. Postsurgical changes of right upper lobectomy. Bilateral pulmonary metastatic nodules again noted. Reference left lingular lymph nodes measures 1.1 x 1.0 cm , previously 1.0 x 0.9 cm. Reference right lower lobe nodule measures 0.9 x 0.9 cm , previously 0.8 x 0.8 cm. Stable trace right pleural effusion. Stable right lung volume loss with mediastinal shift. Right hilar mass increased in size measuring 6.7 x 4.4 cm , previously 5.5 x 3.4 cm. There is mass effect on the adjacent right pulmonary artery with poor visualization of its branches, similar to prior study. Small mediastinal lymph nodes unchanged. Left chest wall port tip in the SVC. Mild. Bilateral breast prostheses noted. Prominent subcentimeter subpectoral lymph nodes. Left hypodense thyroid nodule is stable. Multiple sclerotic rib lesions are grossly stable. Hepatic steatosis. Right hepatic lobe reference metastatic lesion is slightly larger measuring 8.6 x 4.4 cm , 8.4 x 4.1 cm. Right inferior hepatic lesion is also larger measuring 4.0 x 2.3 cm , previously 3.2 x 2.1 cm. Scattered calcified splenic granulomas and small splenule again noted. No significant abnormality noted. No significant abnormality noted. Nonobstructing left renal stone is stable. Right renal cyst adjacent to the large right hepatic metastasis is unchanged. No significant abnormality noted. Mild. No significant abnormality noted. Degenerative changes of the thoracolumbar spine. No significant abnormality noted. Calcified fibroid uterus. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Sclerotic lesions of the L1 and L3 lumbar vertebral spinous processes unchanged. No significant abnormality noted.
location descriptor_fin: ['right', 'upper']clinical findings_fin: {'postsurgical changes': {'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'}, 'right upper lobectomy': {'clinical finding': 'right upper lobectomy', 'existence': 'pos_dx', 'descriptive_term': 'right upper', 'observation': 'lobectomy'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral pulmonary metastatic nodules': {'clinical finding': 'bilateral pulmonary metastatic nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral pulmonary metastatic', 'observation': 'nodule'}}size_fin: [{'size': '1.1 x 1.0 cm'}, {'size': '1.0 x 0.9 cm'}]location descriptor_fin: ['left']clinical findings_fin: {'reference left lingular lymph nodes': {'clinical finding': 'reference left lingular lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'reference left lingular lymph', 'observation': 'node'}}size_fin: [{'size': '0.9 x 0.9 cm'}, {'size': '0.8 x 0.8 cm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'reference right lower lobe nodule': {'clinical finding': 'reference right lower lobe nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'reference right lower lobe', 'observation': 'nodule'}}location descriptor_fin: ['right']clinical findings_fin: {'stable trace right pleural effusion': {'clinical finding': 'stable trace right pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'stable trace right pleural', 'observation': 'effusion', 'strength_term': 'stable', 'change_term': 'stable'}}anatomical entity_fin: {'right lung': {}}clinical findings_fin: {'stable right lung volume loss': {'clinical finding': 'stable right lung volume loss', 'existence': 'pos_dx', 'descriptive_term': 'stable right lung volume', 'observation': 'loss', 'strength_term': 'stable', 'change_term': 'stable'}}size_fin: [{'size': '6.7 x 4.4 cm'}, {'size': '5.5 x 3.4 cm'}]location descriptor_fin: ['right']clinical findings_fin: {'right hilar mass': {'clinical finding': 'right hilar mass', 'cf_snomed': {'hilar mass': 309530007}, 'existence': 'pos_dx', 'descriptive_term': 'right hilar', 'observation': 'mass'}}anatomical entity_fin: {'right pulmonary artery': {'location descriptor': 'adjacent'}}location descriptor_fin: ['adjacent']clinical findings_fin: {'mass effect': {'clinical finding': 'mass effect', 'existence': 'pos_dx', 'descriptive_term': 'mass', 'observation': 'effect'}, 'poor visualization': {'clinical