. The nonspecific right apical groundglass opacity is unchanged, again measuring 8 mm. The previously seen left lower lobe groundglass opacity is no longer visualized. There are no other nodules or masses seen. There is mild centrilobular emphysema. Small bilateral apical bullae. Previously described right aortopulmonary window lymph node is less than 5 mm in short axis diameter, too small to accurately measure. Visually unchanged. Mediastinal surgical clips are again seen, unchanged. Mild. No significant abnormality noted. Hepatomegaly is unchanged. Innumerable enhancing lesions are again seen throughout the liver, most pronounced in the arterial phase with relative washout on the portal venous phase. This is suggestive of hypervascular metastatic lesions, compatible with history of carcinoid tumor. The majority of these lesions are stable in size with some having increasing low density centrally which suggests intratumoral necrosis, likely in response to therapy. Reference hepatic dome lesion now measures 2.8 x 2.4 cm compared to 2.0 x 2.8 cm previously. The portal vein is patent. The gallbladder is unremarkable. No significant abnormality noted. Heterogenously enhancing mass is again noted near the pancreatic head, unchanged. This lesion may be an enlarged, metastatic lymph node abutting the head of the pancreas versus a lesion arising from the pancreatic head itself. There is no dilation of the pancreatic duct. No significant abnormality noted. Left renal cyst is unchanged. Additional hypoattenuating lesions are seen within the kidneys bilaterally and are too small to characterize. There is a nonenhancing soft tissue density lesion adjacent to the inferior pole of the right kidney which measures 1.5 x 1.6 cm compared to 1.3 x 1.1 cm previously. This lesion is unable to be completely characterized without a non-contrast scan however it appears to be slightly increasing in size with decreasing vascularity which most suggestive of a metastatic lesion. Enlarged caval lymph nodes are seen near the pancreatic head, unchanged. Significant. No significant abnormality noted. There are multiple sclerotic lesions of spine, pelvis, ribs, and scapula. Unchanged. No new lesions are seen. There is significant atherosclerotic calcification and plaque formation within the abdominal aorta extending to the common iliac arteries bilaterally. No significant abnormality noted. No significant abnormality noted. Reference right inguinal node now measures 0.9 x 1.3 cm compared to 0.6 x 1.2 cm previously. No significant abnormality noted. There are multiple sclerotic lesions of spine, pelvis, ribs, and scapula. Unchanged. No new lesions are seen. There is significant atherosclerotic calcification of plaque formation within the abdominal aorta extending to the common iliac arteries bilaterally.
size_fin: [{'size': '8 mm', 'size_descriptor': 'opacity'}]imaging observation_fin: ['apical']location descriptor_fin: ['right']clinical findings_fin: {'nonspecific right apical groundglass opacity': {'clinical finding': 'nonspecific right apical groundglass opacity', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'nonspecific right apical groundglass', 'observation': 'opacity'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'previously seen left lower lobe groundglass opacity': {'clinical finding': 'previously seen left lower lobe groundglass opacity', 'cf_snomed': {'opacity': 128305008}, 'existence': 'neg_dx', 'descriptive_term': 'previously seen left lower lobe groundglass', 'observation': 'opacity'}}clinical findings_fin: {'other nodules': {'clinical finding': 'other nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'other', 'observation': 'nodule'}, 'masses': {'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass'}}clinical findings_fin: {'mild centrilobular emphysema': {'clinical finding': 'mild centrilobular emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'descriptive_term': 'mild centrilobular', 'observation': 'emphysema', 'strength_term': 'mild'}}imaging observation_fin: ['apical']location descriptor_fin: ['bilateral']clinical findings_fin: {'small bilateral apical bullae': {'clinical finding': 'small bilateral apical bullae', 'existence': 'pos_dx', 'descriptive_term': 'small bilateral apical', 'observation': 'bullae', 'strength_term': 'small'}}size_fin: [{'size': '5 mm', 'size_descriptor': 'node'}]anatomical entity_fin: {'aortopulmonary window': {'location descriptor': 'right'}, 'axis': {}}location descriptor_fin: ['right']clinical findings_fin: {'previously described right aortopulmonary window lymph node': {'clinical finding': 'previously described right aortopulmonary window lymph node', 'cf_snomed': {'aortopulmonary window': 17024001}, 'existence': 'pos_dx', 