Todays CT portion grossly demonstrates interval increase in the size of the right upper lobe mass. Interval development of left upper lobe peripheral patchy opacity and nodular right lower lobe opacity. Multiple scattered pulmonary nodules in the right lung. Right lung base nodule is new from 7/20/2015 CT chest. Right lung base pleural nodule, new from prior PET. Right apical cavitary lesion compatible with mycetoma again seen. Mediastinal lymphadenopathy again noted. Bilateral maxillary mucosal thickening noted. Stable left thyroid nodule. Scattered vascular calcifications and uterine calcifications noted. Todays PET examination demonstrates interval increase in the size and activity in the right upper lobe mass with SUV max of 12.8, previously 10.9. Hypermetabolic subcarinal lymph node again noted. Left paraesophageal nodular density with SUV max 9.8 suspicious for metastasis. Hypermetabolic right lung base pleural nodule suspicious for metastasis. Right lower lobe nodular density with SUV max of 9.2, which may represent tumor or infection. There are multiple foci of uptake in the right lung with interval increase in size, number, and activity, which may represent tumor or infection. Posterior hypopharyngeal lesion with mild increased activity without significant change in size, which may represent primary tumor, metastatic lesion, or infection.
anatomical entity_fin: {'lobe': {'location descriptor': 'right upper'}}location descriptor_fin: ['right', 'upper']clinical findings_fin: {'right upper lobe mass': {'clinical finding': 'right upper lobe mass', 'existence': 'pos_dx', 'descriptive_term': 'right upper lobe', 'observation': 'mass'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['left', 'upper', 'peripheral', 'right', 'lower']clinical findings_fin: {'left upper lobe peripheral patchy opacity': {'clinical finding': 'left upper lobe peripheral patchy opacity', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'left upper lobe peripheral patchy', 'observation': 'opacity'}, 'nodular right lower lobe opacity': {'clinical finding': 'nodular right lower lobe opacity', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'nodular right lower lobe', 'observation': 'opacity'}}anatomical entity_fin: {'right lung': {}}clinical findings_fin: {'multiple scattered pulmonary nodules': {'clinical finding': 'multiple scattered pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'multiple scattered pulmonary', 'observation': 'nodule', 'quantity_term': 'multiple'}}anatomical entity_fin: {'right lung': {}, 'base': {}, 'chest': {}}clinical findings_fin: {'right lung base nodule': {'clinical finding': 'right lung base nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'right lung base', 'observation': 'nodule'}}anatomical entity_fin: {'right lung': {}, 'base': {}}clinical findings_fin: {'right lung base pleural nodule': {'clinical finding': 'right lung base pleural nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'right lung base pleural', 'observation': 'nodule'}}imaging observation_fin: ['apical']location descriptor_fin: ['right']clinical findings_fin: {'right apical cavitary lesion': {'clinical finding': 'right apical cavitary lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'right apical cavitary', 'observation': 'lesion'}, 'mycetoma': {'clinical finding': 'mycetoma', 'cf_snomed': {'mycetoma': 410039003}, 'existence': 'pos_dx', 'observation': 'mycetoma'}}clinical findings_fin: {'mediastinal lymphadenopathy': {'clinical finding': 'mediastinal lymphadenopathy', 'cf_snomed': {'mediastinal lymphadenopathy': 52324001}, 'existence': 'pos_dx', 'descriptive_term': 'mediastinal', 'observation': 'lymphadenopathy'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral maxillary mucosal thickening': {'clinical finding': 'bilateral maxillary mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'bilateral maxillary mucosal', 'observation': 'thickening'}}location descriptor_fin: ['left']clinical findings_fin: {'stable left thyroid nodule': {'clinical finding': 'stable left thyroid nodule', 'cf_snomed': {'thyroid nodule': 237495005}, 'existence': 'pos_dx', 'descriptive_term': 'stable left thyroid', 'observation': 'nodule', 'strength_term': 'stable', 'change_term': 'stable'}}clinical findings_fin: {'scattered vascular calcifications': {'clinical finding': 'scattered vascular calcifications', 'cf_snomed': {'vascular calcification': 237897009}, 'existence': 'pos_dx', 'descriptive_term': 'scattered vascular', 'observation': 'calcification'}, 'uterine calcifications': {'clinical finding': 'uterine calcifications', 'existence': 'pos_dx', 'descriptive_term': 'uterine', 'observation': 'calcification'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right upper'}}location descriptor_fin: ['right', 'upper']clinical findings_fin: {'right upper lobe mass': {'clinical finding': 'right upper lobe mass', 'existence': 'pos_dx', 'descriptive_term': 'right upper lobe', 'observation': 'mass'}}anatomical entity_fin: {'subcarinal lymph node': {}}clinical findings_fin: {'hypermetabolic subcarinal lymph node': {'clinical finding': 'hypermetabolic subcarinal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'hypermetabolic