 There is a large right-sided chest wall mass just anterior to the manubrium and sternum which is incompletely imaged, and seen on prior PET/CT to represent metastasis. Additionally, there is partial visualization of a larger right lateral chest wall mass.There is moderate to severe motion artifact which significantly limits evaluation. While there are are multiple enlarged lymph nodes in the right subpectoral region and axilla, with the largest lymph node in the right infraclavicular fossa measuring 16 x 10 mm. There is no significant mass-effect or compression of the brachial plexus/neurovascular bundle suspected however the branches of the right brachial plexus appear to course into the large lateral right chest wall mass.There is mild cervical spondylosis.
1.Moderate to severe motion artifact limited examination with no evidence for right brachial plexus compression. However the right brachial plexus branches appear to course into the area of the large right lateral chest wall mass.2.Large right-sided chest wall masses partly imaged, consistent with metastases. Also lytic left manubrial metastasis.