. Bilateral metastatic pulmonary nodules. Reference right lower lobe nodule measures 2.2 x 1.2 cm , previously 2.0 x 1.1 cm. Reference right middle lobe nodule measures 0.9 x 0.8 cm , previously 0.7 x 0.7 cm. Additional nonreference pulmonary nodules have increased in size. No mediastinal or hilar lymphadenopathy. Heart size is normal. No pericardial effusion. None. No significant abnormality noted. Two subcentimeter hepatic hypodensities are unchanged. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Bilateral renal cysts. Right renal cortical scarring. Right nephroureteral catheter in the expected location. IVC filter. Stent in the right iliac vein. Moderate. Increasing mesenteric masses. Reference right mesenteric mass measures 19.0 x 13.8 cm , previously 16.0 x 11.1 cm. Reference left mesenteric mass measures 5.9 x 4.9 cm , previously 4.9 x 3.6 cm. Small amount of peritoneal free fluid. Wide neck ventral hernia containing a small bowel loop with a small focus of adjacent fluid. No evidence of bowel wall thickening or obstruction. Soft tissue nodularity in the subcutaneous tissues of the anterior abdominal wall, likely injection sites. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Thickening of the peritoneum and mesorectal fascia, eccentric to the right, unchanged. No significant abnormality noted.
location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral metastatic pulmonary nodules': {'clinical finding': 'bilateral metastatic pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral metastatic pulmonary', 'observation': 'nodule'}}size_fin: [{'size': '2.2 x 1.2 cm'}, {'size': '2.0 x 1.1 cm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'reference right lower lobe nodule': {'clinical finding': 'reference right lower lobe nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'reference right lower lobe', 'observation': 'nodule'}}size_fin: [{'size': '0.9 x 0.8 cm'}, {'size': '0.7 x 0.7 cm'}]anatomical entity_fin: {'middle': {'location descriptor': 'right'}, 'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'reference right middle lobe nodule': {'clinical finding': 'reference right middle lobe nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'reference right middle lobe', 'observation': 'nodule'}}clinical findings_fin: {'additional nonreference pulmonary nodules': {'clinical finding': 'additional nonreference pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'additional nonreference pulmonary', 'observation': 'nodule'}}clinical findings_fin: {'mediastinal or hilar lymphadenopathy': {'clinical finding': 'mediastinal or hilar lymphadenopathy', 'cf_snomed': {'hilar lymphadenopathy': 87500009}, 'existence': 'neg_dx', 'descriptive_term': 'mediastinal or hilar', 'observation': 'lymphadenopathy'}}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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'two subcentimeter hepatic hypodensities': {'clinical finding': 'two subcentimeter hepatic hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'two subcentimeter hepatic', 'observation': 'hypodensity'}}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: ['bilateral']clinical findings_fin: {'bilateral renal cysts': {'clinical finding': 'bilateral renal cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral renal', 'observation': 'cyst'}}location descriptor_fin: ['right']clinical findings_fin: {'right renal cortical scarring': {'clinical finding': 'right renal cortical scarring', 'existence': 'pos_dx', 'descriptive_term': 'right renal cortical', 'observation': 'scarr'}}location descriptor_fin: ['right']object_fin: ['catheter']clinical findings_fin: {'right nephroureteral catheter in the expected location': {'clinical finding': 'right nephroureteral catheter in the expected location'}}object_fin: ['filter']clinical findings_fin: {'ivc filter': {'clinical finding': 'ivc filter'}}anatomical entity_fin: {'vein': {}}location descriptor_fin: ['right']clinical findings_fin: {'mesenteric masses': {'clinical finding': 'mesenteric masses', 'existence': 'pos_dx', 'descriptive_term': 'mesenteric', 'observation': 'mass'}}size_fin: [{'size': '19.0 x 13.8 cm'}, {'size': '16.0 x 11.1 cm'}]location descriptor_fin: ['right']clinical findings_fin: {'reference right mesenteric mass': {'clinical finding': 