. There is a large left upper lobe nodule measuring 1.5 x 2.0 cm , similar to the prior exam. There are numerous additional nodules in bilateral lungs consistent with history of metastases. No pneumothorax. The heart size is normal. No pericardial effusion. There are enlarged mediastinal and right hilar lymph nodes measuring up to 1.5 cm in short axis. There is an expansile, lytic lesion in the right clavicular head with surrounding inflammatory changes compatible with a metastatic lesion. This lesion abuts but does not appear to invade the adjacent mediastinal structures. Left posterior T6 lytic rib lesion is unchanged. Absence of enteric contrast material limits sensitivity for abdominal pathology. Probable splenule is partially visualized.
size_fin: [{'size': '1.5 x 2.0 cm', 'size_descriptor': 'nodule'}]anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'large left upper lobe nodule': {'clinical finding': 'large left upper lobe nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'large left upper lobe', 'observation': 'nodule', 'strength_term': 'large'}}anatomical entity_fin: {'lungs': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'numerous additional nodules': {'clinical finding': 'numerous additional nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'numerous additional', 'observation': 'nodule', 'quantity_term': 'numerous'}, 'metastases': {'clinical finding': 'metastases', 'existence': 'pos_dx', 'observation': 'metastase'}}clinical findings_fin: {'pneumothorax': {'clinical finding': 'pneumothorax', 'cf_snomed': {'pneumothorax': 36118008}, 'existence': 'neg_dx', 'observation': 'pneumothorax'}}anatomical entity_fin: {'heart': {}}clinical findings_fin: {'heart size is normal': {'clinical finding': 'heart size is normal'}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}size_fin: [{'size': '1.5 cm', 'size_descriptor': 'nodes'}]anatomical entity_fin: {'axis': {}}location descriptor_fin: ['right']clinical findings_fin: {'enlarged mediastinal and right hilar lymph nodes': {'clinical finding': 'enlarged mediastinal and right hilar lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'enlarged mediastinal and right hilar lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'}}anatomical entity_fin: {'head': {}}location descriptor_fin: ['right']clinical findings_fin: {'expansile, lytic lesion': {'clinical finding': 'expansile, lytic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'expansile lytic', 'observation': 'lesion'}, 'surrounding inflammatory changes': {'clinical finding': 'surrounding inflammatory changes', 'existence': 'pos_dx', 'descriptive_term': 'surrounding inflammatory', 'observation': 'change'}, 'metastatic lesion': {'clinical finding': 'metastatic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'metastatic', 'observation': 'lesion'}}location descriptor_fin: ['adjacent']clinical findings_fin: {'this lesion': {'clinical finding': 'this lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'this', 'observation': 'lesion'}}anatomical entity_fin: {'rib': {}}location descriptor_fin: ['left', 'posterior']clinical findings_fin: {'left posterior t6 lytic rib lesion': {'clinical finding': 'left posterior t6 lytic rib lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'left posterior t6 lytic rib', 'observation': 'lesion'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'probable splenule is partially visualized': {'clinical finding': 'probable splenule is partially visualized'}}
<s>[INST] Write the finding section for a radiology report based on the following information: size_fin: [{'size': '1.5 x 2.0 cm', 'size_descriptor': 'nodule'}]anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'large left upper lobe nodule': {'clinical finding': 'large left upper lobe nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'large left upper lobe', 'observation': 'nodule', 'strength_term': 'large'}}anatomical entity_fin: {'lungs': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'numerous additional nodules': {'clinical finding': 'numerous additional nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'numerous additional', 'observation': 'nodule', 'quantity_term': 'numerous'}, 'metastases': {'clinical finding': 'metastases', 'existence': 'pos_dx', 'observation': 'metastase'}}clinical findings_fin: {'pneumothorax': {'clinical finding': 'pneumothorax', 'cf_snomed': {'pneumothorax': 36118008}, 'existence': 'neg_dx', 'observation': 'pneumothorax'}}anatomical entity_fin: {'heart': {}}clinical findings_fin: {'heart size is normal': {'clinical finding': 'heart size is normal'}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}size_fin: [{'size': '1.5 cm', 'size_descriptor': 'nodes'}]anatomical entity_fin: {'axis': {}}location descriptor_fin: ['right']clinical findings_fin: {'enlarged mediastinal and right hilar lymph nodes': {'clinical finding': 'enlarged mediastinal and right hilar lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'enlarged mediastinal and right hilar lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'}}anatomical entity_fin: {'head': {}}location descriptor_fin: ['right']clinical findings_fin: {'expansile, lytic lesion': {'clinical finding': 'expansile, lytic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'expansile lytic', 'observation': 'lesion'}, 'surrounding inflammatory changes': {'clinical finding': 'surrounding inflammatory changes', 'existence': 'pos_dx', 'descriptive_term': 'surrounding inflammatory', 'observation': 'change'}, 'metastatic lesion': {'clinical finding': 'metastatic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'metastatic', 'observation': 'lesion'}}location descriptor_fin: ['adjacent']clinical findings_fin: {'this lesion': {'clinical finding': 'this lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'this', 'observation': 'lesion'}}anatomical entity_fin: {'rib': {}}location descriptor_fin: ['left', 'posterior']clinical findings_fin: {'left posterior t6 lytic rib lesion': {'clinical finding': 'left posterior t6 lytic rib lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'left posterior t6 lytic rib', 'observation': 'lesion'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'probable splenule is partially visualized': {'clinical finding': 'probable splenule is partially visualized'}} [/INST] . There is a large left upper lobe nodule measuring 1.5 x 2.0 cm , similar to the prior exam. There are numerous additional nodules in bilateral lungs consistent with history of metastases. No pneumothorax. The heart size is normal. No pericardial effusion. There are enlarged mediastinal and right hilar lymph nodes measuring up to 1.5 cm in short axis. There is an expansile, lytic lesion in the right clavicular head with surrounding inflammatory changes compatible with a metastatic lesion. This lesion abuts but does not appear to invade the adjacent mediastinal structures. Left posterior T6 lytic rib lesion is unchanged. Absence of enteric contrast material limits sensitivity for abdominal pathology. Probable splenule is partially visualized. </s>