. Mild focal nodular pleural thickening at the left lung base measures 1.0 x 0.4 cm, unchanged from prior. A small cystic right upper lobe lesion measures 4 mm. No other suspicious nodules or masses are identified. No focal airspace consolidation. No pleural effusions. The heart is normal in size, without pericardial effusion. Scattered small mediastinal and hilar lymph nodes, without lymphadenopathy. None. Right chest port, tip at the cavoatrial junction. Multiple ill-defined hypoattenuating hepatic lesions, compatible with metastatic disease. The largest lesion measures 0.4 x 7.2 x 5.0 cm , similar to prior MR imaging dated 06/22/2015 accounting for differences in technique. An ill-defined right hepatic lobe lesion measures 4.3 x 3.3 cm , slightly larger compared to the prior study. Additional smaller metastatic lesions are seen, some of which appear slightly more prominent compared to the prior study. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. 1 cm hypodense right renal lesion measures near water density, likely reflecting a simple cyst. No significant mesenteric or retroperitoneal lymphadenopathy is noted. Thickening of the distal esophageal wall, measuring up to 11 mm in thickness compatible with a known history of esophageal cancer. Fluid-filled proximal esophagus. No abnormal bowel wall thickening or evidence of obstruction. Scattered colonic diverticula without evidence of acute diverticulitis. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. See above. Degenerative changes affect the lower lumbar spine. No focal osseous lesion is identified. No significant abnormality noted
size_fin: [{'size': '1.0 x 0.4 cm', 'size_descriptor': 'thickening'}]anatomical entity_fin: {'left lung': {}, 'base': {}}clinical findings_fin: {'mild focal nodular pleural thickening': {'clinical finding': 'mild focal nodular pleural thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild focal nodular pleural', 'observation': 'thickening', 'strength_term': 'mild'}}size_fin: [{'size': '4 mm', 'size_descriptor': 'lesion'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right upper'}}location descriptor_fin: ['right', 'upper']clinical findings_fin: {'small cystic right upper lobe lesion': {'clinical finding': 'small cystic right upper lobe lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'small cystic right upper lobe', 'observation': 'lesion', 'strength_term': 'small'}}clinical findings_fin: {'other suspicious nodules': {'clinical finding': 'other suspicious nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'other suspicious', 'observation': 'nodule'}, 'masses': {'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass'}}anatomical entity_fin: {'airspace': {}}clinical findings_fin: {'focal airspace consolidation': {'clinical finding': 'focal airspace consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'neg_dx', 'descriptive_term': 'focal airspace', 'observation': 'consolidation'}}clinical findings_fin: {'pleural effusions': {'clinical finding': 'pleural effusions', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}}anatomical entity_fin: {'heart': {}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'pos_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}clinical findings_fin: {'small mediastinal and hilar lymph nodes': {'clinical finding': 'small mediastinal and hilar lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small mediastinal and hilar lymph', 'observation': 'node', 'strength_term': 'small'}, 'lymphadenopathy': {'clinical finding': 'lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'pos_dx', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'chest': {'location descriptor': 'right'}}location descriptor_fin: ['right']object_fin: ['port']clinical findings_fin: {'multiple ill-defined hypoattenuating hepatic lesions': {'clinical finding': 'multiple ill-defined hypoattenuating hepatic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'multiple ill-defined hypoattenuating hepatic', 'observation': 'lesion', 'strength_term': 'ill-defined', 'quantity_term': 'multiple'}, 'metastatic disease': {'clinical finding': 'metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'metastatic', 'observation': 'disease'}}size_fin: [{'size': '0.4 x 7.2 x 5.0 cm', 'size_descriptor': 'lesion'}]clinical findings_fin: {'largest lesion': {'clinical finding': 'largest lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'largest', 'observation': 'lesion'}}size_fin: [{'size': '4.3 x 3.3 cm', 'size_descriptor': 'lesion'}]anatomical entity_fin: {'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'ill-defined right hepatic lobe lesion': {'clinical finding': 'ill-defined right hepatic lobe lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'ill-defined right hepatic lobe', 'observation': 'lesion', 'strength_term': 'ill-defined'}}clinical findings_fin: {'additional smaller metastatic lesions': {'clinical finding': 'additional smaller metastatic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'additional smaller