On the left we see focal irregular septal thickening in the right upper lobe in a patient with a known malignancy. This finding is typical for lymphangitic carcinomatosis. There are also additional findings, that support this diagnosis like mediastinal lymph nodes and a nodular lesion in the left lung, that probably represents a metastasis. #Clinical #Radiology #CTChest #SeptalThickening #Focal #LymphangiticCarcinomatosis #Lymphangitic #Carcinomatosis #RadiologyAssistant