There is a large, heterogeneous, solid, necrotic, right upper lobe mass measuring at least 9.3 x 11.4 x 13.1 cm( AP X width x craniocaudal). There is bulging of the right horizontal fissure, well appreciated on the coronal and sagittal reformats. There is regional obstructive pneumonitis, with apical ground glass opacities. There is no calcification and no air-bronchograms. There is mass effect with attenuation of the SVC and azygos vein, which appear otherwise patent. There is sluggish flow with the right internal jugular and subclavian vein, with suspicion of right subclavian venous thrombosis. There is a right endobronchial ovoid necrotic mass suggesting endobronchial spread. There are CT insignificant retrosternal and right superior mediastinal lymph nodes present.
There were no hepatic, adrenal, or osseous metastases (CT imaging of the abdomen and pelvis has not been uploaded).