. Marked interval increase in size and number of multiple small solid pulmonary nodules some of which are clustered and confluent. Previously described right lower lobe reference nodules and a right hilar mass are now obscured by atelectasis and effusion and are not measurable on the current scan. A new reference nodule measures 8 mm, increased from 4 mm on the previous scan. Interval increase in right middle lobe and right lower lobe atelectasis apparently secondary to proximal bronchial obstruction by tumor. New moderate right pleural effusion. In the lungs. Tumor extends into the right perihilar and subcarinal regions with no discrete lymphadenopathy. No visible coronary artery calcification. No pericardial effusion. Partial collapse of the T6 vertebra with previous kyphoplasty, unchanged. Absence of enteric contrast material limits sensitivity for abdominal pathology. Findings will be described in the separate report of the abdominal portion of the scan.
clinical findings_fin: {'multiple small solid pulmonary nodules': {'clinical finding': 'multiple small solid pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'multiple small solid pulmonary', 'observation': 'nodule', 'strength_term': 'small', 'quantity_term': 'multiple'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'previously described right lower lobe reference nodules': {'clinical finding': 'previously described right lower lobe reference nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'previously described right lower lobe reference', 'observation': 'nodule'}, 'right hilar mass': {'clinical finding': 'right hilar mass', 'cf_snomed': {'hilar mass': 309530007}, 'existence': 'unc_dx', 'descriptive_term': 'right hilar', 'observation': 'mass'}, 'atelectasis': {'clinical finding': 'atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'unc_dx', 'observation': 'atelectasis'}, 'effusion': {'clinical finding': 'effusion', 'cf_snomed': {'effusion': 41699000}, 'existence': 'unc_dx', 'observation': 'effusion'}}size_fin: [{'size': '8 mm'}, {'size': '4 mm'}]clinical findings_fin: {'new reference nodule': {'clinical finding': 'new reference nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'new reference', 'observation': 'nodule', 'temporal_term': 'new'}}anatomical entity_fin: {'middle': {'location descriptor': 'right'}, 'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower', 'proximal']clinical findings_fin: {'right lower lobe atelectasis': {'clinical finding': 'right lower lobe atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'right lower lobe', 'observation': 'atelectasis'}, 'proximal bronchial obstruction': {'clinical finding': 'proximal bronchial obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'unc_dx', 'descriptive_term': 'proximal bronchial', 'observation': 'obstruction'}, 'tumor': {'clinical finding': 'tumor', 'existence': 'pos_dx', 'observation': 'tumor'}}location descriptor_fin: ['right']clinical findings_fin: {'new moderate right pleural effusion': {'clinical finding': 'new moderate right pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'new moderate right pleural', 'observation': 'effusion', 'strength_term': 'moderate', 'temporal_term': 'new'}}anatomical entity_fin: {'lungs': {}}location descriptor_fin: ['right']clinical findings_fin: {'tumor': {'clinical finding': 'tumor', 'existence': 'pos_dx', 'observation': 'tumor'}, 'discrete lymphadenopathy': {'clinical finding': 'discrete lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'descriptive_term': 'discrete', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'visible coronary artery calcification': {'clinical finding': 'visible coronary artery calcification', 'existence': 'neg_dx', 'descriptive_term': 'visible coronary artery', 'observation': 'calcification'}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}anatomical entity_fin: {'vertebra': {}}procedure_fin: ['kyphoplasty']clinical findings_fin: {'partial collapse': {'clinical finding': 'partial collapse', 'cf_snomed': {'collapse': 271787007}, 'existence': 'pos_dx', 'descriptive_term': 'partial', 'observation': 'collapse', 'strength_term': 'partial'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}anatomical entity_fin: {'abdominal': {}}
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'multiple small solid pulmonary nodules': {'clinical finding': 'multiple small solid pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'multiple small solid pulmonary', 'observation': 'nodule', 'strength_term': 'small', 'quantity_term': 'multiple'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'previously described right lower lobe reference nodules': {'clinical finding': 'previously described right lower lobe reference nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'previously described right lower lobe reference', 'observation': 'nodule'}, 'right hilar mass': {'clinical finding': 'right hilar mass', 'cf_snomed': {'hilar mass': 309530007}, 'existence': 'unc_dx', 'descriptive_term': 'right hilar', 'observation': 'mass'}, 'atelectasis': {'clinical finding': 'atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'unc_dx', 'observation': 'atelectasis'}, 'effusion': {'clinical finding': 'effusion', 'cf_snomed': {'effusion': 41699000}, 'existence': 'unc_dx', 'observation': 'effusion'}}size_fin: [{'size': '8 mm'}, {'size': '4 mm'}]clinical findings_fin: {'new reference nodule': {'clinical finding': 'new reference nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'new reference', 'observation': 'nodule', 'temporal_term': 'new'}}anatomical entity_fin: {'middle': {'location descriptor': 'right'}, 'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower', 'proximal']clinical findings_fin: {'right lower lobe atelectasis': {'clinical finding': 'right lower lobe atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'right lower lobe', 'observation': 'atelectasis'}, 'proximal bronchial obstruction': {'clinical finding': 'proximal bronchial obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'unc_dx', 'descriptive_term': 'proximal bronchial', 'observation': 'obstruction'}, 'tumor': {'clinical finding': 'tumor', 'existence': 'pos_dx', 'observation': 'tumor'}}location descriptor_fin: ['right']clinical findings_fin: {'new moderate right pleural effusion': {'clinical finding': 'new moderate right pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'new moderate right pleural', 'observation': 'effusion', 'strength_term': 'moderate', 'temporal_term': 'new'}}anatomical entity_fin: {'lungs': {}}location descriptor_fin: ['right']clinical findings_fin: {'tumor': {'clinical finding': 'tumor', 'existence': 'pos_dx', 'observation': 'tumor'}, 'discrete lymphadenopathy': {'clinical finding': 'discrete lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'descriptive_term': 'discrete', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'visible coronary artery calcification': {'clinical finding': 'visible coronary artery calcification', 'existence': 'neg_dx', 'descriptive_term': 'visible coronary artery', 'observation': 'calcification'}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}anatomical entity_fin: {'vertebra': {}}procedure_fin: ['kyphoplasty']clinical findings_fin: {'partial collapse': {'clinical finding': 'partial collapse', 'cf_snomed': {'collapse': 271787007}, 'existence': 'pos_dx', 'descriptive_term': 'partial', 'observation': 'collapse', 'strength_term': 'partial'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}anatomical entity_fin: {'abdominal': {}} [/INST] . Marked interval increase in size and number of multiple small solid pulmonary nodules some of which are clustered and confluent. Previously described right lower lobe reference nodules and a right hilar mass are now obscured by atelectasis and effusion and are not measurable on the current scan. A new reference nodule measures 8 mm, increased from 4 mm on the previous scan. Interval increase in right middle lobe and right lower lobe atelectasis apparently secondary to proximal bronchial obstruction by tumor. New moderate right pleural effusion. In the lungs. Tumor extends into the right perihilar and subcarinal regions with no discrete lymphadenopathy. No visible coronary artery calcification. No pericardial effusion. Partial collapse of the T6 vertebra with previous kyphoplasty, unchanged. Absence of enteric contrast material limits sensitivity for abdominal pathology. Findings will be described in the separate report of the abdominal portion of the scan. </s>