How do you approach a NSCLC case with extensive nodal disease that results in a radiation plan that cannot meet normal tissue constraints?

When treating a NSCLC with extensive bilateral mediastinal disease +/- supraclavicular nodes, would you recommend exceeding certain tissue constrains such as lung, heart, or esophagus? Or dropping the total dose? Decreasing your CTV/PTV margins? Neoadjuvant chemotherapy would likely not help as the involved nodal stations will be treated regardless of chemotherapy response.