IMPRESSION - A 1.4 x 1.4 cm ireegular - shaped, heterogeneous enhancing nodule at lingular segment of left upper lope and subpleural nodules, sizes about 0.3 - 0.9 cm, at anterior segment of left upper lobe, DDx; lymphoma, metastases or granulomatous disease.
- partial infiltration at anterior segment of left upper lope.
- moderate left pleura effusion.
- nodularity at right major fissure. Lymphangitic spread is possible.
-diffuse mediastinal lymphadenopathies, varying in sizes fromsubcentimeter to 3.5 cm and some with central necrosis.
- multiple ill- defined, hypodense lesions, about 0.4 - 3.0 cm, scattered in both hepatic lobes.
numerous osteoblastic lesions along thoracolumbar spine, bone metastases.