. Apical pleural nodularity or scarring. Fibrosis and architectural distortion in region of right middle lobe, likely due in part to posttreatment sequela. Scattered subpleural bleb formation. Basilar atelectasis or scarring. Right lower lobe consolidation, mildly increased from earlier exam. Stable small right pleural effusion. Left upper lobe and right lower lobe calcified granulomata. Enlarging right hilar lymphoid tissue, now measuring 3.7 x 2 cm on image 42 series 4, previously measured 2.5 x 2.1 cm, associated pulmonary arterial vessel encasement seen. Additional noncalcified and calcified mediastinal or hilar lymph nodes and juxtaphrenic present. Moderate calcified coronary artery disease. Again seen is extensive right pleural and chest wall metastatic disease, worsened. Right lateral nodular focus measuring 1.6 x 1.1 cm on image 71 series 4 previously measured 1.5 x 1.1 cm. Reference right breast enhancing soft tissue nodule larger, measuring 1.4 x 1.1 cm on image 50 series 4, previously measured 1.1 x 1 cm. Sheetlike soft tissue nodularity on image 60 series 4 subjectively more pronounced, measuring 4.7 x 1.8 cm. Another reference nodule in the right anterior chest wall is increased in size, measuring 2.6 x 1.6 cm on image 66 series 4, previously measured 2.2 x 1.3 cm. Enhancing soft tissue nodularity likely involves right hemidiaphragm as well, indentation of liver just below seen and continued follow up recommended to exclude hepatic extension. There is enhancing nodularity involving the right lateral abdominal wall at the level of the liver, which has also increased in size, measuring 1.9 to 0.8 cm on image 82 series 4, previously measured 1.6 x 0.6 cm. Left chest wall port with tip near cavoatrial junction. Enhancing soft tissue nodularity likely involves right hemidiaphragm as well, indentation of liver just below seen and continued follow up recommended to exclude hepatic extension. There is enhancing nodularity involving the right lateral abdominal wall at the level of the liver, which has also increased in size, measuring 1.9 to 0.8 cm on image 82 series 4, previously measured 1.6 x 0.6 cm. Stable hepatic segment 8 hypoattenuating focus, too small to characterize. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Tiny nonobstructing calcifications. Enlarging upper abdominal and retroperitoneal lymphadenopathy., For instance, aortocaval nodal lesion measuring 2.8 x 1.7 cm on image 88 series 4, previously measured 2.1 x 1 cm a prominent left paraaortic lymph node now seen. Extensive aortobiiliac atherosclerotic disease. Right-sided colonic postsurgical sequela. Patient appears to be status post hysterectomy. Increased size of triangular shaped increased attenuation in posterior left adnexal area, measuring 3.1 x 1.8 cm on image 156 series 4, previously measured 2.6 x 1.6 cm. No significant abnormality noted. Stable to mildly increased degree of sclerosis involving T11 vertebral body. Visualized osseous structures without significant change otherwise, including right-sided ribs.
imaging observation_fin: ['apical']clinical findings_fin: {'apical pleural nodularity': {'clinical finding': 'apical pleural nodularity', 'existence': 'unc_dx', 'descriptive_term': 'apical pleural', 'observation': 'nodularity'}, 'scarring': {'clinical finding': 'scarring', 'existence': 'unc_dx', 'observation': 'scarr'}}anatomical entity_fin: {'middle': {'location descriptor': 'right'}, 'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'fibrosis': {'clinical finding': 'fibrosis', 'existence': 'pos_dx', 'observation': 'fibrosis'}, 'architectural distortion': {'clinical finding': 'architectural distortion', 'existence': 'pos_dx', 'descriptive_term': 'architectural', 'observation': 'distortion'}}anatomical entity_fin: {'bleb': {}}clinical findings_fin: {'scattered subpleural bleb formation': {'clinical finding': 'scattered subpleural bleb formation'}}clinical findings_fin: {'basilar atelectasis': {'clinical finding': 'basilar atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'unc_dx', 'descriptive_term': 'basilar', 'observation': 'atelectasis'}, 'scarring': {'clinical finding': 