The chest was scanned without contrast material injection due to a technical fault.
Numerous soft tissue density lytic lesions in most of the imaged bones, some expansile (e.g. posterior arch of the right 9th rib, left ischium). Lesion in T9 posterior arch protruding forward into the spinal canal and severely compressing the thecal sac.
Enlarged cardiac chambers.
Bovine arch - common anatomical variant.
Posterior pleural thickening on right.
Severely atrophied kidneys with extrarenal pelvises, dilated right ureter.
Ovoid structure with small internal linear/stippled calcifications, immediately lateral to the left psoas major muscle, approximately the same diameter as the muscle - non-functioning transplanted kidney.
Bone window: diffuse osteosclerosis.
In light of the patient's ESRD and hyperparathyroidism, the skeletal findings strongly favor renal osteodystrophy (ROD) with brown tumors.