Multiple well-defined lesions in both lungs, most of which are cavitary and contain fluid levels. Considering patient's history and symptoms and lack of findings on a recent radiograph, most consistent with septic emboli.
Bilateral hilar lymphadenopathy.
Large abscess in lateral left chest wall containing numerous small gas bubbles and tracking paraspinally into posterior left neck (superior aspect falls outside scan) where a gas-fluid level is seen.
Left 5th rib fracture, anterior; 6th rib fracture, anterolateral.
Several tiny gas bubbles in left sternocleidomastoid muscle, perhaps iatrogenic.