. New innumerable large pulmonary metastases. For reference purposes a left lower lobe nodule measures 1.9 x 1.5 cm. No significant mediastinal or hilar lymphadenopathy. The heart size is normal and there is no pericardial effusion. Moderate. Enlarged cardiophrenic node measures 2.2 x 1.6 cm. Marked interval increase in size and number of hepatic metastases with the previously seen right hepatic lobe mass now measuring 12.0 x 10.0 cm , previously 4.6 x 3.4 cm. Additional right hepatic lobe lesion measures 2.6 x 2.4 cm. Approximately 75% of the hepatic parenchyma is replaced by metastases. The hepatic vasculature is attenuated secondary to mass effect, although appears grossly patent. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Severe. Small volume ascites. Soft tissue nodule in the pouch of Douglas measures 2.7 x 1.8 cm. Interval increase in size of the intraluminal sigmoid colonic mass. Additional mesenteric nodules and masses are present within the pelvis. There is a left lower quadrant colostomy. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Small volume ascites. Soft tissue nodule in the pouch of Douglas measures 2.7 x 1.8 cm. Interval increase in size of the intraluminal sigmoid colonic mass. Additional mesenteric nodules and masses are present within the pelvis. There is a left lower quadrant colostomy. No significant abnormality noted. No significant abnormality noted.
clinical findings_fin: {'new innumerable large pulmonary metastases': {'clinical finding': 'new innumerable large pulmonary metastases', 'existence': 'pos_dx', 'descriptive_term': 'new innumerable large pulmonary', 'observation': 'metastase', 'strength_term': 'large', 'temporal_term': 'new'}}size_fin: [{'size': '1.9 x 1.5 cm', 'size_descriptor': 'nodule'}]anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'left lower lobe nodule': {'clinical finding': 'left lower lobe nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'left lower lobe', 'observation': 'nodule'}}clinical findings_fin: {'significant mediastinal or hilar lymphadenopathy': {'clinical finding': 'significant mediastinal or hilar lymphadenopathy', 'cf_snomed': {'hilar lymphadenopathy': 87500009}, 'existence': 'neg_dx', 'descriptive_term': 'significant mediastinal or hilar', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'heart': {}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}size_fin: [{'size': '2.2 x 1.6 cm', 'size_descriptor': 'node'}]clinical findings_fin: {'enlarged cardiophrenic node': {'clinical finding': 'enlarged cardiophrenic node', 'existence': 'pos_dx', 'descriptive_term': 'enlarged cardiophrenic', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'}}size_fin: [{'size': '12.0 x 10.0 cm'}, {'size': '4.6 x 3.4 cm'}]anatomical entity_fin: {'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'hepatic metastases': {'clinical finding': 'hepatic metastases', 'existence': 'pos_dx', 'descriptive_term': 'hepatic', 'observation': 'metastase'}, 'previously seen right hepatic lobe mass': {'clinical finding': 'previously seen right hepatic lobe mass', 'existence': 'pos_dx', 'descriptive_term': 'previously seen right hepatic lobe', 'observation': 'mass'}}size_fin: [{'size': '2.6 x 2.4 cm', 'size_descriptor': 'lesion'}]anatomical entity_fin: {'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'additional right hepatic lobe lesion': {'clinical finding': 'additional right hepatic lobe lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'additional right hepatic lobe', 'observation': 'lesion'}}anatomical entity_fin: {'parenchyma': {}}clinical findings_fin: {'metastases': {'clinical finding': 'metastases', 'existence': 'pos_dx', 'observation': 'metastase'}}anatomical entity_fin: {'vasculature': {}}clinical findings_fin: {'attenuated': {'clinical finding': 'attenuated', 'existence': 'pos_dx', 'observation': 'attenuated'}, 'mass effect': {'clinical finding': 'mass effect', 'existence': 'pos_dx', 'descriptive_term': 'mass', 'observation': 'effect'}, 'patent': {'clinical finding': 'patent', 'existence': 'pos_dx', 'observation': 'patent'}}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: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'small volume ascites': {'clinical finding': 'small volume ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'small volume', 'observation': 'ascite', 'strength_term': 'small'}}size_fin: [{'size': '2.7 x 1.8 cm', 'size_descriptor': 