Significant interval reduction in the size of the left pleural effusion which is now small, revealing a spiculate solid mass is present within the left lower lobe anteriorly. Its exact size is difficult to ascertain as it is continuous anteriorly with a band like opacity which crosses the fissure and extends to the anterior pleural surface of the lingula. It merges posteriorly with a band like opacity which extends into the medial basal left lower lobe. It tethers the pleural surface laterally.
Patchy ground glass opacity is present within the medial left lower lobe. Several calcified nodules, scarring and architectural distortion are present in the right lung apex suggestive of previous TB. Several scattered adjacent 3 mm noncalcified nodules are indeterminate but possibly represent noncalcified granulomas. Two incidental right upper lobe pneumatoceles.
No mediastinal, hilar or axillary lymphadenopathy. Calcified unenlarged right hilar lymph nodes. Moderate hiatus hernia.
No destructive bony lesion.