. Extensive pulmonary metastases. For reference, a right lower lobe lesion measures 42 x 32 mm , previously 35 x 26 mm. A right middle lobe lesion measures 18 x 16 mm previously 14 x 12 mm. The necrotic left upper lobe lesion abutting the mediastinum also appears larger and more heterogeneous this lesion cases and narrows branches of the left lobar pulmonary arteries. The heart size is within normal limits, no significant pericardial effusion. Additional mediastinal or hilar lymphadenopathy, which appears slightly more prominent than on previous study. Left chest port tip in the distal SVC. None. No significant abnormality noted. Status post partial left hepatectomy, without discrete hepatic mass or lesion remaining. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Multiple enlarged gastrohepatic, portacaval, and retroperitoneal lymph nodes, which are larger than on previous outside study. For reference, a prominent gastrohepatic node measures 14 x 17 mm previously measuring 13 mm in short axis. None. The bowel is of normal caliber, without evidence of obstruction. Multilevel degenerative changes in the visualized spine, most severe in the lower lumbar spine. Partially calcified mesenteric lymph node adjacent to the spleen is not significantly changed, measuring 15 x 9 mm. No significant abnormality noted. No significant abnormality noted. As above. As above. As above. No significant abnormality noted.
clinical findings_fin: {'extensive pulmonary metastases': {'clinical finding': 'extensive pulmonary metastases', 'existence': 'pos_dx', 'descriptive_term': 'extensive pulmonary', 'observation': 'metastase', 'strength_term': 'extensive'}}size_fin: [{'size': '42 x 32 mm'}, {'size': '35 x 26 mm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'right lower lobe lesion': {'clinical finding': 'right lower lobe lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'right lower lobe', 'observation': 'lesion'}}size_fin: [{'size': '18 x 16 mm'}, {'size': '14 x 12 mm'}]anatomical entity_fin: {'middle': {'location descriptor': 'right'}, 'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'right middle lobe lesion': {'clinical finding': 'right middle lobe lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'right middle lobe', 'observation': 'lesion'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}, 'mediastinum': {}, 'pulmonary arteries': {}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'necrotic left upper lobe lesion': {'clinical finding': 'necrotic left upper lobe lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'necrotic left upper lobe', 'observation': 'lesion'}, 'lesion': {'clinical finding': 'lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'observation': 'lesion'}}anatomical entity_fin: {'heart': {}}clinical findings_fin: {'significant pericardial effusion': {'clinical finding': 'significant pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'significant pericardial', 'observation': 'effusion'}}clinical findings_fin: {'additional mediastinal or hilar lymphadenopathy': {'clinical finding': 'additional mediastinal or hilar lymphadenopathy', 'cf_snomed': {'hilar lymphadenopathy': 87500009}, 'existence': 'pos_dx', 'descriptive_term': 'additional mediastinal or hilar', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'chest': {'location descriptor': 'left'}}location descriptor_fin: ['left', 'distal']object_fin: ['port']clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}location descriptor_fin: ['left']procedure_fin: ['hepatectomy']clinical findings_fin: {'discrete hepatic mass': {'clinical finding': 'discrete hepatic mass', 'existence': 'neg_dx', 'descriptive_term': 'discrete hepatic', 'observation': 'mass'}, 'lesion': {'clinical finding': 'lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'observation': 'lesion'}}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: {'multiple enlarged gastrohepatic, portacaval, and retroperitoneal lymph nodes': {'clinical finding': 'multiple enlarged gastrohepatic, portacaval, and retroperitoneal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'multiple enlarged gastrohepatic portacaval and retroperitoneal lymph', 'observation': 'node', 'strength_term': 'enlarged', 'quantity_term': 'multiple', 'change_term': 'enlarged'}}size_fin: [{'size': '14 x 17 mm'}, {'size': '13 mm'}]anatomical entity_fin: {'axis': {}}clinical findings_fin: {'prominent gastrohepatic node': {'clinical finding': 'prominent gastrohepatic node', 'existence': 'pos_dx', 'descriptive_term': 'prominent gastrohepatic', 'observation': 'node', 'strength_term': 'prominent'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'observation': 'obstruction'}}anatomical entity_fin: {'spine': {}}location descriptor_fin: ['lower']clinical findings_fin: {'multilevel degenerative changes': {'clinical finding': 'multilevel degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'multilevel degenerative', 'observation': 'change'}, 'severe': {'clinical finding': 'severe', 'existence': 'pos_dx', 'observation': 'severe'}}size_fin: [{'size': '15 x 9 mm'}]anatomical entity_fin: {'mesenteric lymph node': {}, 'spleen': {}}location descriptor_fin: ['adjacent']clinical findings_fin: {'partially calcified mesenteric lymph node': {'clinical finding': 'partially calcified mesenteric lymph node', 'existence': 'pos_dx', 'descriptive_term': 'partially calcified mesenteric lymph', 'observation': 'node', 'strength_term': 'partially', 'change_term': 'calcified'}}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'}}
