61 year old female with right lung mass reported on outside exam, history of tobacco use LUNGS AND PLEURA: There is a lobulated 20 mm x 18 mm mass peripherally in the right upper lobe (image 46, series 5).Large right hilar/perihilar mass (image 38, series 5) measures 29 mm x 39 mm. Areas subsequent compression and displacement of the right upper lobe pulmonary artery.Upper lobe ground glass opacity anteriorly, most likely represents aspiration/bronchial plugging. Surrounding bronchi demonstrate wall thickening.Left lung is clear. There is no evidence of a pleural effusion.MEDIASTINUM AND HILA: Prominent pretracheal lymph nodes are noted with reference lymph node (image 25, series 3) measuring 9 mm x 13 mm..Moderate aortic and coronary artery calcifications.Common origin of the innominate and left common carotid arteries.CHEST WALL: No significant abnormality noted.UPPER ABDOMEN: No significant abnormality noted.
1.Lobulated right upper lobe mass and large right hilar mass highly suspicious for primary neoplasm.2.No evidence of distant metastases.3.Several prominent mediastinal lymph nodes.