. Right lower lobe necrotic centrally located mass producing mild compression of the left atrium and obstruction and effacement of the right inferior pulmonary vein and obstruction of the right lower lobe bronchus. This mass is difficult to accurately measure due to adjacent and postobstructive atelectasis. There is extension into the mediastinum. Best estimate of size of this mass is 5.5 cm x 4 cm. No additional suspicious pulmonary nodule or masses. Mild nonspecific groundglass opacities noted in both apices. No pleural effusions. Is not above there is extension of the left tumor into the mediastinum. Large subcarinal lymph node measuring 20 mm in its short axis. Right paratracheal lymph node measuring 18 mm in short axis. Cardiac size is normal without evidence of a pericardial effusion. Calcified mediastinal lymph nodes compatible with prior granulomatous disease. None. Right supraclavicular or low enlarged cervical lymph node measuring 17 mm. No axillary lymphadenopathy. Degenerative changes in the thoracic spine. Absence of enteric contrast material limits sensitivity for abdominal pathology. Status post cholecystectomy. No significant abnormality noted. Left adrenal nodule measuring 24 mm x 18 mm. Punctate nonobstructing left renal calculus. No significant abnormality noted. No significant abnormality noted. Absence of enteric contrast material limits sensitivity for GI pathology. No gross abnormalities noted. No significant abnormality noted. No significant abnormality noted.
anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}, 'left atrium': {}, 'pulmonary vein': {'location descriptor': 'right inferior'}, 'right lower lobe bronchus': {}}location descriptor_fin: ['right', 'lower', 'inferior']clinical findings_fin: {'right lower lobe necrotic centrally located mass': {'clinical finding': 'right lower lobe necrotic centrally located mass', 'existence': 'pos_dx', 'descriptive_term': 'right lower lobe necrotic centrally located', 'observation': 'mass'}, 'mild compression': {'clinical finding': 'mild compression', 'cf_snomed': {'compression': 71173004}, 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'compression', 'strength_term': 'mild'}, 'obstruction_1': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'pos_dx', 'observation': 'obstruction'}, 'effacement': {'clinical finding': 'effacement', 'existence': 'pos_dx', 'observation': 'effacement'}, 'obstruction_2': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'pos_dx', 'observation': 'obstruction'}}location descriptor_fin: ['adjacent']clinical findings_fin: {'this mass': {'clinical finding': 'this mass', 'existence': 'pos_dx', 'descriptive_term': 'this', 'observation': 'mass'}, 'adjacent and postobstructive atelectasis': {'clinical finding': 'adjacent and postobstructive atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'adjacent and postobstructive', 'observation': 'atelectasis'}}anatomical entity_fin: {'mediastinum': {}}size_fin: [{'size': '5.5 cm x 4 cm', 'size_descriptor': 'estimate'}]clinical findings_fin: {'this mass': {'clinical finding': 'this mass', 'existence': 'unc_dx', 'descriptive_term': 'this', 'observation': 'mass'}}clinical findings_fin: {'additional suspicious pulmonary nodule': {'clinical finding': 'additional suspicious pulmonary nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'additional suspicious pulmonary', 'observation': 'nodule'}, 'masses': {'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass'}}anatomical entity_fin: {'apices': {}}clinical findings_fin: {'mild nonspecific groundglass opacities': {'clinical finding': 'mild nonspecific groundglass opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'mild nonspecific groundglass', 'observation': 'opacity', 'strength_term': 'mild'}}clinical findings_fin: {'pleural effusions': {'clinical finding': 'pleural effusions', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}}anatomical entity_fin: {'mediastinum': {}}location descriptor_fin: ['left']clinical findings_fin: {'left tumor': {'clinical finding': 'left tumor', 'existence': 'pos_dx', 'descriptive_term': 'left', 'observation': 'tumor'}}size_fin: [{'size': '20 mm', 'size_descriptor': 'node'}]anatomical entity_fin: {'subcarinal lymph node': {}, 'axis': {}}clinical findings_fin: {'large subcarinal lymph node': {'clinical finding': 'large subcarinal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'large subcarinal lymph', 'observation': 'node', 'strength_term': 'large'}}size_fin: [{'size': '18 mm', 'size_descriptor': 'node'}]anatomical entity_fin: {'axis': {}}location descriptor_fin: ['right']clinical findings_fin: {'right paratracheal lymph node': {'clinical finding': 'right