Breast reconstruction in the right breast following mastectomy.  Note the mastectomy on the patient’s left side with the post-surgical clips creating artifact.

Note in the left upper lobe the pleural thickening and fibrosis as a result of cancer treatment.

Notice the metallic densities from the breast reconstruction surgery.  The patient’s abdominal fat had been used to reconstruct the right breast.

For this image, did you notice the concerning finding?