'reference right mesenteric mass', 'existence': 'pos_dx', 'descriptive_term': 'reference right mesenteric', 'observation': 'mass'}}size_fin: [{'size': '5.9 x 4.9 cm'}, {'size': '4.9 x 3.6 cm'}]location descriptor_fin: ['left']clinical findings_fin: {'reference left mesenteric mass': {'clinical finding': 'reference left mesenteric mass', 'existence': 'pos_dx', 'descriptive_term': 'reference left mesenteric', 'observation': 'mass'}}clinical findings_fin: {'peritoneal free fluid': {'clinical finding': 'peritoneal free fluid', 'existence': 'pos_dx', 'descriptive_term': 'peritoneal free', 'observation': 'fluid'}}anatomical entity_fin: {'neck': {}, 'bowel': {}, 'fluid': {'location descriptor': 'adjacent'}}location descriptor_fin: ['adjacent']clinical findings_fin: {'wide neck ventral hernia': {'clinical finding': 'wide neck ventral hernia', 'cf_snomed': {'hernia': 414403008}, 'existence': 'pos_dx', 'descriptive_term': 'wide neck ventral', 'observation': 'hernia', 'strength_term': 'wide'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'bowel wall thickening': {'clinical finding': 'bowel wall thickening', 'existence': 'neg_dx', 'descriptive_term': 'bowel wall', 'observation': 'thickening'}, 'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'observation': 'obstruction'}}anatomical entity_fin: {'anterior abdominal wall': {}}clinical findings_fin: {'soft tissue nodularity': {'clinical finding': 'soft tissue nodularity', 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'nodularity'}, 'likely injection sites': {'clinical finding': 'likely injection sites', 'cf_snomed': {'injection site': 13136005}, 'existence': 'pos_dx', 'descriptive_term': 'likely injection', 'observation': 'site'}}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: {'peritoneum': {}, 'fascia': {}}location descriptor_fin: ['right']clinical findings_fin: {'thickening of the peritoneum and mesorectal fascia , eccentric to the right , unchanged': {'clinical finding': 'thickening of the peritoneum and mesorectal fascia , eccentric to the right , unchanged', 'change_term': 'unchanged'}}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: location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral metastatic pulmonary nodules': {'clinical finding': 'bilateral metastatic pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral metastatic pulmonary', 'observation': 'nodule'}}size_fin: [{'size': '2.2 x 1.2 cm'}, {'size': '2.0 x 1.1 cm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'reference right lower lobe nodule': {'clinical finding': 'reference right lower lobe nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'reference right lower lobe', 'observation': 'nodule'}}size_fin: [{'size': '0.9 x 0.8 cm'}, {'size': '0.7 x 0.7 cm'}]anatomical entity_fin: {'middle': {'location descriptor': 'right'}, 'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'reference right middle lobe nodule': {'clinical finding': 'reference right middle lobe nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'reference right middle lobe', 'observation': 'nodule'}}clinical findings_fin: {'additional nonreference pulmonary nodules': {'clinical finding': 'additional nonreference pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'additional nonreference pulmonary', 'observation': 'nodule'}}clinical findings_fin: {'mediastinal or hilar lymphadenopathy': {'clinical finding': 'mediastinal or hilar lymphadenopathy', 'cf_snomed': {'hilar lymphadenopathy': 87500009}, 'existence': 'neg_dx', 'descriptive_term': 'mediastinal or hilar', 'observation': 'lymphadenopathy'}}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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'two subcentimeter hepatic hypodensities': {'clinical finding': 'two subcentimeter hepatic hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'two subcentimeter hepatic', 'observation': 'hypodensity'}}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: ['bilateral']clinical findings_fin: {'bilateral renal cysts': {'clinical finding': 'bilateral renal cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral renal', 'observation': 'cyst'}}location descriptor_fin: ['right']clinical findings_fin: {'right renal cortical scarring': {'clinical finding': 'right renal cortical scarring', 