subcarinal lymph', 'observation': 'node'}}location descriptor_fin: ['left']clinical findings_fin: {'left paraesophageal nodular density': {'clinical finding': 'left paraesophageal nodular density', 'existence': 'pos_dx', 'descriptive_term': 'left paraesophageal nodular', 'observation': 'density'}, 'metastasis': {'clinical finding': 'metastasis', 'existence': 'unc_dx', 'observation': 'metastasis'}}anatomical entity_fin: {'right lung': {}, 'base': {}}clinical findings_fin: {'hypermetabolic right lung base pleural nodule': {'clinical finding': 'hypermetabolic right lung base pleural nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'hypermetabolic right lung base pleural', 'observation': 'nodule'}, 'metastasis': {'clinical finding': 'metastasis', 'existence': 'unc_dx', 'observation': 'metastasis'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'right lower lobe nodular density': {'clinical finding': 'right lower lobe nodular density', 'existence': 'pos_dx', 'descriptive_term': 'right lower lobe nodular', 'observation': 'density'}, 'tumor': {'clinical finding': 'tumor', 'existence': 'unc_dx', 'observation': 'tumor'}, 'infection': {'clinical finding': 'infection', 'existence': 'unc_dx', 'observation': 'infection'}}anatomical entity_fin: {'right lung': {}}imaging observation_fin: ['foci']clinical findings_fin: {'multiple foci': {'clinical finding': 'multiple foci', 'existence': 'pos_dx', 'descriptive_term': 'multiple', 'observation': 'foci', 'quantity_term': 'multiple'}, 'uptake': {'clinical finding': 'uptake', 'existence': 'pos_dx', 'observation': 'uptake'}, 'tumor': {'clinical finding': 'tumor', 'existence': 'unc_dx', 'observation': 'tumor'}, 'infection': {'clinical finding': 'infection', 'existence': 'unc_dx', 'observation': 'infection'}}location descriptor_fin: ['posterior']clinical findings_fin: {'posterior hypopharyngeal lesion': {'clinical finding': 'posterior hypopharyngeal lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'posterior hypopharyngeal', 'observation': 'lesion'}, 'significant change': {'clinical finding': 'significant change', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'change'}, 'primary tumor': {'clinical finding': 'primary tumor', 'existence': 'unc_dx', 'descriptive_term': 'primary', 'observation': 'tumor'}, 'metastatic lesion': {'clinical finding': 'metastatic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'unc_dx', 'descriptive_term': 'metastatic', 'observation': 'lesion'}, 'infection': {'clinical finding': 'infection', 'existence': 'unc_dx', 'observation': 'infection'}}
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'lobe': {'location descriptor': 'right upper'}}location descriptor_fin: ['right', 'upper']clinical findings_fin: {'right upper lobe mass': {'clinical finding': 'right upper lobe mass', 'existence': 'pos_dx', 'descriptive_term': 'right upper lobe', 'observation': 'mass'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['left', 'upper', 'peripheral', 'right', 'lower']clinical findings_fin: {'left upper lobe peripheral patchy opacity': {'clinical finding': 'left upper lobe peripheral patchy opacity', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'left upper lobe peripheral patchy', 'observation': 'opacity'}, 'nodular right lower lobe opacity': {'clinical finding': 'nodular right lower lobe opacity', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'nodular right lower lobe', 'observation': 'opacity'}}anatomical entity_fin: {'right lung': {}}clinical findings_fin: {'multiple scattered pulmonary nodules': {'clinical finding': 'multiple scattered pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'multiple scattered pulmonary', 'observation': 'nodule', 'quantity_term': 'multiple'}}anatomical entity_fin: {'right lung': {}, 'base': {}, 'chest': {}}clinical findings_fin: {'right lung base nodule': {'clinical finding': 'right lung base nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'right lung base', 'observation': 'nodule'}}anatomical entity_fin: {'right lung': {}, 'base': {}}clinical findings_fin: {'right lung base pleural nodule': {'clinical finding': 'right lung base pleural nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'right lung base pleural', 'observation': 'nodule'}}imaging observation_fin: ['apical']location descriptor_fin: ['right']clinical findings_fin: {'right apical cavitary lesion': {'clinical finding': 'right apical cavitary lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'right apical cavitary', 'observation': 'lesion'}, 'mycetoma': {'clinical finding': 'mycetoma', 'cf_snomed': {'mycetoma': 410039003}, 'existence': 'pos_dx', 'observation': 'mycetoma'}}clinical findings_fin: {'mediastinal lymphadenopathy': {'clinical finding': 'mediastinal lymphadenopathy', 'cf_snomed': {'mediastinal lymphadenopathy': 52324001}, 'existence': 'pos_dx', 'descriptive_term': 'mediastinal', 'observation': 'lymphadenopathy'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral maxillary mucosal thickening': {'clinical finding': 'bilateral maxillary mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'bilateral maxillary mucosal', 'observation': 'thickening'}}location descriptor_fin: ['left']clinical