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'extensive pulmonary metastases': {'clinical finding': 'extensive pulmonary metastases', 'existence': 'pos_dx', 'descriptive_term': 'extensive pulmonary', 'observation': 'metastase', 'strength_term': 'extensive'}}size_fin: [{'size': '42 x 32 mm'}, {'size': '35 x 26 mm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'right lower lobe lesion': {'clinical finding': 'right lower lobe lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'right lower lobe', 'observation': 'lesion'}}size_fin: [{'size': '18 x 16 mm'}, {'size': '14 x 12 mm'}]anatomical entity_fin: {'middle': {'location descriptor': 'right'}, 'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'right middle lobe lesion': {'clinical finding': 'right middle lobe lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'right middle lobe', 'observation': 'lesion'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}, 'mediastinum': {}, 'pulmonary arteries': {}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'necrotic left upper lobe lesion': {'clinical finding': 'necrotic left upper lobe lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'necrotic left upper lobe', 'observation': 'lesion'}, 'lesion': {'clinical finding': 'lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'observation': 'lesion'}}anatomical entity_fin: {'heart': {}}clinical findings_fin: {'significant pericardial effusion': {'clinical finding': 'significant pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'significant pericardial', 'observation': 'effusion'}}clinical findings_fin: {'additional mediastinal or hilar lymphadenopathy': {'clinical finding': 'additional mediastinal or hilar lymphadenopathy', 'cf_snomed': {'hilar lymphadenopathy': 87500009}, 'existence': 'pos_dx', 'descriptive_term': 'additional mediastinal or hilar', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'chest': {'location descriptor': 'left'}}location descriptor_fin: ['left', 'distal']object_fin: ['port']clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}location descriptor_fin: ['left']procedure_fin: ['hepatectomy']clinical findings_fin: {'discrete hepatic mass': {'clinical finding': 'discrete hepatic mass', 'existence': 'neg_dx', 'descriptive_term': 'discrete hepatic', 'observation': 'mass'}, 'lesion': {'clinical finding': 'lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'observation': 'lesion'}}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: {'multiple enlarged gastrohepatic, portacaval, and retroperitoneal lymph nodes': {'clinical finding': 'multiple enlarged gastrohepatic, portacaval, and retroperitoneal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'multiple enlarged gastrohepatic portacaval and retroperitoneal lymph', 'observation': 'node', 'strength_term': 'enlarged', 'quantity_term': 'multiple', 'change_term': 'enlarged'}}size_fin: [{'size': '14 x 17 mm'}, {'size': '13 mm'}]anatomical entity_fin: {'axis': {}}clinical findings_fin: {'prominent gastrohepatic node': {'clinical finding': 'prominent gastrohepatic node', 'existence': 'pos_dx', 'descriptive_term': 'prominent gastrohepatic', 'observation': 'node', 'strength_term': 'prominent'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'observation': 'obstruction'}}anatomical entity_fin: {'spine': {}}location descriptor_fin: ['lower']clinical findings_fin: {'multilevel degenerative changes': {'clinical finding': 'multilevel degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'multilevel degenerative', 'observation': 'change'}, 'severe': {'clinical finding': 'severe', 'existence': 'pos_dx', 'observation': 'severe'}}size_fin: [{'size': '15 x 9 mm'}]anatomical entity_fin: {'mesenteric lymph node': {}, 'spleen': {}}location descriptor_fin: ['adjacent']clinical findings_fin: {'partially calcified mesenteric lymph node': {'clinical finding': 'partially calcified mesenteric lymph node', 'existence': 'pos_dx', 'descriptive_term': 'partially calcified mesenteric lymph', 'observation': 'node', 'strength_term': 'partially', 'change_term': 'calcified'}}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'}} [/INST] . Extensive pulmonary metastases. For reference, a right lower lobe lesion measures 42 x 32 mm , previously 35 x 26 mm. A right middle lobe lesion measures 18 x 16 mm previously 14 x 12 mm. The necrotic left upper lobe lesion abutting the mediastinum also appears larger and more heterogeneous this lesion cases and narrows branches of the left lobar pulmonary arteries. The heart size is within normal limits, no significant pericardial effusion. Additional mediastinal or hilar lymphadenopathy, which appears slightly more prominent than on previous study. Left chest port tip in the distal SVC. None. No significant abnormality noted. Status post partial left hepatectomy, without discrete hepatic mass or lesion remaining. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Multiple enlarged gastrohepatic, portacaval, and retroperitoneal lymph nodes, which are larger than on previous outside study. For reference, a prominent gastrohepatic node measures 14 x 17 mm previously measuring 13 mm in short axis. None. The bowel is of normal caliber, without evidence of obstruction. Multilevel degenerative changes in the visualized spine, most severe in the lower lumbar spine. Partially calcified mesenteric lymph node adjacent to the spleen is not significantly changed, measuring 15 x 9 mm. No significant abnormality noted. No significant abnormality noted. As above. As above. As above. No significant abnormality noted. </s>