Mesothelioma in the azygos fissure

There is evidence of a small amount of right-sided pleural effusion associated with nodular pleural thickening and irregularity and areas of calcifications [prominent in the lower posterior pleural surface], with prominent nodule within a major fissural nodule measuring 1 cm in maximum dimension with mild increased FDG uptake and the SUV maximum is exceeding 2.6 with ground-glass changes along the fissure and near the pleural fluid sides.

Also, there is an azygos fissure anatomic variant which shows significant thickening and appears as the most prominent hypermetabolic pathology with a thickness of 0.8 cm and SUV max reaching 8.7.

Also, a prominent hypermetabolic nodule is noted posterior at the same level measuring almost 1 cm with SUV max not exceeding 4.0.

No evidence of any suspicious hypermetabolic separate lung nodules within either lung field.
Hypermetabolic chest wall activity is noted within tracts at the site of a previous chest tube insertion with associated subcutaneous fat stranding. No evidence of any hypermetabolic left-sided pleural effusion. No evidence of any enlarged hilar or mediastinal lymph nodes [reference mediastinal SUV max = 2.6].

In the inferior mediastinum, incidental elongated hypermetabolic activity is noted along the most distal part of the esophagus reaching the gastroesophageal junction along almost 3 cm which could be due to changes of esophagitis.