. Multiple right lung nodules are increased in size and has become more confluent compared to the prior study, making measurement somewhat more difficult. Within these limitations, the reference right lower lobe nodule measures approximately 1.7 x 1.5 cm , previously 1.2 x 1.2 cm. The adjacent right lower lobe perifissural reference nodule measures approximately 3.8 x 2.3 cm , previously 3.3 x 2.3 cm. 4 mm left apical nodule is unchanged. This mass lesion encases the pulmonary arterial and bronchial structures of the right lower lobe, with associated right lower lobe atelectasis. New patchy consolidation and scattered groundglass or tree-in-bud nodularity throughout the right lower lobe, suggestive of superimposed infectious or inflammatory process. No pleural effusion. A right middle lobe pulmonary cyst is unchanged. The heart is normal in size without pericardial effusion. Reference right hilar lymph node measures 1.4 x 1.2 cm , unchanged. No new mediastinal or hilar lymphadenopathy. Nodular thyroid appears similar to prior. Mild. No significant abnormality noted. No focal hepatic lesions are identified. No intrahepatic or extrahepatic biliary ductal dilatation. The gallbladder is normal. No significant abnormality noted. The pancreas is mildly atrophic. No significant abnormality noted. No significant abnormality noted. The previously described soft tissue mass located anteroinferior to the pancreas is increased in size, now measuring 5.9 x 5.6 cm , previously 4.3 x 3.8 cm. Encasing the SMA, SMV, and portal splenic confluence. There is persistent occlusion of the superior mesenteric vein as it courses through the mass. The superior aspect of the mass abuts the wall of the stomach, with loss of fat plane at the lesser curvature. No new intra-abdominal mass lesion is identified. Mild atherosclerotic ossification of the abdominal aorta and its branches. No abnormal bowel wall thickening or evidence of obstruction. No free intra-abdominal air or abnormal free fluid. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted
anatomical entity_fin: {'right lung': {}}clinical findings_fin: {'multiple right lung nodules': {'clinical finding': 'multiple right lung nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'multiple right lung', 'observation': 'nodule', 'quantity_term': 'multiple'}}size_fin: [{'size': '1.7 x 1.5 cm'}, {'size': '1.2 x 1.2 cm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'reference right lower lobe nodule': {'clinical finding': 'reference right lower lobe nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'reference right lower lobe', 'observation': 'nodule'}}size_fin: [{'size': '3.8 x 2.3 cm'}, {'size': '3.3 x 2.3 cm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['adjacent', 'right', 'lower']clinical findings_fin: {'adjacent right lower lobe perifissural reference nodule': {'clinical finding': 'adjacent right lower lobe perifissural reference nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'adjacent right lower lobe perifissural reference', 'observation': 'nodule'}}size_fin: [{'size': '4 mm', 'size_descriptor': 'nodule'}]imaging observation_fin: ['apical']location descriptor_fin: ['left']clinical findings_fin: {'left apical nodule': {'clinical finding': 'left apical nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'left apical', 'observation': 'nodule'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'this mass lesion': {'clinical finding': 'this mass lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'this mass', 'observation': 'lesion'}, 'pulmonary': {'clinical finding': 'pulmonary', 'existence': 'pos_dx', 'observation': 'pulmonary'}, 'associated right lower lobe atelectasis': {'clinical finding': 'associated right lower lobe atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'associated right lower lobe', 'observation': 'atelectasis'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}imaging observation_fin: ['tree-in-bud']location descriptor_fin: ['right', 'lower']clinical findings_fin: {'new patchy consolidation': {'clinical finding': 'new patchy consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'pos_dx', 'descriptive_term': 'new patchy', 'observation': 'consolidation', 'temporal_term': 'new'}, 'nodularity': {'clinical finding': 'nodularity', 'existence': 'pos_dx', 'observation': 