. Basilar atelectasis. No focal pulmonary nodule or mass. Heart size is upper limits of normal without significant pericardial effusion. Multiple enlarged mediastinal lymph nodes. A reference left periaortic node measures 11 mm x 14 mm. Partially imaged supraclavicular lymph nodes are also prominent. Severe with previous stent placement. Multiple sclerotic osseous lesions are identified, highly suspicious for metastatic disease. For reference, sclerotic lesions are seen in T12, L3, and L4 vertebral bodies. Innumerable hypoattenuating hepatic lesions are identified. The largest in the right hepatic dome measures 67 x 48 mm , which appears similar to minimally enlarged when compared to most recent outside prior, although differences in technique make direct comparison measurements difficult. Simple left hepatic lobe cyst appears similar to prior. Small splenule is incidentally noted. No significant abnormality noted. No significant abnormality noted. Multiple benign-appearing renal cysts are unchanged. Grossly stable appearance of multifocal retroperitoneal clustered lymphadenopathy. For reference, a left periaortic node measures 9 x 11 mm. Mild. The bowel is of normal caliber without evidence of obstruction. The appendix is well-visualized and within normal limits. Multiple sclerotic osseous lesions are identified, highly suspicious for metastatic disease. No significant abnormality noted. Status post prostatectomy. Mild residual soft tissue density in the surgical bed is likely postoperative in nature. Mild bladder wall thickening may be in part due to underdistention, though chronic bladder outlet obstruction and posttreatment changes may also be contributing. Scattered, nonenlarged pelvic and inguinal lymph nodes, without significant interval change. As above. As above. No significant abnormality noted
clinical findings_fin: {'basilar atelectasis': {'clinical finding': 'basilar atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'basilar', 'observation': 'atelectasis'}}clinical findings_fin: {'focal pulmonary nodule': {'clinical finding': 'focal pulmonary nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'focal pulmonary', 'observation': 'nodule'}, 'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}}anatomical entity_fin: {'heart': {}}location descriptor_fin: ['upper']clinical findings_fin: {'significant pericardial effusion': {'clinical finding': 'significant pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'pos_dx', 'descriptive_term': 'significant pericardial', 'observation': 'effusion'}}anatomical entity_fin: {'mediastinal lymph nodes': {}}clinical findings_fin: {'multiple enlarged mediastinal lymph nodes': {'clinical finding': 'multiple enlarged mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'multiple enlarged mediastinal lymph', 'observation': 'node', 'strength_term': 'enlarged', 'quantity_term': 'multiple', 'change_term': 'enlarged'}}size_fin: [{'size': '11 mm x 14 mm', 'size_descriptor': 'reference'}]location descriptor_fin: ['left']clinical findings_fin: {'reference left periaortic node': {'clinical finding': 'reference left periaortic node', 'existence': 'pos_dx', 'descriptive_term': 'reference left periaortic', 'observation': 'node'}}anatomical entity_fin: {'supraclavicular lymph nodes': {}}clinical findings_fin: {'partially imaged supraclavicular lymph nodes': {'clinical finding': 'partially imaged supraclavicular lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'partially imaged supraclavicular lymph', 'observation': 'node', 'strength_term': 'partially'}}procedure_fin: ['stent placement']clinical findings_fin: {'previous stent': {'clinical finding': 'previous stent', 'existence': 'pos_dx', 'descriptive_term': 'previous', 'observation': 'stent', 'temporal_term': 'previous'}}clinical findings_fin: {'multiple sclerotic osseous lesions': {'clinical finding': 'multiple sclerotic osseous lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'multiple sclerotic osseous', 'observation': 'lesion', 'quantity_term': 'multiple'}, 'metastatic disease': {'clinical finding': 'metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'unc_dx', 'descriptive_term': 'metastatic', 'observation': 'disease'}}anatomical entity_fin: {'l4 vertebral bodies': {}}clinical findings_fin: {'sclerotic lesions': {'clinical finding': 