metastatic', '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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}size_fin: [{'size': '1 cm', 'size_descriptor': 'lesion'}]imaging observation_fin: ['water density']location descriptor_fin: ['right']clinical findings_fin: {'1 cm hypodense right renal lesion': {'clinical finding': '1 cm hypodense right renal lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': '1 cm hypodense right renal', 'observation': 'lesion'}, 'simple cyst': {'clinical finding': 'simple cyst', 'cf_snomed': {'simple cyst': 367644007}, 'existence': 'pos_dx', 'descriptive_term': 'simple', 'observation': 'cyst'}}clinical findings_fin: {'significant mesenteric or retroperitoneal lymphadenopathy': {'clinical finding': 'significant mesenteric or retroperitoneal lymphadenopathy', 'cf_snomed': {'retroperitoneal lymphadenopathy': 127154008}, 'existence': 'neg_dx', 'descriptive_term': 'significant mesenteric or retroperitoneal', 'observation': 'lymphadenopathy'}}size_fin: [{'size': '11 mm', 'size_descriptor': 'thickening'}]anatomical entity_fin: {'wall': {}}location descriptor_fin: ['distal']clinical findings_fin: {'esophageal cancer': {'clinical finding': 'esophageal cancer', 'existence': 'pos_dx', 'descriptive_term': 'esophageal', 'observation': 'cancer'}}anatomical entity_fin: {'fluid': {}, 'esophagus': {'location descriptor': 'proximal'}}location descriptor_fin: ['proximal']clinical findings_fin: {'fluid-filled proximal esophagus': {'clinical finding': 'fluid-filled proximal esophagus', 'change_term': 'filled'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'abnormal bowel wall thickening': {'clinical finding': 'abnormal bowel wall thickening', 'existence': 'neg_dx', 'descriptive_term': 'abnormal bowel wall', 'observation': 'thickening'}, 'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'observation': 'obstruction'}}clinical findings_fin: {'acute diverticulitis': {'clinical finding': 'acute diverticulitis', 'cf_snomed': {'diverticulitis': 307496006}, 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'diverticulitis', 'strength_term': 'acute', 'temporal_term': 'acute'}}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: {'spine': {}}location descriptor_fin: ['lower']clinical findings_fin: {'degenerative changes': {'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'}}clinical findings_fin: {'focal osseous lesion': {'clinical finding': 'focal osseous lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'focal osseous', '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: size_fin: [{'size': '1.0 x 0.4 cm', 'size_descriptor': 'thickening'}]anatomical entity_fin: {'left lung': {}, 'base': {}}clinical findings_fin: {'mild focal nodular pleural thickening': {'clinical finding': 'mild focal nodular pleural thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild focal nodular pleural', 'observation': 'thickening', 'strength_term': 'mild'}}size_fin: [{'size': '4 mm', 'size_descriptor': 'lesion'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right upper'}}location descriptor_fin: ['right', 'upper']clinical findings_fin: {'small cystic right upper lobe lesion': {'clinical finding': 'small cystic right upper lobe lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'small cystic right upper lobe', 'observation': 'lesion', 'strength_term': 'small'}}clinical findings_fin: {'other suspicious nodules': {'clinical finding': 'other suspicious nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'other suspicious', 'observation': 'nodule'}, 'masses': {'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass'}}anatomical entity_fin: {'airspace': {}}clinical findings_fin: {'focal airspace consolidation': {'clinical finding': 'focal airspace consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'neg_dx', 'descriptive_term': 'focal airspace', 'observation': 'consolidation'}}clinical findings_fin: {'pleural effusions': {'clinical finding': 'pleural effusions', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}}anatomical entity_fin: {'heart': {}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'pos_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}clinical findings_fin: {'small mediastinal and hilar lymph nodes': {'clinical finding': 'small mediastinal and hilar lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small mediastinal and hilar lymph', 'observation': 'node', 'strength_term': 'small'}, 'lymphadenopathy': {'clinical finding': 'lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'pos_dx', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'chest': {'location descriptor': 'right'}}location descriptor_fin: ['right']object_fin: ['port']clinical findings_fin: {'multiple ill-defined hypoattenuating hepatic lesions': {'clinical finding': 'multiple ill-defined hypoattenuating hepatic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'multiple ill-defined hypoattenuating hepatic', 'observation': 'lesion', 'strength_term': 'ill-defined', 'quantity_term': 'multiple'}, 'metastatic disease': {'clinical finding': 'metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'metastatic', 