paratracheal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'right paratracheal lymph', 'observation': 'node'}}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: {'mediastinal lymph nodes': {}}clinical findings_fin: {'calcified mediastinal lymph nodes': {'clinical finding': 'calcified mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'calcified mediastinal lymph', 'observation': 'node', 'change_term': 'calcified'}, 'prior granulomatous disease': {'clinical finding': 'prior granulomatous disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'prior granulomatous', 'observation': 'disease'}}size_fin: [{'size': '17 mm', 'size_descriptor': 'node'}]location descriptor_fin: ['right']clinical findings_fin: {'right supraclavicular or low enlarged cervical lymph node': {'clinical finding': 'right supraclavicular or low enlarged cervical lymph node', 'existence': 'pos_dx', 'descriptive_term': 'right supraclavicular or low enlarged cervical lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'}}clinical findings_fin: {'axillary lymphadenopathy': {'clinical finding': 'axillary lymphadenopathy', 'cf_snomed': {'axillary lymphadenopathy': 127189005}, 'existence': 'neg_dx', 'descriptive_term': 'axillary', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'degenerative changes': {'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}procedure_fin: ['cholecystectomy']clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}size_fin: [{'size': '24 mm x 18 mm'}]location descriptor_fin: ['left']clinical findings_fin: {'left adrenal nodule': {'clinical finding': 'left adrenal nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'left adrenal', 'observation': 'nodule'}}location descriptor_fin: ['left']clinical findings_fin: {'punctate nonobstructing left renal calculus': {'clinical finding': 'punctate nonobstructing left renal calculus', 'cf_snomed': {'calculus': 56381008}, 'existence': 'pos_dx', 'descriptive_term': 'punctate nonobstructing left renal', 'observation': 'calculus'}}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: {'gi': {'clinical finding': 'gi', 'existence': 'unc_dx', 'observation': 'gi'}}clinical findings_fin: {'gross abnormalities': {'clinical finding': 'gross abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'gross', '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'}}
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}, 'left atrium': {}, 'pulmonary vein': {'location descriptor': 'right inferior'}, 'right lower lobe bronchus': {}}location descriptor_fin: ['right', 'lower', 'inferior']clinical findings_fin: {'right lower lobe necrotic centrally located mass': {'clinical finding': 'right lower lobe necrotic centrally located mass', 'existence': 'pos_dx', 'descriptive_term': 'right lower lobe necrotic centrally located', 'observation': 'mass'}, 'mild compression': {'clinical finding': 'mild compression', 'cf_snomed': {'compression': 71173004}, 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'compression', 'strength_term': 'mild'}, 'obstruction_1': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'pos_dx', 'observation': 'obstruction'}, 'effacement': {'clinical finding': 'effacement', 'existence': 'pos_dx', 'observation': 'effacement'}, 'obstruction_2': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'pos_dx', 'observation': 'obstruction'}}location descriptor_fin: ['adjacent']clinical findings_fin: {'this mass': {'clinical finding': 'this mass', 'existence': 'pos_dx', 'descriptive_term': 'this', 'observation': 'mass'}, 'adjacent and postobstructive atelectasis': {'clinical finding': 'adjacent and postobstructive atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'adjacent and postobstructive', 'observation': 'atelectasis'}}anatomical entity_fin: {'mediastinum': {}}size_fin: [{'size': '5.5 cm x 4 cm', 'size_descriptor': 'estimate'}]clinical findings_fin: {'this mass': {'clinical finding': 'this mass', 'existence': 'unc_dx', 'descriptive_term': 'this', 'observation': 'mass'}}clinical findings_fin: {'additional suspicious pulmonary nodule': {'clinical finding': 'additional suspicious pulmonary nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'additional suspicious pulmonary', 'observation': 'nodule'}, 'masses': {'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass'}}anatomical entity_fin: {'apices': {}}clinical findings_fin: {'mild nonspecific groundglass opacities': {'clinical finding': 'mild nonspecific groundglass opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'mild nonspecific groundglass', 'observation': 'opacity', 'strength_term': 'mild'}}clinical findings_fin: {'pleural effusions': {'clinical finding': 'pleural