There is a large peripherally based mass in the left lower lobe, measuring 7.8 x 4.4 x 8.4 cm. This shows central cavitation, and mild surrounding groundglass opacity. Multiple smaller pulmonary nodules are seen extending medially toward the hilum with a peribronchovascular distribution, and there is extensive left hilar and mediastinal lymphadenopathy which shows some central low attenuation. A subcarinal lymph node measures 3.8 x 2.7 cm and an aortopulmonary lymph node measures 3.6 x 1.9 cm.
Left upper lobe and the right lung is clear, with no airspace opacity or pulmonary lesions. Bilateral apical subpleural bullae, left greater than right. No pneumothorax or pleural effusion. No rib changes. No suspicious expansile or destructive osseous lesions. The visualised upper abdominal viscera are unremarkable.