'nodularity'}}clinical findings_fin: {'pleural effusion': {'clinical finding': 'pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}}anatomical entity_fin: {'middle': {'location descriptor': 'right'}, 'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'right middle lobe pulmonary cyst': {'clinical finding': 'right middle lobe pulmonary cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'right middle lobe pulmonary', 'observation': 'cyst'}}anatomical entity_fin: {'heart': {}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'pos_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}size_fin: [{'size': '1.4 x 1.2 cm'}]location descriptor_fin: ['right']clinical findings_fin: {'reference right hilar lymph node': {'clinical finding': 'reference right hilar lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference right hilar lymph', 'observation': 'node'}}clinical findings_fin: {'new mediastinal or hilar lymphadenopathy': {'clinical finding': 'new mediastinal or hilar lymphadenopathy', 'cf_snomed': {'hilar lymphadenopathy': 87500009}, 'existence': 'neg_dx', 'descriptive_term': 'new mediastinal or hilar', 'observation': 'lymphadenopathy', 'temporal_term': 'new'}}clinical findings_fin: {'nodular thyroid appears': {'clinical finding': 'nodular thyroid appears'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'focal hepatic lesions': {'clinical finding': 'focal hepatic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'focal hepatic', 'observation': 'lesion'}}anatomical entity_fin: {'gallbladder': {}}clinical findings_fin: {'gallbladder is normal': {'clinical finding': 'gallbladder is normal'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'pancreas': {}}clinical findings_fin: {'atrophic': {'clinical finding': 'atrophic', 'existence': 'pos_dx', 'observation': 'atrophic'}}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'}}size_fin: [{'size': '5.9 x 5.6 cm'}, {'size': '4.3 x 3.8 cm'}]anatomical entity_fin: {'pancreas': {}}clinical findings_fin: {'previously described soft tissue mass': {'clinical finding': 'previously described soft tissue mass', 'cf_snomed': {'soft tissue mass': 278002000}, 'existence': 'pos_dx', 'descriptive_term': 'previously described soft tissue', 'observation': 'mass'}}anatomical entity_fin: {'superior mesenteric vein': {}}clinical findings_fin: {'persistent occlusion': {'clinical finding': 'persistent occlusion', 'existence': 'pos_dx', 'descriptive_term': 'persistent', 'observation': 'occlusion', 'temporal_term': 'persistent'}, 'mass': {'clinical finding': 'mass', 'existence': 'pos_dx', 'observation': 'mass'}}anatomical entity_fin: {'wall': {}, 'stomach': {}}imaging observation_fin: ['fat']location descriptor_fin: ['superior']clinical findings_fin: {'mass': {'clinical finding': 'mass', 'existence': 'pos_dx', 'observation': 'mass'}, 'fat plane': {'clinical finding': 'fat plane', 'existence': 'pos_dx', 'descriptive_term': 'fat', 'observation': 'plane'}, 'lesser curvature': {'clinical finding': 'lesser curvature', 'existence': 'pos_dx', 'descriptive_term': 'lesser', 'observation': 'curvature'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'new intra-abdominal mass lesion': {'clinical finding': 'new intra-abdominal mass lesion', 'cf_snomed': {'abdominal mass': 271860004, 'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'new intra-abdominal mass', 'observation': 'lesion', 'temporal_term': 'new'}}anatomical entity_fin: {'abdominal aorta': {}}clinical findings_fin: {'mild atherosclerotic ossification': {'clinical finding': 'mild atherosclerotic ossification', 'existence': 'pos_dx', 'descriptive_term': 'mild atherosclerotic', 'observation': 'ossification', 'strength_term': 'mild'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'abnormal bowel wall thickening': {'clinical finding': 'abnormal bowel wall thickening', 'existence': 'neg_dx', 'descriptive_term': 'abnormal bowel wall', 'observation': 'thickening'}, 'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'observation': 'obstruction'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'abnormal free fluid': {'clinical finding': 'abnormal free fluid', 'existence': 'neg_dx', 'descriptive_term': 'abnormal free', 'observation': 'fluid'}}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'}}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: anatomical entity_fin: {'right lung': {}}clinical findings_fin: {'multiple right lung nodules': {'clinical finding': 'multiple right lung nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'multiple right lung', 'observation': 'nodule', 'quantity_term': 'multiple'}}size_fin: [{'size': '1.7 x 1.5 cm'}, {'size': '1.2 x 1.2 cm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'reference right lower lobe nodule': {'clinical finding': 'reference right lower lobe nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'reference right lower lobe', 'observation': 'nodule'}}size_fin: [{'size': '3.8 x 2.3 cm'}, {'size': '3.3 x 2.3 cm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['adjacent', 'right', 'lower']clinical findings_fin: {'adjacent right lower lobe perifissural reference nodule': {'clinical finding': 'adjacent right lower lobe perifissural reference nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'adjacent right lower lobe perifissural reference', 'observation': 'nodule'}}size_fin: [{'size': '4 mm', 'size_descriptor': 'nodule'}]imaging observation_fin: ['apical']location descriptor_fin: ['left']clinical findings_fin: {'left apical nodule': {'clinical finding': 'left apical nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'left apical', 'observation': 'nodule'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'this mass lesion': {'clinical finding': 'this mass lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'this mass', 'observation': 'lesion'}, 'pulmonary': {'clinical finding': 'pulmonary', 'existence': 'pos_dx', 'observation': 'pulmonary'}, 'associated right lower lobe atelectasis': {'clinical finding': 'associated right lower lobe atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'associated right lower lobe', 'observation': 'atelectasis'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}imaging observation_fin: ['tree-in-bud']location descriptor_fin: ['right', 'lower']clinical findings_fin: {'new patchy consolidation': {'clinical finding': 'new patchy consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'pos_dx', 'descriptive_term': 'new patchy', 'observation': 'consolidation', 'temporal_term': 'new'}, 'nodularity': {'clinical finding': 'nodularity', 'existence': 'pos_dx', 'observation': 'nodularity'}}clinical findings_fin: {'pleural effusion': {'clinical finding': 'pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}}anatomical entity_fin: {'middle': {'location descriptor': 'right'}, 'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'right middle lobe pulmonary cyst': {'clinical finding': 'right middle lobe pulmonary cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'right middle lobe pulmonary', 'observation': 'cyst'}}anatomical entity_fin: {'heart': {}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'pos_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}size_fin: [{'size': '1.4 x 1.2 cm'}]location descriptor_fin: ['right']clinical findings_fin: {'reference right hilar lymph node': {'clinical finding': 'reference right hilar lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference right hilar lymph', 'observation': 'node'}}clinical findings_fin: {'new mediastinal or hilar lymphadenopathy': {'clinical finding': 'new mediastinal or hilar lymphadenopathy', 'cf_snomed': {'hilar lymphadenopathy': 87500009}, 'existence': 'neg_dx', 'descriptive_term': 'new mediastinal or hilar', 'observation': 'lymphadenopathy', 'temporal_term': 'new'}}clinical findings_fin: {'nodular thyroid appears': {'clinical finding': 'nodular thyroid appears'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'focal hepatic lesions': {'clinical finding': 'focal hepatic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'focal hepatic', 'observation': 'lesion'}}anatomical entity_fin: {'gallbladder': {}}clinical findings_fin: {'gallbladder is normal': {'clinical finding': 'gallbladder is normal'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'pancreas': {}}clinical findings_fin: {'atrophic': {'clinical finding': 'atrophic', 'existence': 'pos_dx', 'observation': 'atrophic'}}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'}}size_fin: [{'size': '5.9 x 5.6 cm'}, {'size': '4.3 x 3.8 cm'}]anatomical entity_fin: {'pancreas': {}}clinical findings_fin: {'previously described soft tissue mass': {'clinical