effusions', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}}anatomical entity_fin: {'mediastinum': {}}location descriptor_fin: ['left']clinical findings_fin: {'left tumor': {'clinical finding': 'left tumor', 'existence': 'pos_dx', 'descriptive_term': 'left', 'observation': 'tumor'}}size_fin: [{'size': '20 mm', 'size_descriptor': 'node'}]anatomical entity_fin: {'subcarinal lymph node': {}, 'axis': {}}clinical findings_fin: {'large subcarinal lymph node': {'clinical finding': 'large subcarinal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'large subcarinal lymph', 'observation': 'node', 'strength_term': 'large'}}size_fin: [{'size': '18 mm', 'size_descriptor': 'node'}]anatomical entity_fin: {'axis': {}}location descriptor_fin: ['right']clinical findings_fin: {'right paratracheal lymph node': {'clinical finding': 'right paratracheal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'right paratracheal lymph', 'observation': 'node'}}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: {'mediastinal lymph nodes': {}}clinical findings_fin: {'calcified mediastinal lymph nodes': {'clinical finding': 'calcified mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'calcified mediastinal lymph', 'observation': 'node', 'change_term': 'calcified'}, 'prior granulomatous disease': {'clinical finding': 'prior granulomatous disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'prior granulomatous', 'observation': 'disease'}}size_fin: [{'size': '17 mm', 'size_descriptor': 'node'}]location descriptor_fin: ['right']clinical findings_fin: {'right supraclavicular or low enlarged cervical lymph node': {'clinical finding': 'right supraclavicular or low enlarged cervical lymph node', 'existence': 'pos_dx', 'descriptive_term': 'right supraclavicular or low enlarged cervical lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'}}clinical findings_fin: {'axillary lymphadenopathy': {'clinical finding': 'axillary lymphadenopathy', 'cf_snomed': {'axillary lymphadenopathy': 127189005}, 'existence': 'neg_dx', 'descriptive_term': 'axillary', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'degenerative changes': {'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}procedure_fin: ['cholecystectomy']clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}size_fin: [{'size': '24 mm x 18 mm'}]location descriptor_fin: ['left']clinical findings_fin: {'left adrenal nodule': {'clinical finding': 'left adrenal nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'left adrenal', 'observation': 'nodule'}}location descriptor_fin: ['left']clinical findings_fin: {'punctate nonobstructing left renal calculus': {'clinical finding': 'punctate nonobstructing left renal calculus', 'cf_snomed': {'calculus': 56381008}, 'existence': 'pos_dx', 'descriptive_term': 'punctate nonobstructing left renal', 'observation': 'calculus'}}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: {'gi': {'clinical finding': 'gi', 'existence': 'unc_dx', 'observation': 'gi'}}clinical findings_fin: {'gross abnormalities': {'clinical finding': 'gross abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'gross', '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'}} [/INST] . Right lower lobe necrotic centrally located mass producing mild compression of the left atrium and obstruction and effacement of the right inferior pulmonary vein and obstruction of the right lower lobe bronchus. This mass is difficult to accurately measure due to adjacent and postobstructive atelectasis. There is extension into the mediastinum. Best estimate of size of this mass is 5.5 cm x 4 cm. No additional suspicious pulmonary nodule or masses. Mild nonspecific groundglass opacities noted in both apices. No pleural effusions. Is not above there is extension of the left tumor into the mediastinum. Large subcarinal lymph node measuring 20 mm in its short axis. Right paratracheal lymph node measuring 18 mm in short axis. Cardiac size is normal without evidence of a pericardial effusion. Calcified mediastinal lymph nodes compatible with prior granulomatous disease. None. Right supraclavicular or low enlarged cervical lymph node measuring 17 mm. No axillary lymphadenopathy. Degenerative changes in the thoracic spine. Absence of enteric contrast material limits sensitivity for abdominal pathology. Status post cholecystectomy. No significant abnormality noted. Left adrenal nodule measuring 24 mm x 18 mm. Punctate nonobstructing left renal calculus. No significant abnormality noted. No significant abnormality noted. Absence of enteric contrast material limits sensitivity for GI pathology. No gross abnormalities noted. No significant abnormality noted. No significant abnormality noted. </s>