. No pulmonary nodules or opacities are visualized. No pleural effusion, pneumothorax. The left vertebral artery originates from the aortic arch, normal variant anatomy. There is a calcification in the azygos arch, of no clinical significance. No lymphadenopathy. The heart size is normal. No significant abnormality noted. Normal morphology and size of the liver. The gallbladder is visualized and is of normal size and position. Normal morphology and size of the spleen. No focal spleen lesion is evident. Normal morphology of the pancreas with homogeneous enhancement of the pancreatic parenchyma. No peripancreatic inflammatory changes are evident. The adrenal glands are normal in appearance. Symmetric enhancement. No hydronephrosis is evident. Posterior to the right kidney is fairly homogenous mass with attenuation similar to skeletal muscle. It is round with minimal adjacent fat stranding. The mass is contiguous with the kidney and flattens the superior posterolateral aspect of the kidney. No mural thickening, bowel obstruction or pneumoperitoneum is evident. Normal alignment of the thoracic or lumbar spine. No fracture is evident. No bony lesion is visualized. No significant abnormality noted. The ovaries are normal. Nondistended normal-appearing bladder. No pelvic lymphadenopathy is present. No mural thickening, bowel obstruction or pneumoperitoneum is evident. Normal alignment of the thoracolumbar spine both femoral heads are well directed in their respective acetabula. The mass associated with the right proximal femoral Ewings sarcoma measures 9.8 x 8.4 cm. There is wispy tumor bone formation within the soft tissue mass immediately adjacent to the femur. BMI is abnormally increased.
clinical findings_fin: {'pulmonary nodules': {'clinical finding': 'pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'pulmonary', 'observation': 'nodule'}, 'opacities': {'clinical finding': 'opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'neg_dx', 'observation': 'opacity'}}clinical findings_fin: {'pleural effusion': {'clinical finding': 'pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}, 'pneumothorax': {'clinical finding': 'pneumothorax', 'cf_snomed': {'pneumothorax': 36118008}, 'existence': 'neg_dx', 'observation': 'pneumothorax'}}anatomical entity_fin: {'left vertebral artery': {}, 'aortic arch': {}, 'normal variant': {}}clinical findings_fin: {'normal variant': {'clinical finding': 'normal variant', 'existence': 'pos_dx', 'descriptive_term': 'normal', 'observation': 'variant', 'strength_term': 'normal'}}anatomical entity_fin: {'azygos arch': {}}clinical findings_fin: {'calcification': {'clinical finding': 'calcification', 'existence': 'pos_dx', 'observation': 'calcification'}}clinical findings_fin: {'lymphadenopathy': {'clinical finding': 'lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'heart': {}}clinical findings_fin: {'heart size is normal': {'clinical finding': 'heart size is normal'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'normal morphology and size of the liver': {'clinical finding': 'normal morphology and size of the liver'}}anatomical entity_fin: {'gallbladder': {}}clinical findings_fin: {'gallbladder is visualized and is of normal size and position': {'clinical finding': 'gallbladder is visualized and is of normal size and position', 'cf_snomed': {'normal size': 53461003}}}anatomical entity_fin: {'spleen': {}}clinical findings_fin: {'normal morphology and size of the spleen': {'clinical finding': 'normal morphology and size of the spleen'}}anatomical entity_fin: {'spleen': {}}clinical findings_fin: {'focal spleen lesion': {'clinical finding': 'focal spleen lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'focal spleen', 'observation': 'lesion'}}anatomical entity_fin: {'pancreas': {}, 'parenchyma': {}}imaging observation_fin: ['homogeneous enhancement']clinical findings_fin: {'homogeneous enhancement': {'clinical finding': 'homogeneous enhancement', 'existence': 'pos_dx', 'descriptive_term': 'homogeneous', 'observation': 'enhancement'}}clinical findings_fin: {'peripancreatic inflammatory changes': {'clinical finding': 'peripancreatic inflammatory changes', 'existence': 'neg_dx', 'descriptive_term': 'peripancreatic inflammatory', 'observation': 'change'}}anatomical entity_fin: {'adrenal glands': {}}clinical findings_fin: {'adrenal glands are normal in appearance': {'clinical finding': 'adrenal glands are normal in appearance'}}imaging observation_fin: ['symmetric enhancement']clinical findings_fin: {'symmetric enhancement': {'clinical