'scarring', 'existence': 'unc_dx', 'observation': 'scarr'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'lower lobe consolidation': {'clinical finding': 'lower lobe consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'pos_dx', 'descriptive_term': 'lower lobe', 'observation': 'consolidation'}}location descriptor_fin: ['right']clinical findings_fin: {'stable small right pleural effusion': {'clinical finding': 'stable small right pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'stable small right pleural', 'observation': 'effusion', 'strength_term': 'stable - small', 'change_term': 'stable'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['left', 'upper', 'right', 'lower']clinical findings_fin: {'left upper lobe and right lower lobe calcified granulomata': {'clinical finding': 'left upper lobe and right lower lobe calcified granulomata', 'existence': 'pos_dx', 'descriptive_term': 'left upper lobe and right lower lobe calcified', 'observation': 'granulomata', 'change_term': 'calcified'}}size_fin: [{'size': '3.7 x 2 cm'}, {'size': '2.5 x 2.1 cm'}]anatomical entity_fin: {'lymphoid tissue': {}}location descriptor_fin: ['right']clinical findings_fin: {'enlarging right hilar lymphoid tissue': {'clinical finding': 'enlarging right hilar lymphoid tissue', 'existence': 'pos_dx', 'descriptive_term': 'enlarging right hilar lymphoid', 'observation': 'tissue'}, 'associated pulmonary': {'clinical finding': 'associated pulmonary', 'existence': 'pos_dx', 'descriptive_term': 'associated', 'observation': 'pulmonary'}}clinical findings_fin: {'additional noncalcified and calcified mediastinal or hilar lymph nodes': {'clinical finding': 'additional noncalcified and calcified mediastinal or hilar lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'additional noncalcified and calcified mediastinal or hilar lymph', 'observation': 'node', 'change_term': 'calcified'}}anatomical entity_fin: {'coronary artery': {}}clinical findings_fin: {'moderate calcified coronary artery disease': {'clinical finding': 'moderate calcified coronary artery disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'moderate calcified coronary artery', 'observation': 'disease', 'strength_term': 'moderate', 'change_term': 'calcified'}}anatomical entity_fin: {'chest wall': {}}location descriptor_fin: ['right']clinical findings_fin: {'extensive right pleural and chest wall metastatic disease': {'clinical finding': 'extensive right pleural and chest wall metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'extensive right pleural and chest wall metastatic', 'observation': 'disease', 'strength_term': 'extensive'}}size_fin: [{'size': '1.6 x 1.1 cm'}, {'size': '1.5 x 1.1 cm'}]location descriptor_fin: ['right', 'lateral']clinical findings_fin: {'right lateral nodular focus': {'clinical finding': 'right lateral nodular focus', 'existence': 'pos_dx', 'descriptive_term': 'right lateral nodular', 'observation': 'focus'}}size_fin: [{'size': '1.4 x 1.1 cm'}, {'size': '1.1 x 1 cm'}]anatomical entity_fin: {'breast': {'location descriptor': 'right'}}imaging observation_fin: ['enhancing']location descriptor_fin: ['right']clinical findings_fin: {'reference right breast enhancing soft tissue nodule': {'clinical finding': 'reference right breast enhancing soft tissue nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'reference right breast enhancing soft tissue', 'observation': 'nodule'}}size_fin: [{'size': '4.7 x 1.8 cm', 'size_descriptor': 'nodularity'}]clinical findings_fin: {'sheetlike soft tissue nodularity': {'clinical finding': 'sheetlike soft tissue nodularity', 'existence': 'pos_dx', 'descriptive_term': 'sheetlike soft tissue', 'observation': 'nodularity'}}size_fin: [{'size': '2.6 x 1.6 cm'}, {'size': '2.2 x 1.3 cm'}]anatomical entity_fin: {'anterior chest wall': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'another reference nodule': {'clinical finding': 'another reference nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'another reference', 'observation': 'nodule'}}anatomical entity_fin: {'right hemidiaphragm': {}, 'liver': {}}imaging observation_fin: ['enhancing']clinical findings_fin: {'soft