Large right paratracheal nodal mass measuring 40 mm in diameter displacing the SVC anteriorly. Multiple smaller (15mm) superior right mediastinal and pre vascular nodes are visible as well as a large 20 mm subcarinal node. 13 mm right supraclavicular lymph node. No hilar adenopathy.
Multiple spiculated peripheral peribronchial nodular opacities in upper lobe predominant distribution, ranging in size from 5 mm to 20 mm. Several of these appear confluent. The pleural surfaces are clear. Following No thoracic spinal lesions.
No rib or thoracic spine fracture identified.