finding': 'symmetric enhancement', 'existence': 'pos_dx', 'descriptive_term': 'symmetric', 'observation': 'enhancement'}}clinical findings_fin: {'hydronephrosis': {'clinical finding': 'hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'neg_dx', 'observation': 'hydronephrosis'}}anatomical entity_fin: {'right kidney': {}}location descriptor_fin: ['posterior']clinical findings_fin: {'fairly homogenous mass': {'clinical finding': 'fairly homogenous mass', 'existence': 'pos_dx', 'descriptive_term': 'fairly homogenous', 'observation': 'mass'}, 'attenuation': {'clinical finding': 'attenuation', 'existence': 'pos_dx', 'observation': 'attenuation'}}imaging observation_fin: ['fat']location descriptor_fin: ['adjacent']clinical findings_fin: {'minimal adjacent fat stranding': {'clinical finding': 'minimal adjacent fat stranding', 'existence': 'pos_dx', 'descriptive_term': 'minimal adjacent fat', 'observation': 'strand', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}anatomical entity_fin: {'kidney': {}}location descriptor_fin: ['superior']clinical findings_fin: {'mass': {'clinical finding': 'mass', 'existence': 'pos_dx', 'observation': 'mass'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'mural thickening': {'clinical finding': 'mural thickening', 'existence': 'neg_dx', 'descriptive_term': 'mural', 'observation': 'thickening'}, 'bowel obstruction': {'clinical finding': 'bowel obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'descriptive_term': 'bowel', 'observation': 'obstruction'}, 'pneumoperitoneum': {'clinical finding': 'pneumoperitoneum', 'cf_snomed': {'pneumoperitoneum': 17204006}, 'existence': 'neg_dx', 'observation': 'pneumoperitoneum'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'normal alignment of the thoracic or lumbar spine': {'clinical finding': 'normal alignment of the thoracic or lumbar spine'}}clinical findings_fin: {'fracture': {'clinical finding': 'fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'observation': 'fracture'}}clinical findings_fin: {'bony lesion': {'clinical finding': 'bony lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'bony', 'observation': 'lesion'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'ovaries': {}}clinical findings_fin: {'ovaries are normal': {'clinical finding': 'ovaries are normal'}}anatomical entity_fin: {'bladder': {}}clinical findings_fin: {'nondistended normal - appearing bladder': {'clinical finding': 'nondistended normal - appearing bladder'}}clinical findings_fin: {'pelvic lymphadenopathy': {'clinical finding': 'pelvic lymphadenopathy', 'cf_snomed': {'pelvic lymphadenopathy': 127158006}, 'existence': 'neg_dx', 'descriptive_term': 'pelvic', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'mural thickening': {'clinical finding': 'mural thickening', 'existence': 'neg_dx', 'descriptive_term': 'mural', 'observation': 'thickening'}, 'bowel obstruction': {'clinical finding': 'bowel obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'descriptive_term': 'bowel', 'observation': 'obstruction'}, 'pneumoperitoneum': {'clinical finding': 'pneumoperitoneum', 'cf_snomed': {'pneumoperitoneum': 17204006}, 'existence': 'neg_dx', 'observation': 'pneumoperitoneum'}}anatomical entity_fin: {'spine': {}, 'heads': {}}clinical findings_fin: {'normal alignment of the thoracolumbar spine both femoral heads are well directed in their respective acetabula': {'clinical finding': 'normal alignment of the thoracolumbar spine both femoral heads are well directed in their respective acetabula'}}size_fin: [{'size': '9.8 x 8.4 cm', 'size_descriptor': 'mass'}]location descriptor_fin: ['right', 'proximal']clinical findings_fin: {'mass': {'clinical finding': 'mass', 'existence': 'pos_dx', 'observation': 'mass'}, 'right proximal femoral ewings sarcoma': {'clinical finding': 'right proximal femoral ewings sarcoma', 'cf_snomed': {'sarcoma': 424413001}, 'existence': 'pos_dx', 'descriptive_term': 'right proximal femoral ewings', 'observation': 'sarcoma'}}anatomical entity_fin: {'femur': {}}location descriptor_fin: ['adjacent']clinical findings_fin: {'wispy tumor bone formation': {'clinical finding': 'wispy tumor bone formation', 'existence': 'pos_dx', 'descriptive_term': 'wispy tumor bone', 'observation': 'formation'}, 'soft tissue mass': {'clinical finding': 'soft tissue mass', 'cf_snomed': {'soft tissue mass': 278002000}, 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'mass'}}clinical findings_fin: {'bmi is abnormally increased': {'clinical finding': 'bmi is abnormally increased', 'change_term': 'increased'}}
