. Multiple new bilateral space-occupying mass lesions are seen throughout both lungs. Representative reference right lung lesion measures 2.5 x 2.2 cm, and representative left lower lobe lesion measures 1.2 x 1.0 cm. No pleural disease is seen. New enlarged right precarinal or right mainstem bronchus lymph node measures 2.3 x 1.5 cm. No other enlarged mediastinal lymph nodes are seen. None. No significant abnormality noted. There is been a marked increase in the number of metastatic lesions seen in the liver, now exceeding 15, whereas only one was seen on prior outside CT examination which has increased in size from 2.2 x 2.5 cm previously 26.2 x 6.5 cm on current examination. Vascular structures appear normal. Gallbladder and biliary tract are normal. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Enlarged celiac axis lymph nodes are seen, with reference measurement lymph node measuring 3.0 x 2.7 cm. Small para-aortic lymph nodes are seen with the largest measuring 1.6 x 1.1 cm. Mild. There has been interval loop left lower quadrant colostomy. No other changes or abnormalities are seen in the abdominal mesentery-see pelvic discussion below. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Rectal mass has markedly increased in size and now measures 9.4 x 6.8 cm, previously 4.8 x 3.3 cm. Adjacent new mesenteric lymph nodes are seen with the largest measuring 1.4 x 1.6 cm. No significant abnormality noted. No significant abnormality noted.
anatomical entity_fin: {'lungs': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'multiple new bilateral space-occupying mass lesions': {'clinical finding': 'multiple new bilateral space-occupying mass lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'multiple new bilateral space-occupying mass', 'observation': 'lesion', 'quantity_term': 'multiple', 'temporal_term': 'new'}}size_fin: [{'size': '2.5 x 2.2 cm', 'size_descriptor': 'lesion'}, {'size': '1.2 x 1.0 cm', 'size_descriptor': 'representative'}]anatomical entity_fin: {'right lung': {}, 'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'representative reference right lung lesion': {'clinical finding': 'representative reference right lung lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'representative reference right lung', 'observation': 'lesion'}, 'representative left lower lobe lesion': {'clinical finding': 'representative left lower lobe lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'representative left lower lobe', 'observation': 'lesion'}}clinical findings_fin: {'pleural disease': {'clinical finding': 'pleural disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'disease'}}size_fin: [{'size': '2.3 x 1.5 cm', 'size_descriptor': 'node'}]anatomical entity_fin: {'bronchus': {}}location descriptor_fin: ['right']clinical findings_fin: {'new enlarged right precarinal or right mainstem bronchus lymph node': {'clinical finding': 'new enlarged right precarinal or right mainstem bronchus lymph node', 'existence': 'pos_dx', 'descriptive_term': 'new enlarged right precarinal or right mainstem bronchus lymph', 'observation': 'node', 'strength_term': 'enlarged', 'temporal_term': 'new', 'change_term': 'enlarged'}}anatomical entity_fin: {'mediastinal lymph nodes': {}}clinical findings_fin: {'other enlarged mediastinal lymph nodes': {'clinical finding': 'other enlarged mediastinal lymph nodes', 'existence': 'neg_dx', 'descriptive_term': 'other enlarged mediastinal lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}size_fin: [{'size': '2.2 x 2.5 cm'}, {'size': '26.2 x 6.5 cm'}]anatomical entity_fin: {'liver': {}}clinical findings_fin: {'metastatic lesions': {'clinical finding': 'metastatic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'metastatic', 'observation': 'lesion'}}clinical findings_fin: {'vascular structures appear': {'clinical finding': 'vascular structures appear'}}anatomical entity_fin: {'gallbladder': {}}clinical findings_fin: {'gallbladder and biliary tract are normal': {'clinical finding': 'gallbladder and biliary tract are normal'}}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'}}size_fin: [{'size': '3.0 x 2.7 cm'}]anatomical entity_fin: {'axis': {}}clinical findings_fin: {'enlarged celiac axis lymph nodes': {'clinical finding': 'enlarged celiac axis lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'enlarged celiac axis lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'}, 'reference measurement lymph node': {'clinical finding': 'reference measurement lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference measurement lymph', 'observation': 'node'}}size_fin: [{'size': '1.6 x 1.1 cm'}]clinical findings_fin: {'small para-aortic lymph nodes': {'clinical finding': 'small para-aortic lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small para-aortic lymph', 'observation': 'node', 'strength_term': 'small'}}anatomical entity_fin: {'quadrant': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']procedure_fin: ['colostomy']anatomical entity_fin: {'abdominal': {}, 'mesentery': {}}clinical findings_fin: {'other changes': {'clinical finding': 'other changes', 'existence': 'neg_dx', 'descriptive_term': 'other', 'observation': 'change'}, 'abnormalities': {'clinical finding': 'abnormalities', 'existence': 'neg_dx', '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'}}size_fin: [{'size': '9.4 x 6.8 cm'}, {'size': '4.8 x 3.3 cm'}]clinical findings_fin: {'rectal mass': {'clinical finding': 'rectal mass', 'cf_snomed': {'rectal mass': 248523006}, 'existence': 'pos_dx', 'descriptive_term': 'rectal', 'observation': 'mass'}}size_fin: [{'size': '1.4 x 1.6 cm'}]anatomical entity_fin: {'mesenteric lymph nodes': {}}location descriptor_fin: ['adjacent']clinical findings_fin: {'adjacent new mesenteric lymph nodes': {'clinical finding': 'adjacent new mesenteric lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'adjacent new mesenteric lymph', 'observation': 'node', 'temporal_term': 'new'}}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: {'lungs': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'multiple new bilateral space-occupying mass lesions': {'clinical finding': 'multiple new bilateral space-occupying mass lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'multiple new bilateral space-occupying mass', 'observation': 'lesion', 'quantity_term': 'multiple', 'temporal_term': 'new'}}size_fin: [{'size': '2.5 x 2.2 cm', 'size_descriptor': 'lesion'}, {'size': '1.2 x 1.0 cm', 'size_descriptor': 'representative'}]anatomical entity_fin: {'right lung': {}, 'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'representative reference right lung lesion': {'clinical finding': 'representative reference right lung lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'representative reference right lung', 'observation': 'lesion'}, 'representative left lower lobe lesion': {'clinical finding': 'representative left lower lobe lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'representative left lower lobe', 'observation': 'lesion'}}clinical findings_fin: {'pleural disease': {'clinical finding': 'pleural disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'disease'}}size_fin: [{'size': '2.3 x 1.5 cm', 'size_descriptor': 'node'}]anatomical entity_fin: {'bronchus': {}}location descriptor_fin: ['right']clinical findings_fin: {'new enlarged right precarinal or right mainstem bronchus lymph node': {'clinical finding': 'new enlarged right precarinal or right mainstem bronchus lymph node', 'existence': 'pos_dx', 'descriptive_term': 'new enlarged right precarinal or right mainstem bronchus lymph', 'observation': 'node', 'strength_term': 'enlarged', 'temporal_term': 'new', 'change_term': 'enlarged'}}anatomical entity_fin: {'mediastinal lymph nodes': {}}clinical findings_fin: {'other enlarged mediastinal lymph nodes': {'clinical finding': 'other enlarged mediastinal lymph nodes', 'existence': 'neg_dx', 'descriptive_term': 'other enlarged mediastinal lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}size_fin: [{'size': '2.2 x 2.5 cm'}, {'size': '26.2 x 6.5 cm'}]anatomical entity_fin: {'liver': {}}clinical findings_fin: {'metastatic lesions': {'clinical finding': 'metastatic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'metastatic', 'observation': 'lesion'}}clinical findings_fin: {'vascular structures appear': {'clinical finding': 'vascular structures appear'}}anatomical entity_fin: {'gallbladder': {}}clinical findings_fin: {'gallbladder and biliary tract are normal': {'clinical finding': 'gallbladder and biliary tract are normal'}}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'}}size_fin: [{'size': '3.0 x 2.7 cm'}]anatomical entity_fin: {'axis': {}}clinical findings_fin: {'enlarged celiac axis lymph nodes': {'clinical finding': 'enlarged celiac axis lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'enlarged celiac axis lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'}, 'reference measurement lymph node': {'clinical finding': 'reference measurement lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference measurement lymph', 'observation': 'node'}}size_fin: [{'size': '1.6 x 1.1 cm'}]clinical findings_fin: {'small para-aortic lymph nodes': {'clinical finding': 'small para-aortic lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small para-aortic lymph', 'observation': 'node', 'strength_term': 'small'}}anatomical entity_fin: {'quadrant': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']procedure_fin: ['colostomy']anatomical entity_fin: {'abdominal': {}, 'mesentery': {}}clinical findings_fin: {'other changes': {'clinical finding': 'other changes', 'existence': 'neg_dx', 'descriptive_term': 'other', 'observation': 'change'}, 'abnormalities': {'clinical finding': 'abnormalities', 'existence': 'neg_dx', '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'}}size_fin: [{'size': '9.4 x 6.8 cm'}, {'size': '4.8 x 3.3 cm'}]clinical findings_fin: {'rectal mass': {'clinical finding': 'rectal mass', 'cf_snomed': {'rectal mass': 248523006}, 'existence': 'pos_dx', 'descriptive_term': 'rectal', 'observation': 'mass'}}size_fin: [{'size': '1.4 x 1.6 cm'}]anatomical entity_fin: {'mesenteric lymph nodes': {}}location descriptor_fin: ['adjacent']clinical findings_fin: {'adjacent new mesenteric lymph nodes': {'clinical finding': 'adjacent new mesenteric lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'adjacent new mesenteric lymph', 'observation': 'node', 'temporal_term': 'new'}}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 new bilateral space-occupying mass lesions are seen throughout both lungs. Representative reference right lung lesion measures 2.5 x 2.2 cm, and representative left lower lobe lesion measures 1.2 x 1.0 cm. No pleural disease is seen. New enlarged right precarinal or right mainstem bronchus lymph node measures 2.3 x 1.5 cm. No other enlarged mediastinal lymph nodes are seen. None. No significant abnormality noted. There is been a marked increase in the number of metastatic lesions seen in the liver, now exceeding 15, whereas only one was seen on prior outside CT examination which has increased in size from 2.2 x 2.5 cm previously 26.2 x 6.5 cm on current examination. Vascular structures appear normal. Gallbladder and biliary tract are normal. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Enlarged celiac axis lymph nodes are seen, with reference measurement lymph node measuring 3.0 x 2.7 cm. Small para-aortic lymph nodes are seen with the largest measuring 1.6 x 1.1 cm. Mild. There has been interval loop left lower quadrant colostomy. No other changes or abnormalities are seen in the abdominal mesentery-see pelvic discussion below. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Rectal mass has markedly increased in size and now measures 9.4 x 6.8 cm, previously 4.8 x 3.3 cm. Adjacent new mesenteric lymph nodes are seen with the largest measuring 1.4 x 1.6 cm. No significant abnormality noted. No significant abnormality noted. </s>