Not good overall...

The right upper lobe pulmonary nodule is stable as of now which is good. Radiologist says it hasn’t grown, however the pulmonologist (and myself) thought it looked bigger than the previous scan. And we've only been given a range both times, no exact measurements so it may have in fact grown slightly but not of concern (to them). In addition to that one nodule we've been concerned about, there are now multiple additional smaller nodules, bilateral lungs, seen. :\

Lymph nodes still enlarged which indicates they aren’t enlarged due to an infection. Not good. One of the enlarged lymph nodes previously wasn't of concern because it's calcified. However now we know this one has stippled calcification. Really not good and associated with malignancy. Soft tissue is also seen in the anterior mediastinum, which is generally associated with lymphoma or malignant thymoma.

Moderate emphysema.

Congestive change. Not good.

Marked coronary artery calcification.

Partially visualized exophytic upper pole renal cortical lesions. He'll need an ultrasound scheduled to further evaluate these as these could be malignant. The "exophytic" wording isn't good.

Mild fatty changes of the pancreas. This man doesn't drink, so this is also not a good sign.

Will have a repeat chest CT scan in 6 months. Will have a kidney ultrasound done sooner to check on those lesions.

None of this is good news. : (