'nodule'}]clinical findings_fin: {'soft tissue nodule': {'clinical finding': 'soft tissue nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'nodule'}, 'douglas': {'clinical finding': 'douglas', 'existence': 'pos_dx', 'observation': 'douglas'}}clinical findings_fin: {'intraluminal sigmoid colonic mass': {'clinical finding': 'intraluminal sigmoid colonic mass', 'existence': 'pos_dx', 'descriptive_term': 'intraluminal sigmoid colonic', 'observation': 'mass'}}anatomical entity_fin: {'pelvis': {}}clinical findings_fin: {'additional mesenteric nodules': {'clinical finding': 'additional mesenteric nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'additional mesenteric', 'observation': 'nodule'}, 'masses': {'clinical finding': 'masses', 'existence': 'pos_dx', 'observation': 'mass'}}anatomical entity_fin: {'quadrant': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']procedure_fin: ['colostomy']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: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'small volume ascites': {'clinical finding': 'small volume ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'small volume', 'observation': 'ascite', 'strength_term': 'small'}}size_fin: [{'size': '2.7 x 1.8 cm', 'size_descriptor': 'nodule'}]clinical findings_fin: {'soft tissue nodule': {'clinical finding': 'soft tissue nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'nodule'}, 'douglas': {'clinical finding': 'douglas', 'existence': 'pos_dx', 'observation': 'douglas'}}clinical findings_fin: {'intraluminal sigmoid colonic mass': {'clinical finding': 'intraluminal sigmoid colonic mass', 'existence': 'pos_dx', 'descriptive_term': 'intraluminal sigmoid colonic', 'observation': 'mass'}}anatomical entity_fin: {'pelvis': {}}clinical findings_fin: {'additional mesenteric nodules': {'clinical finding': 'additional mesenteric nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'additional mesenteric', 'observation': 'nodule'}, 'masses': {'clinical finding': 'masses', 'existence': 'pos_dx', 'observation': 'mass'}}anatomical entity_fin: {'quadrant': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']procedure_fin: ['colostomy']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: {'new innumerable large pulmonary metastases': {'clinical finding': 'new innumerable large pulmonary metastases', 'existence': 'pos_dx', 'descriptive_term': 'new innumerable large pulmonary', 'observation': 'metastase', 'strength_term': 'large', 'temporal_term': 'new'}}size_fin: [{'size': '1.9 x 1.5 cm', 'size_descriptor': 'nodule'}]anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'left lower lobe nodule': {'clinical finding': 'left lower lobe nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'left lower lobe', 'observation': 'nodule'}}clinical findings_fin: {'significant mediastinal or hilar lymphadenopathy': {'clinical finding': 'significant mediastinal or hilar lymphadenopathy', 'cf_snomed': {'hilar lymphadenopathy': 87500009}, 'existence': 'neg_dx', 'descriptive_term': 'significant mediastinal or hilar', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'heart': {}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}size_fin: [{'size': '2.2 x 1.6 cm', 'size_descriptor': 'node'}]clinical findings_fin: {'enlarged cardiophrenic node': {'clinical finding': 'enlarged cardiophrenic node', 'existence': 'pos_dx', 'descriptive_term': 'enlarged cardiophrenic', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'}}size_fin: [{'size': '12.0 x 10.0 cm'}, {'size': '4.6 x 3.4 cm'}]anatomical entity_fin: {'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'hepatic metastases': {'clinical finding': 'hepatic metastases', 'existence': 'pos_dx', 'descriptive_term': 'hepatic', 'observation': 'metastase'}, 'previously seen right hepatic lobe mass': {'clinical finding': 'previously seen right hepatic lobe mass', 'existence': 'pos_dx', 'descriptive_term': 'previously seen right hepatic lobe', 'observation': 'mass'}}size_fin: [{'size': '2.6 x 2.4 cm', 'size_descriptor': 'lesion'}]anatomical entity_fin: {'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'additional right hepatic lobe lesion': {'clinical finding': 'additional right hepatic lobe lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'additional right hepatic lobe', 'observation': 'lesion'}}anatomical entity_fin: {'parenchyma': {}}clinical findings_fin: {'metastases': {'clinical finding': 'metastases', 