tissue nodularity': {'clinical finding': 'soft tissue nodularity', 'existence': 'unc_dx', 'descriptive_term': 'soft tissue', 'observation': 'nodularity'}}follow-up_fin: follow-up recommendedsize_fin: [{'size': '0.8 cm'}, {'size': '1.6 x 0.6 cm'}]anatomical entity_fin: {'abdominal': {'location descriptor': 'right lateral'}, 'wall': {}, 'liver': {}}imaging observation_fin: ['enhancing']location descriptor_fin: ['right', 'lateral']clinical findings_fin: {'enhancing nodularity': {'clinical finding': 'enhancing nodularity', 'existence': 'pos_dx', 'descriptive_term': 'enhancing', 'observation': 'nodularity'}}anatomical entity_fin: {'chest wall': {'location descriptor': 'left'}}location descriptor_fin: ['left']object_fin: ['port']anatomical entity_fin: {'right hemidiaphragm': {}, 'liver': {}}imaging observation_fin: ['enhancing']clinical findings_fin: {'soft tissue nodularity': {'clinical finding': 'soft tissue nodularity', 'existence': 'unc_dx', 'descriptive_term': 'soft tissue', 'observation': 'nodularity'}}follow-up_fin: follow-up recommendedsize_fin: [{'size': '0.8 cm'}, {'size': '1.6 x 0.6 cm'}]anatomical entity_fin: {'abdominal': {'location descriptor': 'right lateral'}, 'wall': {}, 'liver': {}}imaging observation_fin: ['enhancing']location descriptor_fin: ['right', 'lateral']clinical findings_fin: {'enhancing nodularity': {'clinical finding': 'enhancing nodularity', 'existence': 'pos_dx', 'descriptive_term': 'enhancing', 'observation': 'nodularity'}}clinical findings_fin: {'hypoattenuating focus': {'clinical finding': 'hypoattenuating focus', 'existence': 'pos_dx', 'descriptive_term': 'hypoattenuating', 'observation': 'focus'}}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: {'tiny nonobstructing calcifications': {'clinical finding': 'tiny nonobstructing calcifications', 'existence': 'pos_dx', 'descriptive_term': 'tiny nonobstructing', 'observation': 'calcification', 'strength_term': 'tiny'}}size_fin: [{'size': '2.8 x 1.7 cm'}, {'size': '2.1 x 1 cm'}]anatomical entity_fin: {'abdominal': {'location descriptor': 'upper'}}location descriptor_fin: ['upper', 'left']clinical findings_fin: {'enlarging upper abdominal and retroperitoneal lymphadenopathy': {'clinical finding': 'enlarging upper abdominal and retroperitoneal lymphadenopathy', 'cf_snomed': {'retroperitoneal lymphadenopathy': 127154008}, 'existence': 'pos_dx', 'descriptive_term': 'enlarging upper abdominal and retroperitoneal', 'observation': 'lymphadenopathy'}, 'nodal lesion': {'clinical finding': 'nodal lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'nodal', 'observation': 'lesion'}, 'prominent left paraaortic lymph node': {'clinical finding': 'prominent left paraaortic lymph node', 'existence': 'pos_dx', 'descriptive_term': 'prominent left paraaortic lymph', 'observation': 'node', 'strength_term': 'prominent'}}clinical findings_fin: {'extensive aortobiiliac atherosclerotic disease': {'clinical finding': 'extensive aortobiiliac atherosclerotic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'extensive aortobiiliac atherosclerotic', 'observation': 'disease', 'strength_term': 'extensive'}}location descriptor_fin: ['right']procedure_fin: ['hysterectomy']size_fin: [{'size': '3.1 x 1.8 cm'}, {'size': '2.6 x 1.6 cm'}]imaging observation_fin: ['triangular']location descriptor_fin: ['posterior', 'left']clinical findings_fin: {'increased size of triangular shaped increased attenuation in posterior left adnexal area': {'clinical finding': 'increased size of triangular shaped increased attenuation in posterior left adnexal area', 'cf_snomed': {'increased size': 15454001}, 'change_term': 'increased - increased'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'t11 vertebral body': {}}clinical findings_fin: {'sclerosis': {'clinical finding': 'sclerosis', 'cf_snomed': {'sclerosis': 43846000}, 'existence': 'pos_dx', 'observation': 'sclerosis'}}anatomical entity_fin: {'ribs': {}}location descriptor_fin: ['right']clinical findings_fin: {'significant change': {'clinical finding': 'significant change', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'change'}}
