. Several scattered pulmonary micronodules are nonspecific. Scattered fissural nodules with benign-appearing morphology characteristic of benign intrapulmonary lymph nodes. No suspicious pulmonary mass or nodule. No focal consolidation, pleural effusions or pneumothorax. No supraclavicular, mediastinal or hilar lymphadenopathy measuring greater than 1 cm in short axis. Normal cardiac size without pericardial effusion. None. Marked bilateral gynecomastia. Bilobar liver hypodensities are well-defined and demonstrates a thin peripheral region of enhancement and do not measure simple fluid attenuation, compatible with metastatic disease. For future reference a segment 6 lesion measures 1.2 x 1.2 cm. Normally distended gallbladder. The vessels are patent. No biliary ductal dilatation. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Renal hypodensities are too small to characterize, likely benign cysts. No retroperitoneal lymphadenopathy measuring greater than 1 cm in short axis. None. Postsurgical changes of the small bowel with a right lower quadrant ileostomy. The colon is contracted with mild superimposed nonspecific diffuse colonic wall thickening. The small bowel is normal in caliber. Several small mesenteric and omental lymph nodes measuring less than 1 cm in short axis. In the deep left hemipelvis there is a 3.8 x 2.9 cm heterogeneous soft tissue implant. There is mild omental nodularity consistent with carcinomatosis. No significant abnormality noted. Thoracic intervertebral disc calcifications. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Scattered punctate pelvic foci, compatible with benign bone islands. No significant abnormality noted
clinical findings_fin: {'several scattered pulmonary micronodules': {'clinical finding': 'several scattered pulmonary micronodules', 'existence': 'pos_dx', 'descriptive_term': 'several scattered pulmonary', 'observation': 'micronodule', 'quantity_term': 'several'}}clinical findings_fin: {'scattered fissural nodules': {'clinical finding': 'scattered fissural nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'scattered fissural', 'observation': 'nodule'}, 'benign intrapulmonary lymph nodes': {'clinical finding': 'benign intrapulmonary lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'benign intrapulmonary lymph', 'observation': 'node', 'strength_term': 'benign'}}clinical findings_fin: {'suspicious pulmonary mass': {'clinical finding': 'suspicious pulmonary mass', 'existence': 'neg_dx', 'descriptive_term': 'suspicious pulmonary', 'observation': 'mass'}, 'nodule': {'clinical finding': 'nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'observation': 'nodule'}}clinical findings_fin: {'focal consolidation': {'clinical finding': 'focal consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'consolidation'}, 'pleural effusions': {'clinical finding': 'pleural effusions', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}, 'pneumothorax': {'clinical finding': 'pneumothorax', 'cf_snomed': {'pneumothorax': 36118008}, 'existence': 'neg_dx', 'observation': 'pneumothorax'}}size_fin: [{'size': '1 cm', 'size_descriptor': 'lymphadenopathy'}]anatomical entity_fin: {'axis': {}}clinical findings_fin: {'supraclavicular, mediastinal or hilar lymphadenopathy': {'clinical finding': 'supraclavicular, mediastinal or hilar lymphadenopathy', 'cf_snomed': {'hilar lymphadenopathy': 87500009}, 'existence': 'neg_dx', 'descriptive_term': 'supraclavicular mediastinal or hilar', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'pos_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'marked bilateral gynecomastia': {'clinical finding': 'marked bilateral gynecomastia', 'cf_snomed': {'gynecomastia': 4754008}, 'existence': 'pos_dx', 'descriptive_term': 'marked bilateral', 'observation': 'gynecomastia'}}anatomical entity_fin: {'liver': {}, 'fluid': {}}location descriptor_fin: ['peripheral']clinical findings_fin: {'bilobar liver hypodensities': {'clinical finding': 'bilobar liver hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'bilobar liver', 'observation': 'hypodensity'}, 'enhancement': {'clinical finding': 'enhancement', 'existence': 'pos_dx', 'observation': 'enhancement'}, 'metastatic disease': {'clinical finding': 'metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'metastatic', 'observation': 'disease'}}size_fin: [{'size': '1.2 x 1.2 cm', 'size_descriptor': 'lesion'}]clinical findings_fin: {'segment 6 lesion': {'clinical finding': 'segment 6 lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'segment 6', 'observation': 'lesion'}}anatomical entity_fin: {'gallbladder': {}}clinical findings_fin: {'normally distended': {'clinical finding': 'normally distended', 'existence': 'pos_dx', 'descriptive_term': 'normally', 'observation': 'distended'}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'renal hypodensities': {'clinical finding': 'renal hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'renal', 'observation': 'hypodensity'}, 'benign cysts': {'clinical finding': 'benign cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'unc_dx', 'descriptive_term': 'benign', 'observation': 'cyst', 'strength_term': 'benign'}}size_fin: [{'size': '1 cm', 'size_descriptor': 'lymphadenopathy'}]anatomical entity_fin: {'axis': {}}clinical findings_fin: {'retroperitoneal lymphadenopathy': {'clinical finding': 'retroperitoneal lymphadenopathy', 'cf_snomed': {'retroperitoneal lymphadenopathy': 127154008}, 