finding': 'poor visualization', 'existence': 'pos_dx', 'descriptive_term': 'poor', 'observation': 'visualization'}}anatomical entity_fin: {'mediastinal lymph nodes': {}}clinical findings_fin: {'small mediastinal lymph nodes': {'clinical finding': 'small mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small mediastinal lymph', 'observation': 'node', 'strength_term': 'small'}}anatomical entity_fin: {'chest wall': {'location descriptor': 'left'}}location descriptor_fin: ['left']object_fin: ['port']anatomical entity_fin: {'breast': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral breast prostheses': {'clinical finding': 'bilateral breast prostheses', 'existence': 'pos_dx', 'descriptive_term': 'bilateral breast', 'observation': 'prosthes'}}clinical findings_fin: {'prominent subcentimeter subpectoral lymph nodes': {'clinical finding': 'prominent subcentimeter subpectoral lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'prominent subcentimeter subpectoral lymph', 'observation': 'node', 'strength_term': 'prominent'}}location descriptor_fin: ['left']clinical findings_fin: {'left hypodense thyroid nodule': {'clinical finding': 'left hypodense thyroid nodule', 'cf_snomed': {'thyroid nodule': 237495005}, 'existence': 'pos_dx', 'descriptive_term': 'left hypodense thyroid', 'observation': 'nodule'}}anatomical entity_fin: {'rib': {}}clinical findings_fin: {'multiple sclerotic rib lesions': {'clinical finding': 'multiple sclerotic rib lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'multiple sclerotic rib', 'observation': 'lesion', 'quantity_term': 'multiple'}}clinical findings_fin: {'hepatic steatosis': {'clinical finding': 'hepatic steatosis', 'cf_snomed': {'steatosis': 1187537008}, 'existence': 'pos_dx', 'descriptive_term': 'hepatic', 'observation': 'steatosis'}}size_fin: [{'size': '8.6 x 4.4 cm'}, {'size': '8.4 x 4.1 cm'}]anatomical entity_fin: {'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'right hepatic lobe reference metastatic lesion': {'clinical finding': 'right hepatic lobe reference metastatic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'right hepatic lobe reference metastatic', 'observation': 'lesion'}}size_fin: [{'size': '4.0 x 2.3 cm'}, {'size': '3.2 x 2.1 cm'}]location descriptor_fin: ['right', 'inferior']clinical findings_fin: {'inferior hepatic lesion': {'clinical finding': 'inferior hepatic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'inferior hepatic', 'observation': 'lesion'}}clinical findings_fin: {'scattered calcified splenic granulomas': {'clinical finding': 'scattered calcified splenic granulomas', 'cf_snomed': {'granuloma': 45647009}, 'existence': 'pos_dx', 'descriptive_term': 'scattered calcified splenic', 'observation': 'granuloma', 'change_term': 'calcified'}}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'}}location descriptor_fin: ['left']clinical findings_fin: {'nonobstructing left renal stone is stable': {'clinical finding': 'nonobstructing left renal stone is stable', 'change_term': 'stable'}}location descriptor_fin: ['right', 'adjacent']clinical findings_fin: {'right renal cyst': {'clinical finding': 'right renal cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'right renal', 'observation': 'cyst'}, 'large right hepatic metastasis': {'clinical finding': 'large right hepatic metastasis', 'existence': 'pos_dx', 'descriptive_term': 'large right hepatic', 'observation': 'metastasis', 'strength_term': 'large'}}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': {}}clinical findings_fin: {'degenerative changes': {'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'uterus': {}}clinical findings_fin: {'calcified fibroid uterus': {'clinical finding': 'calcified fibroid uterus', 'change_term': 'calcified'}}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: {'vertebral': {}}clinical findings_fin: {'sclerotic lesions': {'clinical finding': 'sclerotic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'sclerotic', '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: location