'observation': 'disease'}}size_fin: [{'size': '0.4 x 7.2 x 5.0 cm', 'size_descriptor': 'lesion'}]clinical findings_fin: {'largest lesion': {'clinical finding': 'largest lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'largest', 'observation': 'lesion'}}size_fin: [{'size': '4.3 x 3.3 cm', 'size_descriptor': 'lesion'}]anatomical entity_fin: {'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'ill-defined right hepatic lobe lesion': {'clinical finding': 'ill-defined right hepatic lobe lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'ill-defined right hepatic lobe', 'observation': 'lesion', 'strength_term': 'ill-defined'}}clinical findings_fin: {'additional smaller metastatic lesions': {'clinical finding': 'additional smaller metastatic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'additional smaller metastatic', '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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}size_fin: [{'size': '1 cm', 'size_descriptor': 'lesion'}]imaging observation_fin: ['water density']location descriptor_fin: ['right']clinical findings_fin: {'1 cm hypodense right renal lesion': {'clinical finding': '1 cm hypodense right renal lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': '1 cm hypodense right renal', 'observation': 'lesion'}, 'simple cyst': {'clinical finding': 'simple cyst', 'cf_snomed': {'simple cyst': 367644007}, 'existence': 'pos_dx', 'descriptive_term': 'simple', 'observation': 'cyst'}}clinical findings_fin: {'significant mesenteric or retroperitoneal lymphadenopathy': {'clinical finding': 'significant mesenteric or retroperitoneal lymphadenopathy', 'cf_snomed': {'retroperitoneal lymphadenopathy': 127154008}, 'existence': 'neg_dx', 'descriptive_term': 'significant mesenteric or retroperitoneal', 'observation': 'lymphadenopathy'}}size_fin: [{'size': '11 mm', 'size_descriptor': 'thickening'}]anatomical entity_fin: {'wall': {}}location descriptor_fin: ['distal']clinical findings_fin: {'esophageal cancer': {'clinical finding': 'esophageal cancer', 'existence': 'pos_dx', 'descriptive_term': 'esophageal', 'observation': 'cancer'}}anatomical entity_fin: {'fluid': {}, 'esophagus': {'location descriptor': 'proximal'}}location descriptor_fin: ['proximal']clinical findings_fin: {'fluid-filled proximal esophagus': {'clinical finding': 'fluid-filled proximal esophagus', 'change_term': 'filled'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'abnormal bowel wall thickening': {'clinical finding': 'abnormal bowel wall thickening', 'existence': 'neg_dx', 'descriptive_term': 'abnormal bowel wall', 'observation': 'thickening'}, 'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'observation': 'obstruction'}}clinical findings_fin: {'acute diverticulitis': {'clinical finding': 'acute diverticulitis', 'cf_snomed': {'diverticulitis': 307496006}, 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'diverticulitis', 'strength_term': 'acute', 'temporal_term': 'acute'}}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: {'spine': {}}location descriptor_fin: ['lower']clinical findings_fin: {'degenerative changes': {'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'}}clinical findings_fin: {'focal osseous lesion': {'clinical finding': 'focal osseous lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'focal osseous', 'observation': 'lesion'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . Mild focal nodular pleural thickening at the left lung base measures 1.0 x 0.4 cm, unchanged from prior. A small cystic right upper lobe lesion measures 4 mm. No other suspicious nodules or masses are identified. No focal airspace consolidation. No pleural effusions. The heart is normal in size, without pericardial effusion. Scattered small mediastinal and hilar lymph nodes, without lymphadenopathy. None. Right chest port, tip at the cavoatrial junction. Multiple ill-defined hypoattenuating hepatic lesions, compatible with metastatic disease. The largest lesion measures 0.4 x 7.2 x 5.0 cm , similar to prior MR imaging dated 06/22/2015 accounting for differences in technique. An ill-defined right hepatic lobe lesion measures 4.3 x 3.3 cm , slightly larger compared to the prior study. Additional smaller metastatic lesions are seen, some of which appear slightly more prominent compared to the prior study. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. 1 cm hypodense right renal lesion measures near water density, likely reflecting a simple cyst. No significant mesenteric or retroperitoneal lymphadenopathy is noted. Thickening of the distal esophageal wall, measuring up to 11 mm in thickness compatible with a known history of esophageal cancer. Fluid-filled proximal esophagus. No abnormal bowel wall thickening or evidence of obstruction. Scattered colonic diverticula without evidence of acute diverticulitis. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. See above. Degenerative changes affect the lower lumbar spine. No focal osseous lesion is identified. No significant abnormality noted </s>