. Please see separate chest CT report. Interval increase in size and number of bilobar hepatic metastatic lesions. The reference segment 6 lesion best seen on image 56 of series 9 now measures 5.6 x 5.2 cm this is in comparison to 3.6 x 3.4 cm on 7/21/2015. The reference segment 2 lesion best seen on image 36 of series 9 now measures 3.9 x 2.6 cm this is in comparison to 3.5 x 2.5 cm on 7/21/2015. A representative new segment 8 lesion best seen on image 34 series 9 measures 2.4 x 2.4 cm. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Stable bilateral renal cysts. Relatively stable bulky retrocrural and retroperitoneal adenopathy. Reference portacaval lymph node best seen on image 44 series 9 measures 3.1 x 2.4 cm. Reference right retrocrural lymph node best seen on image 46 of series 9 measures 3 x 1.5 cm. Mild. Relatively stable omental or peritoneal tumor nodularity. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. New resolution of previously noted ascites. Anterior pelvic tumor nodularity relatively unchanged. Destructive lytic lesion with cortical disruption involving posterior left iliac wing. Stable left pubic sclerotic metastatic lesion. No significant abnormality noted
anatomical entity_fin: {'chest': {}}clinical findings_fin: {'bilobar hepatic metastatic lesions': {'clinical finding': 'bilobar hepatic metastatic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'bilobar hepatic metastatic', 'observation': 'lesion'}}size_fin: [{'size': '5.6 x 5.2 cm'}, {'size': '3.6 x 3.4 cm'}]clinical findings_fin: {'lesion': {'clinical finding': 'lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'observation': 'lesion'}}size_fin: [{'size': '3.9 x 2.6 cm'}, {'size': '3.5 x 2.5 cm'}]clinical findings_fin: {'reference segment 2 lesion': {'clinical finding': 'reference segment 2 lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'reference segment 2', 'observation': 'lesion'}}size_fin: [{'size': '2.4 x 2.4 cm', 'size_descriptor': 'lesion'}]clinical findings_fin: {'representative new segment 8 lesion': {'clinical finding': 'representative new segment 8 lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'representative new segment 8', 'observation': 'lesion', 'temporal_term': 'new'}}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'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'stable bilateral renal cysts': {'clinical finding': 'stable bilateral renal cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'stable bilateral renal', 'observation': 'cyst', 'strength_term': 'stable', 'change_term': 'stable'}}clinical findings_fin: {'relatively stable bulky retrocrural and retroperitoneal adenopathy': {'clinical finding': 'relatively stable bulky retrocrural and retroperitoneal adenopathy', 'existence': 'pos_dx', 'descriptive_term': 'relatively stable bulky retrocrural and retroperitoneal', 'observation': 'adenopathy', 'strength_term': 'stable', 'change_term': 'stable'}}size_fin: [{'size': '3.1 x 2.4 cm'}]clinical findings_fin: {'reference portacaval lymph node': {'clinical finding': 'reference portacaval lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference portacaval lymph', 'observation': 'node'}}size_fin: [{'size': '3 x 1.5 cm'}]anatomical entity_fin: {'retrocrural lymph node': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'reference right retrocrural lymph node': {'clinical finding': 'reference right retrocrural lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference right retrocrural lymph', 'observation': 'node'}}clinical findings_fin: {'relatively stable omental or peritoneal tumor': {'clinical finding': 'relatively stable omental or peritoneal tumor', 'existence': 'pos_dx', 'descriptive_term': 'relatively stable omental or peritoneal', 'observation': 'tumor', 'strength_term': 'stable', 'change_term': 'stable'}}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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'new resolution': {'clinical finding': 'new resolution', 'existence': 'pos_dx', 'descriptive_term': 'new', 'observation': 'resolution', 'temporal_term': 'new'}, 'previously noted ascites': {'clinical finding': 'previously noted ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'previously noted', 'observation': 'ascite'}}location descriptor_fin: ['anterior']clinical findings_fin: {'anterior pelvic tumor nodularity': {'clinical finding': 'anterior pelvic tumor nodularity', 'existence': 'pos_dx', 'descriptive_term': 'anterior pelvic tumor', 'observation': 'nodularity'}}anatomical entity_fin: {'iliac wing': {'location descriptor': 'posterior left'}}location descriptor_fin: ['posterior', 'left']clinical findings_fin: {'destructive lytic lesion': {'clinical finding': 'destructive lytic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'destructive lytic', 'observation': 'lesion'}, 'cortical disruption': {'clinical finding': 'cortical disruption', 'cf_snomed': {'disruption': 76555007}, 'existence': 'pos_dx', 'descriptive_term': 'cortical', 'observation': 'disruption'}}location descriptor_fin: ['left']clinical findings_fin: {'stable left pubic sclerotic metastatic lesion': {'clinical finding': 'stable left pubic sclerotic metastatic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'stable left pubic sclerotic metastatic', 'observation': 'lesion', 'strength_term': 'stable', 'change_term': 'stable'}}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: anatomical entity_fin: {'chest': {}}clinical findings_fin: {'bilobar hepatic metastatic lesions': {'clinical finding': 'bilobar hepatic metastatic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'bilobar hepatic metastatic', 'observation': 'lesion'}}size_fin: [{'size': '5.6 x 5.2 cm'}, {'size': '3.6 x 3.4 cm'}]clinical findings_fin: {'lesion': {'clinical finding': 'lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'observation': 'lesion'}}size_fin: [{'size': '3.9 x 2.6 cm'}, {'size': '3.5 x 2.5 cm'}]clinical findings_fin: {'reference segment 2 lesion': {'clinical finding': 'reference segment 2 lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'reference segment 2', 'observation': 'lesion'}}size_fin: [{'size': '2.4 x 2.4 cm', 'size_descriptor': 'lesion'}]clinical findings_fin: {'representative new segment 8 lesion': {'clinical finding': 'representative new segment 8 lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'representative new segment 8', 'observation': 'lesion', 'temporal_term': 'new'}}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'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'stable bilateral renal cysts': {'clinical finding': 'stable bilateral renal cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'stable bilateral renal', 'observation': 'cyst', 'strength_term': 'stable', 'change_term': 'stable'}}clinical findings_fin: {'relatively stable bulky retrocrural and retroperitoneal adenopathy': {'clinical finding': 'relatively stable bulky retrocrural and retroperitoneal adenopathy', 'existence': 'pos_dx', 'descriptive_term': 'relatively stable bulky retrocrural and retroperitoneal', 'observation': 'adenopathy', 'strength_term': 'stable', 'change_term': 'stable'}}size_fin: [{'size': '3.1 x 2.4 cm'}]clinical findings_fin: {'reference portacaval lymph node': {'clinical finding': 'reference portacaval lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference portacaval lymph', 'observation': 'node'}}size_fin: [{'size': '3 x 1.5 cm'}]anatomical entity_fin: {'retrocrural lymph node': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'reference right retrocrural lymph node': {'clinical finding': 'reference right retrocrural lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference right retrocrural lymph', 'observation': 'node'}}clinical findings_fin: {'relatively stable omental or peritoneal tumor': {'clinical finding': 'relatively stable omental or peritoneal tumor', 'existence': 'pos_dx', 'descriptive_term': 'relatively stable omental or peritoneal', 'observation': 'tumor', 'strength_term': 'stable', 'change_term': 'stable'}}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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'new resolution': {'clinical finding': 'new resolution', 'existence': 'pos_dx', 'descriptive_term': 'new', 'observation': 'resolution', 'temporal_term': 'new'}, 'previously noted ascites': {'clinical finding': 'previously noted ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'previously noted', 'observation': 'ascite'}}location descriptor_fin: ['anterior']clinical findings_fin: {'anterior pelvic tumor nodularity': {'clinical finding': 'anterior pelvic tumor nodularity', 'existence': 'pos_dx', 'descriptive_term': 'anterior pelvic tumor', 'observation': 'nodularity'}}anatomical entity_fin: {'iliac wing': {'location descriptor': 'posterior left'}}location descriptor_fin: ['posterior', 'left']clinical findings_fin: {'destructive lytic lesion': {'clinical finding': 'destructive lytic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'destructive lytic', 'observation': 'lesion'}, 'cortical disruption': {'clinical finding': 'cortical disruption', 'cf_snomed': {'disruption': 76555007}, 'existence': 'pos_dx', 'descriptive_term': 'cortical', 'observation': 'disruption'}}location descriptor_fin: ['left']clinical findings_fin: {'stable left pubic sclerotic metastatic lesion': {'clinical finding': 'stable left pubic sclerotic metastatic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'stable left pubic sclerotic metastatic', 'observation': 'lesion', 'strength_term': 'stable', 'change_term': 'stable'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . Please see separate chest CT report. Interval increase in size and number of bilobar hepatic metastatic lesions. The reference segment 6 lesion best seen on image 56 of series 9 now measures 5.6 x 5.2 cm this is in comparison to 3.6 x 3.4 cm on 7/21/2015. The reference segment 2 lesion best seen on image 36 of series 9 now measures 3.9 x 2.6 cm this is in comparison to 3.5 x 2.5 cm on 7/21/2015. A representative new segment 8 lesion best seen on image 34 series 9 measures 2.4 x 2.4 cm. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Stable bilateral renal cysts. Relatively stable bulky retrocrural and retroperitoneal adenopathy. Reference portacaval lymph node best seen on image 44 series 9 measures 3.1 x 2.4 cm. Reference right retrocrural lymph node best seen on image 46 of series 9 measures 3 x 1.5 cm. Mild. Relatively stable omental or peritoneal tumor nodularity. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. New resolution of previously noted ascites. Anterior pelvic tumor nodularity relatively unchanged. Destructive lytic lesion with cortical disruption involving posterior left iliac wing. Stable left pubic sclerotic metastatic lesion. No significant abnormality noted </s>