<s>[INST] Write the finding section for a radiology report based on the following information: imaging observation_fin: ['apical']clinical findings_fin: {'apical pleural nodularity': {'clinical finding': 'apical pleural nodularity', 'existence': 'unc_dx', 'descriptive_term': 'apical pleural', 'observation': 'nodularity'}, 'scarring': {'clinical finding': 'scarring', 'existence': 'unc_dx', 'observation': 'scarr'}}anatomical entity_fin: {'middle': {'location descriptor': 'right'}, 'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'fibrosis': {'clinical finding': 'fibrosis', 'existence': 'pos_dx', 'observation': 'fibrosis'}, 'architectural distortion': {'clinical finding': 'architectural distortion', 'existence': 'pos_dx', 'descriptive_term': 'architectural', 'observation': 'distortion'}}anatomical entity_fin: {'bleb': {}}clinical findings_fin: {'scattered subpleural bleb formation': {'clinical finding': 'scattered subpleural bleb formation'}}clinical findings_fin: {'basilar atelectasis': {'clinical finding': 'basilar atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'unc_dx', 'descriptive_term': 'basilar', 'observation': 'atelectasis'}, 'scarring': {'clinical finding': 'scarring', 'existence': 'unc_dx', 'observation': 'scarr'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'lower lobe consolidation': {'clinical finding': 'lower lobe consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'pos_dx', 'descriptive_term': 'lower lobe', 'observation': 'consolidation'}}location descriptor_fin: ['right']clinical findings_fin: {'stable small right pleural effusion': {'clinical finding': 'stable small right pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'stable small right pleural', 'observation': 'effusion', 'strength_term': 'stable - small', 'change_term': 'stable'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['left', 'upper', 'right', 'lower']clinical findings_fin: {'left upper lobe and right lower lobe calcified granulomata': {'clinical finding': 'left upper lobe and right lower lobe calcified granulomata', 'existence': 'pos_dx', 'descriptive_term': 'left upper lobe and right lower lobe calcified', 'observation': 'granulomata', 'change_term': 'calcified'}}size_fin: [{'size': '3.7 x 2 cm'}, {'size': '2.5 x 2.1 cm'}]anatomical entity_fin: {'lymphoid tissue': {}}location descriptor_fin: ['right']clinical findings_fin: {'enlarging right hilar lymphoid tissue': {'clinical finding': 'enlarging right hilar lymphoid tissue', 'existence': 'pos_dx', 'descriptive_term': 'enlarging right hilar lymphoid', 'observation': 'tissue'}, 'associated pulmonary': {'clinical finding': 'associated pulmonary', 'existence': 'pos_dx', 'descriptive_term': 'associated', 'observation': 'pulmonary'}}clinical findings_fin: {'additional noncalcified and calcified mediastinal or hilar lymph nodes': {'clinical finding': 'additional noncalcified and calcified mediastinal or hilar lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'additional noncalcified and calcified mediastinal or hilar lymph', 'observation': 'node', 'change_term': 'calcified'}}anatomical entity_fin: {'coronary artery': {}}clinical findings_fin: {'moderate calcified coronary artery disease': {'clinical finding': 'moderate calcified coronary artery disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'moderate calcified coronary artery', 'observation': 'disease', 'strength_term': 'moderate', 'change_term': 'calcified'}}anatomical entity_fin: {'chest wall': {}}location descriptor_fin: ['right']clinical findings_fin: {'extensive right pleural and chest wall metastatic disease': {'clinical finding': 'extensive right pleural and chest wall metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'extensive right pleural and chest wall metastatic', 'observation': 'disease', 'strength_term': 'extensive'}}size_fin: [{'size': '1.6 x 1.1 cm'}, {'size': '1.5 x 1.1 cm'}]location descriptor_fin: ['right', 'lateral']clinical findings_fin: {'right lateral nodular focus': {'clinical finding': 'right lateral nodular focus', 'existence': 'pos_dx', 'descriptive_term': 'right lateral nodular', 'observation': 'focus'}}size_fin: [{'size': '1.4 x 1.1 cm'}, {'size': '1.1 x 1 cm'}]anatomical