. No pleural fluid. Subtle nodularity of the fissures and pleura noted, suspicious for early pleural or perilymphatic metastases, present previously but more pronounced on the current study. Scattered 1-3 mm micronodules, about the same. Bilateral mediastinal and hilar lymphadenopathy, some of the lymph nodes appear slightly larger. 12 mm right hilar lymph node, previously 10-mm. A second right hilar region lymph node measures 14 mm, previously 12-mm. Right paratracheal lymph node 10 mm, unchanged. AP window or subaortic lymph node 9 mm, previously 10-mm. Normal heart size. No pericardial fluid. Mild coronary artery calcifications. Surgical clip in the region of the thyroid bed. Lytic destructive metastasis involving the right scapular tip with pathologic fracture, present previously. Lytic metastases in the humeral heads bilaterally, the left scapula and the sternal body unchanged. Thoracic spine lesions involving vertebral bodies T12, T11, T8, T7 and T2 unchanged with pathologic fracture of superior endplates again seen. Scattered rib lesions, present previously. Absence of enteric contrast material limits sensitivity for abdominal pathology. Hepatic metastases about the same with reference lesion measuring 13 x 8 mm, previously 10 x 8mm. No significant abnormality noted. Right adrenal gland nodule 19 x 14 mm, previously 19 x 12 mm. Hypoattenuating lesions in the left kidney, one of which is larger in the interpolar region. No significant abnormality noted. No significant abnormality noted. Absence of enteric contrast material limits sensitivity for GI pathology. In the level of the pelvic inlet, bowel abuts the anterior peritoneum, incompletely assessed the should be monitored on subsequent examinations. Lytic metastases involving L1, L3 and the right iliac wing. L1 spinous process lesion. No significant abnormality noted.
clinical findings_fin: {'pleural fluid': {'clinical finding': 'pleural fluid', 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'fluid'}}anatomical entity_fin: {'pleura': {}}clinical findings_fin: {'subtle nodularity': {'clinical finding': 'subtle nodularity', 'existence': 'pos_dx', 'descriptive_term': 'subtle', 'observation': 'nodularity', 'strength_term': 'subtle'}, 'fissures': {'clinical finding': 'fissures', 'cf_snomed': {'fissure': 47393002}, 'existence': 'pos_dx', 'observation': 'fissure'}, 'early pleural or perilymphatic metastases': {'clinical finding': 'early pleural or perilymphatic metastases', 'existence': 'unc_dx', 'descriptive_term': 'early pleural or perilymphatic', 'observation': 'metastase'}}size_fin: [{'size': '3 mm', 'size_descriptor': 'micronodules'}]clinical findings_fin: {'1-3 mm micronodules': {'clinical finding': '1-3 mm micronodules', 'existence': 'pos_dx', 'descriptive_term': '1-3 mm', 'observation': 'micronodule'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'lymphadenopathy': {'clinical finding': 'lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'pos_dx', 'observation': 'lymphadenopathy'}, 'lymph nodes': {'clinical finding': 'lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'lymph', 'observation': 'node'}}size_fin: [{'size': '12 mm'}, {'size': '10-mm'}]location descriptor_fin: ['right']clinical findings_fin: {'right hilar lymph node': {'clinical finding': 'right hilar lymph node', 'existence': 'pos_dx', 'descriptive_term': 'right hilar lymph', 'observation': 'node'}}size_fin: [{'size': '14 mm'}, {'size': '12-mm'}]location descriptor_fin: ['right']clinical findings_fin: {'second right hilar region lymph node': {'clinical finding': 'second right hilar region lymph node', 'existence': 'pos_dx', 'descriptive_term': 'second right hilar region lymph', 'observation': 'node'}}size_fin: [{'size': '10 mm', 'size_descriptor': 'node'}]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'}}size_fin: [{'size': '9 mm'}, {'size': '10-mm'}]clinical findings_fin: {'subaortic lymph node': {'clinical finding': 'subaortic lymph node', 'existence': 'unc_dx', 