. Nonindex left apical nodule continues to increase in size and density. Reference right middle lobe nodule abutting the fissure increased in density, 19 x 12 mm, previously 15 x 10 mm. Reference left lower lobe nodule 15 x 9 mm, previously 13 x 9 mm. Moderate mediastinal lymphadenopathy. Subaortic lymph node 16 mm, previously 12 mm. Right-sided lymphadenopathy in the subcarinal space increased. Low right paraesophageal lymphadenopathy inseparable from the lateral wall of the esophagus not significantly changed. The previously described paraesophageal lymph node on prior exams now appears to be located predominantly in the lung 3.5 x 2.6 cm, previously 3.3 x 2.1 cm. Distal esophageal thickening consistent with known mass about the same. Chest port tip at the SVC level. Moderate. Right chest port. Absence of enteric contrast material limits sensitivity for abdominal pathology. Debris in the gallbladder. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Small lymph nodes in the retroperitoneum. Reference left periaortic lesion measures 11 mm, previously 10 mm. Absence of enteric contrast material limits sensitivity for GI pathology. No gross abnormalities noted. No significant abnormality noted. No significant abnormality noted.
imaging observation_fin: ['apical']location descriptor_fin: ['left']clinical findings_fin: {'nonindex left apical nodule': {'clinical finding': 'nonindex left apical nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'nonindex left apical', 'observation': 'nodule'}, 'density': {'clinical finding': 'density', 'existence': 'pos_dx', 'observation': 'density'}}size_fin: [{'size': '19 x 12 mm'}, {'size': '15 x 10 mm'}]anatomical entity_fin: {'middle': {'location descriptor': 'right'}, 'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'reference right middle lobe nodule': {'clinical finding': 'reference right middle lobe nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'reference right middle lobe', 'observation': 'nodule'}, 'fissure': {'clinical finding': 'fissure', 'cf_snomed': {'fissure': 47393002}, 'existence': 'pos_dx', 'observation': 'fissure'}}size_fin: [{'size': '15 x 9 mm'}, {'size': '13 x 9 mm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'reference left lower lobe nodule': {'clinical finding': 'reference left lower lobe nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'reference left lower lobe', 'observation': 'nodule'}}clinical findings_fin: {'moderate mediastinal lymphadenopathy': {'clinical finding': 'moderate mediastinal lymphadenopathy', 'cf_snomed': {'mediastinal lymphadenopathy': 52324001}, 'existence': 'pos_dx', 'descriptive_term': 'moderate mediastinal', 'observation': 'lymphadenopathy', 'strength_term': 'moderate'}}size_fin: [{'size': '16 mm'}, {'size': '12 mm'}]clinical findings_fin: {'subaortic lymph node': {'clinical finding': 'subaortic lymph node', 'existence': 'pos_dx', 'descriptive_term': 'subaortic lymph', 'observation': 'node'}}location descriptor_fin: ['right']clinical findings_fin: {'right-sided lymphadenopathy': {'clinical finding': 'right-sided lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'pos_dx', 'descriptive_term': 'right-sided', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'wall': {'location descriptor': 'lateral'}, 'esophagus': {}}location descriptor_fin: ['right', 'lateral']clinical findings_fin: {'low right paraesophageal lymphadenopathy': {'clinical finding': 'low right paraesophageal lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'pos_dx', 'descriptive_term': 'low right paraesophageal', 'observation': 'lymphadenopathy'}, 'changed': {'clinical finding': 'changed', 'existence': 'pos_dx', 'observation': 'change'}}size_fin: [{'size': '3.5 x 2.6 cm'}, {'size': '3.3 x 2.1 cm'}]anatomical entity_fin: {'lung': {}}clinical findings_fin: {'previously described paraesophageal lymph node': {'clinical finding': 'previously described paraesophageal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'previously described paraesophageal lymph', 'observation': 'node'}}location descriptor_fin: ['distal']clinical findings_fin: {'distal esophageal thickening': {'clinical finding': 'distal esophageal thickening', 'existence': 'pos_dx', 'descriptive_term': 'distal esophageal', 'observation': 'thickening'}, 'known mass': {'clinical finding': 'known mass', 'existence': 'pos_dx', 'descriptive_term': 'known', 'observation': 'mass'}}anatomical entity_fin: {'chest': {}}object_fin: ['port']anatomical entity_fin: {'chest': {'location descriptor': 'right'}}location descriptor_fin: ['right']object_fin: ['port']anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}anatomical entity_fin: {'gallbladder': {}}clinical findings_fin: {'debris': {'clinical finding': 'debris', 'existence': 'pos_dx', 'observation': 'debris'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'retroperitoneum': {}}clinical findings_fin: {'small lymph nodes': {'clinical finding': 'small lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small lymph', 'observation': 'node', 'strength_term': 'small'}}size_fin: [{'size': '11 mm'}, {'size': '10 mm'}]location descriptor_fin: ['left']clinical findings_fin: {'reference left periaortic lesion': {'clinical finding': 'reference left periaortic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'reference left periaortic', 'observation': 'lesion'}}clinical findings_fin: {'gross abnormalities': {'clinical finding': 'gross abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'gross', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}
