. There has been interval increase in the number and size of pulmonary nodules. A reference left upper lobe pulmonary nodule now measures 1.3 x 0.6 mm, previously 0.8 x 0.5 cm. A new right lower lobe pleural-based nodule measures 2.7 x 1.8 cm. A reference precarinal lymph node measures 1.5 x 1.1 cm, previously 1.2 x 1.1 cm. Mild. No significant abnormality noted. Hepatic cysts, unchanged. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Left kidney surgically absent. Right renal mass has increased in size, now extending to the psoas muscle and abutting the renal artery with a new nodular satellite noted. The mass currently measures 8.9 x 6.7 cm , previously 6.0 x 4.9 cm. No significant change in right hydronephrosis. Involvement of the collecting system cannot be commented on in this non IV contrast study. Punctate calcifications area again noted within the right kidney. Scattered subcentimeter retroperitoneal lymph nodes. The reference aortocaval lymph node currently measures 3.3 x 1.2 cm, previously 2.2 x 1.9 cm. Mild. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Stable appearance of a left inguinal hernia containing loops of small bowel and a small amount of free fluid with no evidence of complications. No significant abnormality noted
clinical findings_fin: {'pulmonary nodules': {'clinical finding': 'pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'pulmonary', 'observation': 'nodule'}}size_fin: [{'size': '1.3 x 0.6 mm'}, {'size': '0.8 x 0.5 cm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'reference left upper lobe pulmonary nodule': {'clinical finding': 'reference left upper lobe pulmonary nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'reference left upper lobe pulmonary', 'observation': 'nodule'}}size_fin: [{'size': '2.7 x 1.8 cm', 'size_descriptor': 'nodule'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'new right lower lobe pleural-based nodule': {'clinical finding': 'new right lower lobe pleural-based nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'new right lower lobe pleural-based', 'observation': 'nodule', 'temporal_term': 'new'}}size_fin: [{'size': '1.5 x 1.1 cm'}, {'size': '1.2 x 1.1 cm'}]clinical findings_fin: {'reference precarinal lymph node': {'clinical finding': 'reference precarinal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference precarinal lymph', 'observation': 'node'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'hepatic cysts': {'clinical finding': 'hepatic cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'hepatic', 'observation': 'cyst'}}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'}}anatomical entity_fin: {'left kidney': {}}clinical findings_fin: {'surgically': {'clinical finding': 'surgically', 'existence': 'pos_dx', 'observation': 'surgically'}, 'absent': {'clinical finding': 'absent', 'existence': 'pos_dx', 'observation': 'absent'}}anatomical entity_fin: {'psoas muscle': {}, 'renal artery': {}}location descriptor_fin: ['right']clinical findings_fin: {'right renal mass': {'clinical finding': 'right renal mass', 'cf_snomed': {'renal mass': 309088003}, 'existence': 'pos_dx', 'descriptive_term': 'right renal', 'observation': 'mass'}}size_fin: [{'size': '8.9 x 6.7 cm'}, {'size': '6.0 x 4.9 cm'}]clinical findings_fin: {'mass': {'clinical finding': 'mass', 'existence': 'pos_dx', 'observation': 'mass'}}location descriptor_fin: ['right']clinical findings_fin: {'significant change': {'clinical finding': 'significant change', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'change'}, 'right hydronephrosis': {'clinical finding': 'right hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'neg_dx', 'descriptive_term': 'right', 'observation': 'hydronephrosis'}}clinical findings_fin: {'this non iv contrast': {'clinical finding': 'this non iv contrast', 'existence': 'unc_dx', 'descriptive_term': 'this non iv', 'observation': 'contrast'}}anatomical entity_fin: {'right kidney': {}}clinical findings_fin: {'punctate calcifications': {'clinical finding': 'punctate calcifications', 'cf_snomed': {'punctate calcification': 129755006}, 'existence': 'pos_dx', 'descriptive_term': 'punctate', 'observation': 'calcification'}}clinical findings_fin: {'scattered subcentimeter retroperitoneal lymph nodes': {'clinical finding': 'scattered subcentimeter retroperitoneal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'scattered subcentimeter retroperitoneal lymph', 'observation': 'node'}}size_fin: [{'size': '3.3 x 1.2 cm'}, {'size': '2.2 x 1.9 cm'}]clinical findings_fin: {'reference aortocaval lymph node': {'clinical finding': 'reference aortocaval lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference aortocaval lymph', 'observation': 'node'}}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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'bowel': {}}location descriptor_fin: ['left']clinical findings_fin: {'left inguinal hernia': {'clinical finding': 'left inguinal hernia', 'cf_snomed': {'left inguinal hernia': 236022004}, 'existence': 'pos_dx', 'descriptive_term': 'left inguinal', 'observation': 'hernia'}, 'free fluid': {'clinical finding': 'free fluid', 'existence': 'pos_dx', 'descriptive_term': 'free', 'observation': 'fluid'}, 'complications': {'clinical finding': 'complications', 'existence': 'neg_dx', 'observation': 'complication'}}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: {'pulmonary nodules': {'clinical finding': 'pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'pulmonary', 'observation': 'nodule'}}size_fin: [{'size': '1.3 x 0.6 mm'}, {'size': '0.8 x 0.5 cm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'reference left upper lobe pulmonary nodule': {'clinical finding': 'reference left upper lobe pulmonary nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'reference left upper lobe pulmonary', 'observation': 'nodule'}}size_fin: [{'size': '2.7 x 1.8 cm', 'size_descriptor': 'nodule'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'new right lower lobe pleural-based nodule': {'clinical finding': 'new right lower lobe pleural-based nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'new right lower lobe pleural-based', 'observation': 'nodule', 'temporal_term': 'new'}}size_fin: [{'size': '1.5 x 1.1 cm'}, {'size': '1.2 x 1.1 cm'}]clinical findings_fin: {'reference precarinal lymph node': {'clinical finding': 'reference precarinal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference precarinal lymph', 'observation': 'node'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'hepatic cysts': {'clinical finding': 'hepatic cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'hepatic', 'observation': 'cyst'}}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'}}anatomical entity_fin: {'left kidney': {}}clinical findings_fin: {'surgically': {'clinical finding': 'surgically', 'existence': 'pos_dx', 'observation': 'surgically'}, 'absent': {'clinical finding': 'absent', 'existence': 'pos_dx', 'observation': 'absent'}}anatomical entity_fin: {'psoas muscle': {}, 'renal artery': {}}location descriptor_fin: ['right']clinical findings_fin: {'right renal mass': {'clinical finding': 'right renal mass', 'cf_snomed': {'renal mass': 309088003}, 'existence': 'pos_dx', 'descriptive_term': 'right renal', 'observation': 'mass'}}size_fin: [{'size': '8.9 x 6.7 cm'}, {'size': '6.0 x 4.9 cm'}]clinical findings_fin: {'mass': {'clinical finding': 'mass', 'existence': 'pos_dx', 'observation': 'mass'}}location descriptor_fin: ['right']clinical findings_fin: {'significant change': {'clinical finding': 'significant change', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'change'}, 'right hydronephrosis': {'clinical finding': 'right hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'neg_dx', 'descriptive_term': 'right', 'observation': 'hydronephrosis'}}clinical findings_fin: {'this non iv contrast': {'clinical finding': 'this non iv contrast', 'existence': 'unc_dx', 'descriptive_term': 'this non iv', 'observation': 'contrast'}}anatomical entity_fin: {'right kidney': {}}clinical findings_fin: {'punctate calcifications': {'clinical finding': 'punctate calcifications', 'cf_snomed': {'punctate calcification': 129755006}, 'existence': 'pos_dx', 'descriptive_term': 'punctate', 'observation': 'calcification'}}clinical findings_fin: {'scattered subcentimeter retroperitoneal lymph nodes': {'clinical finding': 'scattered subcentimeter retroperitoneal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'scattered subcentimeter retroperitoneal lymph', 'observation': 'node'}}size_fin: [{'size': '3.3 x 1.2 cm'}, {'size': '2.2 x 1.9 cm'}]clinical findings_fin: {'reference aortocaval lymph node': {'clinical finding': 'reference aortocaval lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference aortocaval lymph', 'observation': 'node'}}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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'bowel': {}}location descriptor_fin: ['left']clinical findings_fin: {'left inguinal hernia': {'clinical finding': 'left inguinal hernia', 'cf_snomed': {'left inguinal hernia': 236022004}, 'existence': 'pos_dx', 'descriptive_term': 'left inguinal', 'observation': 'hernia'}, 'free fluid': {'clinical finding': 'free fluid', 'existence': 'pos_dx', 'descriptive_term': 'free', 'observation': 'fluid'}, 'complications': {'clinical finding': 'complications', 'existence': 'neg_dx', 'observation': 'complication'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . There has been interval increase in the number and size of pulmonary nodules. A reference left upper lobe pulmonary nodule now measures 1.3 x 0.6 mm, previously 0.8 x 0.5 cm. A new right lower lobe pleural-based nodule measures 2.7 x 1.8 cm. A reference precarinal lymph node measures 1.5 x 1.1 cm, previously 1.2 x 1.1 cm. Mild. No significant abnormality noted. Hepatic cysts, unchanged. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Left kidney surgically absent. Right renal mass has increased in size, now extending to the psoas muscle and abutting the renal artery with a new nodular satellite noted. The mass currently measures 8.9 x 6.7 cm , previously 6.0 x 4.9 cm. No significant change in right hydronephrosis. Involvement of the collecting system cannot be commented on in this non IV contrast study. Punctate calcifications area again noted within the right kidney. Scattered subcentimeter retroperitoneal lymph nodes. The reference aortocaval lymph node currently measures 3.3 x 1.2 cm, previously 2.2 x 1.9 cm. Mild. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Stable appearance of a left inguinal hernia containing loops of small bowel and a small amount of free fluid with no evidence of complications. No significant abnormality noted </s>