'existence': 'neg_dx', 'descriptive_term': 'retroperitoneal', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'bowel': {}, 'quadrant': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']procedure_fin: ['ileostomy']clinical findings_fin: {'postsurgical changes': {'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'}}imaging observation_fin: ['colon']clinical findings_fin: {'contracted': {'clinical finding': 'contracted', 'existence': 'pos_dx', 'observation': 'contract'}, 'mild superimposed nonspecific diffuse colonic wall thickening': {'clinical finding': 'mild superimposed nonspecific diffuse colonic wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild superimposed nonspecific diffuse colonic wall', 'observation': 'thickening', 'strength_term': 'mild'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'small bowel is normal': {'clinical finding': 'small bowel is normal'}}size_fin: [{'size': '1 cm', 'size_descriptor': 'nodes'}]anatomical entity_fin: {'axis': {}}clinical findings_fin: {'several small mesenteric and omental lymph nodes': {'clinical finding': 'several small mesenteric and omental lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'several small mesenteric and omental lymph', 'observation': 'node', 'strength_term': 'small', 'quantity_term': 'several'}}size_fin: [{'size': '3.8 x 2.9 cm', 'size_descriptor': 'implant'}]location descriptor_fin: ['left']object_fin: ['implant']clinical findings_fin: {'deep left hemipelvis there is a 3.8 x 2.9 cm heterogeneous soft tissue implant': {'clinical finding': 'deep left hemipelvis there is a 3.8 x 2.9 cm heterogeneous soft tissue implant'}}clinical findings_fin: {'mild omental nodularity': {'clinical finding': 'mild omental nodularity', 'existence': 'pos_dx', 'descriptive_term': 'mild omental', 'observation': 'nodularity', 'strength_term': 'mild'}, 'carcinomatosis': {'clinical finding': 'carcinomatosis', 'cf_snomed': {'carcinomatosis': 307593001}, 'existence': 'pos_dx', 'observation': 'carcinomatosis'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'thoracic intervertebral disc calcifications': {'clinical finding': 'thoracic intervertebral disc calcifications', 'existence': 'pos_dx', 'descriptive_term': 'thoracic intervertebral disc', 'observation': 'calcification'}}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'}}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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}imaging observation_fin: ['foci']clinical findings_fin: {'scattered punctate pelvic foci': {'clinical finding': 'scattered punctate pelvic foci', 'existence': 'pos_dx', 'descriptive_term': 'scattered punctate pelvic', 'observation': 'foci'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'several scattered pulmonary micronodules': {'clinical finding': 'several scattered pulmonary micronodules', 'existence': 'pos_dx', 'descriptive_term': 'several scattered pulmonary', 'observation': 'micronodule', 'quantity_term': 'several'}}clinical findings_fin: {'scattered fissural nodules': {'clinical finding': 'scattered fissural nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'scattered fissural', 'observation': 'nodule'}, 'benign intrapulmonary lymph nodes': {'clinical finding': 'benign intrapulmonary lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'benign intrapulmonary lymph', 'observation': 'node', 'strength_term': 'benign'}}clinical findings_fin: {'suspicious pulmonary mass': {'clinical finding': 'suspicious pulmonary mass', 'existence': 'neg_dx', 'descriptive_term': 'suspicious pulmonary', 'observation': 'mass'}, 'nodule': {'clinical finding': 'nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'observation': 'nodule'}}clinical findings_fin: {'focal consolidation': {'clinical finding': 'focal consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'consolidation'}, 'pleural effusions': {'clinical finding': 'pleural effusions', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}, 'pneumothorax': {'clinical finding': 'pneumothorax', 'cf_snomed': {'pneumothorax': 36118008}, 'existence': 'neg_dx', 'observation': 'pneumothorax'}}size_fin: [{'size': '1 cm', 'size_descriptor': 'lymphadenopathy'}]anatomical entity_fin: {'axis': {}}clinical findings_fin: {'supraclavicular, mediastinal or hilar lymphadenopathy': {'clinical finding': 'supraclavicular, mediastinal or hilar lymphadenopathy', 'cf_snomed': {'hilar lymphadenopathy': 87500009}, 'existence': 'neg_dx', 'descriptive_term': 'supraclavicular mediastinal or hilar', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'pos_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'marked bilateral gynecomastia': {'clinical finding': 'marked bilateral gynecomastia', 'cf_snomed': {'gynecomastia': 4754008}, 'existence': 'pos_dx', 'descriptive_term': 'marked bilateral', 'observation': 'gynecomastia'}}anatomical entity_fin: {'liver': {}, 'fluid': {}}location descriptor_fin: ['peripheral']clinical findings_fin: {'bilobar liver hypodensities': {'clinical finding': 'bilobar liver hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'bilobar liver', 'observation': 'hypodensity'}, 'enhancement': {'clinical finding': 'enhancement', 'existence': 'pos_dx', 'observation': 'enhancement'}, 'metastatic disease': {'clinical finding': 'metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'metastatic', 'observation': 'disease'}}size_fin: [{'size': '1.2 x 1.2 cm', 'size_descriptor': 'lesion'}]clinical findings_fin: {'segment 6 lesion': {'clinical finding': 'segment 6 lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'segment 6', 'observation': 'lesion'}}anatomical entity_fin: {'gallbladder': {}}clinical findings_fin: {'normally distended': {'clinical finding': 'normally distended', 'existence': 'pos_dx', 'descriptive_term': 'normally', 'observation': 'distended'}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'renal hypodensities': {'clinical finding': 'renal hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'renal', 'observation': 'hypodensity'}, 'benign cysts': {'clinical finding': 'benign cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'unc_dx', 'descriptive_term': 'benign', 'observation': 'cyst', 'strength_term': 'benign'}}size_fin: [{'size': '1 cm', 'size_descriptor': 'lymphadenopathy'}]anatomical entity_fin: {'axis': {}}clinical findings_fin: {'retroperitoneal lymphadenopathy': {'clinical finding': 'retroperitoneal lymphadenopathy', 'cf_snomed': {'retroperitoneal lymphadenopathy': 127154008}, 'existence': 'neg_dx', 'descriptive_term': 'retroperitoneal', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'bowel': {}, 'quadrant': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']procedure_fin: ['ileostomy']clinical findings_fin: {'postsurgical changes': {'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'}}imaging observation_fin: ['colon']clinical findings_fin: {'contracted': {'clinical finding': 'contracted', 'existence': 'pos_dx', 'observation': 'contract'}, 'mild superimposed nonspecific diffuse colonic wall thickening': {'clinical finding': 'mild superimposed nonspecific diffuse colonic wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild superimposed nonspecific diffuse colonic wall', 'observation': 'thickening', 'strength_term': 'mild'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'small bowel is normal': {'clinical finding': 'small bowel is normal'}}size_fin: [{'size': '1 cm', 'size_descriptor': 'nodes'}]anatomical entity_fin: {'axis': {}}clinical findings_fin: {'several small mesenteric and omental lymph nodes': {'clinical finding': 'several small mesenteric and omental lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'several small mesenteric and omental lymph', 'observation': 'node', 'strength_term': 'small', 'quantity_term': 'several'}}size_fin: [{'size': '3.8 x 2.9 cm', 'size_descriptor': 'implant'}]location descriptor_fin: ['left']object_fin: ['implant']clinical findings_fin: {'deep left hemipelvis there is a 3.8 x 2.9 cm heterogeneous soft tissue implant': {'clinical finding': 'deep left hemipelvis there is a 3.8 x 2.9 cm heterogeneous soft tissue implant'}}clinical findings_fin: {'mild omental nodularity': {'clinical finding': 'mild omental nodularity', 'existence': 'pos_dx', 'descriptive_term': 'mild omental', 'observation': 'nodularity', 'strength_term': 'mild'}, 'carcinomatosis': {'clinical finding': 'carcinomatosis', 'cf_snomed': {'carcinomatosis': 307593001}, 'existence': 'pos_dx', 'observation': 'carcinomatosis'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'thoracic intervertebral disc calcifications': {'clinical finding': 'thoracic intervertebral disc calcifications', 'existence': 'pos_dx', 'descriptive_term': 'thoracic intervertebral disc', 'observation': 'calcification'}}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'}}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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}imaging observation_fin: ['foci']clinical findings_fin: {'scattered punctate pelvic foci': {'clinical finding': 'scattered punctate pelvic foci', 'existence': 'pos_dx', 'descriptive_term': 'scattered punctate pelvic', 'observation': 'foci'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . Several scattered pulmonary micronodules are nonspecific. Scattered fissural nodules with benign-appearing morphology characteristic of benign intrapulmonary lymph nodes. No suspicious pulmonary mass or nodule. No focal consolidation, pleural effusions or pneumothorax. No supraclavicular, mediastinal or hilar lymphadenopathy measuring greater than 1 cm in short axis. Normal cardiac size without pericardial effusion. None. Marked bilateral gynecomastia. Bilobar liver hypodensities are well-defined and demonstrates a thin peripheral region of enhancement and do not measure simple fluid attenuation, compatible with metastatic disease. For future reference a segment 6 lesion measures 1.2 x 1.2 cm. Normally distended gallbladder. The vessels are patent. No biliary ductal dilatation. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Renal hypodensities are too small to characterize, likely benign cysts. No retroperitoneal lymphadenopathy measuring greater than 1 cm in short axis. None. Postsurgical changes of the small bowel with a right lower quadrant ileostomy. The colon is contracted with mild superimposed nonspecific diffuse colonic wall thickening. The small bowel is normal in caliber. Several small mesenteric and omental lymph nodes measuring less than 1 cm in short axis. In the deep left hemipelvis there is a 3.8 x 2.9 cm heterogeneous soft tissue implant. There is mild omental nodularity consistent with carcinomatosis. No significant abnormality noted. Thoracic intervertebral disc calcifications. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Scattered punctate pelvic foci, compatible with benign bone islands. No significant abnormality noted </s>