Extensive tumour in the right upper and right middle lobes. Obliteration of the right upper lobe bronchus. There may be some superimposed atelectasis and/or pneumonia. Tumour is contiguous with the right hilum and there is significant adenopathy in the mediastinum and left supraclavicular region. Numerous subcentimetre pulmonary nodules bilaterally, compatible with metastatic disease. T1 sclerotic lesion, worrisome for metastatic disease.