<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': 'neg_dx', 'descriptive_term': 'pulmonary', 'observation': 'nodule'}, 'opacities': {'clinical finding': 'opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'neg_dx', 'observation': 'opacity'}}clinical findings_fin: {'pleural effusion': {'clinical finding': 'pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}, 'pneumothorax': {'clinical finding': 'pneumothorax', 'cf_snomed': {'pneumothorax': 36118008}, 'existence': 'neg_dx', 'observation': 'pneumothorax'}}anatomical entity_fin: {'left vertebral artery': {}, 'aortic arch': {}, 'normal variant': {}}clinical findings_fin: {'normal variant': {'clinical finding': 'normal variant', 'existence': 'pos_dx', 'descriptive_term': 'normal', 'observation': 'variant', 'strength_term': 'normal'}}anatomical entity_fin: {'azygos arch': {}}clinical findings_fin: {'calcification': {'clinical finding': 'calcification', 'existence': 'pos_dx', 'observation': 'calcification'}}clinical findings_fin: {'lymphadenopathy': {'clinical finding': 'lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'heart': {}}clinical findings_fin: {'heart size is normal': {'clinical finding': 'heart size is normal'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'normal morphology and size of the liver': {'clinical finding': 'normal morphology and size of the liver'}}anatomical entity_fin: {'gallbladder': {}}clinical findings_fin: {'gallbladder is visualized and is of normal size and position': {'clinical finding': 'gallbladder is visualized and is of normal size and position', 'cf_snomed': {'normal size': 53461003}}}anatomical entity_fin: {'spleen': {}}clinical findings_fin: {'normal morphology and size of the spleen': {'clinical finding': 'normal morphology and size of the spleen'}}anatomical entity_fin: {'spleen': {}}clinical findings_fin: {'focal spleen lesion': {'clinical finding': 'focal spleen lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'focal spleen', 'observation': 'lesion'}}anatomical entity_fin: {'pancreas': {}, 'parenchyma': {}}imaging observation_fin: ['homogeneous enhancement']clinical findings_fin: {'homogeneous enhancement': {'clinical finding': 'homogeneous enhancement', 'existence': 'pos_dx', 'descriptive_term': 'homogeneous', 'observation': 'enhancement'}}clinical findings_fin: {'peripancreatic inflammatory changes': {'clinical finding': 'peripancreatic inflammatory changes', 'existence': 'neg_dx', 'descriptive_term': 'peripancreatic inflammatory', 'observation': 'change'}}anatomical entity_fin: {'adrenal glands': {}}clinical findings_fin: {'adrenal glands are normal in appearance': {'clinical finding': 'adrenal glands are normal in appearance'}}imaging observation_fin: ['symmetric enhancement']clinical findings_fin: {'symmetric enhancement': {'clinical finding': 'symmetric enhancement', 'existence': 'pos_dx', 'descriptive_term': 'symmetric', 'observation': 'enhancement'}}clinical findings_fin: {'hydronephrosis': {'clinical finding': 'hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'neg_dx', 'observation': 'hydronephrosis'}}anatomical entity_fin: {'right kidney': {}}location descriptor_fin: ['posterior']clinical findings_fin: {'fairly homogenous mass': {'clinical finding': 'fairly homogenous mass', 'existence': 'pos_dx', 'descriptive_term': 'fairly homogenous', 'observation': 'mass'}, 'attenuation': {'clinical finding': 'attenuation', 'existence': 'pos_dx', 'observation': 'attenuation'}}imaging observation_fin: ['fat']location descriptor_fin: ['adjacent']clinical findings_fin: {'minimal adjacent fat stranding': {'clinical finding': 'minimal adjacent fat stranding', 'existence': 'pos_dx', 'descriptive_term': 'minimal adjacent fat', 'observation': 'strand', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}anatomical entity_fin: {'kidney': {}}location descriptor_fin: ['superior']clinical findings_fin: {'mass': {'clinical finding': 'mass', 'existence': 'pos_dx', 'observation': 'mass'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'mural thickening': {'clinical finding': 'mural thickening', 'existence': 'neg_dx', 'descriptive_term': 'mural', 'observation': 'thickening'}, 'bowel obstruction': {'clinical finding': 'bowel obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'descriptive_term': 'bowel', 'observation': 'obstruction'}, 'pneumoperitoneum': {'clinical finding': 'pneumoperitoneum', 'cf_snomed': {'pneumoperitoneum': 17204006}, 'existence': 'neg_dx', 'observation': 'pneumoperitoneum'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'normal