entity_fin: {'breast': {'location descriptor': 'right'}}imaging observation_fin: ['enhancing']location descriptor_fin: ['right']clinical findings_fin: {'reference right breast enhancing soft tissue nodule': {'clinical finding': 'reference right breast enhancing soft tissue nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'reference right breast enhancing soft tissue', 'observation': 'nodule'}}size_fin: [{'size': '4.7 x 1.8 cm', 'size_descriptor': 'nodularity'}]clinical findings_fin: {'sheetlike soft tissue nodularity': {'clinical finding': 'sheetlike soft tissue nodularity', 'existence': 'pos_dx', 'descriptive_term': 'sheetlike soft tissue', 'observation': 'nodularity'}}size_fin: [{'size': '2.6 x 1.6 cm'}, {'size': '2.2 x 1.3 cm'}]anatomical entity_fin: {'anterior chest wall': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'another reference nodule': {'clinical finding': 'another reference nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'another reference', 'observation': 'nodule'}}anatomical entity_fin: {'right hemidiaphragm': {}, 'liver': {}}imaging observation_fin: ['enhancing']clinical findings_fin: {'soft tissue nodularity': {'clinical finding': 'soft tissue nodularity', 'existence': 'unc_dx', 'descriptive_term': 'soft tissue', 'observation': 'nodularity'}}follow-up_fin: follow-up recommendedsize_fin: [{'size': '0.8 cm'}, {'size': '1.6 x 0.6 cm'}]anatomical entity_fin: {'abdominal': {'location descriptor': 'right lateral'}, 'wall': {}, 'liver': {}}imaging observation_fin: ['enhancing']location descriptor_fin: ['right', 'lateral']clinical findings_fin: {'enhancing nodularity': {'clinical finding': 'enhancing nodularity', 'existence': 'pos_dx', 'descriptive_term': 'enhancing', 'observation': 'nodularity'}}anatomical entity_fin: {'chest wall': {'location descriptor': 'left'}}location descriptor_fin: ['left']object_fin: ['port']anatomical entity_fin: {'right hemidiaphragm': {}, 'liver': {}}imaging observation_fin: ['enhancing']clinical findings_fin: {'soft tissue nodularity': {'clinical finding': 'soft tissue nodularity', 'existence': 'unc_dx', 'descriptive_term': 'soft tissue', 'observation': 'nodularity'}}follow-up_fin: follow-up recommendedsize_fin: [{'size': '0.8 cm'}, {'size': '1.6 x 0.6 cm'}]anatomical entity_fin: {'abdominal': {'location descriptor': 'right lateral'}, 'wall': {}, 'liver': {}}imaging observation_fin: ['enhancing']location descriptor_fin: ['right', 'lateral']clinical findings_fin: {'enhancing nodularity': {'clinical finding': 'enhancing nodularity', 'existence': 'pos_dx', 'descriptive_term': 'enhancing', 'observation': 'nodularity'}}clinical findings_fin: {'hypoattenuating focus': {'clinical finding': 'hypoattenuating focus', 'existence': 'pos_dx', 'descriptive_term': 'hypoattenuating', 'observation': 'focus'}}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: {'tiny nonobstructing calcifications': {'clinical finding': 'tiny nonobstructing calcifications', 'existence': 'pos_dx', 'descriptive_term': 'tiny nonobstructing', 'observation': 'calcification', 'strength_term': 'tiny'}}size_fin: [{'size': '2.8 x 1.7 cm'}, {'size': '2.1 x 1 cm'}]anatomical entity_fin: {'abdominal': {'location descriptor': 'upper'}}location descriptor_fin: ['upper', 'left']clinical findings_fin: {'enlarging upper abdominal and retroperitoneal lymphadenopathy': {'clinical finding': 'enlarging upper abdominal and retroperitoneal lymphadenopathy', 'cf_snomed': {'retroperitoneal lymphadenopathy': 127154008}, 'existence': 'pos_dx', 'descriptive_term': 'enlarging upper abdominal and retroperitoneal', 'observation': 'lymphadenopathy'}, 'nodal lesion': {'clinical finding': 'nodal lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'nodal', 'observation': 'lesion'}, 'prominent left paraaortic lymph node': {'clinical finding': 'prominent left paraaortic lymph node', 'existence': 'pos_dx', 'descriptive_term': 'prominent left paraaortic lymph', 'observation': 'node', 'strength_term': 'prominent'}}clinical findings_fin: {'extensive aortobiiliac atherosclerotic disease': {'clinical finding': 'extensive aortobiiliac atherosclerotic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'extensive