Please evaluate cough. History of laryngeal carcinoma. Evaluate for metastases. LUNGS AND PLEURA: Moderately severe mainly upper lobe centrilobular emphysema.Scarring and surgical staples in the right lower lobe.Several nonspecific micronodules, unchanged, and no sign of metastases.MEDIASTINUM AND HILA: No significant lymphadenopathy.Extensive and severe coronary or a calcification.CHEST WALL: Degenerative abnormalities in the spine.UPPER ABDOMEN: Retention tacks from a prior gastrostomy, small nonspecific splenic hypodensities, and small left adrenal nodule, unchanged.
No change and no sign of metastases. 