'descriptive_term': 'previously described right aortopulmonary window lymph', 'observation': 'node'}}clinical findings_fin: {'visually unchanged': {'clinical finding': 'visually unchanged', 'change_term': 'unchanged'}}object_fin: ['surgical clips']clinical findings_fin: {'mediastinal surgical clips': {'clinical finding': 'mediastinal surgical clips', 'existence': 'pos_dx', 'descriptive_term': 'mediastinal surgical', 'observation': 'clip'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'hepatomegaly': {'clinical finding': 'hepatomegaly', 'existence': 'pos_dx', 'observation': 'hepatomegaly'}}anatomical entity_fin: {'liver': {}}imaging observation_fin: ['enhancing']clinical findings_fin: {'innumerable enhancing lesions': {'clinical finding': 'innumerable enhancing lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'innumerable enhancing', 'observation': 'lesion'}}clinical findings_fin: {'hypervascular metastatic lesions': {'clinical finding': 'hypervascular metastatic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'unc_dx', 'descriptive_term': 'hypervascular metastatic', 'observation': 'lesion'}, 'carcinoid tumor': {'clinical finding': 'carcinoid tumor', 'cf_snomed': {'carcinoid tumor': 443492008}, 'existence': 'pos_dx', 'descriptive_term': 'carcinoid', 'observation': 'tumor'}}clinical findings_fin: {'these lesions': {'clinical finding': 'these lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'these', 'observation': 'lesion'}, 'intratumoral necrosis': {'clinical finding': 'intratumoral necrosis', 'cf_snomed': {'necrosis': 6574001}, 'existence': 'unc_dx', 'descriptive_term': 'intratumoral', 'observation': 'necrosis'}, 'response to therapy': {'clinical finding': 'response to therapy', 'existence': 'unc_dx', 'descriptive_term': 'response to', 'observation': 'therapy'}}size_fin: [{'size': '2.8 x 2.4 cm'}, {'size': '2.0 x 2.8 cm'}]clinical findings_fin: {'reference hepatic dome lesion': {'clinical finding': 'reference hepatic dome lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'reference hepatic dome', 'observation': 'lesion'}}anatomical entity_fin: {'portal vein': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}anatomical entity_fin: {'gallbladder': {}}clinical findings_fin: {'gallbladder is unremarkable': {'clinical finding': 'gallbladder is unremarkable'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'head': {}}imaging observation_fin: ['enhancing']clinical findings_fin: {'heterogenously enhancing mass': {'clinical finding': 'heterogenously enhancing mass', 'existence': 'pos_dx', 'descriptive_term': 'heterogenously enhancing', 'observation': 'mass'}}anatomical entity_fin: {'head': {}, 'pancreas': {}}clinical findings_fin: {'this lesion': {'clinical finding': 'this lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'this', 'observation': 'lesion'}, 'enlarged, metastatic lymph node': {'clinical finding': 'enlarged, metastatic lymph node', 'existence': 'unc_dx', 'descriptive_term': 'enlarged metastatic lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'}, 'lesion': {'clinical finding': 'lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'unc_dx', 'observation': 'lesion'}}anatomical entity_fin: {'pancreatic duct': {}}clinical findings_fin: {'dilation': {'clinical finding': 'dilation', 'existence': 'neg_dx', 'observation': 'dilation'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}location descriptor_fin: ['left']clinical findings_fin: {'left renal cyst': {'clinical finding': 'left renal cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'left renal', 'observation': 'cyst'}}anatomical entity_fin: {'kidneys': {}}clinical findings_fin: {'additional hypoattenuating lesions': {'clinical finding': 'additional hypoattenuating lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'additional hypoattenuating', 'observation': 'lesion'}}size_fin: [{'size': '1.5 x 1.6 cm'}, {'size': '1.3 x 1.1 cm'}]anatomical entity_fin: {'pole': {'location descriptor': 'inferior'}, 'right kidney': {}}imaging observation_fin: ['nonenhancing', 'soft tissue density']location descriptor_fin: ['adjacent', 'inferior']clinical findings_fin: {'nonenhancing soft tissue density lesion': {'clinical finding': 'nonenhancing soft tissue density lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'nonenhancing soft tissue density', 'observation': 'lesion'}}clinical findings_fin: {'this lesion': {'clinical finding': 'this lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'this', 'observation': 'lesion'}, 'non-contrast': {'clinical finding': 'non-contrast', 'existence': 'neg_dx', 'observation': 'non-contrast'}, 'decreasing vascularity': {'clinical finding': 'decreasing vascularity', 'existence': 'pos_dx', 'descriptive_term': 'decreasing', 'observation': 