PHARYNX/. The palatine tonsils are enlarged bilaterally, although appear homogeneously enhancing. The tonsils abut each other in the midline. There is also significant prominence of soft tissue along the posterior nasopharynx, which abuts the posterior aspect of the vomer. Enlargement of the soft tissues of the soft palate is also noted. The nasopharynx, oropharynx, hypopharynx, and larynx are otherwise unremarkable. The upper trachea and esophagus are unremarkable. There is no abnormal soft tissue mass or pathological enhancement. The postcontrast appearance of the salivary glands is unremarkable. The thyroid gland is unremarkable. The oral tongue and floor of mouth are unremarkable. There is bilateral cervical lymphadenopathy. A right node of Rouviere is enlarged measuring 1.6 cm in length. The largest node in the left neck is a left level IIb lymph node measuring 2.2 cm on 4/28. A left supraclavicular lymph node measures up to 2.2 cm.
anatomical entity_fin: {'palatine tonsils': {}}imaging observation_fin: ['enhancing']clinical findings_fin: {'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}}anatomical entity_fin: {'tonsils': {}}location descriptor_fin: ['midline']anatomical entity_fin: {'nasopharynx': {'location descriptor': 'posterior'}, 'vomer': {}}location descriptor_fin: ['posterior']clinical findings_fin: {'soft tissue': {'clinical finding': 'soft tissue', 'existence': 'pos_dx', 'descriptive_term': 'soft', 'observation': 'tissue'}}anatomical entity_fin: {'soft palate': {}}clinical findings_fin: {'enlargement of the soft tissues of the soft palate is also noted': {'clinical finding': 'enlargement of the soft tissues of the soft palate is also noted', 'cf_snomed': {'enlargement': 442021009}}}anatomical entity_fin: {'nasopharynx': {}, 'oropharynx': {}, 'hypopharynx': {}, 'larynx': {}}clinical findings_fin: {'nasopharynx , oropharynx , hypopharynx , and larynx are otherwise unremarkable': {'clinical finding': 'nasopharynx , oropharynx , hypopharynx , and larynx are otherwise unremarkable'}}anatomical entity_fin: {'trachea': {'location descriptor': 'upper'}, 'esophagus': {}}location descriptor_fin: ['upper']clinical findings_fin: {'upper trachea and esophagus are unremarkable': {'clinical finding': 'upper trachea and esophagus are unremarkable'}}clinical findings_fin: {'abnormal soft tissue mass': {'clinical finding': 'abnormal soft tissue mass', 'cf_snomed': {'soft tissue mass': 278002000}, 'existence': 'neg_dx', 'descriptive_term': 'abnormal soft tissue', 'observation': 'mass'}, 'pathological enhancement': {'clinical finding': 'pathological enhancement', 'existence': 'neg_dx', 'descriptive_term': 'pathological', 'observation': 'enhancement'}}anatomical entity_fin: {'salivary glands': {}}clinical findings_fin: {'postcontrast appearance of the salivary glands is unremarkable': {'clinical finding': 'postcontrast appearance of the salivary glands is unremarkable'}}anatomical entity_fin: {'thyroid gland': {}}clinical findings_fin: {'thyroid gland is unremarkable': {'clinical finding': 'thyroid gland is unremarkable'}}anatomical entity_fin: {'tongue': {}, 'floor': {}, 'mouth': {}}clinical findings_fin: {'oral tongue and floor of mouth are unremarkable': {'clinical finding': 'oral tongue and floor of mouth are unremarkable'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral cervical lymphadenopathy': {'clinical finding': 'bilateral cervical lymphadenopathy', 'cf_snomed': {'cervical lymphadenopathy': 127086001}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral cervical', 'observation': 'lymphadenopathy'}}size_fin: [{'size': '1.6 cm'}]location descriptor_fin: ['right']clinical findings_fin: {'right node': {'clinical finding': 'right node', 'existence': 'pos_dx', 'descriptive_term': 'right', 'observation': 'node'}, 'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}}size_fin: [{'size': '2.2 cm', 'size_descriptor': 'node'}]anatomical entity_fin: {'neck': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'largest node': {'clinical finding': 'largest node', 'existence': 'pos_dx', 'descriptive_term': 'largest', 'observation': 'node'}, 'left level iib lymph node': {'clinical finding': 'left level iib lymph node', 'existence': 'pos_dx', 'descriptive_term': 'left level iib lymph', 'observation': 'node'}}size_fin: [{'size': '2.2 cm', 'size_descriptor': 'node'}]anatomical entity_fin: {'supraclavicular lymph node': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'left supraclavicular lymph node': {'clinical finding': 'left supraclavicular lymph node', 'existence': 'pos_dx', 'descriptive_term': 'left supraclavicular lymph', 'observation': 'node'}}
