Both lungs demonstrate numerous small pulmonary nodules, the largest lying in the apical segment of the right lower lobe measuring approximately 5mm. There is no evidence of cavitation or calcification. No focal consolidation. No pleural or pericardial effusion.
Diffuse abnormal mixed fluid and soft tissue infiltrate is seen within the right axilla. This is associated with multiple ring-enhancing lesions which have central low attenuation suggesting necrosis. There is surrounding loss of the fat planes with possible extension into some of the surrounding musculature in the apex of the right axilla.
No left axillary, mediastinal, hilar or retrocrural lymphadenopathy. The visualised portions of the upper abdominal viscera are unremarkable. No suspicious bony abnormality.
Conclusion: The findings are not specific. The differential diagnosis still includes infection, in particular, atypical organisms, such as TB and metastatic disease.