. Mild basilar atelectasis is noted. Interval resolution of the small pleural effusions. There is a small left lower lobe subpleural lesion, which was not visualized on the previous study. This could represent an inflammatory process, but metastatic disease is also a consideration. Calcified mediastinal lymph node is noted, likely representing a previous granulomatous infection. Cardiac size is normal. Mildly enlarged right hilar lymph node measures 1 cm in short axis on image 48 of series 3, with no significant change as compared to the prior study. Prominent aortopulmonary window lymph nodes have not significantly changed in size. Interval placement of right chest wall port with tip in the superior vena cava. None. Subcutaneous air in the right chest wall, likely secondary to the recent port placement. Enlarged liver with innumerable hypoattenuating lesions in the liver, with the largest one in segment 6 measuring 1.5 x 1.5 cm on image 120 series 3, likely representing multiple metastatic foci which are new as compared to the previous exam. Common bile duct stent is again noted. Mild pneumobilia is present. No significant abnormality noted. There is slight increase in the size of the primary pancreatic lesion, measuring 3 x 3 cm on image 117 of series 3 as compared to 3.3 x 2.7 cm on the previous study. The portal venous system, splenic vein, and the superior mesenteric vein appear patent. CBD stent in appropriate location. No significant abnormality noted. Small hypodense foci within the bilateral kidneys are indeterminate and unchanged as compared to the previous study. There is interval increase in size and the number of prominent lymph nodes in the retroperitoneum. However, the reference necrotic periaortic lymph node is not significantly changed in size, measuring 1.7 x 1.5 cm on image 127 of series 3, as compared to 1.9 x 1.4 cm on the previous study. None. 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. No significant abnormality noted. No significant abnormality noted
clinical findings_fin: {'mild basilar atelectasis': {'clinical finding': 'mild basilar atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'mild basilar', 'observation': 'atelectasis', 'strength_term': 'mild'}}clinical findings_fin: {'interval resolution': {'clinical finding': 'interval resolution', 'existence': 'pos_dx', 'descriptive_term': 'interval', 'observation': 'resolution'}, 'small pleural effusions': {'clinical finding': 'small pleural effusions', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'small pleural', 'observation': 'effusion', 'strength_term': 'small'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'small left lower lobe subpleural lesion': {'clinical finding': 'small left lower lobe subpleural lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'small left lower lobe subpleural', 'observation': 'lesion', 'strength_term': 'small'}}clinical findings_fin: {'metastatic disease': {'clinical finding': 'metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'unc_dx', 'descriptive_term': 'metastatic', 'observation': 'disease'}}anatomical entity_fin: {'mediastinal lymph node': {}}clinical findings_fin: {'calcified mediastinal lymph node': {'clinical finding': 'calcified mediastinal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'calcified mediastinal lymph', 'observation': 'node', 'change_term': 'calcified'}, 'previous granulomatous infection': {'clinical finding': 'previous granulomatous infection', 'existence': 'unc_dx', 'descriptive_term': 'previous granulomatous', 'observation': 'infection', 'temporal_term': 'previous'}}clinical findings_fin: {'cardiac size is normal': {'clinical finding': 'cardiac size is normal'}}size_fin: [{'size': '1 cm', 'size_descriptor': 'node'}]anatomical entity_fin: {'axis': {}}location descriptor_fin: ['right']clinical findings_fin: {'mildly enlarged right hilar lymph node': {'clinical finding': 'mildly enlarged right hilar lymph node', 'existence': 'pos_dx', 'descriptive_term': 'mildly enlarged right hilar lymph', 'observation': 'node', 'strength_term': 'mildly - enlarged', 'change_term': 'enlarged'}, 'significant change': {'clinical finding': 'significant change', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'change'}}anatomical entity_fin: {'aortopulmonary window': {}}clinical findings_fin: {'prominent aortopulmonary window lymph nodes': {'clinical finding': 'prominent aortopulmonary window lymph nodes', 'cf_snomed': {'aortopulmonary window': 17024001}, 'existence': 'neg_dx', 'descriptive_term': 'prominent aortopulmonary window lymph', 'observation': 'node', 'strength_term': 'prominent'}}anatomical entity_fin: {'chest wall': {'location descriptor': 'right'}, 'superior vena cava': {}}location descriptor_fin: ['right']object_fin: ['port']anatomical entity_fin: {'chest wall': {'location descriptor': 'right'}}location descriptor_fin: ['right']procedure_fin: ['port placement']clinical findings_fin: {'likely secondary to the recent port placement': {'clinical finding': 'likely secondary to the recent port placement'}}size_fin: [{'size': '1.5 x 1.5 cm', 'size_descriptor': 'liver'}]anatomical