Left true vocal cord palsy due to Metastatic lymphadenopathy affecting left recurrent laryngeal nerve.

Slight anterior positioning of the left arytenoid cartilage with medial bowing of the left true vocal cord – suggestive of left true vocal cord palsy

A subpleural cavitatory mass lesion measuring about 4 x 3.8 x 3.7 cm demonstrating marked eccentric wall thickening at superolateral wall measuring 1.6 cm in maximum thickness with heterogeneous enhancement – of concern for lung carcinoma.

Enlarged, heterogeneously enhancing lymph nodes in the left suprahilar compartment of the mediastinum – Metastatic lymphadenopathy, likely to affect left recurrent laryngeal nerve.1