descriptor_fin: ['right', 'upper']clinical findings_fin: {'postsurgical changes': {'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'}, 'right upper lobectomy': {'clinical finding': 'right upper lobectomy', 'existence': 'pos_dx', 'descriptive_term': 'right upper', 'observation': 'lobectomy'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral pulmonary metastatic nodules': {'clinical finding': 'bilateral pulmonary metastatic nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral pulmonary metastatic', 'observation': 'nodule'}}size_fin: [{'size': '1.1 x 1.0 cm'}, {'size': '1.0 x 0.9 cm'}]location descriptor_fin: ['left']clinical findings_fin: {'reference left lingular lymph nodes': {'clinical finding': 'reference left lingular lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'reference left lingular lymph', 'observation': 'node'}}size_fin: [{'size': '0.9 x 0.9 cm'}, {'size': '0.8 x 0.8 cm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'reference right lower lobe nodule': {'clinical finding': 'reference right lower lobe nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'reference right lower lobe', 'observation': 'nodule'}}location descriptor_fin: ['right']clinical findings_fin: {'stable trace right pleural effusion': {'clinical finding': 'stable trace right pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'stable trace right pleural', 'observation': 'effusion', 'strength_term': 'stable', 'change_term': 'stable'}}anatomical entity_fin: {'right lung': {}}clinical findings_fin: {'stable right lung volume loss': {'clinical finding': 'stable right lung volume loss', 'existence': 'pos_dx', 'descriptive_term': 'stable right lung volume', 'observation': 'loss', 'strength_term': 'stable', 'change_term': 'stable'}}size_fin: [{'size': '6.7 x 4.4 cm'}, {'size': '5.5 x 3.4 cm'}]location descriptor_fin: ['right']clinical findings_fin: {'right hilar mass': {'clinical finding': 'right hilar mass', 'cf_snomed': {'hilar mass': 309530007}, 'existence': 'pos_dx', 'descriptive_term': 'right hilar', 'observation': 'mass'}}anatomical entity_fin: {'right pulmonary artery': {'location descriptor': 'adjacent'}}location descriptor_fin: ['adjacent']clinical findings_fin: {'mass effect': {'clinical finding': 'mass effect', 'existence': 'pos_dx', 'descriptive_term': 'mass', 'observation': 'effect'}, 'poor visualization': {'clinical finding': 'poor visualization', 'existence': 'pos_dx', 'descriptive_term': 'poor', 'observation': 'visualization'}}anatomical entity_fin: {'mediastinal lymph nodes': {}}clinical findings_fin: {'small mediastinal lymph nodes': {'clinical finding': 'small mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small mediastinal lymph', 'observation': 'node', 'strength_term': 'small'}}anatomical entity_fin: {'chest wall': {'location descriptor': 'left'}}location descriptor_fin: ['left']object_fin: ['port']anatomical entity_fin: {'breast': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral breast prostheses': {'clinical finding': 'bilateral breast prostheses', 'existence': 'pos_dx', 'descriptive_term': 'bilateral breast', 'observation': 'prosthes'}}clinical findings_fin: {'prominent subcentimeter subpectoral lymph nodes': {'clinical finding': 'prominent subcentimeter subpectoral lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'prominent subcentimeter subpectoral lymph', 'observation': 'node', 'strength_term': 'prominent'}}location descriptor_fin: ['left']clinical findings_fin: {'left hypodense thyroid nodule': {'clinical finding': 'left hypodense thyroid nodule', 'cf_snomed': {'thyroid nodule': 237495005}, 'existence': 'pos_dx', 'descriptive_term': 'left hypodense thyroid', 'observation': 'nodule'}}anatomical entity_fin: {'rib': {}}clinical findings_fin: {'multiple sclerotic rib lesions': {'clinical finding': 'multiple sclerotic rib lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'multiple sclerotic rib', 'observation': 'lesion', 'quantity_term': 'multiple'}}clinical findings_fin: {'hepatic steatosis': {'clinical finding': 