A right upper lobe spiculated soft tissue lung mass measures approximately 5.5 cm x 4.5 cm x 4 cm ( AP, trans, long ). This severely narrows the right upper lobe main bronchus and also surrounds and narrows the right upper lobe main pulmonary artery. There is associated collapse of the posterior segment of the right upper lobe. There is a tiny right pleural effusion. There is mild centrilobular emphysema in the left upper lobe with more severe change on the right. There is a 6 mm nodule in the apical segment of the right lower lobe. There is no left pulmonary nodule or mass.
There is mediastinal lymphadenopathy. The large right mid paratracheal node measures 2.5 cm. A right hilar lymph node measures 20 mm.