'sclerotic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'sclerotic', 'observation': 'lesion'}}clinical findings_fin: {'innumerable hypoattenuating hepatic lesions': {'clinical finding': 'innumerable hypoattenuating hepatic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'innumerable hypoattenuating hepatic', 'observation': 'lesion'}}size_fin: [{'size': '67 x 48 mm', 'size_descriptor': 'differences'}]location descriptor_fin: ['right']clinical findings_fin: {'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}}anatomical entity_fin: {'lobe': {}}location descriptor_fin: ['left']clinical findings_fin: {'simple left hepatic lobe cyst': {'clinical finding': 'simple left hepatic lobe cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'simple left hepatic lobe', 'observation': 'cyst'}}clinical findings_fin: {'small splenule is incidentally noted': {'clinical finding': 'small splenule is incidentally 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'}}clinical findings_fin: {'multiple benign-appearing renal cysts': {'clinical finding': 'multiple benign-appearing renal cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'multiple benign-appearing renal', 'observation': 'cyst', 'strength_term': 'benign', 'quantity_term': 'multiple'}}clinical findings_fin: {'multifocal retroperitoneal clustered lymphadenopathy': {'clinical finding': 'multifocal retroperitoneal clustered lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'pos_dx', 'descriptive_term': 'multifocal retroperitoneal clustered', 'observation': 'lymphadenopathy'}}size_fin: [{'size': '9 x 11 mm', 'size_descriptor': 'node'}]location descriptor_fin: ['left']clinical findings_fin: {'left periaortic node': {'clinical finding': 'left periaortic node', 'existence': 'pos_dx', 'descriptive_term': 'left periaortic', 'observation': 'node'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'observation': 'obstruction'}}anatomical entity_fin: {'appendix': {}}clinical findings_fin: {'well - visualized and within normal limits': {'clinical finding': 'well - visualized and within normal limits'}}clinical findings_fin: {'multiple sclerotic osseous lesions': {'clinical finding': 'multiple sclerotic osseous lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'multiple sclerotic osseous', 'observation': 'lesion', 'quantity_term': 'multiple'}, 'metastatic disease': {'clinical finding': 'metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'unc_dx', 'descriptive_term': 'metastatic', 'observation': 'disease'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}procedure_fin: ['prostatectomy']imaging observation_fin: ['soft tissue density']clinical findings_fin: {'mild residual soft tissue density': {'clinical finding': 'mild residual soft tissue density', 'existence': 'unc_dx', 'descriptive_term': 'mild residual soft tissue', 'observation': 'density', 'strength_term': 'mild', 'temporal_term': 'residual'}, 'postoperative': {'clinical finding': 'postoperative', 'existence': 'unc_dx', 'observation': 'postoperative'}}anatomical entity_fin: {'bladder': {}}clinical findings_fin: {'mild bladder wall thickening': {'clinical finding': 'mild bladder wall thickening', 'existence': 'unc_dx', 'descriptive_term': 'mild bladder wall', 'observation': 'thickening', 'strength_term': 'mild'}, 'underdistention': {'clinical finding': 'underdistention', 'existence': 'unc_dx', 'observation': 'underdistention'}, 'chronic bladder outlet obstruction': {'clinical finding': 'chronic bladder outlet obstruction', 'cf_snomed': {'bladder outlet obstruction': 416991005}, 'existence': 'unc_dx', 'descriptive_term': 'chronic bladder outlet', 'observation': 'obstruction', 'temporal_term': 'chronic'}, 'posttreatment changes': {'clinical finding': 'posttreatment changes', 'existence': 'unc_dx', 'descriptive_term': 'posttreatment', 'observation': 'change'}}anatomical entity_fin: {'inguinal lymph nodes': {}}clinical findings_fin: {'scattered, nonenlarged pelvic and inguinal lymph nodes': {'clinical finding': 'scattered, nonenlarged pelvic and inguinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'scattered nonenlarged pelvic and inguinal lymph', 'observation': 'node'}, 'significant interval change': {'clinical finding': 'significant interval change', 'existence': 'pos_dx', 'descriptive_term': 'significant interval', 'observation': 'change'}}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: {'basilar atelectasis': {'clinical finding': 'basilar atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'basilar', 'observation': 'atelectasis'}}clinical findings_fin: {'focal pulmonary nodule': {'clinical finding': 'focal pulmonary nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'focal pulmonary', 'observation': 'nodule'}, 'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}}anatomical entity_fin: {'heart': {}}location descriptor_fin: ['upper']clinical findings_fin: {'significant pericardial effusion': {'clinical finding': 'significant pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'pos_dx', 'descriptive_term': 'significant pericardial', 'observation': 'effusion'}}anatomical entity_fin: {'mediastinal lymph nodes': {}}clinical findings_fin: {'multiple enlarged mediastinal lymph nodes': {'clinical finding': 'multiple enlarged mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'multiple enlarged mediastinal lymph', 'observation': 'node', 'strength_term': 'enlarged', 'quantity_term': 'multiple', 'change_term': 'enlarged'}}size_fin: [{'size': '11 mm x 14 mm', 'size_descriptor': 'reference'}]location descriptor_fin: ['left']clinical findings_fin: {'reference left periaortic node': {'clinical finding': 'reference left periaortic node', 'existence': 'pos_dx', 'descriptive_term': 'reference left periaortic', 'observation': 'node'}}anatomical entity_fin: {'supraclavicular lymph nodes': {}}clinical findings_fin: {'partially imaged supraclavicular lymph nodes': {'clinical finding': 'partially imaged supraclavicular lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'partially imaged supraclavicular lymph', 'observation': 'node', 'strength_term': 'partially'}}procedure_fin: ['stent placement']clinical findings_fin: {'previous stent': {'clinical finding': 'previous stent', 'existence': 'pos_dx', 'descriptive_term': 'previous', 'observation': 'stent', 'temporal_term': 'previous'}}clinical findings_fin: {'multiple sclerotic osseous lesions': {'clinical finding': 'multiple sclerotic osseous lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'multiple sclerotic osseous', 'observation': 'lesion', 'quantity_term': 'multiple'}, 'metastatic disease': {'clinical finding': 'metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'unc_dx', 'descriptive_term': 'metastatic', 'observation': 'disease'}}anatomical entity_fin: {'l4 vertebral bodies': {}}clinical findings_fin: {'sclerotic lesions': {'clinical finding': 'sclerotic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'sclerotic', 'observation': 'lesion'}}clinical findings_fin: {'innumerable hypoattenuating hepatic lesions': {'clinical finding': 'innumerable hypoattenuating hepatic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'innumerable hypoattenuating hepatic', 'observation': 'lesion'}}size_fin: [{'size': '67 x 48 mm', 'size_descriptor': 'differences'}]location descriptor_fin: ['right']clinical findings_fin: {'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}}anatomical entity_fin: {'lobe': {}}location descriptor_fin: ['left']clinical findings_fin: {'simple left hepatic lobe cyst': {'clinical finding': 'simple left hepatic lobe cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'simple left hepatic lobe', 'observation': 'cyst'}}clinical findings_fin: {'small splenule is incidentally noted': {'clinical finding': 'small splenule is incidentally 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'}}clinical findings_fin: {'multiple benign-appearing renal cysts': {'clinical finding': 'multiple benign-appearing renal cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'multiple benign-appearing renal', 'observation': 'cyst', 'strength_term': 'benign', 'quantity_term': 'multiple'}}clinical findings_fin: {'multifocal retroperitoneal clustered lymphadenopathy': {'clinical finding': 'multifocal retroperitoneal clustered lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'pos_dx', 'descriptive_term': 'multifocal retroperitoneal clustered', 'observation': 'lymphadenopathy'}}size_fin: [{'size': '9 x 11 mm', 'size_descriptor': 'node'}]location descriptor_fin: ['left']clinical findings_fin: {'left periaortic node': {'clinical finding': 'left periaortic node', 'existence': 'pos_dx', 'descriptive_term': 'left periaortic', 'observation': 'node'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'observation': 