. Scattered pulmonary micronodules are not significantly changed in size or number, nonspecific. No new pulmonary nodule or mass. No focal consolidation, pleural effusions or pneumothorax. Minimal dependent atelectasis. Right chest wall port catheter tip terminates at the cavoatrial junction. Mediastinal hilar lymphadenopathy is again seen. The reference precarinal lymph node measures 1.9 x 1.4 cm , compared to 2.1 x 1.5 cm. The referenced right hilar lymph node measures approximately 1.3 x 0.9 cm , compared to 1.3 x 1.1 cm previously. The distal esophagus and gastroesophageal junction again appears diffusely thickened and heterogeneous consistent with the patients known esophageal cancer. In its largest dimension using similar measurement technique from the prior study this measures approximately 4.1 x 2.8 cm , compared to 4.0 x 3.3 cm previously. None. Prominent number of slightly enlarged bilateral axillary lymph nodes are again noted and not significantly changed in size or number. Stable few subcentimeter hepatic hypodensities are too small to characterize. No new suspicious lesion, biliary ductal dilatation or vascular abnormality. Borderline enlarged spleen measuring 13 cm in craniocaudal dimension, unchanged. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Multiple enlarged para-aortic and paracaval lymph nodes. The reference left periaortic lymph node measures approximately 1.4 x 0.8 cm , compared to 1.5 x 1.2 cm previously. None. No evidence of bowel obstruction. Note is made of mild fat stranding in the small bowel mesentery with small subcentimeter lymph nodes, appearing similar to the prior study. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Distended urinary bladder without a discrete abnormality. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted.
clinical findings_fin: {'scattered pulmonary micronodules': {'clinical finding': 'scattered pulmonary micronodules', 'existence': 'neg_dx', 'descriptive_term': 'scattered pulmonary', 'observation': 'micronodule'}}clinical findings_fin: {'new pulmonary nodule': {'clinical finding': 'new pulmonary nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'new pulmonary', 'observation': 'nodule', 'temporal_term': 'new'}, 'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}}clinical findings_fin: {'focal consolidation': {'clinical finding': 'focal consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'consolidation'}, '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: {'minimal dependent atelectasis': {'clinical finding': 'minimal dependent atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'minimal dependent', 'observation': 'atelectasis', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}anatomical entity_fin: {'chest wall': {'location descriptor': 'right'}}location descriptor_fin: ['right']object_fin: ['port', 'catheter']clinical findings_fin: {'mediastinal hilar lymphadenopathy': {'clinical finding': 'mediastinal hilar lymphadenopathy', 'cf_snomed': {'hilar lymphadenopathy': 87500009}, 'existence': 'pos_dx', 'descriptive_term': 'mediastinal hilar', 'observation': 'lymphadenopathy'}}size_fin: [{'size': '1.9 x 1.4 cm'}, {'size': '2.1 x 1.5 cm'}]clinical findings_fin: {'reference precarinal lymph node': {'clinical finding': 'reference precarinal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference precarinal lymph', 'observation': 'node'}}size_fin: [{'size': '1.3 x 0.9 cm'}, {'size': '1.3 x 1.1 cm'}]location descriptor_fin: ['right']clinical findings_fin: {'referenced right hilar lymph node': {'clinical finding': 'referenced right hilar lymph node', 'existence': 'pos_dx', 'descriptive_term': 'referenced right hilar lymph', 'observation': 'node'}}anatomical entity_fin: {'esophagus': {'location descriptor': 'distal'}, 'gastroesophageal junction': {}}location descriptor_fin: ['distal']clinical findings_fin: {'thickened': {'clinical finding': 'thickened', 'existence': 'pos_dx', 'observation': 'thickened'}, 'patients known esophageal cancer': {'clinical finding': 'patients known esophageal cancer', 'existence': 'pos_dx', 'descriptive_term': 'patients known esophageal', 'observation': 'cancer'}}size_fin: [{'size': '4.1 x 2.8 cm'}, {'size': '4.0 x 3.3 cm'}]clinical findings_fin: {'its largest dimension using similar measurement technique from the prior study': {'clinical finding': 'its largest dimension using similar measurement technique from the prior study'}}anatomical entity_fin: {'axillary lymph nodes': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'enlarged bilateral axillary lymph nodes': {'clinical finding': 'enlarged bilateral axillary lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'enlarged bilateral axillary lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'}}clinical findings_fin: {'stable few subcentimeter hepatic hypodensities': {'clinical finding': 'stable few subcentimeter hepatic hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'stable few subcentimeter hepatic', 'observation': 'hypodensity', 'strength_term': 'stable', 'quantity_term': 'few', 'change_term': 'stable'}}clinical findings_fin: {'new suspicious lesion': {'clinical finding': 'new suspicious lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'new