Right lower lobe superior segment and left lower lobe lateral basal segment non-occlusive emboli. Heart size normal. No CT features of right heart strain.
Nodular gross pleural thickening that encases the left lung is certainly malignant and appears to invade pericardium. No invasion of the left atrium or ventricle apparent. Multiple nodules and soft tissues masses at the left lung base will be a combination of pleural and parenchymal disease. Peribronchovascular thickening extending to the left hilum. New mediastinal and left hilar lymphadenopathy.
Multinodular goitre.
Conclusion:
- Bilateral non-occlusive segmental pulmonary emboli. No CT features of right heart strain.
- Left hemithorax features almost certainly represent mesothelioma. Mediastinal lymphadenopathy and features suspicious of pericardial invasion.