Correlating to areas of increased metabolic activity seen on the prior PET examination in the right parotid gland, there are two or three small nodules and one dominant nodule in the inferior aspect of the gland. These lesions are hyperattenuating which presumably reflects enhancement though it could also indicate high cellularity. The margins of the dominant lesion are fairly well defined, but the margins of the smaller lesions are somewhat indistinct. The lesions appear solid and contain no definite calcifications, though there are vascular structures coursing along their margins. The dominant lesion measures up to 29 x 17 mm in the axial plane and up to 24 mm in the sagittal plane. These lesions are located predominantly within the superficial portion of the gland, though the dominant lesion may project slightly into the deep portion of the gland. The remaining salivary glands are free of focal lesions. No pathologic adenopathy is detected elsewhere in the neck by size criteria. The thyroid gland is unremarkable. The aerodigestive mucosa is smooth and symmetric throughout. Cervical vessels enhance normally with evidence of atherosclerotic calcification at the carotid bifurcations. Reticulation and emphysema is seen in the lung apices. No concerning or destructive osseous lesions are identified. Opacification of several left ethmoid air cells is seen.
anatomical entity_fin: {'right parotid gland': {}, 'gland': {}}location descriptor_fin: ['inferior']clinical findings_fin: {'increased metabolic activity': {'clinical finding': 'increased metabolic activity', 'existence': 'pos_dx', 'descriptive_term': 'increased metabolic', 'observation': 'activity', 'strength_term': 'increased', 'change_term': 'increased'}, 'two or three small nodules': {'clinical finding': 'two or three small nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'two or three small', 'observation': 'nodule', 'strength_term': 'small'}, 'one dominant nodule': {'clinical finding': 'one dominant nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'one dominant', 'observation': 'nodule'}}clinical findings_fin: {'these lesions': {'clinical finding': 'these lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'these', 'observation': 'lesion'}, 'enhancement': {'clinical finding': 'enhancement', 'existence': 'unc_dx', 'observation': 'enhancement'}, 'high cellularity': {'clinical finding': 'high cellularity', 'existence': 'unc_dx', 'descriptive_term': 'high', 'observation': 'cellularity'}}imaging observation_fin: ['margins']clinical findings_fin: {'dominant lesion': {'clinical finding': 'dominant lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'dominant', 'observation': 'lesion'}, 'smaller lesions': {'clinical finding': 'smaller lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'smaller', 'observation': 'lesion'}}imaging observation_fin: ['margins']clinical findings_fin: {'lesions': {'clinical finding': 'lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'observation': 'lesion'}, 'solid': {'clinical finding': 'solid', 'existence': 'pos_dx', 'observation': 'solid'}, 'definite calcifications': {'clinical finding': 'definite calcifications', 'existence': 'neg_dx', 'descriptive_term': 'definite', 'observation': 'calcification'}}size_fin: [{'size': '29 x 17 mm'}, {'size': '24 mm'}]anatomical entity_fin: {'axial plane': {}, 'sagittal plane': {}}clinical findings_fin: {'dominant lesion': {'clinical finding': 'dominant lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'dominant', 'observation': 'lesion'}}anatomical entity_fin: {'gland': {}}location descriptor_fin: ['superficial']clinical findings_fin: {'these lesions': {'clinical finding': 'these lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'these', 'observation': 'lesion'}, 'dominant lesion': {'clinical finding': 'dominant lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'dominant', 'observation': 'lesion'}}anatomical entity_fin: {'salivary glands': {}}clinical findings_fin: {'focal lesions': {'clinical finding': 'focal lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'focal', 'observation': 'lesion'}}anatomical entity_fin: {'neck': {}}clinical findings_fin: {'pathologic adenopathy': {'clinical finding': 'pathologic adenopathy', 'existence': 'neg_dx', 'descriptive_term': 'pathologic', 'observation': 'adenopathy'}}anatomical entity_fin: {'thyroid gland': {}}clinical findings_fin: {'thyroid gland is unremarkable': {'clinical finding': 'thyroid gland is unremarkable'}}anatomical entity_fin: {'mucosa': {}}clinical findings_fin: {'smooth': {'clinical finding': 'smooth', 'existence': 'pos_dx', 'observation': 'smooth'}}clinical findings_fin: {'atherosclerotic calcification': {'clinical finding': 'atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'}}anatomical entity_fin: {'lung': {}, 'apices': {}}imaging observation_fin: ['reticulation']clinical findings_fin: {'reticulation': {'clinical finding': 'reticulation', 'existence': 'pos_dx', 'observation': 'reticulation'}, 'emphysema': {'clinical finding': 'emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'observation': 'emphysema'}}clinical findings_fin: {'concerning or destructive osseous lesions': {'clinical finding': 'concerning or destructive osseous lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'concerning or destructive osseous', 'observation': 'lesion'}}anatomical entity_fin: {'cells': {}}location descriptor_fin: ['left']clinical findings_fin: {'opacification': {'clinical finding': 'opacification', 'existence': 'pos_dx', 'observation': 'opacification'}}
