A previously demonstrated enlarged left level 1B lymph node has decreased in size, currently measuring 16 x 10 mm. Mass effect upon the adjacent submandibular gland has decreased as well. There is no clinically significant lymphadenopathy elsewhere. The thyroid and major salivary glands are otherwise unremarkable. The major cervical vessels are patent. There is a an extraction cavity at tooth # 6 and a carious tooth # 17 with periodontal lucency. The airways are patent. There is multilevel degenerative spondylosis. There is extensive architectural distortion with patchy opacities and air-bronchograms and emphysema in the imaged portions of the lungs, with a more discrete right apical lesion.
size_fin: [{'size': '16 x 10 mm', 'size_descriptor': 'node'}]location descriptor_fin: ['left']clinical findings_fin: {'previously demonstrated enlarged left level 1b lymph node': {'clinical finding': 'previously demonstrated enlarged left level 1b lymph node', 'existence': 'pos_dx', 'descriptive_term': 'previously demonstrated enlarged left level 1b lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'}}anatomical entity_fin: {'submandibular gland': {'location descriptor': 'adjacent'}}location descriptor_fin: ['adjacent']clinical findings_fin: {'mass': {'clinical finding': 'mass', 'existence': 'pos_dx', 'observation': 'mass'}}clinical findings_fin: {'clinically significant lymphadenopathy': {'clinical finding': 'clinically significant lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'descriptive_term': 'clinically significant', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'major salivary glands': {}}clinical findings_fin: {'thyroid and major salivary glands are otherwise unremarkable': {'clinical finding': 'thyroid and major salivary glands are otherwise unremarkable'}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}imaging observation_fin: ['tooth']clinical findings_fin: {'carious tooth': {'clinical finding': 'carious tooth', 'existence': 'pos_dx', 'descriptive_term': 'carious', 'observation': 'tooth'}}anatomical entity_fin: {'airways': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}clinical findings_fin: {'multilevel degenerative spondylosis': {'clinical finding': 'multilevel degenerative spondylosis', 'cf_snomed': {'spondylosis': 8847002}, 'existence': 'pos_dx', 'descriptive_term': 'multilevel degenerative', 'observation': 'spondylosis'}}anatomical entity_fin: {'lungs': {}}imaging observation_fin: ['apical']location descriptor_fin: ['right']clinical findings_fin: {'extensive architectural distortion': {'clinical finding': 'extensive architectural distortion', 'existence': 'pos_dx', 'descriptive_term': 'extensive architectural', 'observation': 'distortion', 'strength_term': 'extensive'}, 'patchy opacities': {'clinical finding': 'patchy opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'patchy', 'observation': 'opacity'}, 'emphysema': {'clinical finding': 'emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'observation': 'emphysema'}, 'more discrete right apical lesion': {'clinical finding': 'more discrete right apical lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'more discrete right apical', 'observation': 'lesion', 'quantity_term': 'more'}}
<s>[INST] Write the finding section for a radiology report based on the following information: size_fin: [{'size': '16 x 10 mm', 'size_descriptor': 'node'}]location descriptor_fin: ['left']clinical findings_fin: {'previously demonstrated enlarged left level 1b lymph node': {'clinical finding': 'previously demonstrated enlarged left level 1b lymph node', 'existence': 'pos_dx', 'descriptive_term': 'previously demonstrated enlarged left level 1b lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'}}anatomical entity_fin: {'submandibular gland': {'location descriptor': 'adjacent'}}location descriptor_fin: ['adjacent']clinical findings_fin: {'mass': {'clinical finding': 'mass', 'existence': 'pos_dx', 'observation': 'mass'}}clinical findings_fin: {'clinically significant lymphadenopathy': {'clinical finding': 'clinically significant lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'descriptive_term': 'clinically significant', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'major salivary glands': {}}clinical findings_fin: {'thyroid and major salivary glands are otherwise unremarkable': {'clinical finding': 'thyroid and major salivary glands are otherwise unremarkable'}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}imaging observation_fin: ['tooth']clinical findings_fin: {'carious tooth': {'clinical finding': 'carious tooth', 'existence': 'pos_dx', 'descriptive_term': 'carious', 'observation': 'tooth'}}anatomical entity_fin: {'airways': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}clinical findings_fin: {'multilevel degenerative spondylosis': {'clinical finding': 'multilevel degenerative spondylosis', 'cf_snomed': {'spondylosis': 8847002}, 'existence': 'pos_dx', 'descriptive_term': 'multilevel degenerative', 'observation': 'spondylosis'}}anatomical entity_fin: {'lungs': {}}imaging observation_fin: ['apical']location descriptor_fin: ['right']clinical findings_fin: {'extensive architectural distortion': {'clinical finding': 'extensive architectural distortion', 'existence': 'pos_dx', 'descriptive_term': 'extensive architectural', 'observation': 'distortion', 'strength_term': 'extensive'}, 'patchy opacities': {'clinical finding': 'patchy opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'patchy', 'observation': 'opacity'}, 'emphysema': {'clinical finding': 'emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'observation': 'emphysema'}, 'more discrete right apical lesion': {'clinical finding': 'more discrete right apical lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'more discrete right apical', 'observation': 'lesion', 'quantity_term': 'more'}} [/INST] A previously demonstrated enlarged left level 1B lymph node has decreased in size, currently measuring 16 x 10 mm. Mass effect upon the adjacent submandibular gland has decreased as well. There is no clinically significant lymphadenopathy elsewhere. The thyroid and major salivary glands are otherwise unremarkable. The major cervical vessels are patent. There is a an extraction cavity at tooth # 6 and a carious tooth # 17 with periodontal lucency. The airways are patent. There is multilevel degenerative spondylosis. There is extensive architectural distortion with patchy opacities and air-bronchograms and emphysema in the imaged portions of the lungs, with a more discrete right apical lesion. </s>