. Stable size and number of pulmonary metastases. Reference lesion in the right lower lobe measures 3.7 x 2.6 cm , previously 3.8 x 2.6 cm. No pleural effusions. Mediastinal lymphadenopathy not significantly changed since previous. Reference paratracheal node measures 2.2 x 1.6 cm previously 2.1 x 1.7 cm. Right chest port with tip in the cavoatrial junction. Severe coronary arterial calcifications. No pericardial effusion. Thoracic spine degenerative changes. No suspicious osseous lesions. Reference hypoattenuating lesion in the hepatic dome unchanged measuring 2.3 x 1.8 cm previously 2.3 x 1.8 cm. Hypoattenuating lesion in the tip of the right inferior hepatic lobe also unchanged, as are smaller subcentimeter hypoattenuating foci too small to characterize. Focally dilated bile duct or possibly focal thrombus in the right portal vein unchanged. Status post cholecystectomy. No significant abnormality noted. Small round focus of tissue inferior to the spleen may represent a splenule is unchanged over multiple exams. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Subcentimeter focus of soft tissue adjacent to the right kidney unchanged. Scattered small lymph nodes unchanged. Severe atherosclerotic calcifications of the aorta and branches. The bowel is normal in caliber without obstruction. Metastatic implant in the right lower quadrant is perhaps mildly increased in size since the prior study measuring 2.9 x 2.6 cm previously 2.5 x 2.0 cm, this may partially reflect differences in angulation. However, this implant remains decreased in size compared with July 25, 2014 in retrospect. No suspicious osseous lesions. No significant abnormality noted. Status post hysterectomy. No significant abnormality noted. Mildly prominent pelvic and inguinal lymph nodes are unchanged. As above. No significant abnormality noted. No significant abnormality noted.
clinical findings_fin: {'pulmonary metastases': {'clinical finding': 'pulmonary metastases', 'existence': 'pos_dx', 'descriptive_term': 'pulmonary', 'observation': 'metastase'}}size_fin: [{'size': '3.7 x 2.6 cm'}, {'size': '3.8 x 2.6 cm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'reference lesion': {'clinical finding': 'reference lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'reference', 'observation': 'lesion'}}clinical findings_fin: {'pleural effusions': {'clinical finding': 'pleural effusions', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}}clinical findings_fin: {'mediastinal lymphadenopathy': {'clinical finding': 'mediastinal lymphadenopathy', 'cf_snomed': {'mediastinal lymphadenopathy': 52324001}, 'existence': 'neg_dx', 'descriptive_term': 'mediastinal', 'observation': 'lymphadenopathy'}}size_fin: [{'size': '2.2 x 1.6 cm'}, {'size': '2.1 x 1.7 cm'}]clinical findings_fin: {'reference paratracheal node': {'clinical finding': 'reference paratracheal node', 'existence': 'pos_dx', 'descriptive_term': 'reference paratracheal', 'observation': 'node'}}anatomical entity_fin: {'chest': {'location descriptor': 'right'}}location descriptor_fin: ['right']object_fin: ['port']clinical findings_fin: {'severe coronary arterial calcifications': {'clinical finding': 'severe coronary arterial calcifications', 'existence': 'pos_dx', 'descriptive_term': 'severe coronary arterial', 'observation': 'calcification', 'strength_term': 'severe'}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'thoracic spine degenerative changes': {'clinical finding': 'thoracic spine degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'thoracic spine degenerative', 'observation': 'change'}}clinical findings_fin: {'suspicious osseous lesions': {'clinical finding': 'suspicious osseous lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious osseous', 'observation': 'lesion'}}size_fin: [{'size': '2.3 x 1.8 cm'}, {'size': '2.3 x 1.8 cm'}]clinical findings_fin: {'reference hypoattenuating lesion': {'clinical finding': 'reference hypoattenuating lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'reference hypoattenuating', 'observation': 'lesion'}}anatomical entity_fin: {'lobe': {}}imaging observation_fin: ['foci']location descriptor_fin: ['right', 'inferior']clinical findings_fin: {'hypoattenuating lesion': {'clinical finding': 'hypoattenuating lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'hypoattenuating', 'observation': 'lesion'}, 'smaller subcentimeter hypoattenuating foci': {'clinical finding': 'smaller subcentimeter hypoattenuating foci', 'existence': 'pos_dx', 'descriptive_term': 'smaller subcentimeter hypoattenuating', 'observation': 'foci'}}anatomical entity_fin: {'right portal vein': {}}clinical findings_fin: {'focally dilated bile duct': {'clinical finding': 'focally dilated bile duct', 'existence': 'unc_dx', 'descriptive_term': 'focally dilated bile', 'observation': 'duct', 'change_term': 'dilated'}, 'possibly focal thrombus': {'clinical finding': 'possibly focal thrombus', 'cf_snomed': {'thrombus': 396339007}, 'existence': 'unc_dx', 'descriptive_term': 'possibly focal', 'observation': 'thrombus'}}procedure_fin: ['cholecystectomy']clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'spleen': {}}location