'descriptive_term': 'subaortic lymph', 'observation': 'node'}}anatomical entity_fin: {'heart': {}}clinical findings_fin: {'normal heart size': {'clinical finding': 'normal heart size'}}anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'mild coronary artery calcifications': {'clinical finding': 'mild coronary artery calcifications', 'existence': 'pos_dx', 'descriptive_term': 'mild coronary artery', 'observation': 'calcification', 'strength_term': 'mild'}}object_fin: ['surgical clip']clinical findings_fin: {'surgical clip': {'clinical finding': 'surgical clip', 'existence': 'pos_dx', 'descriptive_term': 'surgical', 'observation': 'clip'}}location descriptor_fin: ['right']clinical findings_fin: {'lytic destructive metastasis': {'clinical finding': 'lytic destructive metastasis', 'existence': 'pos_dx', 'descriptive_term': 'lytic destructive', 'observation': 'metastasis'}, 'pathologic fracture': {'clinical finding': 'pathologic fracture', 'cf_snomed': {'pathologic fracture': 22640007}, 'existence': 'pos_dx', 'descriptive_term': 'pathologic', 'observation': 'fracture'}}anatomical entity_fin: {'heads': {}, 'left scapula': {}, 'body': {}}clinical findings_fin: {'lytic metastases': {'clinical finding': 'lytic metastases', 'existence': 'pos_dx', 'descriptive_term': 'lytic', 'observation': 'metastase'}, 'unchanged': {'clinical finding': 'unchanged', 'existence': 'pos_dx', 'observation': 'unchanged'}}anatomical entity_fin: {'spine': {}, 'vertebral bodies': {}, 'endplates': {'location descriptor': 'superior'}}location descriptor_fin: ['superior']clinical findings_fin: {'thoracic spine lesions': {'clinical finding': 'thoracic spine lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'thoracic spine', 'observation': 'lesion'}, 'pathologic fracture': {'clinical finding': 'pathologic fracture', 'cf_snomed': {'pathologic fracture': 22640007}, 'existence': 'pos_dx', 'descriptive_term': 'pathologic', 'observation': 'fracture'}}anatomical entity_fin: {'rib': {}}clinical findings_fin: {'scattered rib lesions': {'clinical finding': 'scattered rib lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'scattered rib', 'observation': 'lesion'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}size_fin: [{'size': '13 x 8 mm'}, {'size': '10 x 8mm'}]clinical findings_fin: {'hepatic metastases': {'clinical finding': 'hepatic metastases', 'existence': 'pos_dx', 'descriptive_term': 'hepatic', 'observation': 'metastase'}, 'reference lesion': {'clinical finding': 'reference lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'reference', 'observation': 'lesion'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}size_fin: [{'size': '19 x 14 mm'}, {'size': '19 x 12 mm'}]anatomical entity_fin: {'right adrenal gland': {}}clinical findings_fin: {'right adrenal gland nodule': {'clinical finding': 'right adrenal gland nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'right adrenal gland', 'observation': 'nodule'}}anatomical entity_fin: {'left kidney': {}}clinical findings_fin: {'hypoattenuating lesions': {'clinical finding': 'hypoattenuating lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'hypoattenuating', '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'}}anatomical entity_fin: {'pelvic inlet': {}, 'bowel': {}, 'peritoneum': {'location descriptor': 'anterior'}}location descriptor_fin: ['anterior']clinical findings_fin: {'level of the pelvic inlet , bowel abuts': {'clinical finding': 'level of the pelvic inlet , bowel abuts'}}anatomical entity_fin: {'iliac wing': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'lytic metastases': {'clinical finding': 'lytic metastases', 'existence': 'pos_dx', 'descriptive_term': 'lytic', 'observation': 'metastase'}}anatomical entity_fin: {'spinous': {}}clinical findings_fin: {'l1 spinous process lesion': {'clinical finding': 'l1 spinous process lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'l1 spinous process', 'observation': 'lesion'}}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: {'pleural fluid': {'clinical finding': 'pleural fluid', 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'fluid'}}anatomical entity_fin: {'pleura': {}}clinical findings_fin: {'subtle nodularity': {'clinical finding': 'subtle nodularity', 'existence': 'pos_dx', 'descriptive_term': 'subtle', 'observation': 'nodularity', 'strength_term': 'subtle'}, 'fissures': {'clinical finding': 'fissures', 'cf_snomed': {'fissure': 47393002}, 'existence': 'pos_dx', 'observation': 'fissure'}, 'early pleural or perilymphatic metastases': {'clinical finding': 'early pleural or perilymphatic metastases', 'existence': 'unc_dx', 'descriptive_term': 'early pleural or perilymphatic', 'observation': 'metastase'}}size_fin: [{'size': '3 mm', 'size_descriptor': 'micronodules'}]clinical findings_fin: {'1-3 mm micronodules': {'clinical finding': '1-3 mm micronodules', 'existence': 'pos_dx', 'descriptive_term': '1-3 mm', 'observation': 'micronodule'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'lymphadenopathy': {'clinical finding': 'lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'pos_dx', 'observation': 'lymphadenopathy'}, 'lymph nodes': {'clinical finding': 'lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'lymph', 'observation': 'node'}}size_fin: [{'size': '12 mm'}, {'size': '10-mm'}]location descriptor_fin: ['right']clinical findings_fin: {'right hilar lymph node': {'clinical finding': 'right hilar lymph node', 'existence': 'pos_dx', 'descriptive_term': 'right hilar lymph', 'observation': 'node'}}size_fin: [{'size': '14 mm'}, {'size': '12-mm'}]location descriptor_fin: ['right']clinical findings_fin: {'second right hilar region lymph node': {'clinical finding': 'second right hilar region lymph node', 'existence': 'pos_dx', 'descriptive_term': 'second right hilar region lymph', 'observation': 'node'}}size_fin: [{'size': '10 mm', 'size_descriptor': 'node'}]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'}}size_fin: [{'size': '9 mm'}, {'size': '10-mm'}]clinical findings_fin: {'subaortic lymph node': {'clinical finding': 'subaortic lymph node', 'existence': 'unc_dx', 'descriptive_term': 'subaortic lymph', 'observation': 'node'}}anatomical entity_fin: {'heart': {}}clinical findings_fin: {'normal heart size': {'clinical finding': 'normal heart size'}}anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'mild coronary artery calcifications': {'clinical finding': 'mild coronary artery calcifications', 'existence': 'pos_dx', 'descriptive_term': 'mild coronary artery', 'observation': 'calcification', 'strength_term': 'mild'}}object_fin: ['surgical clip']clinical findings_fin: {'surgical clip': {'clinical finding': 'surgical clip', 'existence': 'pos_dx', 'descriptive_term': 'surgical', 'observation': 'clip'}}location descriptor_fin: ['right']clinical findings_fin: {'lytic destructive metastasis': {'clinical finding': 'lytic destructive metastasis', 'existence': 'pos_dx', 'descriptive_term': 'lytic destructive', 'observation': 'metastasis'}, 'pathologic fracture': {'clinical finding': 'pathologic fracture', 'cf_snomed': {'pathologic fracture': 22640007}, 'existence': 'pos_dx', 'descriptive_term': 'pathologic', 'observation': 'fracture'}}anatomical entity_fin: {'heads': {}, 'left scapula': {}, 'body': {}}clinical findings_fin: {'lytic metastases': {'clinical finding': 'lytic metastases', 'existence': 'pos_dx', 'descriptive_term': 'lytic', 'observation': 'metastase'}, 'unchanged': {'clinical finding': 'unchanged', 'existence': 'pos_dx', 'observation': 'unchanged'}}anatomical entity_fin: {'spine': {}, 'vertebral bodies': {}, 'endplates': {'location descriptor': 'superior'}}location descriptor_fin: ['superior']clinical findings_fin: {'thoracic spine lesions': {'clinical finding': 'thoracic spine lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'thoracic spine', 'observation': 'lesion'}, 'pathologic fracture': {'clinical finding': 'pathologic fracture', 'cf_snomed': {'pathologic fracture': 22640007}, 'existence': 