There is right upper lobe collapse, volume loss in the right hemithorax, 'tenting' of the right hemidiaphragm. There is upward and medial deviation of the right hilum There are no pulmonary or bony metastases. The appearances are highly suggestive of an endobronchial lesion in the RUL bronchus. Staging CT of the thorax and upper abdomen advised together with MDT discussion at the Lung Cancer meeting