findings_fin: {'stable left thyroid nodule': {'clinical finding': 'stable left thyroid nodule', 'cf_snomed': {'thyroid nodule': 237495005}, 'existence': 'pos_dx', 'descriptive_term': 'stable left thyroid', 'observation': 'nodule', 'strength_term': 'stable', 'change_term': 'stable'}}clinical findings_fin: {'scattered vascular calcifications': {'clinical finding': 'scattered vascular calcifications', 'cf_snomed': {'vascular calcification': 237897009}, 'existence': 'pos_dx', 'descriptive_term': 'scattered vascular', 'observation': 'calcification'}, 'uterine calcifications': {'clinical finding': 'uterine calcifications', 'existence': 'pos_dx', 'descriptive_term': 'uterine', 'observation': 'calcification'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right upper'}}location descriptor_fin: ['right', 'upper']clinical findings_fin: {'right upper lobe mass': {'clinical finding': 'right upper lobe mass', 'existence': 'pos_dx', 'descriptive_term': 'right upper lobe', 'observation': 'mass'}}anatomical entity_fin: {'subcarinal lymph node': {}}clinical findings_fin: {'hypermetabolic subcarinal lymph node': {'clinical finding': 'hypermetabolic subcarinal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'hypermetabolic subcarinal lymph', 'observation': 'node'}}location descriptor_fin: ['left']clinical findings_fin: {'left paraesophageal nodular density': {'clinical finding': 'left paraesophageal nodular density', 'existence': 'pos_dx', 'descriptive_term': 'left paraesophageal nodular', 'observation': 'density'}, 'metastasis': {'clinical finding': 'metastasis', 'existence': 'unc_dx', 'observation': 'metastasis'}}anatomical entity_fin: {'right lung': {}, 'base': {}}clinical findings_fin: {'hypermetabolic right lung base pleural nodule': {'clinical finding': 'hypermetabolic right lung base pleural nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'hypermetabolic right lung base pleural', 'observation': 'nodule'}, 'metastasis': {'clinical finding': 'metastasis', 'existence': 'unc_dx', 'observation': 'metastasis'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'right lower lobe nodular density': {'clinical finding': 'right lower lobe nodular density', 'existence': 'pos_dx', 'descriptive_term': 'right lower lobe nodular', 'observation': 'density'}, 'tumor': {'clinical finding': 'tumor', 'existence': 'unc_dx', 'observation': 'tumor'}, 'infection': {'clinical finding': 'infection', 'existence': 'unc_dx', 'observation': 'infection'}}anatomical entity_fin: {'right lung': {}}imaging observation_fin: ['foci']clinical findings_fin: {'multiple foci': {'clinical finding': 'multiple foci', 'existence': 'pos_dx', 'descriptive_term': 'multiple', 'observation': 'foci', 'quantity_term': 'multiple'}, 'uptake': {'clinical finding': 'uptake', 'existence': 'pos_dx', 'observation': 'uptake'}, 'tumor': {'clinical finding': 'tumor', 'existence': 'unc_dx', 'observation': 'tumor'}, 'infection': {'clinical finding': 'infection', 'existence': 'unc_dx', 'observation': 'infection'}}location descriptor_fin: ['posterior']clinical findings_fin: {'posterior hypopharyngeal lesion': {'clinical finding': 'posterior hypopharyngeal lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'posterior hypopharyngeal', 'observation': 'lesion'}, 'significant change': {'clinical finding': 'significant change', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'change'}, 'primary tumor': {'clinical finding': 'primary tumor', 'existence': 'unc_dx', 'descriptive_term': 'primary', 'observation': 'tumor'}, 'metastatic lesion': {'clinical finding': 'metastatic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'unc_dx', 'descriptive_term': 'metastatic', 'observation': 'lesion'}, 'infection': {'clinical finding': 'infection', 'existence': 'unc_dx', 'observation': 'infection'}} [/INST] Todays CT portion grossly demonstrates interval increase in the size of the right upper lobe mass. Interval development of left upper lobe peripheral patchy opacity and nodular right lower lobe opacity. Multiple scattered pulmonary nodules in the right lung. Right lung base nodule is new from 7/20/2015 CT chest. Right lung base pleural nodule, new from prior PET. Right apical cavitary lesion compatible with mycetoma again seen. Mediastinal lymphadenopathy again noted. Bilateral maxillary mucosal thickening noted. Stable left thyroid nodule. Scattered vascular calcifications and uterine calcifications noted. Todays PET examination demonstrates interval increase in the size and activity in the right upper lobe mass with SUV max of 12.8, previously 10.9. Hypermetabolic subcarinal lymph node again noted. Left paraesophageal nodular density with SUV max 9.8 suspicious for metastasis. Hypermetabolic right lung base pleural nodule suspicious for metastasis. Right lower lobe nodular density with SUV max of 9.2, which may represent tumor or infection. There are multiple foci of uptake in the right lung with interval increase in size, number, and activity, which may represent tumor or infection. Posterior hypopharyngeal lesion with mild increased activity without significant change in size, which may represent primary tumor, metastatic lesion, or infection. </s>