There is a large, well-defined, right upper lobe mass, with bulging of the horizontal fissure. There are no air-bronchograms, no cavitation, no calcification, no overlying rib erosion, and no obvious extrathoracic extension. The trachea is central with a normal cardiomediastinal contour. There is right apical veiling, suggestive of obstructive pneumonitis. The hyperinflated lung fields are otherwise clear.
There are no right hilar lymph nodes identified on plain film.
There is an exaggerated thoracic kyphosis with mid-thoracic vertebral volume loss and degenerative change.