Multiple nodal masses are identified in the lower neck at level IV on the right and level VII bilaterally, supraclavicular regions bilaterally and in the mediastinum. The majority of masses have low density centres. The largest mass is located in a right supraclavicular position medially, has a lobulated outline and an internal attenuation of 0 Hounsfield units, and measures 5.2 cm x 6 cm x 3.5 cm. In the mediastinum, there is right paratracheal, right peribronchial, anterior mediastinal and right hilar lymph node enlargement with individual nodes measuring up to 1.5 centimetres short axis. There is a minor nodularity associated with the left oblique fissure, otherwise lungs and pleural spaces are clear. The visible bones and sternoclavicular and costal sternal joint appear normal. Limited views of upper abdomen unremarkable.
Multiple nodal masses with appearances typical for tuberculous lymphadenitis (scrofula). Lungs and pleural spaces are clear apart from some fissural nodularity.