'existence': 'pos_dx', 'observation': 'metastase'}}anatomical entity_fin: {'vasculature': {}}clinical findings_fin: {'attenuated': {'clinical finding': 'attenuated', 'existence': 'pos_dx', 'observation': 'attenuated'}, 'mass effect': {'clinical finding': 'mass effect', 'existence': 'pos_dx', 'descriptive_term': 'mass', 'observation': 'effect'}, 'patent': {'clinical finding': 'patent', 'existence': 'pos_dx', 'observation': 'patent'}}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: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'small volume ascites': {'clinical finding': 'small volume ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'small volume', 'observation': 'ascite', 'strength_term': 'small'}}size_fin: [{'size': '2.7 x 1.8 cm', 'size_descriptor': 'nodule'}]clinical findings_fin: {'soft tissue nodule': {'clinical finding': 'soft tissue nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'nodule'}, 'douglas': {'clinical finding': 'douglas', 'existence': 'pos_dx', 'observation': 'douglas'}}clinical findings_fin: {'intraluminal sigmoid colonic mass': {'clinical finding': 'intraluminal sigmoid colonic mass', 'existence': 'pos_dx', 'descriptive_term': 'intraluminal sigmoid colonic', 'observation': 'mass'}}anatomical entity_fin: {'pelvis': {}}clinical findings_fin: {'additional mesenteric nodules': {'clinical finding': 'additional mesenteric nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'additional mesenteric', 'observation': 'nodule'}, 'masses': {'clinical finding': 'masses', 'existence': 'pos_dx', 'observation': 'mass'}}anatomical entity_fin: {'quadrant': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']procedure_fin: ['colostomy']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: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'small volume ascites': {'clinical finding': 'small volume ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'small volume', 'observation': 'ascite', 'strength_term': 'small'}}size_fin: [{'size': '2.7 x 1.8 cm', 'size_descriptor': 'nodule'}]clinical findings_fin: {'soft tissue nodule': {'clinical finding': 'soft tissue nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'nodule'}, 'douglas': {'clinical finding': 'douglas', 'existence': 'pos_dx', 'observation': 'douglas'}}clinical findings_fin: {'intraluminal sigmoid colonic mass': {'clinical finding': 'intraluminal sigmoid colonic mass', 'existence': 'pos_dx', 'descriptive_term': 'intraluminal sigmoid colonic', 'observation': 'mass'}}anatomical entity_fin: {'pelvis': {}}clinical findings_fin: {'additional mesenteric nodules': {'clinical finding': 'additional mesenteric nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'additional mesenteric', 'observation': 'nodule'}, 'masses': {'clinical finding': 'masses', 'existence': 'pos_dx', 'observation': 'mass'}}anatomical entity_fin: {'quadrant': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']procedure_fin: ['colostomy']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] . New innumerable large pulmonary metastases. For reference purposes a left lower lobe nodule measures 1.9 x 1.5 cm. No significant mediastinal or hilar lymphadenopathy. The heart size is normal and there is no pericardial effusion. Moderate. Enlarged cardiophrenic node measures 2.2 x 1.6 cm. Marked interval increase in size and number of hepatic metastases with the previously seen right hepatic lobe mass now measuring 12.0 x 10.0 cm , previously 4.6 x 3.4 cm. Additional right hepatic lobe lesion measures 2.6 x 2.4 cm. Approximately 75% of the hepatic parenchyma is replaced by metastases. The hepatic vasculature is attenuated secondary to mass effect, although appears grossly patent. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Severe. Small volume ascites. Soft tissue nodule in the pouch of Douglas measures 2.7 x 1.8 cm. Interval increase in size of the intraluminal sigmoid colonic mass. Additional mesenteric nodules and masses are present within the pelvis. There is a left lower quadrant colostomy. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Small volume ascites. Soft tissue nodule in the pouch of Douglas measures 2.7 x 1.8 cm. Interval increase in size of the intraluminal sigmoid colonic mass. Additional mesenteric nodules and masses are present within the pelvis. There is a left lower quadrant colostomy. No significant abnormality noted. No significant abnormality noted. </s>