FINDINGS: A heterogeneously enhancing mass measuring ~3 X 4 cm, is seen centered over the left lower lobe bronchus, 30 mm from the carina. This is causing severe bronchial narrowing and is associated with distal atelectasis. This is inseparable from the left lower lobe pulmonary artery and vein. Multiple left hilar, subcarinal, and AP window lymph nodes are noted. Multiple soft tissue density nodules are seen in both lungs. An enhancing solid nodule is noted in either the adrenal gland. The visualized bony skeleton is unremarkable apart from degenerative changes.
IMPRESSION: Left perihilar mass associated with left hilar/mediastinal lymphadenopathy and soft tissue nodules in both lungs and adrenals. These CT findings are suggestive of metastatic lung carcinoma.