CT
Axial C+ arterial phase
Coronal C+ arterial phase
Coronal lung window
Axial lung window
Scans through the chest demonstrate a lobulated mass measuring 5.2 cm x 3.4 cm x 3.9 cm within the right lower lobe highly suggestive of a primary malignancy.
A borderline sized subcarinal lymph node measures 12 mm short axis. No further mediastinal adenopathy. A lytic /destructive lesion with associated soft tissue mass and pathological fracture in the left 5th rib laterally is in keeping with a metastasis.
The remainder of the lungs are clear apart from minor dependent change. Both adrenal glands are mildly bulky.
Conclusion:
Right lower lobe 5.2 centimetre mass suspicious for a primary malignancy with rib metastasis.