. Irregular pleural thickening is again seen bilaterally, similar to prior. Previously described subpleural nodule in the left lower lobe measures 5 mm compared to 4 mm previously. Scattered pulmonary micronodules are unchanged. The thyroid appears heterogenous with multiple nodules seen in the left lobe, unchanged from prior. Right hilar borderline enlarged lymph node is again seen measuring 1.4 x 1.6 cm compared to 2.1 x 1.1 cm previously. Moderate. Right-sided port is seen with tip near the cavoatrial junction. There is a left-sided cardiac device with leads unchanged in position. Multiple subcentimeter axillary nodes are seen, unchanged. Biliary dilatation is again seen, slightly improved from prior. Persistent mild pneumobilia. Small hypodense lesions in the liver are unchanged. The gallbladder is absent. Small splenule seen at the hilum. The spleen is otherwise unremarkable. Ill-defined mass is again seen in the pancreas which cannot be optimally measured but appears unchanged from prior. No dilatation of the pancreatic duct. There is mild infiltrative soft tissue around the celiac trunk which is unchanged. No significant abnormality noted. There are bilateral non-obstructing renal stones. Fluid attenuating lesion in the midpole of the left kidney which likely represents a benign simple cyst, unchanged. Retroperitoneal adenopathy unchanged. Mild. Gastroduodenal stent is again seen, unchanged in position. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Stable pelvic ascites.
clinical findings_fin: {'irregular pleural thickening': {'clinical finding': 'irregular pleural thickening', 'existence': 'pos_dx', 'descriptive_term': 'irregular pleural', 'observation': 'thickening'}}size_fin: [{'size': '5 mm'}, {'size': '4 mm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'previously described subpleural nodule': {'clinical finding': 'previously described subpleural nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'previously described subpleural', 'observation': 'nodule'}}clinical findings_fin: {'scattered pulmonary micronodules': {'clinical finding': 'scattered pulmonary micronodules', 'existence': 'pos_dx', 'descriptive_term': 'scattered pulmonary', 'observation': 'micronodule'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'multiple nodules': {'clinical finding': 'multiple nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'multiple', 'observation': 'nodule', 'quantity_term': 'multiple'}}size_fin: [{'size': '1.4 x 1.6 cm'}, {'size': '2.1 x 1.1 cm'}]location descriptor_fin: ['right']clinical findings_fin: {'hilar borderline enlarged lymph node': {'clinical finding': 'hilar borderline enlarged lymph node', 'existence': 'pos_dx', 'descriptive_term': 'hilar borderline enlarged lymph', 'observation': 'node', 'strength_term': 'borderline - enlarged', 'change_term': 'enlarged'}}location descriptor_fin: ['right']object_fin: ['port']clinical findings_fin: {'right -sided port is seen with tip near the cavoatrial junction': {'clinical finding': 'right -sided port is seen with tip near the cavoatrial junction'}}location descriptor_fin: ['left']non-anatomical substance_fin: ['leads']clinical findings_fin: {'left-sided cardiac device with leads unchanged in position': {'clinical finding': 'left-sided cardiac device with leads unchanged in position', 'change_term': 'unchanged'}}clinical findings_fin: {'multiple subcentimeter axillary nodes': {'clinical finding': 'multiple subcentimeter axillary nodes', 'existence': 'pos_dx', 'descriptive_term': 'multiple subcentimeter axillary', 'observation': 'node', 'quantity_term': 'multiple'}}clinical findings_fin: {'again seen , slightly improved': {'clinical finding': 'again seen , slightly improved'}}clinical findings_fin: {'persistent mild pneumobilia': {'clinical finding': 'persistent mild pneumobilia', 'existence': 'pos_dx', 'descriptive_term': 'persistent mild', 'observation': 'pneumobilia', 'strength_term': 'mild', 'temporal_term': 'persistent'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'small hypodense lesions': {'clinical finding': 'small hypodense lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'small hypodense', 'observation': 'lesion', 'strength_term': 'small'}}anatomical entity_fin: {'gallbladder': {}}clinical findings_fin: {'absent': {'clinical finding': 'absent', 'existence': 'pos_dx', 'observation': 'absent'}}anatomical entity_fin: {'hilum': {}}clinical