. No significant abnormality noted. No significant abnormality noted. Severe. There are multiple rib metastases predominantly on the right side. An index lesion measures 3 x 1.7 cm on image #29, series #18. There is also a new vertebral body metastases that extends into the spinal canal at one of the midthoracic vertebral bodies. Cirrhotic liver. Segment 8 todays defect measures 2.1 x 2 cm image #93, series #18, unchanged. Again noted numerous hypodense lesions throughout the liver of uncertain etiology but has not significantly changed compared to previous study. The liver is very heterogeneous and diffuse hepatocellular carcinoma cannot be excluded. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Index portacaval node is also increased in size and now measures 3.3 x 2.8 cm on image #98, series #18. Other retroperitoneal lymph nodes are also increased in size compared to previous study. Severe. No significant abnormality noted. There is interval increase in the size of the L3 vertebral body metastatic lesion. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Interval development of a new lymph node measuring 9 mm in diameter image #160, series #18 in the right external iliac region. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted.
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: {'rib': {}}location descriptor_fin: ['right']clinical findings_fin: {'multiple rib metastases': {'clinical finding': 'multiple rib metastases', 'existence': 'pos_dx', 'descriptive_term': 'multiple rib', 'observation': 'metastase', 'quantity_term': 'multiple'}}size_fin: [{'size': '3 x 1.7 cm', 'size_descriptor': 'lesion'}]clinical findings_fin: {'index lesion': {'clinical finding': 'index lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'index', 'observation': 'lesion'}}anatomical entity_fin: {'vertebral body': {}, 'spinal canal': {}, 'vertebral bodies': {}}clinical findings_fin: {'new vertebral body metastases': {'clinical finding': 'new vertebral body metastases', 'existence': 'pos_dx', 'descriptive_term': 'new vertebral body', 'observation': 'metastase', 'temporal_term': 'new'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'cirrhotic liver': {'clinical finding': 'cirrhotic liver'}}size_fin: [{'size': '2.1 x 2 cm', 'size_descriptor': 'image'}]clinical findings_fin: {'defect': {'clinical finding': 'defect', 'cf_snomed': {'defect': 6920004}, 'existence': 'pos_dx', 'observation': 'defect'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'numerous hypodense lesions': {'clinical finding': 'numerous hypodense lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'numerous hypodense', 'observation': 'lesion', 'quantity_term': 'numerous'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'heterogeneous': {'clinical finding': 'heterogeneous', 'existence': 'pos_dx', 'observation': 'heterogeneous'}, 'diffuse hepatocellular carcinoma': {'clinical finding': 'diffuse hepatocellular carcinoma', 'cf_snomed': {'hepatocellular carcinoma': 25370001}, 'existence': 'unc_dx', 'descriptive_term': 'diffuse hepatocellular', 'observation': 'carcinoma'}}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'}}size_fin: [{'size': '3.3 x 2.8 cm'}]clinical findings_fin: {'index portacaval node': {'clinical finding': 'index portacaval node', 'existence': 'pos_dx', 'descriptive_term': 'index portacaval', 'observation': 'node'}}clinical findings_fin: {'other retroperitoneal lymph nodes': {'clinical finding': 'other retroperitoneal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'other retroperitoneal lymph', 'observation': 'node'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'l3 vertebral body': {}}clinical findings_fin: {'l3 vertebral body metastatic lesion': {'clinical finding': 'l3 vertebral body metastatic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'l3 vertebral body 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': '9 mm', 'size_descriptor': 'development'}]location descriptor_fin: ['right', 'external']clinical findings_fin: {'new lymph node': {'clinical finding': 'new lymph node', 'existence': 'pos_dx', 'descriptive_term': 'new lymph', 'observation': 'node', 'temporal_term': 'new'}}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: {'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: {'rib': {}}location descriptor_fin: ['right']clinical findings_fin: {'multiple rib metastases': {'clinical finding': 'multiple rib metastases', 'existence': 'pos_dx', 'descriptive_term': 'multiple rib', 'observation': 'metastase', 'quantity_term': 'multiple'}}size_fin: [{'size': '3 x 1.7 cm', 'size_descriptor': 'lesion'}]clinical findings_fin: {'index lesion': {'clinical finding': 'index lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'index', 'observation': 'lesion'}}anatomical entity_fin: {'vertebral body': {}, 'spinal canal': {}, 'vertebral bodies': {}}clinical findings_fin: {'new vertebral body metastases': {'clinical finding': 'new vertebral body metastases', 'existence': 'pos_dx', 'descriptive_term': 'new vertebral body', 'observation': 'metastase', 'temporal_term': 'new'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'cirrhotic liver': {'clinical finding': 'cirrhotic liver'}}size_fin: [{'size': '2.1 x 2 cm', 'size_descriptor': 'image'}]clinical findings_fin: {'defect': {'clinical finding': 'defect', 'cf_snomed': {'defect': 6920004}, 'existence': 'pos_dx', 'observation': 'defect'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'numerous hypodense lesions': {'clinical finding': 'numerous hypodense lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'numerous hypodense', 'observation': 'lesion', 'quantity_term': 'numerous'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'heterogeneous': {'clinical finding': 'heterogeneous', 'existence': 'pos_dx', 'observation': 'heterogeneous'}, 'diffuse hepatocellular carcinoma': {'clinical finding': 'diffuse hepatocellular carcinoma', 'cf_snomed': {'hepatocellular carcinoma': 25370001}, 'existence': 'unc_dx', 'descriptive_term': 'diffuse hepatocellular', 'observation': 'carcinoma'}}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'}}size_fin: [{'size': '3.3 x 2.8 cm'}]clinical findings_fin: {'index portacaval node': {'clinical finding': 'index portacaval node', 'existence': 'pos_dx', 'descriptive_term': 'index portacaval', 'observation': 'node'}}clinical findings_fin: {'other retroperitoneal lymph nodes': {'clinical finding': 'other retroperitoneal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'other retroperitoneal lymph', 'observation': 'node'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'l3 vertebral body': {}}clinical findings_fin: {'l3 vertebral body metastatic lesion': {'clinical finding': 'l3 vertebral body metastatic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'l3 vertebral body 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': '9 mm', 'size_descriptor': 'development'}]location descriptor_fin: ['right', 'external']clinical findings_fin: {'new lymph node': {'clinical finding': 'new lymph node', 'existence': 'pos_dx', 'descriptive_term': 'new lymph', 'observation': 'node', 'temporal_term': 'new'}}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] . No significant abnormality noted. No significant abnormality noted. Severe. There are multiple rib metastases predominantly on the right side. An index lesion measures 3 x 1.7 cm on image #29, series #18. There is also a new vertebral body metastases that extends into the spinal canal at one of the midthoracic vertebral bodies. Cirrhotic liver. Segment 8 todays defect measures 2.1 x 2 cm image #93, series #18, unchanged. Again noted numerous hypodense lesions throughout the liver of uncertain etiology but has not significantly changed compared to previous study. The liver is very heterogeneous and diffuse hepatocellular carcinoma cannot be excluded. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Index portacaval node is also increased in size and now measures 3.3 x 2.8 cm on image #98, series #18. Other retroperitoneal lymph nodes are also increased in size compared to previous study. Severe. No significant abnormality noted. There is interval increase in the size of the L3 vertebral body metastatic lesion. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Interval development of a new lymph node measuring 9 mm in diameter image #160, series #18 in the right external iliac region. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. </s>