'vascularity'}, 'metastatic lesion': {'clinical finding': 'metastatic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'unc_dx', 'descriptive_term': 'metastatic', 'observation': 'lesion'}}anatomical entity_fin: {'head': {}}clinical findings_fin: {'enlarged caval lymph nodes': {'clinical finding': 'enlarged caval lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'enlarged caval lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'spine': {}, 'pelvis': {}, 'ribs': {}, 'scapula': {}}clinical findings_fin: {'multiple sclerotic lesions': {'clinical finding': 'multiple sclerotic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'multiple sclerotic', 'observation': 'lesion', 'quantity_term': 'multiple'}}clinical findings_fin: {'new lesions': {'clinical finding': 'new lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'new', 'observation': 'lesion', 'temporal_term': 'new'}}anatomical entity_fin: {'abdominal aorta': {}, 'common iliac arteries': {}}clinical findings_fin: {'significant atherosclerotic calcification': {'clinical finding': 'significant atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'significant atherosclerotic', 'observation': 'calcification'}}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': '0.9 x 1.3 cm'}, {'size': '0.6 x 1.2 cm'}]location descriptor_fin: ['right']clinical findings_fin: {'reference right inguinal node': {'clinical finding': 'reference right inguinal node', 'existence': 'pos_dx', 'descriptive_term': 'reference right inguinal', 'observation': 'node'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'spine': {}, 'pelvis': {}, 'ribs': {}, 'scapula': {}}clinical findings_fin: {'multiple sclerotic lesions': {'clinical finding': 'multiple sclerotic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'multiple sclerotic', 'observation': 'lesion', 'quantity_term': 'multiple'}}clinical findings_fin: {'new lesions': {'clinical finding': 'new lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'new', 'observation': 'lesion', 'temporal_term': 'new'}}anatomical entity_fin: {'abdominal aorta': {}, 'common iliac arteries': {}}clinical findings_fin: {'significant atherosclerotic calcification': {'clinical finding': 'significant atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'significant atherosclerotic', 'observation': 'calcification'}}
<s>[INST] Write the finding section for a radiology report based on the following information: size_fin: [{'size': '8 mm', 'size_descriptor': 'opacity'}]imaging observation_fin: ['apical']location descriptor_fin: ['right']clinical findings_fin: {'nonspecific right apical groundglass opacity': {'clinical finding': 'nonspecific right apical groundglass opacity', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'nonspecific right apical groundglass', 'observation': 'opacity'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'previously seen left lower lobe groundglass opacity': {'clinical finding': 'previously seen left lower lobe groundglass opacity', 'cf_snomed': {'opacity': 128305008}, 'existence': 'neg_dx', 'descriptive_term': 'previously seen left lower lobe groundglass', 'observation': 'opacity'}}clinical findings_fin: {'other nodules': {'clinical finding': 'other nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'other', 'observation': 'nodule'}, 'masses': {'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass'}}clinical findings_fin: {'mild centrilobular emphysema': {'clinical finding': 'mild centrilobular emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'descriptive_term': 'mild centrilobular', 'observation': 'emphysema', 'strength_term': 'mild'}}imaging observation_fin: ['apical']location descriptor_fin: ['bilateral']clinical findings_fin: {'small bilateral apical bullae': {'clinical finding': 'small bilateral apical bullae', 'existence': 'pos_dx', 'descriptive_term': 'small bilateral apical', 'observation': 'bullae', 'strength_term': 'small'}}size_fin: [{'size': '5 mm', 'size_descriptor': 'node'}]anatomical entity_fin: {'aortopulmonary window': {'location descriptor': 'right'}, 'axis': {}}location descriptor_fin: ['right']clinical findings_fin: {'previously described right aortopulmonary window lymph node': {'clinical finding': 'previously described right aortopulmonary window lymph node', 'cf_snomed': {'aortopulmonary window': 17024001}, 'existence': 'pos_dx', 'descriptive_term': 'previously described right aortopulmonary window lymph', 'observation': 'node'}}clinical findings_fin: {'visually unchanged': {'clinical finding': 'visually unchanged', 'change_term': 'unchanged'}}object_fin: ['surgical clips']clinical findings_fin: {'mediastinal surgical clips': {'clinical finding': 'mediastinal surgical clips', 'existence': 'pos_dx', 'descriptive_term': 'mediastinal