findings_fin: {'small splenule seen': {'clinical finding': 'small splenule seen'}}anatomical entity_fin: {'spleen': {}}clinical findings_fin: {'spleen is otherwise unremarkable': {'clinical finding': 'spleen is otherwise unremarkable'}}anatomical entity_fin: {'pancreas': {}}clinical findings_fin: {'ill-defined mass': {'clinical finding': 'ill-defined mass', 'existence': 'pos_dx', 'descriptive_term': 'ill-defined', 'observation': 'mass', 'strength_term': 'ill-defined'}}anatomical entity_fin: {'pancreatic duct': {}}anatomical entity_fin: {'trunk': {}}clinical findings_fin: {'mild infiltrative soft tissue': {'clinical finding': 'mild infiltrative soft tissue', 'existence': 'pos_dx', 'descriptive_term': 'mild infiltrative soft', 'observation': 'tissue', 'strength_term': 'mild'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral non-obstructing renal stones': {'clinical finding': 'bilateral non-obstructing renal stones', 'existence': 'pos_dx', 'descriptive_term': 'bilateral non-obstructing renal', 'observation': 'stone'}}anatomical entity_fin: {'fluid': {}, 'left kidney': {}}clinical findings_fin: {'fluid attenuating lesion': {'clinical finding': 'fluid attenuating lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'fluid attenuating', 'observation': 'lesion'}, 'benign simple cyst': {'clinical finding': 'benign simple cyst', 'cf_snomed': {'simple cyst': 367644007}, 'existence': 'unc_dx', 'descriptive_term': 'benign simple', 'observation': 'cyst', 'strength_term': 'benign'}}clinical findings_fin: {'retroperitoneal adenopathy': {'clinical finding': 'retroperitoneal adenopathy', 'existence': 'pos_dx', 'descriptive_term': 'retroperitoneal', 'observation': 'adenopathy'}}clinical findings_fin: {'gastroduodenal stent': {'clinical finding': 'gastroduodenal stent', 'existence': 'pos_dx', 'descriptive_term': 'gastroduodenal', 'observation': 'stent'}}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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'stable pelvic ascites': {'clinical finding': 'stable pelvic ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'stable pelvic', 'observation': 'ascite', 'strength_term': 'stable', 'change_term': 'stable'}}
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'irregular pleural thickening': {'clinical finding': 'irregular pleural thickening', 'existence': 'pos_dx', 'descriptive_term': 'irregular pleural', 'observation': 'thickening'}}size_fin: [{'size': '5 mm'}, {'size': '4 mm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'previously described subpleural nodule': {'clinical finding': 'previously described subpleural nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'previously described subpleural', 'observation': 'nodule'}}clinical findings_fin: {'scattered pulmonary micronodules': {'clinical finding': 'scattered pulmonary micronodules', 'existence': 'pos_dx', 'descriptive_term': 'scattered pulmonary', 'observation': 'micronodule'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'multiple nodules': {'clinical finding': 'multiple nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'multiple', 'observation': 'nodule', 'quantity_term': 'multiple'}}size_fin: [{'size': '1.4 x 1.6 cm'}, {'size': '2.1 x 1.1 cm'}]location descriptor_fin: ['right']clinical findings_fin: {'hilar borderline enlarged lymph node': {'clinical finding': 'hilar borderline enlarged lymph node', 'existence': 'pos_dx', 'descriptive_term': 'hilar borderline enlarged lymph', 'observation': 'node', 'strength_term': 'borderline - enlarged', 'change_term': 'enlarged'}}location descriptor_fin: ['right']object_fin: ['port']clinical findings_fin: {'right -sided port is seen with tip near the cavoatrial junction': {'clinical finding': 'right -sided port is seen with tip near the cavoatrial junction'}}location descriptor_fin: ['left']non-anatomical substance_fin: ['leads']clinical findings_fin: {'left-sided cardiac device with leads unchanged in position': {'clinical finding': 'left-sided cardiac device with leads unchanged in position', 'change_term': 'unchanged'}}clinical findings_fin: {'multiple subcentimeter axillary nodes': {'clinical finding': 'multiple subcentimeter axillary nodes', 'existence': 'pos_dx', 'descriptive_term': 'multiple subcentimeter axillary', 'observation': 'node', 'quantity_term': 'multiple'}}clinical findings_fin: {'again seen , slightly improved': {'clinical finding': 'again seen , slightly