. Multiple bilateral pulmonary nodules are again noted and appear larger as compared to the previous study. For example, reference left apical nodule measures 8 mm x 8 mm on image 23 of series 4 as compared to 7 mm x 6 mm on the previous study. Multiple other pulmonary nodules are again noted and appear enlarged. No pleural effusions or pneumothorax. No hilar or mediastinal lymphadenopathy. Cardiac size is normal. No pericardial effusions. Small hiatal hernia is again noted. Moderate. Surgical clips compatible with prior thyroidectomy. Status post sternotomy with intact sternal wires. Hyperattenuating left infraspinatus muscle mass in the lateral chest wall is enlarged, measuring 1.8 cm x 1.6 cm on image 72 of series 3 is compared to 1.5 x 1.5 cm on previous study. Degenerative changes noted in the thoracic and lumbar spine. Absence of enteric contrast material limits sensitivity for abdominal pathology. Right posterior hypoattenuating lesion in the liver is slightly enlarged, currently measuring 1.1 cm x 1 cm on image 85 of series 3 as compared to 1.0 x 0.8 cm on the previous study. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Atherosclerotic calcification of the abdominal aorta. Absence of enteric contrast material limits sensitivity for GI pathology. No gross abnormalities noted. Hyperattenuating right psoas muscle is partially imaged. No significant abnormality noted.
location descriptor_fin: ['bilateral']clinical findings_fin: {'multiple bilateral pulmonary nodules': {'clinical finding': 'multiple bilateral pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'multiple bilateral pulmonary', 'observation': 'nodule', 'quantity_term': 'multiple'}}size_fin: [{'size': '8 mm x 8 mm'}, {'size': '7 mm x 6 mm'}]imaging observation_fin: ['apical']location descriptor_fin: ['left']clinical findings_fin: {'reference left apical nodule': {'clinical finding': 'reference left apical nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'reference left apical', 'observation': 'nodule'}}clinical findings_fin: {'multiple other pulmonary nodules': {'clinical finding': 'multiple other pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'multiple other pulmonary', 'observation': 'nodule', 'quantity_term': 'multiple'}, 'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}}clinical findings_fin: {'pleural effusions': {'clinical finding': 'pleural effusions', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}, 'pneumothorax': {'clinical finding': 'pneumothorax', 'cf_snomed': {'pneumothorax': 36118008}, 'existence': 'neg_dx', 'observation': 'pneumothorax'}}clinical findings_fin: {'hilar or mediastinal lymphadenopathy': {'clinical finding': 'hilar or mediastinal lymphadenopathy', 'cf_snomed': {'mediastinal lymphadenopathy': 52324001}, 'existence': 'neg_dx', 'descriptive_term': 'hilar or mediastinal', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'cardiac size is normal': {'clinical finding': 'cardiac size is normal'}}clinical findings_fin: {'pericardial effusions': {'clinical finding': 'pericardial effusions', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}clinical findings_fin: {'small hiatal hernia': {'clinical finding': 'small hiatal hernia', 'cf_snomed': {'hiatal hernia': 84089009}, 'existence': 'pos_dx', 'descriptive_term': 'small hiatal', 'observation': 'hernia', 'strength_term': 'small'}}object_fin: ['surgical clips']clinical findings_fin: {'surgical clips': {'clinical finding': 'surgical clips', 'existence': 'pos_dx', 'descriptive_term': 'surgical', 'observation': 'clip'}, 'prior thyroidectomy': {'clinical finding': 'prior thyroidectomy', 'existence': 'pos_dx', 'descriptive_term': 'prior', 'observation': 'thyroidectomy'}}clinical findings_fin: {'post sternotomy': {'clinical finding': 'post sternotomy', 'existence': 'pos_dx', 'descriptive_term': 'post', 'observation': 'sternotomy'}, 'intact sternal wires': {'clinical finding': 'intact sternal wires', 'existence': 'pos_dx', 'descriptive_term': 'intact sternal', 'observation': 'wire', 'change_term': 'intact'}}size_fin: [{'size': '1.8 cm x 1.6 cm'}, {'size': '1.5 x 1.5 cm'}]anatomical entity_fin: {'left infraspinatus': {}, 'lateral chest wall': {}}clinical findings_fin: {'hyperattenuating left infraspinatus muscle mass': {'clinical finding': 'hyperattenuating left infraspinatus muscle mass', 'existence': 'pos_dx', 'descriptive_term': 'hyperattenuating left infraspinatus muscle', 'observation': 'mass'}, 'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}}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'}}size_fin: [{'size': '1.1 cm x 1 cm'}, {'size': '1.0 x 0.8 cm'}]anatomical entity_fin: {'liver': {}}location descriptor_fin: ['right', 'posterior']clinical findings_fin: {'right posterior hypoattenuating lesion': {'clinical finding': 'right posterior hypoattenuating lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'right posterior hypoattenuating', 'observation': 'lesion'}, 'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}}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'}}anatomical entity_fin: {'abdominal aorta': {}}clinical findings_fin: {'atherosclerotic calcification of the abdominal aorta': {'clinical finding': 'atherosclerotic calcification of the abdominal aorta', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic calcification of the abdominal', 'observation': 'aorta'}}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'}}anatomical entity_fin: {'psoas muscle': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'right psoas muscle is partially imaged': {'clinical finding': 'right psoas muscle is partially imaged'}}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: