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1.The report suggest there are multiple enlarged
lymph nodes noted in mediastinal and axillary region.
2.There are multiple features which will suggest weather malignant or benign aetiology, like margins, enhancement. Measurement wise the possibilities of malignancy are there but it is not enough to consider.
3.As lung also shows infective features with alveolar fullness - a followup CT after the treatment could be helpful for comparison.
4.Lymph nodal enlargement can be seen in presence of any infection / inflammation, it can be localised or systemic. And also lymph nodal pathology itself as well.
5.In this case an FNAC - fine needle aspiration cytology will help to evaluate the nature of cells involved. Along with followup CT, and enhancement features as suggested.
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