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CT Chest: A large lobulated heterogeneous mass measuring up to 12.5cm is identified in the right lower anterior hemithorax. It appears to replace the right middle lobe. It appears to directly infiltrate the mediastinal fat. A large right pleural effusion is seen with extensive pleural thickening which appears to involve both the parietal and visceral pleura. Collapse affects both the upper and lower lobes. Extensive subcarinal and para-oesophageal lymph node enlargement is seen measuring up to 3.8cm axially. The left lung and pleural space are clear.
CT Humerus: Permeative lytic bone destruction affects the proximal left humerus with an oblique pathological fracture.