entity_fin: {'liver': {}}imaging observation_fin: ['foci']clinical findings_fin: {'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}, 'innumerable hypoattenuating lesions': {'clinical finding': 'innumerable hypoattenuating lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'innumerable hypoattenuating', 'observation': 'lesion'}, 'multiple metastatic foci': {'clinical finding': 'multiple metastatic foci', 'existence': 'unc_dx', 'descriptive_term': 'multiple metastatic', 'observation': 'foci', 'quantity_term': 'multiple'}}anatomical entity_fin: {'common bile duct': {}}clinical findings_fin: {'common bile duct stent': {'clinical finding': 'common bile duct stent', 'existence': 'pos_dx', 'descriptive_term': 'common bile duct', 'observation': 'stent'}}clinical findings_fin: {'mild pneumobilia': {'clinical finding': 'mild pneumobilia', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'pneumobilia', 'strength_term': 'mild'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}size_fin: [{'size': '3 x 3 cm'}, {'size': '3.3 x 2.7 cm'}]clinical findings_fin: {'primary pancreatic lesion': {'clinical finding': 'primary pancreatic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'primary pancreatic', 'observation': 'lesion'}}anatomical entity_fin: {'venous system': {}, 'splenic vein': {}, 'superior mesenteric vein': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}clinical findings_fin: {'cbd stent': {'clinical finding': 'cbd stent', 'existence': 'pos_dx', 'descriptive_term': 'cbd', 'observation': 'stent'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'kidneys': {'location descriptor': 'bilateral'}}imaging observation_fin: ['foci']location descriptor_fin: ['bilateral']clinical findings_fin: {'small hypodense foci': {'clinical finding': 'small hypodense foci', 'existence': 'pos_dx', 'descriptive_term': 'small hypodense', 'observation': 'foci', 'strength_term': 'small'}}anatomical entity_fin: {'retroperitoneum': {}}clinical findings_fin: {'prominent lymph nodes': {'clinical finding': 'prominent lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'prominent lymph', 'observation': 'node', 'strength_term': 'prominent'}}size_fin: [{'size': '1.7 x 1.5 cm'}, {'size': '1.9 x 1.4 cm'}]clinical findings_fin: {'reference necrotic periaortic lymph node': {'clinical finding': 'reference necrotic periaortic lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference necrotic periaortic 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'}}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'}}
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'mild basilar atelectasis': {'clinical finding': 'mild basilar atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'mild basilar', 'observation': 'atelectasis', 'strength_term': 'mild'}}clinical findings_fin: {'interval resolution': {'clinical finding': 'interval resolution', 'existence': 'pos_dx', 'descriptive_term': 'interval', 'observation': 'resolution'}, 'small pleural effusions': {'clinical finding': 'small pleural effusions', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'small pleural', 'observation': 'effusion', 'strength_term': 'small'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'small left lower lobe subpleural lesion': {'clinical finding': 'small left lower lobe subpleural lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'small left lower lobe subpleural', 'observation': 'lesion', 'strength_term': 'small'}}clinical findings_fin: {'metastatic disease': {'clinical finding': 'metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'unc_dx', 'descriptive_term': 'metastatic', 'observation': 'disease'}}anatomical entity_fin: {'mediastinal lymph node': {}}clinical findings_fin: {'calcified mediastinal lymph node': {'clinical finding': 'calcified mediastinal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'calcified mediastinal lymph', 'observation': 'node', 'change_term': 'calcified'}, 'previous granulomatous infection': {'clinical finding': 'previous granulomatous infection', 'existence': 'unc_dx', 'descriptive_term': 'previous granulomatous', 'observation': 'infection', 'temporal_term': 'previous'}}clinical findings_fin: {'cardiac size is normal': {'clinical finding': 'cardiac size is normal'}}size_fin: [{'size': '1 cm', 'size_descriptor': 'node'}]anatomical entity_fin: {'axis': {}}location descriptor_fin: ['right']clinical findings_fin: {'mildly enlarged right hilar lymph node': {'clinical finding': 'mildly enlarged right hilar lymph node', 'existence': 'pos_dx', 'descriptive_term': 'mildly enlarged right hilar lymph', 'observation': 'node', 'strength_term': 'mildly - enlarged', 'change_term': 'enlarged'}, 'significant change': {'clinical finding': 'significant change', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'change'}}anatomical entity_fin: {'aortopulmonary window': {}}clinical findings_fin: {'prominent aortopulmonary window lymph nodes': {'clinical finding': 'prominent aortopulmonary window lymph nodes', 'cf_snomed': {'aortopulmonary window': 17024001}, 'existence': 'neg_dx', 'descriptive_term': 'prominent aortopulmonary window lymph', 