descriptor_fin: ['inferior']clinical findings_fin: {'small round focus': {'clinical finding': 'small round focus', 'existence': 'pos_dx', 'descriptive_term': 'small round', 'observation': 'focus', 'strength_term': 'small'}, 'tissue': {'clinical finding': 'tissue', 'existence': 'pos_dx', 'observation': 'tissue'}}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'}}anatomical entity_fin: {'right kidney': {}}location descriptor_fin: ['adjacent']clinical findings_fin: {'soft tissue': {'clinical finding': 'soft tissue', 'existence': 'pos_dx', 'descriptive_term': 'soft', 'observation': 'tissue'}, 'unchanged': {'clinical finding': 'unchanged', 'existence': 'pos_dx', 'observation': 'unchanged'}}clinical findings_fin: {'scattered small lymph nodes': {'clinical finding': 'scattered small lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'scattered small lymph', 'observation': 'node', 'strength_term': 'small'}}anatomical entity_fin: {'aorta': {}}clinical findings_fin: {'severe atherosclerotic calcifications': {'clinical finding': 'severe atherosclerotic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'severe atherosclerotic', 'observation': 'calcification', 'strength_term': 'severe'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'pos_dx', 'observation': 'obstruction'}}size_fin: [{'size': '2.9 x 2.6 cm'}, {'size': '2.5 x 2.0 cm'}]anatomical entity_fin: {'quadrant': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']object_fin: ['implant']clinical findings_fin: {'metastatic': {'clinical finding': 'metastatic', 'existence': 'pos_dx', 'observation': 'metastatic'}}object_fin: ['implant']clinical findings_fin: {'however , this implant remains decreased in size compared with july 25 , 2014 in retrospect': {'clinical finding': 'however , this implant remains decreased in size compared with july 25 , 2014 in retrospect', 'change_term': 'decreased'}}clinical findings_fin: {'suspicious osseous lesions': {'clinical finding': 'suspicious osseous lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious osseous', 'observation': 'lesion'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}procedure_fin: ['hysterectomy']clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'inguinal lymph nodes': {}}clinical findings_fin: {'mildly prominent pelvic and inguinal lymph nodes': {'clinical finding': 'mildly prominent pelvic and inguinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'mildly prominent pelvic and inguinal lymph', 'observation': 'node', 'strength_term': 'mildly - prominent'}}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: clinical findings_fin: {'pulmonary metastases': {'clinical finding': 'pulmonary metastases', 'existence': 'pos_dx', 'descriptive_term': 'pulmonary', 'observation': 'metastase'}}size_fin: [{'size': '3.7 x 2.6 cm'}, {'size': '3.8 x 2.6 cm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'reference lesion': {'clinical finding': 'reference lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'reference', 'observation': 'lesion'}}clinical findings_fin: {'pleural effusions': {'clinical finding': 'pleural effusions', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}}clinical findings_fin: {'mediastinal lymphadenopathy': {'clinical finding': 'mediastinal lymphadenopathy', 'cf_snomed': {'mediastinal lymphadenopathy': 52324001}, 'existence': 'neg_dx', 'descriptive_term': 'mediastinal', 'observation': 'lymphadenopathy'}}size_fin: [{'size': '2.2 x 1.6 cm'}, {'size': '2.1 x 1.7 cm'}]clinical findings_fin: {'reference paratracheal node': {'clinical finding': 'reference paratracheal node', 'existence': 'pos_dx', 'descriptive_term': 'reference paratracheal', 'observation': 'node'}}anatomical entity_fin: {'chest': {'location descriptor': 'right'}}location descriptor_fin: ['right']object_fin: ['port']clinical findings_fin: {'severe coronary arterial calcifications': {'clinical finding': 'severe coronary arterial calcifications', 'existence': 'pos_dx', 'descriptive_term': 'severe coronary arterial', 'observation': 'calcification', 'strength_term': 'severe'}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'thoracic spine degenerative changes': {'clinical finding': 'thoracic spine degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'thoracic spine degenerative', 'observation': 'change'}}clinical findings_fin: {'suspicious osseous lesions': {'clinical finding': 'suspicious osseous lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious osseous', 'observation': 'lesion'}}size_fin: [{'size': '2.3 x 1.8 cm'}, {'size': '2.3 x 1.8 cm'}]clinical findings_fin: {'reference hypoattenuating lesion': {'clinical finding': 'reference hypoattenuating lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'reference hypoattenuating', 'observation': 'lesion'}}anatomical entity_fin: {'lobe': {}}imaging observation_fin: ['foci']location descriptor_fin: ['right', 'inferior']clinical findings_fin: {'hypoattenuating lesion': {'clinical finding': 'hypoattenuating lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'hypoattenuating', 'observation': 'lesion'}, 'smaller subcentimeter hypoattenuating foci': {'clinical finding': 'smaller subcentimeter hypoattenuating