. No significant abnormality noted. Thyroid goiter with a large dominant nodule in the isthmus and substernal extension on the left, incompletely evaluated by CT. Small hiatal hernia. None visible. 31 x 39 mm left breast mass extending to the skin surface. The index left axillary lymph node measures 11 x 12 mm, incompletely included in the field of view of the last exam and probably unchanged. Other high left axillary lymph nodes are stable to smaller in size, while the previously mentioned lower left axillary lymph node appears slightly smaller. Skeletal metastases similar to previous. Absence of enteric contrast material limits sensitivity for abdominal pathology. Multiple cysts unchanged. Segment 8 lesion , about the same and remains indeterminate in etiology. No significant abnormality noted. No significant abnormality noted. Right renal cyst. No significant abnormality noted. Atherosclerotic calcifications of the aorta and its branches. Absence of enteric contrast material limits sensitivity for GI pathology. Please note that the bowel is incompletely assessed due to lack of oral contrast material per protocol. Within the right lower quadrant, the distal ileum appears inseparable from the proximal right colon , where there is a questionable filling defect or wall thickening of unclear etiology. If the patient is symptomatic, further assessment with dedicated imaging utilizing oral contrast may be considered. Skeletal metastases about the same. Large calcific lesion in the left pelvis completely included in the scanning range but correlates to the top of a uterine fibroid seen on a CT of 8/20/2014.
clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}location descriptor_fin: ['left']clinical findings_fin: {'thyroid goiter': {'clinical finding': 'thyroid goiter', 'cf_snomed': {'goiter': 3716002}, 'existence': 'pos_dx', 'descriptive_term': 'thyroid', 'observation': 'goiter'}, 'large dominant nodule': {'clinical finding': 'large dominant nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'large dominant', 'observation': 'nodule', 'strength_term': 'large'}, 'ct. small hiatal hernia': {'clinical finding': 'ct. small hiatal hernia', 'cf_snomed': {'hiatal hernia': 84089009}, 'existence': 'pos_dx', 'descriptive_term': 'ct small hiatal', 'observation': 'hernia', 'strength_term': 'small'}}size_fin: [{'size': '31 x 39 mm', 'size_descriptor': 'mass'}]anatomical entity_fin: {'skin': {}}location descriptor_fin: ['left']clinical findings_fin: {'31 x 39 mm left breast mass': {'clinical finding': '31 x 39 mm left breast mass', 'existence': 'pos_dx', 'descriptive_term': '31 x 39 mm left breast', 'observation': 'mass'}}size_fin: [{'size': '11 x 12 mm', 'size_descriptor': 'index'}]anatomical entity_fin: {'axillary lymph node': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'index left axillary lymph node': {'clinical finding': 'index left axillary lymph node', 'existence': 'pos_dx', 'descriptive_term': 'index left axillary lymph', 'observation': 'node'}}anatomical entity_fin: {'axillary lymph nodes': {'location descriptor': 'left'}, 'axillary lymph node': {'location descriptor': 'lower left'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'other high left axillary lymph nodes': {'clinical finding': 'other high left axillary lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'other high left axillary lymph', 'observation': 'node'}, 'previously mentioned lower left axillary lymph node': {'clinical finding': 'previously mentioned lower left axillary lymph node', 'existence': 'pos_dx', 'descriptive_term': 'previously mentioned lower left axillary lymph', 'observation': 'node'}}clinical findings_fin: {'skeletal metastases': {'clinical finding': 'skeletal metastases', 'existence': 'pos_dx', 'descriptive_term': 'skeletal', 'observation': 'metastase'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'multiple cysts': {'clinical finding': 'multiple cysts', 'cf_snomed': {'multiple cysts': 125291005}, 'existence': 'pos_dx', 'descriptive_term': 'multiple', 'observation': 'cyst', 'quantity_term': 'multiple'}}clinical findings_fin: {'segment 8 