal, raising suspicion of metastasis. The low attenuating liver lesions were unchanged since older exams, and therefore judged to be non-metastatic.
Stent in the ascending aorta from previous vascular intervention. Occlusion of the infrarenal aorta (only partially depicted). Subcutaneous emphysema from recent tracheostomy procedure.