Right upper lobe posterior lobe pulmonary air-filled cavitary lesion is seen with irregular outer mural surface and smooth inner surface. An adjacent similar cavity is seen anteriorly. No intra-cavitary air-fluid levels or intracavitary soft tissue. Surrounding mainly upper lobe and, to a lesser extent, middle lobe scarring, fibrosis, alveolar consolidations, and tree-in-bud pattern, as well as centrilobular nodules, are seen. Left upper lobe apico-posterior segment alveolar consolidations and tree-in-bud pattern are seen. Enlarged retrocaval, pre carinal, and right hilar lymph nodes are seen.
T8 and T9 vertebral bodies reduced anterior height with diffuse sclerotic texture and transversely orientated cleft filled with hyperdense content. It is seen associated extraosseous soft tissue is seen, having pre, para, and intra-spinal components showing heterogeneous enhancement with calcific foci within. The intraspinal component is seen compressing the thecal sac extending opposite the length of T8 and T9 vertebral bodies and T9/10 disc space.