aortobiiliac atherosclerotic', 'observation': 'disease', 'strength_term': 'extensive'}}location descriptor_fin: ['right']procedure_fin: ['hysterectomy']size_fin: [{'size': '3.1 x 1.8 cm'}, {'size': '2.6 x 1.6 cm'}]imaging observation_fin: ['triangular']location descriptor_fin: ['posterior', 'left']clinical findings_fin: {'increased size of triangular shaped increased attenuation in posterior left adnexal area': {'clinical finding': 'increased size of triangular shaped increased attenuation in posterior left adnexal area', 'cf_snomed': {'increased size': 15454001}, 'change_term': 'increased - increased'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'t11 vertebral body': {}}clinical findings_fin: {'sclerosis': {'clinical finding': 'sclerosis', 'cf_snomed': {'sclerosis': 43846000}, 'existence': 'pos_dx', 'observation': 'sclerosis'}}anatomical entity_fin: {'ribs': {}}location descriptor_fin: ['right']clinical findings_fin: {'significant change': {'clinical finding': 'significant change', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'change'}} [/INST] . Apical pleural nodularity or scarring. Fibrosis and architectural distortion in region of right middle lobe, likely due in part to posttreatment sequela. Scattered subpleural bleb formation. Basilar atelectasis or scarring. Right lower lobe consolidation, mildly increased from earlier exam. Stable small right pleural effusion. Left upper lobe and right lower lobe calcified granulomata. Enlarging right hilar lymphoid tissue, now measuring 3.7 x 2 cm on image 42 series 4, previously measured 2.5 x 2.1 cm, associated pulmonary arterial vessel encasement seen. Additional noncalcified and calcified mediastinal or hilar lymph nodes and juxtaphrenic present. Moderate calcified coronary artery disease. Again seen is extensive right pleural and chest wall metastatic disease, worsened. Right lateral nodular focus measuring 1.6 x 1.1 cm on image 71 series 4 previously measured 1.5 x 1.1 cm. Reference right breast enhancing soft tissue nodule larger, measuring 1.4 x 1.1 cm on image 50 series 4, previously measured 1.1 x 1 cm. Sheetlike soft tissue nodularity on image 60 series 4 subjectively more pronounced, measuring 4.7 x 1.8 cm. Another reference nodule in the right anterior chest wall is increased in size, measuring 2.6 x 1.6 cm on image 66 series 4, previously measured 2.2 x 1.3 cm. Enhancing soft tissue nodularity likely involves right hemidiaphragm as well, indentation of liver just below seen and continued follow up recommended to exclude hepatic extension. There is enhancing nodularity involving the right lateral abdominal wall at the level of the liver, which has also increased in size, measuring 1.9 to 0.8 cm on image 82 series 4, previously measured 1.6 x 0.6 cm. Left chest wall port with tip near cavoatrial junction. Enhancing soft tissue nodularity likely involves right hemidiaphragm as well, indentation of liver just below seen and continued follow up recommended to exclude hepatic extension. There is enhancing nodularity involving the right lateral abdominal wall at the level of the liver, which has also increased in size, measuring 1.9 to 0.8 cm on image 82 series 4, previously measured 1.6 x 0.6 cm. Stable hepatic segment 8 hypoattenuating focus, too small to characterize. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Tiny nonobstructing calcifications. Enlarging upper abdominal and retroperitoneal lymphadenopathy., For instance, aortocaval nodal lesion measuring 2.8 x 1.7 cm on image 88 series 4, previously measured 2.1 x 1 cm a prominent left paraaortic lymph node now seen. Extensive aortobiiliac atherosclerotic disease. Right-sided colonic postsurgical sequela. Patient appears to be status post hysterectomy. Increased size of triangular shaped increased attenuation in posterior left adnexal area, measuring 3.1 x 1.8 cm on image 156 series 4, previously measured 2.6 x 1.6 cm. No significant abnormality noted. Stable to mildly increased degree of sclerosis involving T11 vertebral body. Visualized osseous structures without significant change otherwise, including right-sided ribs. </s>