FINDINGS:
No pneumothorax. No substantial pleural effusion. No consolidation.

Normal heart size. Soft tissue bulge near aortopulmonary window. Multiple calcified, enlarged mediastinal lymph nodes.

No acute skeletal abnormality is apparent.

IMPRESSION:
Soft tissue bulge near aortopulmonary window; bulky lymphadenopathy suspected. Multiple calcified, enlarged mediastinal lymph nodes may correspond to either treated malignancy or sequelae of remote endemic fungal infection.

Image source: NIH Chest X-ray14 database