Help me please to understand this report: There are few prominent cervical limph nodes the largest measuring 13-18mm in axial dimensions in the left level lla. Unremarkable CT appearances of the thyroid gland. There are no significantly enlarged axillary or mediastinal lymph nodes. There are a few prominent hilar lymph nodes the largest measuring 10 mm in short axis. There are severe emphysematous changes in both lungs more pronounced in right uper lobe. There is a 4 mm nodule in the periphery of the left upper lobe (Se5:lm204) that was not indentified on previous CT from 26/06/2012. The previously noted 10mm nodule in the lingula is no longer visualised. There are dependent changes in the right lung base. There are multiple low attenuation lesions within the liver that do not demonstrate significant change compared to the previous study dated 14/12/15. Right sided nephrectomy with no evidence of recurrence in right renal bed.