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'right parotid gland': {}, 'gland': {}}location descriptor_fin: ['inferior']clinical findings_fin: {'increased metabolic activity': {'clinical finding': 'increased metabolic activity', 'existence': 'pos_dx', 'descriptive_term': 'increased metabolic', 'observation': 'activity', 'strength_term': 'increased', 'change_term': 'increased'}, 'two or three small nodules': {'clinical finding': 'two or three small nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'two or three small', 'observation': 'nodule', 'strength_term': 'small'}, 'one dominant nodule': {'clinical finding': 'one dominant nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'one dominant', 'observation': 'nodule'}}clinical findings_fin: {'these lesions': {'clinical finding': 'these lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'these', 'observation': 'lesion'}, 'enhancement': {'clinical finding': 'enhancement', 'existence': 'unc_dx', 'observation': 'enhancement'}, 'high cellularity': {'clinical finding': 'high cellularity', 'existence': 'unc_dx', 'descriptive_term': 'high', 'observation': 'cellularity'}}imaging observation_fin: ['margins']clinical findings_fin: {'dominant lesion': {'clinical finding': 'dominant lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'dominant', 'observation': 'lesion'}, 'smaller lesions': {'clinical finding': 'smaller lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'smaller', 'observation': 'lesion'}}imaging observation_fin: ['margins']clinical findings_fin: {'lesions': {'clinical finding': 'lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'observation': 'lesion'}, 'solid': {'clinical finding': 'solid', 'existence': 'pos_dx', 'observation': 'solid'}, 'definite calcifications': {'clinical finding': 'definite calcifications', 'existence': 'neg_dx', 'descriptive_term': 'definite', 'observation': 'calcification'}}size_fin: [{'size': '29 x 17 mm'}, {'size': '24 mm'}]anatomical entity_fin: {'axial plane': {}, 'sagittal plane': {}}clinical findings_fin: {'dominant lesion': {'clinical finding': 'dominant lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'dominant', 'observation': 'lesion'}}anatomical entity_fin: {'gland': {}}location descriptor_fin: ['superficial']clinical findings_fin: {'these lesions': {'clinical finding': 'these lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'these', 'observation': 'lesion'}, 'dominant lesion': {'clinical finding': 'dominant lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'dominant', 'observation': 'lesion'}}anatomical entity_fin: {'salivary glands': {}}clinical findings_fin: {'focal lesions': {'clinical finding': 'focal lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'focal', 'observation': 'lesion'}}anatomical entity_fin: {'neck': {}}clinical findings_fin: {'pathologic adenopathy': {'clinical finding': 'pathologic adenopathy', 'existence': 'neg_dx', 'descriptive_term': 'pathologic', 'observation': 'adenopathy'}}anatomical entity_fin: {'thyroid gland': {}}clinical findings_fin: {'thyroid gland is unremarkable': {'clinical finding': 'thyroid gland is unremarkable'}}anatomical entity_fin: {'mucosa': {}}clinical findings_fin: {'smooth': {'clinical finding': 'smooth', 'existence': 'pos_dx', 'observation': 'smooth'}}clinical findings_fin: {'atherosclerotic calcification': {'clinical finding': 'atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'}}anatomical entity_fin: {'lung': {}, 'apices': {}}imaging observation_fin: ['reticulation']clinical findings_fin: {'reticulation': {'clinical finding': 'reticulation', 'existence': 'pos_dx', 'observation': 'reticulation'}, 'emphysema': {'clinical finding': 'emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'observation': 'emphysema'}}clinical findings_fin: {'concerning or destructive osseous lesions': {'clinical finding': 'concerning or destructive osseous lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'concerning or destructive osseous', 'observation': 'lesion'}}anatomical entity_fin: {'cells': {}}location descriptor_fin: ['left']clinical findings_fin: {'opacification': {'clinical finding': 'opacification', 'existence': 'pos_dx', 'observation': 'opacification'}} [/INST] Correlating to areas of increased metabolic activity seen on the prior PET examination in the right parotid gland, there are two or three small nodules and one dominant nodule in the inferior aspect of the gland. These lesions are hyperattenuating which presumably reflects enhancement though it could also indicate high cellularity. The margins of the dominant lesion are fairly well defined, but the margins of the smaller lesions are somewhat indistinct. The lesions appear solid and contain no definite calcifications, though there are vascular structures coursing along their margins. The dominant lesion measures up to 29 x 17 mm in the axial plane and up to 24 mm in the sagittal plane. These lesions are located predominantly within the superficial portion of the gland, though the dominant lesion may project slightly into the deep portion of the gland. The remaining salivary glands are free of focal lesions. No pathologic adenopathy is detected elsewhere in the neck by size criteria. The thyroid gland is unremarkable. The aerodigestive mucosa is smooth and symmetric throughout. Cervical vessels enhance normally with evidence of atherosclerotic calcification at the carotid bifurcations. Reticulation and emphysema is seen in the lung apices. No concerning or destructive osseous lesions are identified. Opacification of several left ethmoid air cells is seen. </s>