'obstruction'}}anatomical entity_fin: {'appendix': {}}clinical findings_fin: {'well - visualized and within normal limits': {'clinical finding': 'well - visualized and within normal limits'}}clinical findings_fin: {'multiple sclerotic osseous lesions': {'clinical finding': 'multiple sclerotic osseous lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'multiple sclerotic osseous', 'observation': 'lesion', 'quantity_term': 'multiple'}, 'metastatic disease': {'clinical finding': 'metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'unc_dx', 'descriptive_term': 'metastatic', 'observation': 'disease'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}procedure_fin: ['prostatectomy']imaging observation_fin: ['soft tissue density']clinical findings_fin: {'mild residual soft tissue density': {'clinical finding': 'mild residual soft tissue density', 'existence': 'unc_dx', 'descriptive_term': 'mild residual soft tissue', 'observation': 'density', 'strength_term': 'mild', 'temporal_term': 'residual'}, 'postoperative': {'clinical finding': 'postoperative', 'existence': 'unc_dx', 'observation': 'postoperative'}}anatomical entity_fin: {'bladder': {}}clinical findings_fin: {'mild bladder wall thickening': {'clinical finding': 'mild bladder wall thickening', 'existence': 'unc_dx', 'descriptive_term': 'mild bladder wall', 'observation': 'thickening', 'strength_term': 'mild'}, 'underdistention': {'clinical finding': 'underdistention', 'existence': 'unc_dx', 'observation': 'underdistention'}, 'chronic bladder outlet obstruction': {'clinical finding': 'chronic bladder outlet obstruction', 'cf_snomed': {'bladder outlet obstruction': 416991005}, 'existence': 'unc_dx', 'descriptive_term': 'chronic bladder outlet', 'observation': 'obstruction', 'temporal_term': 'chronic'}, 'posttreatment changes': {'clinical finding': 'posttreatment changes', 'existence': 'unc_dx', 'descriptive_term': 'posttreatment', 'observation': 'change'}}anatomical entity_fin: {'inguinal lymph nodes': {}}clinical findings_fin: {'scattered, nonenlarged pelvic and inguinal lymph nodes': {'clinical finding': 'scattered, nonenlarged pelvic and inguinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'scattered nonenlarged pelvic and inguinal lymph', 'observation': 'node'}, 'significant interval change': {'clinical finding': 'significant interval change', 'existence': 'pos_dx', 'descriptive_term': 'significant interval', 'observation': 'change'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . Basilar atelectasis. No focal pulmonary nodule or mass. Heart size is upper limits of normal without significant pericardial effusion. Multiple enlarged mediastinal lymph nodes. A reference left periaortic node measures 11 mm x 14 mm. Partially imaged supraclavicular lymph nodes are also prominent. Severe with previous stent placement. Multiple sclerotic osseous lesions are identified, highly suspicious for metastatic disease. For reference, sclerotic lesions are seen in T12, L3, and L4 vertebral bodies. Innumerable hypoattenuating hepatic lesions are identified. The largest in the right hepatic dome measures 67 x 48 mm , which appears similar to minimally enlarged when compared to most recent outside prior, although differences in technique make direct comparison measurements difficult. Simple left hepatic lobe cyst appears similar to prior. Small splenule is incidentally noted. No significant abnormality noted. No significant abnormality noted. Multiple benign-appearing renal cysts are unchanged. Grossly stable appearance of multifocal retroperitoneal clustered lymphadenopathy. For reference, a left periaortic node measures 9 x 11 mm. Mild. The bowel is of normal caliber without evidence of obstruction. The appendix is well-visualized and within normal limits. Multiple sclerotic osseous lesions are identified, highly suspicious for metastatic disease. No significant abnormality noted. Status post prostatectomy. Mild residual soft tissue density in the surgical bed is likely postoperative in nature. Mild bladder wall thickening may be in part due to underdistention, though chronic bladder outlet obstruction and posttreatment changes may also be contributing. Scattered, nonenlarged pelvic and inguinal lymph nodes, without significant interval change. As above. As above. No significant abnormality noted </s>