. Innumerable pulmonary nodules compatible with metastatic disease. Several scattered bilobar hypodense hepatic lesions with suggestion of peripheral enhancement, the largest conglomerate in the periphery of the right lobe of the liver measuring 3.9 x 3.3 cm , most compatible with metastatic disease. Patent portal vein. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Moderate left and mild right-sided hydroureteronephrosis secondary to pelvic mass. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. As below. No significant abnormality noted. No significant abnormality noted. Status post left hemicolectomy. Left pelvic heterogenous hypoattenuating mass one large component measuring 6.0 x 6.0 cm , most compatible with colon cancer given history, and extending across the midline. This mass likely invades the uterus and upper vagina. Another component of the mass is seen anterior to the left psoas muscle near the resection site. Numerous serosal and peritoneal implants, for example one in the right lower quadrant measures 1.1 x 1.2 cm. No significant abnormality noted. No significant abnormality noted.
clinical findings_fin: {'innumerable pulmonary nodules': {'clinical finding': 'innumerable pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'innumerable pulmonary', 'observation': 'nodule'}, 'metastatic disease': {'clinical finding': 'metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'metastatic', 'observation': 'disease'}}size_fin: [{'size': '3.9 x 3.3 cm', 'size_descriptor': 'lesions'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right'}, 'liver': {}}location descriptor_fin: ['peripheral', 'right']clinical findings_fin: {'several scattered bilobar hypodense hepatic lesions': {'clinical finding': 'several scattered bilobar hypodense hepatic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'several scattered bilobar hypodense hepatic', 'observation': 'lesion', 'quantity_term': 'several'}, 'peripheral enhancement': {'clinical finding': 'peripheral enhancement', 'existence': 'unc_dx', 'descriptive_term': 'peripheral', 'observation': 'enhancement'}, 'largest conglomerate': {'clinical finding': 'largest conglomerate', 'existence': 'pos_dx', 'descriptive_term': 'largest', 'observation': 'conglomerate'}, 'metastatic disease': {'clinical finding': 'metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'metastatic', 'observation': 'disease'}}anatomical entity_fin: {'portal vein': {}}clinical findings_fin: {'patent portal vein': {'clinical finding': 'patent portal vein', 'change_term': 'patent'}}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'}}location descriptor_fin: ['left', 'right']clinical findings_fin: {'moderate left and mild right-sided hydroureteronephrosis': {'clinical finding': 'moderate left and mild right-sided hydroureteronephrosis', 'cf_snomed': {'hydroureteronephrosis': 40068008}, 'existence': 'pos_dx', 'descriptive_term': 'moderate left and mild right-sided', 'observation': 'hydroureteronephrosis', 'strength_term': 'moderate - mild'}, 'pelvic mass': {'clinical finding': 'pelvic mass', 'cf_snomed': {'pelvic mass': 74285003}, 'existence': 'pos_dx', 'descriptive_term': 'pelvic', 'observation': 'mass'}}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'}}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'}}procedure_fin: ['left hemicolectomy']size_fin: [{'size': '6.0 x 6.0 cm'}]imaging observation_fin: ['colon']location descriptor_fin: ['left', 'midline']clinical findings_fin: {'left pelvic heterogenous hypoattenuating mass': {'clinical finding': 'left pelvic heterogenous hypoattenuating mass', 'existence': 'pos_dx', 'descriptive_term': 'left pelvic heterogenous hypoattenuating', 'observation': 'mass'}, 'colon cancer': {'clinical finding': 'colon cancer', 'existence': 'pos_dx', 'descriptive_term': 'colon', 'observation': 'cancer'}}anatomical entity_fin: {'uterus': {}, 'vagina': {'location descriptor': 'upper'}}location descriptor_fin: ['upper']clinical findings_fin: {'this mass': {'clinical finding': 'this mass', 'existence': 'unc_dx', 'descriptive_term': 'this', 'observation': 'mass'}}anatomical entity_fin: {'psoas muscle': {'location descriptor': 'left'}}location descriptor_fin: ['anterior', 'left']clinical findings_fin: {'mass': {'clinical finding': 'mass', 'existence': 'pos_dx', 'observation': 'mass'}}size_fin: [{'size': '1.1 x 1.2 cm', 'size_descriptor': 'implants'}]anatomical entity_fin: {'quadrant': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'implants': {'clinical finding': 'implants', 'existence': 'pos_dx', 'observation': 'implant'}}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: {'innumerable pulmonary nodules': {'clinical finding': 'innumerable pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'innumerable pulmonary', 'observation': 'nodule'}, 'metastatic disease': {'clinical finding': 'metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'metastatic', 'observation': 'disease'}}size_fin: [{'size': '3.9 x 3.3 cm', 'size_descriptor': 'lesions'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right'}, 'liver': {}}location descriptor_fin: ['peripheral', 'right']clinical findings_fin: {'several scattered bilobar hypodense hepatic lesions': {'clinical finding': 'several scattered bilobar hypodense hepatic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'several scattered bilobar hypodense hepatic', 'observation': 'lesion', 'quantity_term': 'several'}, 'peripheral enhancement': {'clinical finding': 'peripheral enhancement', 'existence': 'unc_dx', 'descriptive_term': 'peripheral', 'observation': 'enhancement'}, 'largest conglomerate': {'clinical finding': 'largest conglomerate', 'existence': 'pos_dx', 'descriptive_term': 'largest', 'observation': 'conglomerate'}, 'metastatic disease': {'clinical finding': 'metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'metastatic', 'observation': 'disease'}}anatomical entity_fin: {'portal vein': {}}clinical findings_fin: {'patent portal vein': {'clinical finding': 'patent portal vein', 'change_term': 'patent'}}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'}}location descriptor_fin: ['left', 'right']clinical findings_fin: {'moderate left and mild right-sided hydroureteronephrosis': {'clinical finding': 'moderate left and mild right-sided hydroureteronephrosis', 'cf_snomed': {'hydroureteronephrosis': 40068008}, 'existence': 'pos_dx', 'descriptive_term': 'moderate left and mild right-sided', 'observation': 'hydroureteronephrosis', 'strength_term': 'moderate - mild'}, 'pelvic mass': {'clinical finding': 'pelvic mass', 'cf_snomed': {'pelvic mass': 74285003}, 'existence': 'pos_dx', 'descriptive_term': 'pelvic', 'observation': 'mass'}}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'}}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'}}procedure_fin: ['left hemicolectomy']size_fin: [{'size': '6.0 x 6.0 cm'}]imaging observation_fin: ['colon']location descriptor_fin: ['left', 'midline']clinical findings_fin: {'left pelvic heterogenous hypoattenuating mass': {'clinical finding': 'left pelvic heterogenous hypoattenuating mass', 'existence': 'pos_dx', 'descriptive_term': 'left pelvic heterogenous hypoattenuating', 'observation': 'mass'}, 'colon cancer': {'clinical finding': 'colon cancer', 'existence': 'pos_dx', 'descriptive_term': 'colon', 'observation': 'cancer'}}anatomical entity_fin: {'uterus': {}, 'vagina': {'location descriptor': 'upper'}}location descriptor_fin: ['upper']clinical findings_fin: {'this mass': {'clinical finding': 'this mass', 'existence': 'unc_dx', 'descriptive_term': 'this', 'observation': 'mass'}}anatomical entity_fin: {'psoas muscle': {'location descriptor': 'left'}}location descriptor_fin: ['anterior', 'left']clinical findings_fin: {'mass': {'clinical finding': 'mass', 'existence': 'pos_dx', 'observation': 'mass'}}size_fin: [{'size': '1.1 x 1.2 cm', 'size_descriptor': 'implants'}]anatomical entity_fin: {'quadrant': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'implants': {'clinical finding': 'implants', 'existence': 'pos_dx', 'observation': 'implant'}}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] . Innumerable pulmonary nodules compatible with metastatic disease. Several scattered bilobar hypodense hepatic lesions with suggestion of peripheral enhancement, the largest conglomerate in the periphery of the right lobe of the liver measuring 3.9 x 3.3 cm , most compatible with metastatic disease. Patent portal vein. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Moderate left and mild right-sided hydroureteronephrosis secondary to pelvic mass. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. As below. No significant abnormality noted. No significant abnormality noted. Status post left hemicolectomy. Left pelvic heterogenous hypoattenuating mass one large component measuring 6.0 x 6.0 cm , most compatible with colon cancer given history, and extending across the midline. This mass likely invades the uterus and upper vagina. Another component of the mass is seen anterior to the left psoas muscle near the resection site. Numerous serosal and peritoneal implants, for example one in the right lower quadrant measures 1.1 x 1.2 cm. No significant abnormality noted. No significant abnormality noted. </s>