Todays CT portion grossly demonstrates diffusely osteopenic and mottled appearing bones throughout the spine, ribs and pelvis. There are multiple levels of vertebral body height loss within the thoracic and lumbar spine with evidence of kyphoplasty at T11, L1 and L4 multiple expansile lesions are seen within the ribs, particularly involving the right seventh rib where there is an associated fracture. There is bilateral pleural thickening with a small right basilar opacity which is decreased since the prior exam. A left femoral fixation rod is again seen. Todays PET examination demonstrates diffusely heterogeneous activity throughout the axial and proximal appendicular skeleton. There are more focal areas of increase in metabolic activity, particularly involving the right seventh rib where there is a pathologic fracture, right ilium and right scapula which are suspicious for myelomatous deposits. Increased activity in a right basilar opacity is at the site of previous right lower lobe pneumonia. Decreased activity in the lower left pelvis and acetabulum may be from radiation, correlate with history. Decreased activity from left femoral fixation rod.
anatomical entity_fin: {'spine': {}, 'ribs': {}, 'pelvis': {}}clinical findings_fin: {'diffusely osteopenic and mottled': {'clinical finding': 'diffusely osteopenic and mottled', 'existence': 'pos_dx', 'descriptive_term': 'diffusely osteopenic and', 'observation': 'mottled'}}anatomical entity_fin: {'vertebral body': {}, 'thoracic': {}, 'lumbar spine': {}, 'ribs': {}, 'rib': {}}location descriptor_fin: ['right']procedure_fin: ['kyphoplasty']clinical findings_fin: {'vertebral body height loss': {'clinical finding': 'vertebral body height loss', 'existence': 'pos_dx', 'descriptive_term': 'vertebral body height', 'observation': 'loss'}, 'multiple expansile lesions': {'clinical finding': 'multiple expansile lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'multiple expansile', 'observation': 'lesion', 'quantity_term': 'multiple'}, 'associated fracture': {'clinical finding': 'associated fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'associated', 'observation': 'fracture'}}location descriptor_fin: ['bilateral', 'right']clinical findings_fin: {'bilateral pleural thickening': {'clinical finding': 'bilateral pleural thickening', 'existence': 'pos_dx', 'descriptive_term': 'bilateral pleural', 'observation': 'thickening'}, 'small right basilar opacity': {'clinical finding': 'small right basilar opacity', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'small right basilar', 'observation': 'opacity', 'strength_term': 'small'}}location descriptor_fin: ['left']clinical findings_fin: {'left femoral fixation rod': {'clinical finding': 'left femoral fixation rod', 'existence': 'pos_dx', 'descriptive_term': 'left femoral fixation', 'observation': 'rod'}}anatomical entity_fin: {'appendicular skeleton': {'location descriptor': 'proximal'}}location descriptor_fin: ['proximal']clinical findings_fin: {'todays pet examination demonstrates diffusely heterogeneous activity throughout the axial and proximal appendicular skeleton': {'clinical finding': 'todays pet examination demonstrates diffusely heterogeneous activity throughout the axial and proximal appendicular skeleton'}}anatomical entity_fin: {'rib': {}, 'ilium': {'location descriptor': 'right'}, 'right scapula': {}}location descriptor_fin: ['right']clinical findings_fin: {'metabolic activity': {'clinical finding': 'metabolic activity', 'existence': 'pos_dx', 'descriptive_term': 'metabolic', 'observation': 'activity'}, 'pathologic fracture': {'clinical finding': 'pathologic fracture', 'cf_snomed': {'pathologic fracture': 22640007}, 'existence': 'pos_dx', 'descriptive_term': 'pathologic', 'observation': 'fracture'}, 'myelomatous deposits': {'clinical finding': 'myelomatous deposits', 'existence': 'unc_dx', 'descriptive_term': 'myelomatous', 'observation': 'deposit'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'right basilar opacity': {'clinical finding': 'right basilar opacity', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'right basilar', 'observation': 'opacity'}, 'previous right lower lobe pneumonia': {'clinical finding': 'previous right lower lobe pneumonia', 'cf_snomed': {'pneumonia': 233604007}, 'existence': 'pos_dx', 'descriptive_term': 'previous right lower lobe', 'observation': 'pneumonia', 'temporal_term': 'previous'}}anatomical entity_fin: {'pelvis': {'location descriptor': 'lower left'}, 'acetabulum': {}}location descriptor_fin: ['lower', 'left']clinical findings_fin: {'decreased activity in the lower left pelvis and acetabulum': {'clinical finding': 'decreased activity in the lower left pelvis and acetabulum', 'change_term': 'decreased'}}location descriptor_fin: ['left']clinical findings_fin: {'left femoral fixation rod': {'clinical finding': 'left femoral fixation rod', 'existence': 'pos_dx', 'descriptive_term': 'left femoral fixation', 'observation': 'rod'}}