lesion': {'clinical finding': 'segment 8 lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'segment 8', 'observation': 'lesion'}}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: ['right']clinical findings_fin: {'right renal cyst': {'clinical finding': 'right renal cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'right renal', 'observation': 'cyst'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'aorta': {}}clinical findings_fin: {'atherosclerotic calcifications': {'clinical finding': 'atherosclerotic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'}}clinical findings_fin: {'gi': {'clinical finding': 'gi', 'existence': 'unc_dx', 'observation': 'gi'}}anatomical entity_fin: {'bowel': {}}non-anatomical substance_fin: ['oral contrast']anatomical entity_fin: {'quadrant': {'location descriptor': 'right lower'}, 'ileum': {'location descriptor': 'distal'}}imaging observation_fin: ['colon']location descriptor_fin: ['right', 'lower', 'distal', 'proximal']clinical findings_fin: {'inseparable': {'clinical finding': 'inseparable', 'existence': 'pos_dx', 'observation': 'inseparable'}, 'questionable filling defect': {'clinical finding': 'questionable filling defect', 'cf_snomed': {'filling defect': 43468004}, 'existence': 'unc_dx', 'descriptive_term': 'questionable filling', 'observation': 'defect'}, 'wall thickening': {'clinical finding': 'wall thickening', 'existence': 'unc_dx', 'descriptive_term': 'wall', 'observation': 'thickening'}}clinical findings_fin: {'skeletal metastases': {'clinical finding': 'skeletal metastases', 'existence': 'pos_dx', 'descriptive_term': 'skeletal', 'observation': 'metastase'}}anatomical entity_fin: {'pelvis': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'large calcific lesion': {'clinical finding': 'large calcific lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'large calcific', 'observation': 'lesion', 'strength_term': 'large'}, 'uterine fibroid': {'clinical finding': 'uterine fibroid', 'existence': 'pos_dx', 'descriptive_term': 'uterine', 'observation': 'fibroid'}}
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}location descriptor_fin: ['left']clinical findings_fin: {'thyroid goiter': {'clinical finding': 'thyroid goiter', 'cf_snomed': {'goiter': 3716002}, 'existence': 'pos_dx', 'descriptive_term': 'thyroid', 'observation': 'goiter'}, 'large dominant nodule': {'clinical finding': 'large dominant nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'large dominant', 'observation': 'nodule', 'strength_term': 'large'}, 'ct. small hiatal hernia': {'clinical finding': 'ct. small hiatal hernia', 'cf_snomed': {'hiatal hernia': 84089009}, 'existence': 'pos_dx', 'descriptive_term': 'ct small hiatal', 'observation': 'hernia', 'strength_term': 'small'}}size_fin: [{'size': '31 x 39 mm', 'size_descriptor': 'mass'}]anatomical entity_fin: {'skin': {}}location descriptor_fin: ['left']clinical findings_fin: {'31 x 39 mm left breast mass': {'clinical finding': '31 x 39 mm left breast mass', 'existence': 'pos_dx', 'descriptive_term': '31 x 39 mm left breast', 'observation': 'mass'}}size_fin: [{'size': '11 x 12 mm', 'size_descriptor': 'index'}]anatomical entity_fin: {'axillary lymph node': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'index left axillary lymph node': {'clinical finding': 'index left axillary lymph node', 'existence': 'pos_dx', 'descriptive_term': 'index left axillary lymph', 'observation': 'node'}}anatomical entity_fin: {'axillary lymph nodes': {'location descriptor': 'left'}, 'axillary lymph node': {'location descriptor': 'lower left'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'other high left axillary lymph nodes': {'clinical finding': 'other high left axillary lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'other high left axillary lymph', 'observation': 'node'}, 'previously mentioned lower left axillary lymph node': {'clinical finding': 'previously mentioned lower left axillary lymph node', 'existence': 'pos_dx', 'descriptive_term': 'previously mentioned lower left axillary lymph', 'observation': 'node'}}clinical findings_fin: {'skeletal metastases': {'clinical