Chest: Central right middle lobe lung mass measures approximately 33 mm. Associated partial collapse of the right middle lobe. The lesion abuts the inferior surface of the minor fissure. The left lung is clear. The pleural spaces are clear. Right hilar and subcarinal lymphadenopathy. No pericardial effusion. No axillary lymphadenopathy.
Abdomen/Pelvis: The liver, kidneys, spleen, adrenals and pancreas are unremarkable. No abnormality of the unenhanced small and large bowel is identified. No free intraperitoneal fluid or extraluminal gas. No intra-abdominal lymphadenopathy. No concerning focal osseous abnormality is identified. Bilateral L5 pars defects with associated grade 1 L5/S1 anterolisthesis.
Conclusion Right middle lobe lung mass with hilar and subcarinal lymphadenopathy. Likely differential between primary lung cancer and pulmonary TB.