'hepatic steatosis', 'cf_snomed': {'steatosis': 1187537008}, 'existence': 'pos_dx', 'descriptive_term': 'hepatic', 'observation': 'steatosis'}}size_fin: [{'size': '8.6 x 4.4 cm'}, {'size': '8.4 x 4.1 cm'}]anatomical entity_fin: {'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'right hepatic lobe reference metastatic lesion': {'clinical finding': 'right hepatic lobe reference metastatic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'right hepatic lobe reference metastatic', 'observation': 'lesion'}}size_fin: [{'size': '4.0 x 2.3 cm'}, {'size': '3.2 x 2.1 cm'}]location descriptor_fin: ['right', 'inferior']clinical findings_fin: {'inferior hepatic lesion': {'clinical finding': 'inferior hepatic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'inferior hepatic', 'observation': 'lesion'}}clinical findings_fin: {'scattered calcified splenic granulomas': {'clinical finding': 'scattered calcified splenic granulomas', 'cf_snomed': {'granuloma': 45647009}, 'existence': 'pos_dx', 'descriptive_term': 'scattered calcified splenic', 'observation': 'granuloma', 'change_term': 'calcified'}}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'}}location descriptor_fin: ['left']clinical findings_fin: {'nonobstructing left renal stone is stable': {'clinical finding': 'nonobstructing left renal stone is stable', 'change_term': 'stable'}}location descriptor_fin: ['right', 'adjacent']clinical findings_fin: {'right renal cyst': {'clinical finding': 'right renal cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'right renal', 'observation': 'cyst'}, 'large right hepatic metastasis': {'clinical finding': 'large right hepatic metastasis', 'existence': 'pos_dx', 'descriptive_term': 'large right hepatic', 'observation': 'metastasis', 'strength_term': 'large'}}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': {}}clinical findings_fin: {'degenerative changes': {'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'uterus': {}}clinical findings_fin: {'calcified fibroid uterus': {'clinical finding': 'calcified fibroid uterus', 'change_term': 'calcified'}}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: {'vertebral': {}}clinical findings_fin: {'sclerotic lesions': {'clinical finding': 'sclerotic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'sclerotic', 'observation': 'lesion'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . Postsurgical changes of right upper lobectomy. Bilateral pulmonary metastatic nodules again noted. Reference left lingular lymph nodes measures 1.1 x 1.0 cm , previously 1.0 x 0.9 cm. Reference right lower lobe nodule measures 0.9 x 0.9 cm , previously 0.8 x 0.8 cm. Stable trace right pleural effusion. Stable right lung volume loss with mediastinal shift. Right hilar mass increased in size measuring 6.7 x 4.4 cm , previously 5.5 x 3.4 cm. There is mass effect on the adjacent right pulmonary artery with poor visualization of its branches, similar to prior study. Small mediastinal lymph nodes unchanged. Left chest wall port tip in the SVC. Mild. Bilateral breast prostheses noted. Prominent subcentimeter subpectoral lymph nodes. Left hypodense thyroid nodule is stable. Multiple sclerotic rib lesions are grossly stable. Hepatic steatosis. Right hepatic lobe reference metastatic lesion is slightly larger measuring 8.6 x 4.4 cm , 8.4 x 4.1 cm. Right inferior hepatic lesion is also larger measuring 4.0 x 2.3 cm , previously 3.2 x 2.1 cm. Scattered calcified splenic granulomas and small splenule again noted. No significant abnormality noted. No significant abnormality noted. Nonobstructing left renal stone is stable. Right renal cyst adjacent to the large right hepatic metastasis is unchanged. No significant abnormality noted. Mild. No significant abnormality noted. Degenerative changes of the thoracolumbar spine. No significant abnormality noted. Calcified fibroid uterus. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Sclerotic lesions of the L1 and L3 lumbar vertebral spinous processes unchanged. No significant abnormality noted. </s>