suspicious', 'observation': 'lesion', 'temporal_term': 'new'}, 'biliary ductal dilatation': {'clinical finding': 'biliary ductal dilatation', 'cf_snomed': {'dilatation': 25322007}, 'existence': 'neg_dx', 'descriptive_term': 'biliary ductal', 'observation': 'dilatation'}, 'vascular abnormality': {'clinical finding': 'vascular abnormality', 'existence': 'neg_dx', 'descriptive_term': 'vascular', 'observation': 'abnormality'}}size_fin: [{'size': '13 cm', 'size_descriptor': 'spleen'}]anatomical entity_fin: {'spleen': {}}clinical findings_fin: {'borderline enlarged': {'clinical finding': 'borderline enlarged', 'existence': 'pos_dx', 'descriptive_term': 'borderline', 'observation': 'enlarged', 'strength_term': 'borderline'}}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 para-aortic and paracaval lymph nodes': {'clinical finding': 'multiple enlarged para-aortic and paracaval lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'multiple enlarged para-aortic and paracaval lymph', 'observation': 'node', 'strength_term': 'enlarged', 'quantity_term': 'multiple', 'change_term': 'enlarged'}}size_fin: [{'size': '1.4 x 0.8 cm', 'size_descriptor': 'reference'}, {'size': '1.5 x 1.2 cm', 'size_descriptor': 'node'}]location descriptor_fin: ['left']clinical findings_fin: {'reference left periaortic lymph node': {'clinical finding': 'reference left periaortic lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference left periaortic lymph', 'observation': 'node'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'bowel obstruction': {'clinical finding': 'bowel obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'descriptive_term': 'bowel', 'observation': 'obstruction'}}anatomical entity_fin: {'bowel': {}, 'mesentery': {}}imaging observation_fin: ['fat']clinical findings_fin: {'mild fat stranding': {'clinical finding': 'mild fat stranding', 'existence': 'pos_dx', 'descriptive_term': 'mild fat', 'observation': 'strand', 'strength_term': 'mild'}, 'small subcentimeter lymph nodes': {'clinical finding': 'small subcentimeter lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small subcentimeter lymph', 'observation': 'node', 'strength_term': 'small'}}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: {'urinary bladder': {}}clinical findings_fin: {'distended': {'clinical finding': 'distended', 'existence': 'pos_dx', 'observation': 'distended'}, 'discrete abnormality': {'clinical finding': 'discrete abnormality', 'existence': 'neg_dx', 'descriptive_term': 'discrete', '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'}}
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'scattered pulmonary micronodules': {'clinical finding': 'scattered pulmonary micronodules', 'existence': 'neg_dx', 'descriptive_term': 'scattered pulmonary', 'observation': 'micronodule'}}clinical findings_fin: {'new pulmonary nodule': {'clinical finding': 'new pulmonary nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'new pulmonary', 'observation': 'nodule', 'temporal_term': 'new'}, 'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}}clinical findings_fin: {'focal consolidation': {'clinical finding': 'focal consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'consolidation'}, '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: {'minimal dependent atelectasis': {'clinical finding': 'minimal dependent atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'minimal dependent', 'observation': 'atelectasis', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}anatomical entity_fin: {'chest wall': {'location descriptor': 'right'}}location descriptor_fin: ['right']object_fin: ['port', 'catheter']clinical findings_fin: {'mediastinal hilar lymphadenopathy': {'clinical finding': 'mediastinal hilar lymphadenopathy', 'cf_snomed': {'hilar lymphadenopathy': 87500009}, 'existence': 'pos_dx', 'descriptive_term': 'mediastinal hilar', 'observation': 'lymphadenopathy'}}size_fin: [{'size': '1.9 x 1.4 cm'}, {'size': '2.1 x 1.5 cm'}]clinical findings_fin: {'reference precarinal lymph node': {'clinical finding': 'reference precarinal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference precarinal lymph', 'observation': 'node'}}size_fin: [{'size': '1.3 x 0.9 cm'}, {'size': '1.3 x 1.1 cm'}]location descriptor_fin: ['right']clinical findings_fin: {'referenced right hilar lymph node': {'clinical finding': 'referenced right hilar lymph node', 'existence': 'pos_dx', 'descriptive_term': 'referenced right hilar lymph', 'observation': 'node'}}anatomical entity_fin: {'esophagus': {'location descriptor': 'distal'}, 'gastroesophageal junction': {}}location descriptor_fin: ['distal']clinical findings_fin: {'thickened': {'clinical finding': 'thickened', 'existence': 'pos_dx', 'observation': 'thickened'}, 'patients known esophageal cancer': {'clinical finding': 'patients known esophageal cancer', 'existence': 'pos_dx', 'descriptive_term': 'patients known esophageal', 'observation': 'cancer'}}size_fin: [{'size': '4.1 x 2.8 cm'}, {'size': '4.0 x 3.3 cm'}]clinical findings_fin: {'its largest dimension using similar measurement technique from the prior study': {'clinical finding': 'its largest dimension using similar measurement technique