foci', 'existence': 'pos_dx', 'descriptive_term': 'smaller subcentimeter hypoattenuating', 'observation': 'foci'}}anatomical entity_fin: {'right portal vein': {}}clinical findings_fin: {'focally dilated bile duct': {'clinical finding': 'focally dilated bile duct', 'existence': 'unc_dx', 'descriptive_term': 'focally dilated bile', 'observation': 'duct', 'change_term': 'dilated'}, 'possibly focal thrombus': {'clinical finding': 'possibly focal thrombus', 'cf_snomed': {'thrombus': 396339007}, 'existence': 'unc_dx', 'descriptive_term': 'possibly focal', 'observation': 'thrombus'}}procedure_fin: ['cholecystectomy']clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'spleen': {}}location descriptor_fin: ['inferior']clinical findings_fin: {'small round focus': {'clinical finding': 'small round focus', 'existence': 'pos_dx', 'descriptive_term': 'small round', 'observation': 'focus', 'strength_term': 'small'}, 'tissue': {'clinical finding': 'tissue', 'existence': 'pos_dx', 'observation': 'tissue'}}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'}}anatomical entity_fin: {'right kidney': {}}location descriptor_fin: ['adjacent']clinical findings_fin: {'soft tissue': {'clinical finding': 'soft tissue', 'existence': 'pos_dx', 'descriptive_term': 'soft', 'observation': 'tissue'}, 'unchanged': {'clinical finding': 'unchanged', 'existence': 'pos_dx', 'observation': 'unchanged'}}clinical findings_fin: {'scattered small lymph nodes': {'clinical finding': 'scattered small lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'scattered small lymph', 'observation': 'node', 'strength_term': 'small'}}anatomical entity_fin: {'aorta': {}}clinical findings_fin: {'severe atherosclerotic calcifications': {'clinical finding': 'severe atherosclerotic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'severe atherosclerotic', 'observation': 'calcification', 'strength_term': 'severe'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'pos_dx', 'observation': 'obstruction'}}size_fin: [{'size': '2.9 x 2.6 cm'}, {'size': '2.5 x 2.0 cm'}]anatomical entity_fin: {'quadrant': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']object_fin: ['implant']clinical findings_fin: {'metastatic': {'clinical finding': 'metastatic', 'existence': 'pos_dx', 'observation': 'metastatic'}}object_fin: ['implant']clinical findings_fin: {'however , this implant remains decreased in size compared with july 25 , 2014 in retrospect': {'clinical finding': 'however , this implant remains decreased in size compared with july 25 , 2014 in retrospect', 'change_term': 'decreased'}}clinical findings_fin: {'suspicious osseous lesions': {'clinical finding': 'suspicious osseous lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious osseous', 'observation': 'lesion'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}procedure_fin: ['hysterectomy']clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'inguinal lymph nodes': {}}clinical findings_fin: {'mildly prominent pelvic and inguinal lymph nodes': {'clinical finding': 'mildly prominent pelvic and inguinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'mildly prominent pelvic and inguinal lymph', 'observation': 'node', 'strength_term': 'mildly - prominent'}}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] . Stable size and number of pulmonary metastases. Reference lesion in the right lower lobe measures 3.7 x 2.6 cm , previously 3.8 x 2.6 cm. No pleural effusions. Mediastinal lymphadenopathy not significantly changed since previous. Reference paratracheal node measures 2.2 x 1.6 cm previously 2.1 x 1.7 cm. Right chest port with tip in the cavoatrial junction. Severe coronary arterial calcifications. No pericardial effusion. Thoracic spine degenerative changes. No suspicious osseous lesions. Reference hypoattenuating lesion in the hepatic dome unchanged measuring 2.3 x 1.8 cm previously 2.3 x 1.8 cm. Hypoattenuating lesion in the tip of the right inferior hepatic lobe also unchanged, as are smaller subcentimeter hypoattenuating foci too small to characterize. Focally dilated bile duct or possibly focal thrombus in the right portal vein unchanged. Status post cholecystectomy. No significant abnormality noted. Small round focus of tissue inferior to the spleen may represent a splenule is unchanged over multiple exams. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Subcentimeter focus of soft tissue adjacent to the right kidney unchanged. Scattered small lymph nodes unchanged. Severe atherosclerotic calcifications of the aorta and branches. The bowel is normal in caliber without obstruction. Metastatic implant in the right lower quadrant is perhaps mildly increased in size since the prior study measuring 2.9 x 2.6 cm previously 2.5 x 2.0 cm, this may partially reflect differences in angulation. However, this implant remains decreased in size compared with July 25, 2014 in retrospect. No suspicious osseous lesions. No significant abnormality noted. Status post hysterectomy. No significant abnormality noted. Mildly prominent pelvic and inguinal lymph nodes are unchanged. As above. No significant abnormality noted. No significant abnormality noted. </s>