There is physiologic distribution of the radiopharmaceutical within the neck which washes out on delayed imaging. There is abnormal increased activity in the mid chest on planar imaging which washes out on delayed imaging. Using SPECT-CT this focus of increased activity in the mid chest localizes to the anterior mediastinum just posterior to the manubrium at the level of the aortic arch. This focus of increased activity which washes out. May represent an atypical parathyroid adenoma, inflammatory change, or other tumor. There is no abnormal retention of radiotracer. The right thyroid lobe appears to measure 4.4 cm and the left lobe 4.2 cm in length.
anatomical entity_fin: {'neck': {}}non-anatomical substance_fin: ['radiopharmaceutical']anatomical entity_fin: {'chest': {}}clinical findings_fin: {'is abnormal increased activity in the mid chest on planar imaging which washes': {'clinical finding': 'is abnormal increased activity in the mid chest on planar imaging which washes', 'change_term': 'increased'}}anatomical entity_fin: {'chest': {}, 'anterior mediastinum': {}, 'manubrium': {}, 'aortic arch': {}}imaging modality_fin: ['spect-ct']location descriptor_fin: ['posterior']clinical findings_fin: {'increased activity': {'clinical finding': 'increased activity', 'existence': 'pos_dx', 'descriptive_term': 'increased', 'observation': 'activity', 'strength_term': 'increased', 'change_term': 'increased'}}clinical findings_fin: {'focus of increased activity which washes': {'clinical finding': 'focus of increased activity which washes', 'change_term': 'increased'}}clinical findings_fin: {'atypical parathyroid adenoma': {'clinical finding': 'atypical parathyroid adenoma', 'cf_snomed': {'parathyroid adenoma': 128474007}, 'existence': 'unc_dx', 'descriptive_term': 'atypical parathyroid', 'observation': 'adenoma'}, 'inflammatory change': {'clinical finding': 'inflammatory change', 'existence': 'unc_dx', 'descriptive_term': 'inflammatory', 'observation': 'change'}, 'other tumor': {'clinical finding': 'other tumor', 'existence': 'unc_dx', 'descriptive_term': 'other', 'observation': 'tumor'}}clinical findings_fin: {'abnormal retention': {'clinical finding': 'abnormal retention', 'cf_snomed': {'retention': 36850000}, 'existence': 'neg_dx', 'descriptive_term': 'abnormal', 'observation': 'retention'}}size_fin: [{'size': '4.4 cm'}, {'size': '4.2 cm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'left'}}location descriptor_fin: ['right', 'left']
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'neck': {}}non-anatomical substance_fin: ['radiopharmaceutical']anatomical entity_fin: {'chest': {}}clinical findings_fin: {'is abnormal increased activity in the mid chest on planar imaging which washes': {'clinical finding': 'is abnormal increased activity in the mid chest on planar imaging which washes', 'change_term': 'increased'}}anatomical entity_fin: {'chest': {}, 'anterior mediastinum': {}, 'manubrium': {}, 'aortic arch': {}}imaging modality_fin: ['spect-ct']location descriptor_fin: ['posterior']clinical findings_fin: {'increased activity': {'clinical finding': 'increased activity', 'existence': 'pos_dx', 'descriptive_term': 'increased', 'observation': 'activity', 'strength_term': 'increased', 'change_term': 'increased'}}clinical findings_fin: {'focus of increased activity which washes': {'clinical finding': 'focus of increased activity which washes', 'change_term': 'increased'}}clinical findings_fin: {'atypical parathyroid adenoma': {'clinical finding': 'atypical parathyroid adenoma', 'cf_snomed': {'parathyroid adenoma': 128474007}, 'existence': 'unc_dx', 'descriptive_term': 'atypical parathyroid', 'observation': 'adenoma'}, 'inflammatory change': {'clinical finding': 'inflammatory change', 'existence': 'unc_dx', 'descriptive_term': 'inflammatory', 'observation': 'change'}, 'other tumor': {'clinical finding': 'other tumor', 'existence': 'unc_dx', 'descriptive_term': 'other', 'observation': 'tumor'}}clinical findings_fin: {'abnormal retention': {'clinical finding': 'abnormal retention', 'cf_snomed': {'retention': 36850000}, 'existence': 'neg_dx', 'descriptive_term': 'abnormal', 'observation': 'retention'}}size_fin: [{'size': '4.4 cm'}, {'size': '4.2 cm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'left'}}location descriptor_fin: ['right', 'left'] [/INST] There is physiologic distribution of the radiopharmaceutical within the neck which washes out on delayed imaging. There is abnormal increased activity in the mid chest on planar imaging which washes out on delayed imaging. Using SPECT-CT this focus of increased activity in the mid chest localizes to the anterior mediastinum just posterior to the manubrium at the level of the aortic arch. This focus of increased activity which washes out. May represent an atypical parathyroid adenoma, inflammatory change, or other tumor. There is no abnormal retention of radiotracer. The right thyroid lobe appears to measure 4.4 cm and the left lobe 4.2 cm in length. </s>