'observation': 'node', 'strength_term': 'prominent'}}anatomical entity_fin: {'chest wall': {'location descriptor': 'right'}, 'superior vena cava': {}}location descriptor_fin: ['right']object_fin: ['port']anatomical entity_fin: {'chest wall': {'location descriptor': 'right'}}location descriptor_fin: ['right']procedure_fin: ['port placement']clinical findings_fin: {'likely secondary to the recent port placement': {'clinical finding': 'likely secondary to the recent port placement'}}size_fin: [{'size': '1.5 x 1.5 cm', 'size_descriptor': 'liver'}]anatomical entity_fin: {'liver': {}}imaging observation_fin: ['foci']clinical findings_fin: {'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}, 'innumerable hypoattenuating lesions': {'clinical finding': 'innumerable hypoattenuating lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'innumerable hypoattenuating', 'observation': 'lesion'}, 'multiple metastatic foci': {'clinical finding': 'multiple metastatic foci', 'existence': 'unc_dx', 'descriptive_term': 'multiple metastatic', 'observation': 'foci', 'quantity_term': 'multiple'}}anatomical entity_fin: {'common bile duct': {}}clinical findings_fin: {'common bile duct stent': {'clinical finding': 'common bile duct stent', 'existence': 'pos_dx', 'descriptive_term': 'common bile duct', 'observation': 'stent'}}clinical findings_fin: {'mild pneumobilia': {'clinical finding': 'mild pneumobilia', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'pneumobilia', 'strength_term': 'mild'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}size_fin: [{'size': '3 x 3 cm'}, {'size': '3.3 x 2.7 cm'}]clinical findings_fin: {'primary pancreatic lesion': {'clinical finding': 'primary pancreatic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'primary pancreatic', 'observation': 'lesion'}}anatomical entity_fin: {'venous system': {}, 'splenic vein': {}, 'superior mesenteric vein': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}clinical findings_fin: {'cbd stent': {'clinical finding': 'cbd stent', 'existence': 'pos_dx', 'descriptive_term': 'cbd', 'observation': 'stent'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'kidneys': {'location descriptor': 'bilateral'}}imaging observation_fin: ['foci']location descriptor_fin: ['bilateral']clinical findings_fin: {'small hypodense foci': {'clinical finding': 'small hypodense foci', 'existence': 'pos_dx', 'descriptive_term': 'small hypodense', 'observation': 'foci', 'strength_term': 'small'}}anatomical entity_fin: {'retroperitoneum': {}}clinical findings_fin: {'prominent lymph nodes': {'clinical finding': 'prominent lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'prominent lymph', 'observation': 'node', 'strength_term': 'prominent'}}size_fin: [{'size': '1.7 x 1.5 cm'}, {'size': '1.9 x 1.4 cm'}]clinical findings_fin: {'reference necrotic periaortic lymph node': {'clinical finding': 'reference necrotic periaortic lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference necrotic periaortic 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'}}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'}} [/INST] . Mild basilar atelectasis is noted. Interval resolution of the small pleural effusions. There is a small left lower lobe subpleural lesion, which was not visualized on the previous study. This could represent an inflammatory process, but metastatic disease is also a consideration. Calcified mediastinal lymph node is noted, likely representing a previous granulomatous infection. Cardiac size is normal. Mildly enlarged right hilar lymph node measures 1 cm in short axis on image 48 of series 3, with no significant change as compared to the prior study. Prominent aortopulmonary window lymph nodes have not significantly changed in size. Interval placement of right chest wall port with tip in the superior vena cava. None. Subcutaneous air in the right chest wall, likely secondary to the recent port placement. Enlarged liver with innumerable hypoattenuating lesions in the liver, with the largest one in segment 6 measuring 1.5 x 1.5 cm on image 120 series 3, likely representing multiple metastatic foci which are new as compared to the previous exam. Common bile duct stent is again noted. Mild pneumobilia is present. No significant abnormality noted. There is slight increase in the size of the primary pancreatic lesion, measuring 3 x 3 cm on image 117 of series 3 as compared to 3.3 x 2.7 cm on the previous study. The portal venous system, splenic vein, and the superior mesenteric vein appear patent. CBD stent in appropriate location. No significant abnormality noted. Small hypodense foci within the bilateral kidneys are indeterminate and unchanged as compared to the previous study. There is interval increase in size and the number of prominent lymph nodes in the retroperitoneum. However, the reference necrotic periaortic lymph node is not significantly changed in size, measuring 1.7 x 1.5 cm on image 127 of series 3, as compared to 1.9 x 1.4 cm on the previous study. None. 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. No significant abnormality noted. No significant abnormality noted </s>