The left transplanted lung shows a mild mosaic pattern of attenuation that correlates with some air-trapping on expiration. There is no significant bronchiectasis. Lung herniation along the intercostal space between the 5th and 6th ribs on the left.
The right lung has marked reduced volume and fibrosis characterised by peripheral septal thickening, honeycombing, and bronchiectasis. A craniocaudal gradient is noted.
The pleural spaces are clear.
No lymphadenopathy. Left thyroid lobe is enlarged and dives into the superior mediastinum. Liver low attenuation suggesting steatosis.