Todays CT portion grossly demonstrates an ovoid approximate 4.0 x 6.5 cm left midlung mass. Extensive emphysematous changes are present bilaterally. A thick-walled loculated air collection in the posterior right mid chest appears most likely to represent a loculated pneumothorax. Todays PET examination demonstrates a round medium sized markedly hypermetabolic left perihilar mass , compatible with lung cancer. Note the FDG avid tumor activity is somewhat smaller than the larger soft tissue density abnormality on CT which may reflect some collapsed lung peripherally. Tumor activity of this lesion abuts the left hilum but no discrete hypermetabolic mediastinal or hilar lymph nodes are identified. The thick-walled loculated collection in the right posterior mid chest demonstrates mild to moderate generally uniform increased activity. This is considered most likely inflammation although additional tumor activity cannot be entirely excluded. No suspicious FDG avid lesion is seen within the abdomen or pelvis.
size_fin: [{'size': '4.0 x 6.5 cm', 'size_descriptor': 'mass'}]location descriptor_fin: ['left']clinical findings_fin: {'ovoid approximate 4.0 x 6.5 cm left midlung mass': {'clinical finding': 'ovoid approximate 4.0 x 6.5 cm left midlung mass', 'existence': 'pos_dx', 'descriptive_term': 'ovoid approximate 4 0 x 6 5 cm left midlung', 'observation': 'mass'}}clinical findings_fin: {'extensive emphysematous changes': {'clinical finding': 'extensive emphysematous changes', 'existence': 'pos_dx', 'descriptive_term': 'extensive emphysematous', 'observation': 'change', 'strength_term': 'extensive'}}anatomical entity_fin: {'chest': {}}location descriptor_fin: ['posterior', 'right']clinical findings_fin: {'loculated pneumothorax': {'clinical finding': 'loculated pneumothorax', 'cf_snomed': {'pneumothorax': 36118008}, 'existence': 'unc_dx', 'descriptive_term': 'loculated', 'observation': 'pneumothorax'}}location descriptor_fin: ['left']clinical findings_fin: {'round medium sized markedly hypermetabolic left perihilar mass': {'clinical finding': 'round medium sized markedly hypermetabolic left perihilar mass', 'existence': 'neg_dx', 'descriptive_term': 'round medium sized markedly hypermetabolic left perihilar', 'observation': 'mass', 'strength_term': 'medium'}, 'lung cancer': {'clinical finding': 'lung cancer', 'existence': 'pos_dx', 'descriptive_term': 'lung', 'observation': 'cancer'}}anatomical entity_fin: {'lung': {}}imaging observation_fin: ['soft tissue density']clinical findings_fin: {'fdg avid tumor': {'clinical finding': 'fdg avid tumor', 'existence': 'pos_dx', 'descriptive_term': 'fdg avid', 'observation': 'tumor'}, 'larger soft tissue density abnormality': {'clinical finding': 'larger soft tissue density abnormality', 'existence': 'pos_dx', 'descriptive_term': 'larger soft tissue density', 'observation': 'abnormality'}, 'some collapsed': {'clinical finding': 'some collapsed', 'cf_snomed': {'collapse': 271787007}, 'existence': 'unc_dx', 'descriptive_term': 'some', 'observation': 'collapse', 'quantity_term': 'some'}}anatomical entity_fin: {'hilum': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'tumor': {'clinical finding': 'tumor', 'existence': 'pos_dx', 'observation': 'tumor'}, 'this lesion': {'clinical finding': 'this lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'this', 'observation': 'lesion'}, 'discrete hypermetabolic mediastinal or hilar lymph nodes': {'clinical finding': 'discrete hypermetabolic mediastinal or hilar lymph nodes', 'existence': 'neg_dx', 'descriptive_term': 'discrete hypermetabolic mediastinal or hilar lymph', 'observation': 'node'}}anatomical entity_fin: {'chest': {}}location descriptor_fin: ['right', 'posterior']clinical findings_fin: {'mild': {'clinical finding': 'mild', 'existence': 'pos_dx', 'observation': 'mild'}}clinical findings_fin: {'most likely inflammation': {'clinical finding': 'most likely inflammation', 'existence': 'unc_dx', 'descriptive_term': 'most likely', 'observation': 'inflammation', 'quantity_term': 'most'}, 'additional tumor': {'clinical finding': 'additional tumor', 'existence': 'unc_dx', 'descriptive_term': 'additional', 'observation': 'tumor'}}anatomical entity_fin: {'abdomen': {}, 'pelvis': {}}clinical findings_fin: {'suspicious fdg avid lesion': {'clinical finding': 'suspicious fdg avid lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious fdg avid', 'observation': 'lesion'}}
