3 cm irregular left lower lobe superior segment mass with tethering of the oblique fissure. 0.8 cm left lower lobe satellite nodule anterior to the larger mass. Left hilar lymphadenopathy. No mediastinal or supraclavicular lymphadenopathy.
The right lung is clear. No pleural effusion.
Normal adrenals. Left renal cysts.
Opinion: Left lower lobe primary lung malignancy - T3N1