. Emphysema. Scattered punctate micronodules, some of which are calcified, which are nonspecific. However there is a noncalcified 8 mm nodule in the right lower lobe which is concerning for malignancy. Scattered small subcentimeter nodes, nonspecific. Multiple nonspecific hypodense thyroid nodules. Please see dedicated neck CT report for further details. None. Multifocal areas of patchy sclerosis throughout the axial skeleton are highly suggestive of metastatic disease. Absence of enteric contrast material limits sensitivity for abdominal pathology. Widespread hepatic hypodensities highly suggestive of metastatic disease. For continued reference a lesion in the right lobe measures 24 x 24 mm on image 87/104. Trace perihepatic fluid.
clinical findings_fin: {'scattered punctate micronodules': {'clinical finding': 'scattered punctate micronodules', 'existence': 'pos_dx', 'descriptive_term': 'scattered punctate', 'observation': 'micronodule'}}size_fin: [{'size': '8 mm', 'size_descriptor': 'nodule'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'noncalcified 8 mm nodule': {'clinical finding': 'noncalcified 8 mm nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'noncalcified 8 mm', 'observation': 'nodule'}, 'malignancy': {'clinical finding': 'malignancy', 'existence': 'unc_dx', 'observation': 'malignancy'}}clinical findings_fin: {'scattered small subcentimeter nodes': {'clinical finding': 'scattered small subcentimeter nodes', 'existence': 'pos_dx', 'descriptive_term': 'scattered small subcentimeter', 'observation': 'node', 'strength_term': 'small'}}clinical findings_fin: {'multiple nonspecific hypodense thyroid nodules': {'clinical finding': 'multiple nonspecific hypodense thyroid nodules', 'cf_snomed': {'thyroid nodule': 237495005}, 'existence': 'pos_dx', 'descriptive_term': 'multiple nonspecific hypodense thyroid', 'observation': 'nodule', 'quantity_term': 'multiple'}}anatomical entity_fin: {'neck': {}}anatomical entity_fin: {'axial skeleton': {}}clinical findings_fin: {'patchy sclerosis': {'clinical finding': 'patchy sclerosis', 'cf_snomed': {'sclerosis': 43846000}, 'existence': 'pos_dx', 'descriptive_term': 'patchy', 'observation': 'sclerosis'}, 'metastatic disease': {'clinical finding': 'metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'unc_dx', 'descriptive_term': 'metastatic', 'observation': 'disease'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'widespread hepatic hypodensities': {'clinical finding': 'widespread hepatic hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'widespread hepatic', 'observation': 'hypodensity', 'strength_term': 'widespread'}, 'metastatic disease': {'clinical finding': 'metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'unc_dx', 'descriptive_term': 'metastatic', 'observation': 'disease'}}size_fin: [{'size': '24 x 24 mm', 'size_descriptor': 'lesion'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'lesion': {'clinical finding': 'lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'observation': 'lesion'}}anatomical entity_fin: {'fluid': {}}
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'scattered punctate micronodules': {'clinical finding': 'scattered punctate micronodules', 'existence': 'pos_dx', 'descriptive_term': 'scattered punctate', 'observation': 'micronodule'}}size_fin: [{'size': '8 mm', 'size_descriptor': 'nodule'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'noncalcified 8 mm nodule': {'clinical finding': 'noncalcified 8 mm nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'noncalcified 8 mm', 'observation': 'nodule'}, 'malignancy': {'clinical finding': 'malignancy', 'existence': 'unc_dx', 'observation': 'malignancy'}}clinical findings_fin: {'scattered small subcentimeter nodes': {'clinical finding': 'scattered small subcentimeter nodes', 'existence': 'pos_dx', 'descriptive_term': 'scattered small subcentimeter', 'observation': 'node', 'strength_term': 'small'}}clinical findings_fin: {'multiple nonspecific hypodense thyroid nodules': {'clinical finding': 'multiple nonspecific hypodense thyroid nodules', 'cf_snomed': {'thyroid nodule': 237495005}, 'existence': 'pos_dx', 'descriptive_term': 'multiple nonspecific hypodense thyroid', 'observation': 'nodule', 'quantity_term': 'multiple'}}anatomical entity_fin: {'neck': {}}anatomical entity_fin: {'axial skeleton': {}}clinical findings_fin: {'patchy sclerosis': {'clinical finding': 'patchy sclerosis', 'cf_snomed': {'sclerosis': 43846000}, 'existence': 'pos_dx', 'descriptive_term': 'patchy', 'observation': 'sclerosis'}, 'metastatic disease': {'clinical finding': 'metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'unc_dx', 'descriptive_term': 'metastatic', 'observation': 'disease'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'widespread hepatic hypodensities': {'clinical finding': 'widespread hepatic hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'widespread hepatic', 'observation': 'hypodensity', 'strength_term': 'widespread'}, 'metastatic disease': {'clinical finding': 'metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'unc_dx', 'descriptive_term': 'metastatic', 'observation': 'disease'}}size_fin: [{'size': '24 x 24 mm', 'size_descriptor': 'lesion'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'lesion': {'clinical finding': 'lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'observation': 'lesion'}}anatomical entity_fin: {'fluid': {}} [/INST] . Emphysema. Scattered punctate micronodules, some of which are calcified, which are nonspecific. However there is a noncalcified 8 mm nodule in the right lower lobe which is concerning for malignancy. Scattered small subcentimeter nodes, nonspecific. Multiple nonspecific hypodense thyroid nodules. Please see dedicated neck CT report for further details. None. Multifocal areas of patchy sclerosis throughout the axial skeleton are highly suggestive of metastatic disease. Absence of enteric contrast material limits sensitivity for abdominal pathology. Widespread hepatic hypodensities highly suggestive of metastatic disease. For continued reference a lesion in the right lobe measures 24 x 24 mm on image 87/104. Trace perihepatic fluid. </s>