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'palatine tonsils': {}}imaging observation_fin: ['enhancing']clinical findings_fin: {'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}}anatomical entity_fin: {'tonsils': {}}location descriptor_fin: ['midline']anatomical entity_fin: {'nasopharynx': {'location descriptor': 'posterior'}, 'vomer': {}}location descriptor_fin: ['posterior']clinical findings_fin: {'soft tissue': {'clinical finding': 'soft tissue', 'existence': 'pos_dx', 'descriptive_term': 'soft', 'observation': 'tissue'}}anatomical entity_fin: {'soft palate': {}}clinical findings_fin: {'enlargement of the soft tissues of the soft palate is also noted': {'clinical finding': 'enlargement of the soft tissues of the soft palate is also noted', 'cf_snomed': {'enlargement': 442021009}}}anatomical entity_fin: {'nasopharynx': {}, 'oropharynx': {}, 'hypopharynx': {}, 'larynx': {}}clinical findings_fin: {'nasopharynx , oropharynx , hypopharynx , and larynx are otherwise unremarkable': {'clinical finding': 'nasopharynx , oropharynx , hypopharynx , and larynx are otherwise unremarkable'}}anatomical entity_fin: {'trachea': {'location descriptor': 'upper'}, 'esophagus': {}}location descriptor_fin: ['upper']clinical findings_fin: {'upper trachea and esophagus are unremarkable': {'clinical finding': 'upper trachea and esophagus are unremarkable'}}clinical findings_fin: {'abnormal soft tissue mass': {'clinical finding': 'abnormal soft tissue mass', 'cf_snomed': {'soft tissue mass': 278002000}, 'existence': 'neg_dx', 'descriptive_term': 'abnormal soft tissue', 'observation': 'mass'}, 'pathological enhancement': {'clinical finding': 'pathological enhancement', 'existence': 'neg_dx', 'descriptive_term': 'pathological', 'observation': 'enhancement'}}anatomical entity_fin: {'salivary glands': {}}clinical findings_fin: {'postcontrast appearance of the salivary glands is unremarkable': {'clinical finding': 'postcontrast appearance of the salivary glands is unremarkable'}}anatomical entity_fin: {'thyroid gland': {}}clinical findings_fin: {'thyroid gland is unremarkable': {'clinical finding': 'thyroid gland is unremarkable'}}anatomical entity_fin: {'tongue': {}, 'floor': {}, 'mouth': {}}clinical findings_fin: {'oral tongue and floor of mouth are unremarkable': {'clinical finding': 'oral tongue and floor of mouth are unremarkable'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral cervical lymphadenopathy': {'clinical finding': 'bilateral cervical lymphadenopathy', 'cf_snomed': {'cervical lymphadenopathy': 127086001}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral cervical', 'observation': 'lymphadenopathy'}}size_fin: [{'size': '1.6 cm'}]location descriptor_fin: ['right']clinical findings_fin: {'right node': {'clinical finding': 'right node', 'existence': 'pos_dx', 'descriptive_term': 'right', 'observation': 'node'}, 'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}}size_fin: [{'size': '2.2 cm', 'size_descriptor': 'node'}]anatomical entity_fin: {'neck': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'largest node': {'clinical finding': 'largest node', 'existence': 'pos_dx', 'descriptive_term': 'largest', 'observation': 'node'}, 'left level iib lymph node': {'clinical finding': 'left level iib lymph node', 'existence': 'pos_dx', 'descriptive_term': 'left level iib lymph', 'observation': 'node'}}size_fin: [{'size': '2.2 cm', 'size_descriptor': 'node'}]anatomical entity_fin: {'supraclavicular lymph node': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'left supraclavicular lymph node': {'clinical finding': 'left supraclavicular lymph node', 'existence': 'pos_dx', 'descriptive_term': 'left supraclavicular lymph', 'observation': 'node'}} [/INST] PHARYNX/. The palatine tonsils are enlarged bilaterally, although appear homogeneously enhancing. The tonsils abut each other in the midline. There is also significant prominence of soft tissue along the posterior nasopharynx, which abuts the posterior aspect of the vomer. Enlargement of the soft tissues of the soft palate is also noted. The nasopharynx, oropharynx, hypopharynx, and larynx are otherwise unremarkable. The upper trachea and esophagus are unremarkable. There is no abnormal soft tissue mass or pathological enhancement. The postcontrast appearance of the salivary glands is unremarkable. The thyroid gland is unremarkable. The oral tongue and floor of mouth are unremarkable. There is bilateral cervical lymphadenopathy. A right node of Rouviere is enlarged measuring 1.6 cm in length. The largest node in the left neck is a left level IIb lymph node measuring 2.2 cm on 4/28. A left supraclavicular lymph node measures up to 2.2 cm. </s>