<s>[INST] Write the finding section for a radiology report based on the following information: size_fin: [{'size': '4.0 x 6.5 cm', 'size_descriptor': 'mass'}]location descriptor_fin: ['left']clinical findings_fin: {'ovoid approximate 4.0 x 6.5 cm left midlung mass': {'clinical finding': 'ovoid approximate 4.0 x 6.5 cm left midlung mass', 'existence': 'pos_dx', 'descriptive_term': 'ovoid approximate 4 0 x 6 5 cm left midlung', 'observation': 'mass'}}clinical findings_fin: {'extensive emphysematous changes': {'clinical finding': 'extensive emphysematous changes', 'existence': 'pos_dx', 'descriptive_term': 'extensive emphysematous', 'observation': 'change', 'strength_term': 'extensive'}}anatomical entity_fin: {'chest': {}}location descriptor_fin: ['posterior', 'right']clinical findings_fin: {'loculated pneumothorax': {'clinical finding': 'loculated pneumothorax', 'cf_snomed': {'pneumothorax': 36118008}, 'existence': 'unc_dx', 'descriptive_term': 'loculated', 'observation': 'pneumothorax'}}location descriptor_fin: ['left']clinical findings_fin: {'round medium sized markedly hypermetabolic left perihilar mass': {'clinical finding': 'round medium sized markedly hypermetabolic left perihilar mass', 'existence': 'neg_dx', 'descriptive_term': 'round medium sized markedly hypermetabolic left perihilar', 'observation': 'mass', 'strength_term': 'medium'}, 'lung cancer': {'clinical finding': 'lung cancer', 'existence': 'pos_dx', 'descriptive_term': 'lung', 'observation': 'cancer'}}anatomical entity_fin: {'lung': {}}imaging observation_fin: ['soft tissue density']clinical findings_fin: {'fdg avid tumor': {'clinical finding': 'fdg avid tumor', 'existence': 'pos_dx', 'descriptive_term': 'fdg avid', 'observation': 'tumor'}, 'larger soft tissue density abnormality': {'clinical finding': 'larger soft tissue density abnormality', 'existence': 'pos_dx', 'descriptive_term': 'larger soft tissue density', 'observation': 'abnormality'}, 'some collapsed': {'clinical finding': 'some collapsed', 'cf_snomed': {'collapse': 271787007}, 'existence': 'unc_dx', 'descriptive_term': 'some', 'observation': 'collapse', 'quantity_term': 'some'}}anatomical entity_fin: {'hilum': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'tumor': {'clinical finding': 'tumor', 'existence': 'pos_dx', 'observation': 'tumor'}, 'this lesion': {'clinical finding': 'this lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'this', 'observation': 'lesion'}, 'discrete hypermetabolic mediastinal or hilar lymph nodes': {'clinical finding': 'discrete hypermetabolic mediastinal or hilar lymph nodes', 'existence': 'neg_dx', 'descriptive_term': 'discrete hypermetabolic mediastinal or hilar lymph', 'observation': 'node'}}anatomical entity_fin: {'chest': {}}location descriptor_fin: ['right', 'posterior']clinical findings_fin: {'mild': {'clinical finding': 'mild', 'existence': 'pos_dx', 'observation': 'mild'}}clinical findings_fin: {'most likely inflammation': {'clinical finding': 'most likely inflammation', 'existence': 'unc_dx', 'descriptive_term': 'most likely', 'observation': 'inflammation', 'quantity_term': 'most'}, 'additional tumor': {'clinical finding': 'additional tumor', 'existence': 'unc_dx', 'descriptive_term': 'additional', 'observation': 'tumor'}}anatomical entity_fin: {'abdomen': {}, 'pelvis': {}}clinical findings_fin: {'suspicious fdg avid lesion': {'clinical finding': 'suspicious fdg avid lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious fdg avid', 'observation': 'lesion'}} [/INST] Todays CT portion grossly demonstrates an ovoid approximate 4.0 x 6.5 cm left midlung mass. Extensive emphysematous changes are present bilaterally. A thick-walled loculated air collection in the posterior right mid chest appears most likely to represent a loculated pneumothorax. Todays PET examination demonstrates a round medium sized markedly hypermetabolic left perihilar mass , compatible with lung cancer. Note the FDG avid tumor activity is somewhat smaller than the larger soft tissue density abnormality on CT which may reflect some collapsed lung peripherally. Tumor activity of this lesion abuts the left hilum but no discrete hypermetabolic mediastinal or hilar lymph nodes are identified. The thick-walled loculated collection in the right posterior mid chest demonstrates mild to moderate generally uniform increased activity. This is considered most likely inflammation although additional tumor activity cannot be entirely excluded. No suspicious FDG avid lesion is seen within the abdomen or pelvis. </s>