location descriptor_fin: ['bilateral']clinical findings_fin: {'multiple bilateral pulmonary nodules': {'clinical finding': 'multiple bilateral pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'multiple bilateral pulmonary', 'observation': 'nodule', 'quantity_term': 'multiple'}}size_fin: [{'size': '8 mm x 8 mm'}, {'size': '7 mm x 6 mm'}]imaging observation_fin: ['apical']location descriptor_fin: ['left']clinical findings_fin: {'reference left apical nodule': {'clinical finding': 'reference left apical nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'reference left apical', 'observation': 'nodule'}}clinical findings_fin: {'multiple other pulmonary nodules': {'clinical finding': 'multiple other pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'multiple other pulmonary', 'observation': 'nodule', 'quantity_term': 'multiple'}, 'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}}clinical findings_fin: {'pleural effusions': {'clinical finding': 'pleural effusions', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}, 'pneumothorax': {'clinical finding': 'pneumothorax', 'cf_snomed': {'pneumothorax': 36118008}, 'existence': 'neg_dx', 'observation': 'pneumothorax'}}clinical findings_fin: {'hilar or mediastinal lymphadenopathy': {'clinical finding': 'hilar or mediastinal lymphadenopathy', 'cf_snomed': {'mediastinal lymphadenopathy': 52324001}, 'existence': 'neg_dx', 'descriptive_term': 'hilar or mediastinal', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'cardiac size is normal': {'clinical finding': 'cardiac size is normal'}}clinical findings_fin: {'pericardial effusions': {'clinical finding': 'pericardial effusions', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}clinical findings_fin: {'small hiatal hernia': {'clinical finding': 'small hiatal hernia', 'cf_snomed': {'hiatal hernia': 84089009}, 'existence': 'pos_dx', 'descriptive_term': 'small hiatal', 'observation': 'hernia', 'strength_term': 'small'}}object_fin: ['surgical clips']clinical findings_fin: {'surgical clips': {'clinical finding': 'surgical clips', 'existence': 'pos_dx', 'descriptive_term': 'surgical', 'observation': 'clip'}, 'prior thyroidectomy': {'clinical finding': 'prior thyroidectomy', 'existence': 'pos_dx', 'descriptive_term': 'prior', 'observation': 'thyroidectomy'}}clinical findings_fin: {'post sternotomy': {'clinical finding': 'post sternotomy', 'existence': 'pos_dx', 'descriptive_term': 'post', 'observation': 'sternotomy'}, 'intact sternal wires': {'clinical finding': 'intact sternal wires', 'existence': 'pos_dx', 'descriptive_term': 'intact sternal', 'observation': 'wire', 'change_term': 'intact'}}size_fin: [{'size': '1.8 cm x 1.6 cm'}, {'size': '1.5 x 1.5 cm'}]anatomical entity_fin: {'left infraspinatus': {}, 'lateral chest wall': {}}clinical findings_fin: {'hyperattenuating left infraspinatus muscle mass': {'clinical finding': 'hyperattenuating left infraspinatus muscle mass', 'existence': 'pos_dx', 'descriptive_term': 'hyperattenuating left infraspinatus muscle', 'observation': 'mass'}, 'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}}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'}}size_fin: [{'size': '1.1 cm x 1 cm'}, {'size': '1.0 x 0.8 cm'}]anatomical entity_fin: {'liver': {}}location descriptor_fin: ['right', 'posterior']clinical findings_fin: {'right posterior hypoattenuating lesion': {'clinical finding': 'right posterior hypoattenuating lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'right posterior hypoattenuating', 'observation': 'lesion'}, 'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}}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'}}anatomical entity_fin: {'abdominal aorta': {}}clinical findings_fin: {'atherosclerotic calcification of the abdominal aorta': {'clinical finding': 'atherosclerotic calcification of the abdominal aorta', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic calcification of the abdominal', 'observation': 'aorta'}}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'}}anatomical entity_fin: {'psoas muscle': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'right psoas muscle is partially imaged': {'clinical finding': 'right psoas muscle is partially imaged'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . Multiple bilateral pulmonary nodules are again noted and appear larger as compared to the previous study. For example, reference left apical nodule measures 8 mm x 8 mm on image 23 of series 4 as compared to 7 mm x 6 mm on the previous study. Multiple other pulmonary nodules are again noted and appear enlarged. No pleural effusions or pneumothorax. No hilar or mediastinal lymphadenopathy. Cardiac size is normal. No pericardial effusions. Small hiatal hernia is again noted. Moderate. Surgical clips compatible with prior thyroidectomy. Status post sternotomy with intact sternal wires. Hyperattenuating left infraspinatus muscle mass in the lateral chest wall is enlarged, measuring 1.8 cm x 1.6 cm on image 72 of series 3 is compared to 1.5 x 1.5 cm on previous study. Degenerative changes noted in the thoracic and lumbar spine. Absence of enteric contrast material limits sensitivity for abdominal pathology. Right posterior hypoattenuating lesion in the liver is slightly enlarged, currently measuring 1.1 cm x 1 cm on image 85 of series 3 as compared to 1.0 x 0.8 cm on the previous study. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Atherosclerotic calcification of the abdominal aorta. Absence of enteric contrast material limits sensitivity for GI pathology. No gross abnormalities noted. Hyperattenuating right psoas muscle is partially imaged. No significant abnormality noted. </s>