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'spine': {}, 'ribs': {}, 'pelvis': {}}clinical findings_fin: {'diffusely osteopenic and mottled': {'clinical finding': 'diffusely osteopenic and mottled', 'existence': 'pos_dx', 'descriptive_term': 'diffusely osteopenic and', 'observation': 'mottled'}}anatomical entity_fin: {'vertebral body': {}, 'thoracic': {}, 'lumbar spine': {}, 'ribs': {}, 'rib': {}}location descriptor_fin: ['right']procedure_fin: ['kyphoplasty']clinical findings_fin: {'vertebral body height loss': {'clinical finding': 'vertebral body height loss', 'existence': 'pos_dx', 'descriptive_term': 'vertebral body height', 'observation': 'loss'}, 'multiple expansile lesions': {'clinical finding': 'multiple expansile lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'multiple expansile', 'observation': 'lesion', 'quantity_term': 'multiple'}, 'associated fracture': {'clinical finding': 'associated fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'associated', 'observation': 'fracture'}}location descriptor_fin: ['bilateral', 'right']clinical findings_fin: {'bilateral pleural thickening': {'clinical finding': 'bilateral pleural thickening', 'existence': 'pos_dx', 'descriptive_term': 'bilateral pleural', 'observation': 'thickening'}, 'small right basilar opacity': {'clinical finding': 'small right basilar opacity', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'small right basilar', 'observation': 'opacity', 'strength_term': 'small'}}location descriptor_fin: ['left']clinical findings_fin: {'left femoral fixation rod': {'clinical finding': 'left femoral fixation rod', 'existence': 'pos_dx', 'descriptive_term': 'left femoral fixation', 'observation': 'rod'}}anatomical entity_fin: {'appendicular skeleton': {'location descriptor': 'proximal'}}location descriptor_fin: ['proximal']clinical findings_fin: {'todays pet examination demonstrates diffusely heterogeneous activity throughout the axial and proximal appendicular skeleton': {'clinical finding': 'todays pet examination demonstrates diffusely heterogeneous activity throughout the axial and proximal appendicular skeleton'}}anatomical entity_fin: {'rib': {}, 'ilium': {'location descriptor': 'right'}, 'right scapula': {}}location descriptor_fin: ['right']clinical findings_fin: {'metabolic activity': {'clinical finding': 'metabolic activity', 'existence': 'pos_dx', 'descriptive_term': 'metabolic', 'observation': 'activity'}, 'pathologic fracture': {'clinical finding': 'pathologic fracture', 'cf_snomed': {'pathologic fracture': 22640007}, 'existence': 'pos_dx', 'descriptive_term': 'pathologic', 'observation': 'fracture'}, 'myelomatous deposits': {'clinical finding': 'myelomatous deposits', 'existence': 'unc_dx', 'descriptive_term': 'myelomatous', 'observation': 'deposit'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'right basilar opacity': {'clinical finding': 'right basilar opacity', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'right basilar', 'observation': 'opacity'}, 'previous right lower lobe pneumonia': {'clinical finding': 'previous right lower lobe pneumonia', 'cf_snomed': {'pneumonia': 233604007}, 'existence': 'pos_dx', 'descriptive_term': 'previous right lower lobe', 'observation': 'pneumonia', 'temporal_term': 'previous'}}anatomical entity_fin: {'pelvis': {'location descriptor': 'lower left'}, 'acetabulum': {}}location descriptor_fin: ['lower', 'left']clinical findings_fin: {'decreased activity in the lower left pelvis and acetabulum': {'clinical finding': 'decreased activity in the lower left pelvis and acetabulum', 'change_term': 'decreased'}}location descriptor_fin: ['left']clinical findings_fin: {'left femoral fixation rod': {'clinical finding': 'left femoral fixation rod', 'existence': 'pos_dx', 'descriptive_term': 'left femoral fixation', 'observation': 'rod'}} [/INST] Todays CT portion grossly demonstrates diffusely osteopenic and mottled appearing bones throughout the spine, ribs and pelvis. There are multiple levels of vertebral body height loss within the thoracic and lumbar spine with evidence of kyphoplasty at T11, L1 and L4 multiple expansile lesions are seen within the ribs, particularly involving the right seventh rib where there is an associated fracture. There is bilateral pleural thickening with a small right basilar opacity which is decreased since the prior exam. A left femoral fixation rod is again seen. Todays PET examination demonstrates diffusely heterogeneous activity throughout the axial and proximal appendicular skeleton. There are more focal areas of increase in metabolic activity, particularly involving the right seventh rib where there is a pathologic fracture, right ilium and right scapula which are suspicious for myelomatous deposits. Increased activity in a right basilar opacity is at the site of previous right lower lobe pneumonia. Decreased activity in the lower left pelvis and acetabulum may be from radiation, correlate with history. Decreased activity from left femoral fixation rod. </s>