finding': 'previously described soft tissue mass', 'cf_snomed': {'soft tissue mass': 278002000}, 'existence': 'pos_dx', 'descriptive_term': 'previously described soft tissue', 'observation': 'mass'}}anatomical entity_fin: {'superior mesenteric vein': {}}clinical findings_fin: {'persistent occlusion': {'clinical finding': 'persistent occlusion', 'existence': 'pos_dx', 'descriptive_term': 'persistent', 'observation': 'occlusion', 'temporal_term': 'persistent'}, 'mass': {'clinical finding': 'mass', 'existence': 'pos_dx', 'observation': 'mass'}}anatomical entity_fin: {'wall': {}, 'stomach': {}}imaging observation_fin: ['fat']location descriptor_fin: ['superior']clinical findings_fin: {'mass': {'clinical finding': 'mass', 'existence': 'pos_dx', 'observation': 'mass'}, 'fat plane': {'clinical finding': 'fat plane', 'existence': 'pos_dx', 'descriptive_term': 'fat', 'observation': 'plane'}, 'lesser curvature': {'clinical finding': 'lesser curvature', 'existence': 'pos_dx', 'descriptive_term': 'lesser', 'observation': 'curvature'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'new intra-abdominal mass lesion': {'clinical finding': 'new intra-abdominal mass lesion', 'cf_snomed': {'abdominal mass': 271860004, 'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'new intra-abdominal mass', 'observation': 'lesion', 'temporal_term': 'new'}}anatomical entity_fin: {'abdominal aorta': {}}clinical findings_fin: {'mild atherosclerotic ossification': {'clinical finding': 'mild atherosclerotic ossification', 'existence': 'pos_dx', 'descriptive_term': 'mild atherosclerotic', 'observation': 'ossification', 'strength_term': 'mild'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'abnormal bowel wall thickening': {'clinical finding': 'abnormal bowel wall thickening', 'existence': 'neg_dx', 'descriptive_term': 'abnormal bowel wall', 'observation': 'thickening'}, 'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'observation': 'obstruction'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'abnormal free fluid': {'clinical finding': 'abnormal free fluid', 'existence': 'neg_dx', 'descriptive_term': 'abnormal free', 'observation': 'fluid'}}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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . Multiple right lung nodules are increased in size and has become more confluent compared to the prior study, making measurement somewhat more difficult. Within these limitations, the reference right lower lobe nodule measures approximately 1.7 x 1.5 cm , previously 1.2 x 1.2 cm. The adjacent right lower lobe perifissural reference nodule measures approximately 3.8 x 2.3 cm , previously 3.3 x 2.3 cm. 4 mm left apical nodule is unchanged. This mass lesion encases the pulmonary arterial and bronchial structures of the right lower lobe, with associated right lower lobe atelectasis. New patchy consolidation and scattered groundglass or tree-in-bud nodularity throughout the right lower lobe, suggestive of superimposed infectious or inflammatory process. No pleural effusion. A right middle lobe pulmonary cyst is unchanged. The heart is normal in size without pericardial effusion. Reference right hilar lymph node measures 1.4 x 1.2 cm , unchanged. No new mediastinal or hilar lymphadenopathy. Nodular thyroid appears similar to prior. Mild. No significant abnormality noted. No focal hepatic lesions are identified. No intrahepatic or extrahepatic biliary ductal dilatation. The gallbladder is normal. No significant abnormality noted. The pancreas is mildly atrophic. No significant abnormality noted. No significant abnormality noted. The previously described soft tissue mass located anteroinferior to the pancreas is increased in size, now measuring 5.9 x 5.6 cm , previously 4.3 x 3.8 cm. Encasing the SMA, SMV, and portal splenic confluence. There is persistent occlusion of the superior mesenteric vein as it courses through the mass. The superior aspect of the mass abuts the wall of the stomach, with loss of fat plane at the lesser curvature. No new intra-abdominal mass lesion is identified. Mild atherosclerotic ossification of the abdominal aorta and its branches. No abnormal bowel wall thickening or evidence of obstruction. No free intra-abdominal air or abnormal free fluid. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted </s>