finding': 'skeletal metastases', 'existence': 'pos_dx', 'descriptive_term': 'skeletal', 'observation': 'metastase'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'multiple cysts': {'clinical finding': 'multiple cysts', 'cf_snomed': {'multiple cysts': 125291005}, 'existence': 'pos_dx', 'descriptive_term': 'multiple', 'observation': 'cyst', 'quantity_term': 'multiple'}}clinical findings_fin: {'segment 8 lesion': {'clinical finding': 'segment 8 lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'segment 8', 'observation': 'lesion'}}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: ['right']clinical findings_fin: {'right renal cyst': {'clinical finding': 'right renal cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'right renal', 'observation': 'cyst'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'aorta': {}}clinical findings_fin: {'atherosclerotic calcifications': {'clinical finding': 'atherosclerotic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'}}clinical findings_fin: {'gi': {'clinical finding': 'gi', 'existence': 'unc_dx', 'observation': 'gi'}}anatomical entity_fin: {'bowel': {}}non-anatomical substance_fin: ['oral contrast']anatomical entity_fin: {'quadrant': {'location descriptor': 'right lower'}, 'ileum': {'location descriptor': 'distal'}}imaging observation_fin: ['colon']location descriptor_fin: ['right', 'lower', 'distal', 'proximal']clinical findings_fin: {'inseparable': {'clinical finding': 'inseparable', 'existence': 'pos_dx', 'observation': 'inseparable'}, 'questionable filling defect': {'clinical finding': 'questionable filling defect', 'cf_snomed': {'filling defect': 43468004}, 'existence': 'unc_dx', 'descriptive_term': 'questionable filling', 'observation': 'defect'}, 'wall thickening': {'clinical finding': 'wall thickening', 'existence': 'unc_dx', 'descriptive_term': 'wall', 'observation': 'thickening'}}clinical findings_fin: {'skeletal metastases': {'clinical finding': 'skeletal metastases', 'existence': 'pos_dx', 'descriptive_term': 'skeletal', 'observation': 'metastase'}}anatomical entity_fin: {'pelvis': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'large calcific lesion': {'clinical finding': 'large calcific lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'large calcific', 'observation': 'lesion', 'strength_term': 'large'}, 'uterine fibroid': {'clinical finding': 'uterine fibroid', 'existence': 'pos_dx', 'descriptive_term': 'uterine', 'observation': 'fibroid'}} [/INST] . No significant abnormality noted. Thyroid goiter with a large dominant nodule in the isthmus and substernal extension on the left, incompletely evaluated by CT. Small hiatal hernia. None visible. 31 x 39 mm left breast mass extending to the skin surface. The index left axillary lymph node measures 11 x 12 mm, incompletely included in the field of view of the last exam and probably unchanged. Other high left axillary lymph nodes are stable to smaller in size, while the previously mentioned lower left axillary lymph node appears slightly smaller. Skeletal metastases similar to previous. Absence of enteric contrast material limits sensitivity for abdominal pathology. Multiple cysts unchanged. Segment 8 lesion , about the same and remains indeterminate in etiology. No significant abnormality noted. No significant abnormality noted. Right renal cyst. No significant abnormality noted. Atherosclerotic calcifications of the aorta and its branches. Absence of enteric contrast material limits sensitivity for GI pathology. Please note that the bowel is incompletely assessed due to lack of oral contrast material per protocol. Within the right lower quadrant, the distal ileum appears inseparable from the proximal right colon , where there is a questionable filling defect or wall thickening of unclear etiology. If the patient is symptomatic, further assessment with dedicated imaging utilizing oral contrast may be considered. Skeletal metastases about the same. Large calcific lesion in the left pelvis completely included in the scanning range but correlates to the top of a uterine fibroid seen on a CT of 8/20/2014. </s>