'existence': 'pos_dx', 'descriptive_term': 'right renal cortical', 'observation': 'scarr'}}location descriptor_fin: ['right']object_fin: ['catheter']clinical findings_fin: {'right nephroureteral catheter in the expected location': {'clinical finding': 'right nephroureteral catheter in the expected location'}}object_fin: ['filter']clinical findings_fin: {'ivc filter': {'clinical finding': 'ivc filter'}}anatomical entity_fin: {'vein': {}}location descriptor_fin: ['right']clinical findings_fin: {'mesenteric masses': {'clinical finding': 'mesenteric masses', 'existence': 'pos_dx', 'descriptive_term': 'mesenteric', 'observation': 'mass'}}size_fin: [{'size': '19.0 x 13.8 cm'}, {'size': '16.0 x 11.1 cm'}]location descriptor_fin: ['right']clinical findings_fin: {'reference right mesenteric mass': {'clinical finding': 'reference right mesenteric mass', 'existence': 'pos_dx', 'descriptive_term': 'reference right mesenteric', 'observation': 'mass'}}size_fin: [{'size': '5.9 x 4.9 cm'}, {'size': '4.9 x 3.6 cm'}]location descriptor_fin: ['left']clinical findings_fin: {'reference left mesenteric mass': {'clinical finding': 'reference left mesenteric mass', 'existence': 'pos_dx', 'descriptive_term': 'reference left mesenteric', 'observation': 'mass'}}clinical findings_fin: {'peritoneal free fluid': {'clinical finding': 'peritoneal free fluid', 'existence': 'pos_dx', 'descriptive_term': 'peritoneal free', 'observation': 'fluid'}}anatomical entity_fin: {'neck': {}, 'bowel': {}, 'fluid': {'location descriptor': 'adjacent'}}location descriptor_fin: ['adjacent']clinical findings_fin: {'wide neck ventral hernia': {'clinical finding': 'wide neck ventral hernia', 'cf_snomed': {'hernia': 414403008}, 'existence': 'pos_dx', 'descriptive_term': 'wide neck ventral', 'observation': 'hernia', 'strength_term': 'wide'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'bowel wall thickening': {'clinical finding': 'bowel wall thickening', 'existence': 'neg_dx', 'descriptive_term': 'bowel wall', 'observation': 'thickening'}, 'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'observation': 'obstruction'}}anatomical entity_fin: {'anterior abdominal wall': {}}clinical findings_fin: {'soft tissue nodularity': {'clinical finding': 'soft tissue nodularity', 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'nodularity'}, 'likely injection sites': {'clinical finding': 'likely injection sites', 'cf_snomed': {'injection site': 13136005}, 'existence': 'pos_dx', 'descriptive_term': 'likely injection', 'observation': 'site'}}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: {'peritoneum': {}, 'fascia': {}}location descriptor_fin: ['right']clinical findings_fin: {'thickening of the peritoneum and mesorectal fascia , eccentric to the right , unchanged': {'clinical finding': 'thickening of the peritoneum and mesorectal fascia , eccentric to the right , unchanged', 'change_term': 'unchanged'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . Bilateral metastatic pulmonary nodules. Reference right lower lobe nodule measures 2.2 x 1.2 cm , previously 2.0 x 1.1 cm. Reference right middle lobe nodule measures 0.9 x 0.8 cm , previously 0.7 x 0.7 cm. Additional nonreference pulmonary nodules have increased in size. No mediastinal or hilar lymphadenopathy. Heart size is normal. No pericardial effusion. None. No significant abnormality noted. Two subcentimeter hepatic hypodensities are unchanged. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Bilateral renal cysts. Right renal cortical scarring. Right nephroureteral catheter in the expected location. IVC filter. Stent in the right iliac vein. Moderate. Increasing mesenteric masses. Reference right mesenteric mass measures 19.0 x 13.8 cm , previously 16.0 x 11.1 cm. Reference left mesenteric mass measures 5.9 x 4.9 cm , previously 4.9 x 3.6 cm. Small amount of peritoneal free fluid. Wide neck ventral hernia containing a small bowel loop with a small focus of adjacent fluid. No evidence of bowel wall thickening or obstruction. Soft tissue nodularity in the subcutaneous tissues of the anterior abdominal wall, likely injection sites. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Thickening of the peritoneum and mesorectal fascia, eccentric to the right, unchanged. No significant abnormality noted. </s>