LUNG AND AIRWAYS: Interval increase in size of previously described pulmonary nodules. Largest nodule in the left lower lobe measures 15 mm previously 6 mm right upper lobe nodule previously 3 mm now measures 7 mm. A nodule in the right posterior costophrenic sulcus measures 9 mm previously 5 mm. Additional nodules are present increased compared with prior
PLEURA: Normal.
AORTA: Normal.
CORONARY ARTERIES: Normal.
PULMONARY ARTERIES: Normal.
HEART: Normal.
MEDIASTINUM AND HILA: There is new mediastinal lymphadenopathy small paratracheal and subcarinal lymph nodes are present. A subcarinal lymph node measures 15 mm in short axis new compared with prior. There is right hilar lymphadenopathy which is new with one node measuring up to 22 x 13 mm
CHEST WALL AND LOWER NECK: Left mastectomy. Bilateral reconstructions.
UPPER ABDOMEN: Normal
BONES: Normal.
IMPRESSION:
Enlarging pulmonary nodules
New hilar and mediastinal lymphadenopathy
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