alignment of the thoracic or lumbar spine': {'clinical finding': 'normal alignment of the thoracic or lumbar spine'}}clinical findings_fin: {'fracture': {'clinical finding': 'fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'observation': 'fracture'}}clinical findings_fin: {'bony lesion': {'clinical finding': 'bony lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'bony', 'observation': 'lesion'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'ovaries': {}}clinical findings_fin: {'ovaries are normal': {'clinical finding': 'ovaries are normal'}}anatomical entity_fin: {'bladder': {}}clinical findings_fin: {'nondistended normal - appearing bladder': {'clinical finding': 'nondistended normal - appearing bladder'}}clinical findings_fin: {'pelvic lymphadenopathy': {'clinical finding': 'pelvic lymphadenopathy', 'cf_snomed': {'pelvic lymphadenopathy': 127158006}, 'existence': 'neg_dx', 'descriptive_term': 'pelvic', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'mural thickening': {'clinical finding': 'mural thickening', 'existence': 'neg_dx', 'descriptive_term': 'mural', 'observation': 'thickening'}, 'bowel obstruction': {'clinical finding': 'bowel obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'descriptive_term': 'bowel', 'observation': 'obstruction'}, 'pneumoperitoneum': {'clinical finding': 'pneumoperitoneum', 'cf_snomed': {'pneumoperitoneum': 17204006}, 'existence': 'neg_dx', 'observation': 'pneumoperitoneum'}}anatomical entity_fin: {'spine': {}, 'heads': {}}clinical findings_fin: {'normal alignment of the thoracolumbar spine both femoral heads are well directed in their respective acetabula': {'clinical finding': 'normal alignment of the thoracolumbar spine both femoral heads are well directed in their respective acetabula'}}size_fin: [{'size': '9.8 x 8.4 cm', 'size_descriptor': 'mass'}]location descriptor_fin: ['right', 'proximal']clinical findings_fin: {'mass': {'clinical finding': 'mass', 'existence': 'pos_dx', 'observation': 'mass'}, 'right proximal femoral ewings sarcoma': {'clinical finding': 'right proximal femoral ewings sarcoma', 'cf_snomed': {'sarcoma': 424413001}, 'existence': 'pos_dx', 'descriptive_term': 'right proximal femoral ewings', 'observation': 'sarcoma'}}anatomical entity_fin: {'femur': {}}location descriptor_fin: ['adjacent']clinical findings_fin: {'wispy tumor bone formation': {'clinical finding': 'wispy tumor bone formation', 'existence': 'pos_dx', 'descriptive_term': 'wispy tumor bone', 'observation': 'formation'}, 'soft tissue mass': {'clinical finding': 'soft tissue mass', 'cf_snomed': {'soft tissue mass': 278002000}, 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'mass'}}clinical findings_fin: {'bmi is abnormally increased': {'clinical finding': 'bmi is abnormally increased', 'change_term': 'increased'}} [/INST] . No pulmonary nodules or opacities are visualized. No pleural effusion, pneumothorax. The left vertebral artery originates from the aortic arch, normal variant anatomy. There is a calcification in the azygos arch, of no clinical significance. No lymphadenopathy. The heart size is normal. No significant abnormality noted. Normal morphology and size of the liver. The gallbladder is visualized and is of normal size and position. Normal morphology and size of the spleen. No focal spleen lesion is evident. Normal morphology of the pancreas with homogeneous enhancement of the pancreatic parenchyma. No peripancreatic inflammatory changes are evident. The adrenal glands are normal in appearance. Symmetric enhancement. No hydronephrosis is evident. Posterior to the right kidney is fairly homogenous mass with attenuation similar to skeletal muscle. It is round with minimal adjacent fat stranding. The mass is contiguous with the kidney and flattens the superior posterolateral aspect of the kidney. No mural thickening, bowel obstruction or pneumoperitoneum is evident. Normal alignment of the thoracic or lumbar spine. No fracture is evident. No bony lesion is visualized. No significant abnormality noted. The ovaries are normal. Nondistended normal-appearing bladder. No pelvic lymphadenopathy is present. No mural thickening, bowel obstruction or pneumoperitoneum is evident. Normal alignment of the thoracolumbar spine both femoral heads are well directed in their respective acetabula. The mass associated with the right proximal femoral Ewings sarcoma measures 9.8 x 8.4 cm. There is wispy tumor bone formation within the soft tissue mass immediately adjacent to the femur. BMI is abnormally increased. </s>