A few scattered sub-centimeter soft tissue density nodules, suspicious of metastases, are seen in both lungs. No significant cervical or mediastinal lymphadenopathy is seen. There is re-demonstration of an aggressive lytic lesion (likely metastatic) in the right half of the 5th cervical vertebral body. No other suspicious osseous lesion is seen in the visualized skeleton. Bulky right thyroid lobe and nodules in right thyroid lobe & isthmus.