improved'}}clinical findings_fin: {'persistent mild pneumobilia': {'clinical finding': 'persistent mild pneumobilia', 'existence': 'pos_dx', 'descriptive_term': 'persistent mild', 'observation': 'pneumobilia', 'strength_term': 'mild', 'temporal_term': 'persistent'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'small hypodense lesions': {'clinical finding': 'small hypodense lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'small hypodense', 'observation': 'lesion', 'strength_term': 'small'}}anatomical entity_fin: {'gallbladder': {}}clinical findings_fin: {'absent': {'clinical finding': 'absent', 'existence': 'pos_dx', 'observation': 'absent'}}anatomical entity_fin: {'hilum': {}}clinical findings_fin: {'small splenule seen': {'clinical finding': 'small splenule seen'}}anatomical entity_fin: {'spleen': {}}clinical findings_fin: {'spleen is otherwise unremarkable': {'clinical finding': 'spleen is otherwise unremarkable'}}anatomical entity_fin: {'pancreas': {}}clinical findings_fin: {'ill-defined mass': {'clinical finding': 'ill-defined mass', 'existence': 'pos_dx', 'descriptive_term': 'ill-defined', 'observation': 'mass', 'strength_term': 'ill-defined'}}anatomical entity_fin: {'pancreatic duct': {}}anatomical entity_fin: {'trunk': {}}clinical findings_fin: {'mild infiltrative soft tissue': {'clinical finding': 'mild infiltrative soft tissue', 'existence': 'pos_dx', 'descriptive_term': 'mild infiltrative soft', 'observation': 'tissue', 'strength_term': 'mild'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral non-obstructing renal stones': {'clinical finding': 'bilateral non-obstructing renal stones', 'existence': 'pos_dx', 'descriptive_term': 'bilateral non-obstructing renal', 'observation': 'stone'}}anatomical entity_fin: {'fluid': {}, 'left kidney': {}}clinical findings_fin: {'fluid attenuating lesion': {'clinical finding': 'fluid attenuating lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'fluid attenuating', 'observation': 'lesion'}, 'benign simple cyst': {'clinical finding': 'benign simple cyst', 'cf_snomed': {'simple cyst': 367644007}, 'existence': 'unc_dx', 'descriptive_term': 'benign simple', 'observation': 'cyst', 'strength_term': 'benign'}}clinical findings_fin: {'retroperitoneal adenopathy': {'clinical finding': 'retroperitoneal adenopathy', 'existence': 'pos_dx', 'descriptive_term': 'retroperitoneal', 'observation': 'adenopathy'}}clinical findings_fin: {'gastroduodenal stent': {'clinical finding': 'gastroduodenal stent', 'existence': 'pos_dx', 'descriptive_term': 'gastroduodenal', 'observation': 'stent'}}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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'stable pelvic ascites': {'clinical finding': 'stable pelvic ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'stable pelvic', 'observation': 'ascite', 'strength_term': 'stable', 'change_term': 'stable'}} [/INST] . Irregular pleural thickening is again seen bilaterally, similar to prior. Previously described subpleural nodule in the left lower lobe measures 5 mm compared to 4 mm previously. Scattered pulmonary micronodules are unchanged. The thyroid appears heterogenous with multiple nodules seen in the left lobe, unchanged from prior. Right hilar borderline enlarged lymph node is again seen measuring 1.4 x 1.6 cm compared to 2.1 x 1.1 cm previously. Moderate. Right-sided port is seen with tip near the cavoatrial junction. There is a left-sided cardiac device with leads unchanged in position. Multiple subcentimeter axillary nodes are seen, unchanged. Biliary dilatation is again seen, slightly improved from prior. Persistent mild pneumobilia. Small hypodense lesions in the liver are unchanged. The gallbladder is absent. Small splenule seen at the hilum. The spleen is otherwise unremarkable. Ill-defined mass is again seen in the pancreas which cannot be optimally measured but appears unchanged from prior. No dilatation of the pancreatic duct. There is mild infiltrative soft tissue around the celiac trunk which is unchanged. No significant abnormality noted. There are bilateral non-obstructing renal stones. Fluid attenuating lesion in the midpole of the left kidney which likely represents a benign simple cyst, unchanged. Retroperitoneal adenopathy unchanged. Mild. Gastroduodenal stent is again seen, unchanged in position. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Stable pelvic ascites. </s>