from the prior study'}}anatomical entity_fin: {'axillary lymph nodes': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'enlarged bilateral axillary lymph nodes': {'clinical finding': 'enlarged bilateral axillary lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'enlarged bilateral axillary lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'}}clinical findings_fin: {'stable few subcentimeter hepatic hypodensities': {'clinical finding': 'stable few subcentimeter hepatic hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'stable few subcentimeter hepatic', 'observation': 'hypodensity', 'strength_term': 'stable', 'quantity_term': 'few', 'change_term': 'stable'}}clinical findings_fin: {'new suspicious lesion': {'clinical finding': 'new suspicious lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'new suspicious', 'observation': 'lesion', 'temporal_term': 'new'}, 'biliary ductal dilatation': {'clinical finding': 'biliary ductal dilatation', 'cf_snomed': {'dilatation': 25322007}, 'existence': 'neg_dx', 'descriptive_term': 'biliary ductal', 'observation': 'dilatation'}, 'vascular abnormality': {'clinical finding': 'vascular abnormality', 'existence': 'neg_dx', 'descriptive_term': 'vascular', 'observation': 'abnormality'}}size_fin: [{'size': '13 cm', 'size_descriptor': 'spleen'}]anatomical entity_fin: {'spleen': {}}clinical findings_fin: {'borderline enlarged': {'clinical finding': 'borderline enlarged', 'existence': 'pos_dx', 'descriptive_term': 'borderline', 'observation': 'enlarged', 'strength_term': 'borderline'}}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 para-aortic and paracaval lymph nodes': {'clinical finding': 'multiple enlarged para-aortic and paracaval lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'multiple enlarged para-aortic and paracaval lymph', 'observation': 'node', 'strength_term': 'enlarged', 'quantity_term': 'multiple', 'change_term': 'enlarged'}}size_fin: [{'size': '1.4 x 0.8 cm', 'size_descriptor': 'reference'}, {'size': '1.5 x 1.2 cm', 'size_descriptor': 'node'}]location descriptor_fin: ['left']clinical findings_fin: {'reference left periaortic lymph node': {'clinical finding': 'reference left periaortic lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference left periaortic lymph', 'observation': 'node'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'bowel obstruction': {'clinical finding': 'bowel obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'descriptive_term': 'bowel', 'observation': 'obstruction'}}anatomical entity_fin: {'bowel': {}, 'mesentery': {}}imaging observation_fin: ['fat']clinical findings_fin: {'mild fat stranding': {'clinical finding': 'mild fat stranding', 'existence': 'pos_dx', 'descriptive_term': 'mild fat', 'observation': 'strand', 'strength_term': 'mild'}, 'small subcentimeter lymph nodes': {'clinical finding': 'small subcentimeter lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small subcentimeter lymph', 'observation': 'node', 'strength_term': 'small'}}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: {'urinary bladder': {}}clinical findings_fin: {'distended': {'clinical finding': 'distended', 'existence': 'pos_dx', 'observation': 'distended'}, 'discrete abnormality': {'clinical finding': 'discrete abnormality', 'existence': 'neg_dx', 'descriptive_term': 'discrete', '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'}} [/INST] . Scattered pulmonary micronodules are not significantly changed in size or number, nonspecific. No new pulmonary nodule or mass. No focal consolidation, pleural effusions or pneumothorax. Minimal dependent atelectasis. Right chest wall port catheter tip terminates at the cavoatrial junction. Mediastinal hilar lymphadenopathy is again seen. The reference precarinal lymph node measures 1.9 x 1.4 cm , compared to 2.1 x 1.5 cm. The referenced right hilar lymph node measures approximately 1.3 x 0.9 cm , compared to 1.3 x 1.1 cm previously. The distal esophagus and gastroesophageal junction again appears diffusely thickened and heterogeneous consistent with the patients known esophageal cancer. In its largest dimension using similar measurement technique from the prior study this measures approximately 4.1 x 2.8 cm , compared to 4.0 x 3.3 cm previously. None. Prominent number of slightly enlarged bilateral axillary lymph nodes are again noted and not significantly changed in size or number. Stable few subcentimeter hepatic hypodensities are too small to characterize. No new suspicious lesion, biliary ductal dilatation or vascular abnormality. Borderline enlarged spleen measuring 13 cm in craniocaudal dimension, unchanged. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Multiple enlarged para-aortic and paracaval lymph nodes. The reference left periaortic lymph node measures approximately 1.4 x 0.8 cm , compared to 1.5 x 1.2 cm previously. None. No evidence of bowel obstruction. Note is made of mild fat stranding in the small bowel mesentery with small subcentimeter lymph nodes, appearing similar to the prior study. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Distended urinary bladder without a discrete abnormality. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. </s>