Large lobulated mass in the apical segment of the right lower lobe, abutting the oblique fissure. There is extensive nodularity adjacent to the mass. Inferior to the mass tubular opacities appear continuous with the bronchus and may represent impacted mucus rather than additional tumour.
Patch of groundglass opacity in the right upper lobe. Background centrilobular emphysema throughout both lungs. Trachea and main bronchi are normal.
Right hilar node enlargement with calcific focus and prominent round pre-tracheal node.
The oesophagus is dilated and fluid filled, representing an aspiration risk.
Multiple liver lesions and duct dilatation are again noted as described previously. No destructive skeletal lesion although there is a sclerotic focus in the lateral right third rib.
Conclusion
Large right lower lobe mass in keeping with a primary lung cancer with liver metastases. Prominent right hilar and pretracheal lymph nodes are suspicious of further metastases.