Diffuse soft centrilobular ground-glass nodules without apicobasal gradient. Focal hyperlucency in the anterobasal right lower lobe in keeping with air trapping. 8mm subpleural nodule right middle lobe is unchanged from 5 years ago, considered benign. RLL calcified granuloma. No reticulation, architectural distortion, or traction bronchiectasis to suggest fibrosis. Pleural spaces remain clear.
Bilateral hilar and mediastinal lymphadenopathy without calcification. Enlarged central pulmonary arteries (pulmonary trunk 4.8cm) with right ventricular dilatation and interventricular septal bowing, consistent with pulmonary arterial hypertension. No pericardial effusion. No central venous line.
11 mm cyst (average attenuation 6HU) in hepatic segment IVa/II. Remaining visualised upper abdomen is within normal limits. No suspicious osseous erosion.