surgical', 'observation': 'clip'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'hepatomegaly': {'clinical finding': 'hepatomegaly', 'existence': 'pos_dx', 'observation': 'hepatomegaly'}}anatomical entity_fin: {'liver': {}}imaging observation_fin: ['enhancing']clinical findings_fin: {'innumerable enhancing lesions': {'clinical finding': 'innumerable enhancing lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'innumerable enhancing', 'observation': 'lesion'}}clinical findings_fin: {'hypervascular metastatic lesions': {'clinical finding': 'hypervascular metastatic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'unc_dx', 'descriptive_term': 'hypervascular metastatic', 'observation': 'lesion'}, 'carcinoid tumor': {'clinical finding': 'carcinoid tumor', 'cf_snomed': {'carcinoid tumor': 443492008}, 'existence': 'pos_dx', 'descriptive_term': 'carcinoid', 'observation': 'tumor'}}clinical findings_fin: {'these lesions': {'clinical finding': 'these lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'these', 'observation': 'lesion'}, 'intratumoral necrosis': {'clinical finding': 'intratumoral necrosis', 'cf_snomed': {'necrosis': 6574001}, 'existence': 'unc_dx', 'descriptive_term': 'intratumoral', 'observation': 'necrosis'}, 'response to therapy': {'clinical finding': 'response to therapy', 'existence': 'unc_dx', 'descriptive_term': 'response to', 'observation': 'therapy'}}size_fin: [{'size': '2.8 x 2.4 cm'}, {'size': '2.0 x 2.8 cm'}]clinical findings_fin: {'reference hepatic dome lesion': {'clinical finding': 'reference hepatic dome lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'reference hepatic dome', 'observation': 'lesion'}}anatomical entity_fin: {'portal vein': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}anatomical entity_fin: {'gallbladder': {}}clinical findings_fin: {'gallbladder is unremarkable': {'clinical finding': 'gallbladder is unremarkable'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'head': {}}imaging observation_fin: ['enhancing']clinical findings_fin: {'heterogenously enhancing mass': {'clinical finding': 'heterogenously enhancing mass', 'existence': 'pos_dx', 'descriptive_term': 'heterogenously enhancing', 'observation': 'mass'}}anatomical entity_fin: {'head': {}, 'pancreas': {}}clinical findings_fin: {'this lesion': {'clinical finding': 'this lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'this', 'observation': 'lesion'}, 'enlarged, metastatic lymph node': {'clinical finding': 'enlarged, metastatic lymph node', 'existence': 'unc_dx', 'descriptive_term': 'enlarged metastatic lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'}, 'lesion': {'clinical finding': 'lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'unc_dx', 'observation': 'lesion'}}anatomical entity_fin: {'pancreatic duct': {}}clinical findings_fin: {'dilation': {'clinical finding': 'dilation', 'existence': 'neg_dx', 'observation': 'dilation'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}location descriptor_fin: ['left']clinical findings_fin: {'left renal cyst': {'clinical finding': 'left renal cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'left renal', 'observation': 'cyst'}}anatomical entity_fin: {'kidneys': {}}clinical findings_fin: {'additional hypoattenuating lesions': {'clinical finding': 'additional hypoattenuating lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'additional hypoattenuating', 'observation': 'lesion'}}size_fin: [{'size': '1.5 x 1.6 cm'}, {'size': '1.3 x 1.1 cm'}]anatomical entity_fin: {'pole': {'location descriptor': 'inferior'}, 'right kidney': {}}imaging observation_fin: ['nonenhancing', 'soft tissue density']location descriptor_fin: ['adjacent', 'inferior']clinical findings_fin: {'nonenhancing soft tissue density lesion': {'clinical finding': 'nonenhancing soft tissue density lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'nonenhancing soft tissue density', 'observation': 'lesion'}}clinical findings_fin: {'this lesion': {'clinical finding': 'this lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'this', 'observation': 'lesion'}, 'non-contrast': {'clinical finding': 'non-contrast', 'existence': 'neg_dx', 'observation': 'non-contrast'}, 'decreasing vascularity': {'clinical finding': 'decreasing vascularity', 'existence': 'pos_dx', 'descriptive_term': 'decreasing', 'observation': 'vascularity'}, 'metastatic lesion': {'clinical finding': 'metastatic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'unc_dx', 'descriptive_term': 'metastatic', 'observation': 'lesion'}}anatomical entity_fin: {'head': {}}clinical findings_fin: {'enlarged caval lymph nodes': {'clinical finding': 'enlarged caval lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'enlarged caval lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'spine': {}, 'pelvis': {}, 'ribs': {}, 'scapula': {}}clinical findings_fin: {'multiple sclerotic lesions': {'clinical finding': 'multiple sclerotic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'multiple sclerotic', 'observation': 'lesion', 'quantity_term': 'multiple'}}clinical findings_fin: {'new lesions': {'clinical finding': 'new lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'new', 'observation': 'lesion', 'temporal_term': 'new'}}anatomical entity_fin: {'abdominal aorta': {}, 'common iliac arteries': {}}clinical findings_fin: {'significant atherosclerotic calcification': {'clinical finding': 'significant atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'significant atherosclerotic', 'observation': 'calcification'}}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': '0.9 x 1.3 cm'}, {'size': '0.6 x 1.2 cm'}]location descriptor_fin: ['right']clinical findings_fin: {'reference right inguinal node': {'clinical finding': 'reference right inguinal node', 'existence': 'pos_dx', 'descriptive_term': 'reference right inguinal', 'observation': 'node'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'spine': {}, 'pelvis': {}, 'ribs': {}, 'scapula': {}}clinical findings_fin: {'multiple sclerotic lesions': {'clinical finding': 'multiple sclerotic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'multiple sclerotic', 'observation': 'lesion', 'quantity_term': 'multiple'}}clinical findings_fin: {'new lesions': {'clinical finding': 'new lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'new', 'observation': 'lesion', 'temporal_term': 'new'}}anatomical entity_fin: {'abdominal aorta': {}, 'common iliac arteries': {}}clinical findings_fin: {'significant atherosclerotic calcification': {'clinical finding': 'significant atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'significant atherosclerotic', 'observation': 'calcification'}} [/INST] . The nonspecific right apical groundglass opacity is unchanged, again measuring 8 mm. The previously seen left lower lobe groundglass opacity is no longer visualized. There are no other nodules or masses seen. There is mild centrilobular emphysema. Small bilateral apical bullae. Previously described right aortopulmonary window lymph node is less than 5 mm in short axis diameter, too small to accurately measure. Visually unchanged. Mediastinal surgical clips are again seen, unchanged. Mild. No significant abnormality noted. Hepatomegaly is unchanged. Innumerable enhancing lesions are again seen throughout the liver, most pronounced in the arterial phase with relative washout on the portal venous phase. This is suggestive of hypervascular metastatic lesions, compatible with history of carcinoid tumor. The majority of these lesions are stable in size with some having increasing low density centrally which suggests intratumoral necrosis, likely in response to therapy. Reference hepatic dome lesion now measures 2.8 x 2.4 cm compared to 2.0 x 2.8 cm previously. The portal vein is patent. The gallbladder is unremarkable. No significant abnormality noted. Heterogenously enhancing mass is again noted near the pancreatic head, unchanged. This lesion may be an enlarged, metastatic lymph node abutting the head of the pancreas versus a lesion arising from the pancreatic head itself. There is no dilation of the pancreatic duct. No significant abnormality noted. Left renal cyst is unchanged. Additional hypoattenuating lesions are seen within the kidneys bilaterally and are too small to characterize. There is a nonenhancing soft tissue density lesion adjacent to the inferior pole of the right kidney which measures 1.5 x 1.6 cm compared to 1.3 x 1.1 cm previously. This lesion is unable to be completely characterized without a non-contrast scan however it appears to be slightly increasing in size with decreasing vascularity which most suggestive of a metastatic lesion. Enlarged caval lymph nodes are seen near the pancreatic head, unchanged. Significant. No significant abnormality noted. There are multiple sclerotic lesions of spine, pelvis, ribs, and scapula. Unchanged. No new lesions are seen. There is significant atherosclerotic calcification and plaque formation within the abdominal aorta extending to the common iliac arteries bilaterally. No significant abnormality noted. No significant abnormality noted. Reference right inguinal node now measures 0.9 x 1.3 cm compared to 0.6 x 1.2 cm previously. No significant abnormality noted. There are multiple sclerotic lesions of spine, pelvis, ribs, and scapula. Unchanged. No new lesions are seen. There is significant atherosclerotic calcification of plaque formation within the abdominal aorta extending to the common iliac arteries bilaterally. </s>