<s>[INST] Write the finding section for a radiology report based on the following information: imaging observation_fin: ['apical']location descriptor_fin: ['left']clinical findings_fin: {'nonindex left apical nodule': {'clinical finding': 'nonindex left apical nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'nonindex left apical', 'observation': 'nodule'}, 'density': {'clinical finding': 'density', 'existence': 'pos_dx', 'observation': 'density'}}size_fin: [{'size': '19 x 12 mm'}, {'size': '15 x 10 mm'}]anatomical entity_fin: {'middle': {'location descriptor': 'right'}, 'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'reference right middle lobe nodule': {'clinical finding': 'reference right middle lobe nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'reference right middle lobe', 'observation': 'nodule'}, 'fissure': {'clinical finding': 'fissure', 'cf_snomed': {'fissure': 47393002}, 'existence': 'pos_dx', 'observation': 'fissure'}}size_fin: [{'size': '15 x 9 mm'}, {'size': '13 x 9 mm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'reference left lower lobe nodule': {'clinical finding': 'reference left lower lobe nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'reference left lower lobe', 'observation': 'nodule'}}clinical findings_fin: {'moderate mediastinal lymphadenopathy': {'clinical finding': 'moderate mediastinal lymphadenopathy', 'cf_snomed': {'mediastinal lymphadenopathy': 52324001}, 'existence': 'pos_dx', 'descriptive_term': 'moderate mediastinal', 'observation': 'lymphadenopathy', 'strength_term': 'moderate'}}size_fin: [{'size': '16 mm'}, {'size': '12 mm'}]clinical findings_fin: {'subaortic lymph node': {'clinical finding': 'subaortic lymph node', 'existence': 'pos_dx', 'descriptive_term': 'subaortic lymph', 'observation': 'node'}}location descriptor_fin: ['right']clinical findings_fin: {'right-sided lymphadenopathy': {'clinical finding': 'right-sided lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'pos_dx', 'descriptive_term': 'right-sided', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'wall': {'location descriptor': 'lateral'}, 'esophagus': {}}location descriptor_fin: ['right', 'lateral']clinical findings_fin: {'low right paraesophageal lymphadenopathy': {'clinical finding': 'low right paraesophageal lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'pos_dx', 'descriptive_term': 'low right paraesophageal', 'observation': 'lymphadenopathy'}, 'changed': {'clinical finding': 'changed', 'existence': 'pos_dx', 'observation': 'change'}}size_fin: [{'size': '3.5 x 2.6 cm'}, {'size': '3.3 x 2.1 cm'}]anatomical entity_fin: {'lung': {}}clinical findings_fin: {'previously described paraesophageal lymph node': {'clinical finding': 'previously described paraesophageal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'previously described paraesophageal lymph', 'observation': 'node'}}location descriptor_fin: ['distal']clinical findings_fin: {'distal esophageal thickening': {'clinical finding': 'distal esophageal thickening', 'existence': 'pos_dx', 'descriptive_term': 'distal esophageal', 'observation': 'thickening'}, 'known mass': {'clinical finding': 'known mass', 'existence': 'pos_dx', 'descriptive_term': 'known', 'observation': 'mass'}}anatomical entity_fin: {'chest': {}}object_fin: ['port']anatomical entity_fin: {'chest': {'location descriptor': 'right'}}location descriptor_fin: ['right']object_fin: ['port']anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}anatomical entity_fin: {'gallbladder': {}}clinical findings_fin: {'debris': {'clinical finding': 'debris', 'existence': 'pos_dx', 'observation': 'debris'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'retroperitoneum': {}}clinical findings_fin: {'small lymph nodes': {'clinical finding': 'small lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small lymph', 'observation': 'node', 'strength_term': 'small'}}size_fin: [{'size': '11 mm'}, {'size': '10 mm'}]location descriptor_fin: ['left']clinical findings_fin: {'reference left periaortic lesion': {'clinical finding': 'reference left periaortic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'reference left periaortic', 'observation': 'lesion'}}clinical findings_fin: {'gross abnormalities': {'clinical finding': 'gross abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'gross', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . Nonindex left apical nodule continues to increase in size and density. Reference right middle lobe nodule abutting the fissure increased in density, 19 x 12 mm, previously 15 x 10 mm. Reference left lower lobe nodule 15 x 9 mm, previously 13 x 9 mm. Moderate mediastinal lymphadenopathy. Subaortic lymph node 16 mm, previously 12 mm. Right-sided lymphadenopathy in the subcarinal space increased. Low right paraesophageal lymphadenopathy inseparable from the lateral wall of the esophagus not significantly changed. The previously described paraesophageal lymph node on prior exams now appears to be located predominantly in the lung 3.5 x 2.6 cm, previously 3.3 x 2.1 cm. Distal esophageal thickening consistent with known mass about the same. Chest port tip at the SVC level. Moderate. Right chest port. Absence of enteric contrast material limits sensitivity for abdominal pathology. Debris in the gallbladder. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Small lymph nodes in the retroperitoneum. Reference left periaortic lesion measures 11 mm, previously 10 mm. Absence of enteric contrast material limits sensitivity for GI pathology. No gross abnormalities noted. No significant abnormality noted. No significant abnormality noted. </s>