'pos_dx', 'descriptive_term': 'pathologic', 'observation': 'fracture'}}anatomical entity_fin: {'rib': {}}clinical findings_fin: {'scattered rib lesions': {'clinical finding': 'scattered rib lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'scattered rib', 'observation': 'lesion'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}size_fin: [{'size': '13 x 8 mm'}, {'size': '10 x 8mm'}]clinical findings_fin: {'hepatic metastases': {'clinical finding': 'hepatic metastases', 'existence': 'pos_dx', 'descriptive_term': 'hepatic', 'observation': 'metastase'}, 'reference lesion': {'clinical finding': 'reference lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'reference', 'observation': 'lesion'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}size_fin: [{'size': '19 x 14 mm'}, {'size': '19 x 12 mm'}]anatomical entity_fin: {'right adrenal gland': {}}clinical findings_fin: {'right adrenal gland nodule': {'clinical finding': 'right adrenal gland nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'right adrenal gland', 'observation': 'nodule'}}anatomical entity_fin: {'left kidney': {}}clinical findings_fin: {'hypoattenuating lesions': {'clinical finding': 'hypoattenuating lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'hypoattenuating', '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'}}anatomical entity_fin: {'pelvic inlet': {}, 'bowel': {}, 'peritoneum': {'location descriptor': 'anterior'}}location descriptor_fin: ['anterior']clinical findings_fin: {'level of the pelvic inlet , bowel abuts': {'clinical finding': 'level of the pelvic inlet , bowel abuts'}}anatomical entity_fin: {'iliac wing': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'lytic metastases': {'clinical finding': 'lytic metastases', 'existence': 'pos_dx', 'descriptive_term': 'lytic', 'observation': 'metastase'}}anatomical entity_fin: {'spinous': {}}clinical findings_fin: {'l1 spinous process lesion': {'clinical finding': 'l1 spinous process lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'l1 spinous process', 'observation': 'lesion'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . No pleural fluid. Subtle nodularity of the fissures and pleura noted, suspicious for early pleural or perilymphatic metastases, present previously but more pronounced on the current study. Scattered 1-3 mm micronodules, about the same. Bilateral mediastinal and hilar lymphadenopathy, some of the lymph nodes appear slightly larger. 12 mm right hilar lymph node, previously 10-mm. A second right hilar region lymph node measures 14 mm, previously 12-mm. Right paratracheal lymph node 10 mm, unchanged. AP window or subaortic lymph node 9 mm, previously 10-mm. Normal heart size. No pericardial fluid. Mild coronary artery calcifications. Surgical clip in the region of the thyroid bed. Lytic destructive metastasis involving the right scapular tip with pathologic fracture, present previously. Lytic metastases in the humeral heads bilaterally, the left scapula and the sternal body unchanged. Thoracic spine lesions involving vertebral bodies T12, T11, T8, T7 and T2 unchanged with pathologic fracture of superior endplates again seen. Scattered rib lesions, present previously. Absence of enteric contrast material limits sensitivity for abdominal pathology. Hepatic metastases about the same with reference lesion measuring 13 x 8 mm, previously 10 x 8mm. No significant abnormality noted. Right adrenal gland nodule 19 x 14 mm, previously 19 x 12 mm. Hypoattenuating lesions in the left kidney, one of which is larger in the interpolar region. No significant abnormality noted. No significant abnormality noted. Absence of enteric contrast material limits sensitivity for GI pathology. In the level of the pelvic inlet, bowel abuts the anterior peritoneum, incompletely assessed the should be monitored on subsequent examinations. Lytic metastases involving L1, L3 and the right iliac wing. L1 spinous process lesion. No significant abnormality noted. </s>