Large mediastinal soft tissue mass (~13cm) extending into the left supraclavicular region. Superior mediastinal disease deviating trachea and oesophagus to the right. Luminal narrowing within the trachea and proximal bronchi (5mm diameter at carina). Bulky mediastinal and left supraclavicular involvement.
Background emphysematous changes. Small left pleural effusion. 9mm soft tissue nodule in left upper lobe periphery. The SVC is patent although the azygos vein is narrowed.
Ill-defined low attenuated region in the right lobe of the liver (3cm). Heterogenous left adrenal mass (3.3cm). Gallstones, no other significant abdominal abnormality.
No destructive bony lesions.