Exam is limited by poor contrast opacification, likely related to patients cardiac status. Redemonstration of heterogeneous ill-defined soft tissue mass with areas of calcification in the groin extending to the pelvis and proximal thigh, representing known sarcoma. This mass remains poorly marginated and difficult to measure accurately, yet measures approximately 10 x 8 cm in axial dimension. Again seen is cystic or necrotic components adjacent to the sarcoma just inferior to the pubic bone measuring approximately 9.1 x 3.3 cm , previously 9.2 x 3.5 cm. There is interval development of lobulated cystic or necrotic lesion centered in the abductor magnus musculature measuring 4.5 x 3.4 cm axial dimension and 10.5 cm in craniocaudal dimension. There is no specific associated additional evidence to suggest infection. There is diffuse subcutaneous reticulation and skin thickening of the left thigh. Enlarged necrotic appearing lymph node anterior to the left external iliac vessels measuring 2.5 x 2.9 cm. Small fat-containing right inguinal hernia noted. Incomplete visualization of lytic lesion in the presumed L4 vertebral body.
clinical findings_fin: {'poor contrast opacification': {'clinical finding': 'poor contrast opacification', 'existence': 'pos_dx', 'descriptive_term': 'poor contrast', 'observation': 'opacification'}}anatomical entity_fin: {'pelvis': {}, 'thigh': {'location descriptor': 'proximal'}}location descriptor_fin: ['proximal']clinical findings_fin: {'heterogeneous ill-defined soft tissue mass': {'clinical finding': 'heterogeneous ill-defined soft tissue mass', 'cf_snomed': {'soft tissue mass': 278002000}, 'existence': 'pos_dx', 'descriptive_term': 'heterogeneous ill-defined soft tissue', 'observation': 'mass', 'strength_term': 'ill-defined'}, 'calcification': {'clinical finding': 'calcification', 'existence': 'pos_dx', 'observation': 'calcification'}, 'known sarcoma': {'clinical finding': 'known sarcoma', 'cf_snomed': {'sarcoma': 424413001}, 'existence': 'pos_dx', 'descriptive_term': 'known', 'observation': 'sarcoma'}}size_fin: [{'size': '10 x 8 cm'}]clinical findings_fin: {'this mass': {'clinical finding': 'this mass', 'existence': 'pos_dx', 'descriptive_term': 'this', 'observation': 'mass'}}size_fin: [{'size': '9.1 x 3.3 cm'}, {'size': '9.2 x 3.5 cm'}]location descriptor_fin: ['adjacent', 'inferior']clinical findings_fin: {'sarcoma': {'clinical finding': 'sarcoma', 'cf_snomed': {'sarcoma': 424413001}, 'existence': 'pos_dx', 'observation': 'sarcoma'}}size_fin: [{'size': '4.5 x 3.4 cm'}, {'size': '10.5 cm'}]anatomical entity_fin: {'musculature': {}}clinical findings_fin: {'lobulated cystic or necrotic lesion': {'clinical finding': 'lobulated cystic or necrotic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'lobulated cystic or necrotic', 'observation': 'lesion', 'change_term': 'lobulated'}}clinical findings_fin: {'infection': {'clinical finding': 'infection', 'existence': 'unc_dx', 'observation': 'infection'}}anatomical entity_fin: {'thigh': {'location descriptor': 'left'}}imaging observation_fin: ['reticulation']location descriptor_fin: ['left']clinical findings_fin: {'diffuse subcutaneous reticulation': {'clinical finding': 'diffuse subcutaneous reticulation', 'existence': 'pos_dx', 'descriptive_term': 'diffuse subcutaneous', 'observation': 'reticulation'}, 'skin thickening': {'clinical finding': 'skin thickening', 'existence': 'pos_dx', 'descriptive_term': 'skin', 'observation': 'thickening'}}size_fin: [{'size': '2.5 x 2.9 cm', 'size_descriptor': 'anterior'}]location descriptor_fin: ['anterior', 'left', 'external']clinical findings_fin: {'enlarged necrotic appearing lymph node': {'clinical finding': 'enlarged necrotic appearing lymph node', 'existence': 'pos_dx', 'descriptive_term': 'enlarged necrotic appearing lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'}}imaging observation_fin: ['fat']location descriptor_fin: ['right']clinical findings_fin: {'small fat-containing right inguinal hernia': {'clinical finding': 'small fat-containing right inguinal hernia', 'cf_snomed': {'right inguinal hernia': 236021006}, 'existence': 'pos_dx', 'descriptive_term': 'small fat-containing right inguinal', 'observation': 'hernia', 'strength_term': 'small'}}anatomical entity_fin: {'l4 vertebral body': {}}clinical findings_fin: {'lytic lesion': {'clinical finding': 'lytic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'lytic', 'observation': 'lesion'}}
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'poor contrast opacification': {'clinical finding': 'poor contrast opacification', 'existence': 'pos_dx', 'descriptive_term': 'poor contrast', 'observation': 'opacification'}}anatomical entity_fin: {'pelvis': {}, 'thigh': {'location descriptor': 'proximal'}}location descriptor_fin: ['proximal']clinical findings_fin: {'heterogeneous ill-defined soft tissue mass': {'clinical finding': 'heterogeneous ill-defined soft tissue mass', 'cf_snomed': {'soft tissue mass': 278002000}, 'existence': 'pos_dx', 'descriptive_term': 'heterogeneous ill-defined soft tissue', 'observation': 'mass', 'strength_term': 'ill-defined'}, 'calcification': {'clinical finding': 'calcification', 'existence': 'pos_dx', 'observation': 'calcification'}, 'known sarcoma': {'clinical finding': 'known sarcoma', 'cf_snomed': {'sarcoma': 424413001}, 'existence': 'pos_dx', 'descriptive_term': 'known', 'observation': 'sarcoma'}}size_fin: [{'size': '10 x 8 cm'}]clinical findings_fin: {'this mass': {'clinical finding': 'this mass', 'existence': 'pos_dx', 'descriptive_term': 'this', 'observation': 'mass'}}size_fin: [{'size': '9.1 x 3.3 cm'}, {'size': '9.2 x 3.5 cm'}]location descriptor_fin: ['adjacent', 'inferior']clinical findings_fin: {'sarcoma': {'clinical finding': 'sarcoma', 'cf_snomed': {'sarcoma': 424413001}, 'existence': 'pos_dx', 'observation': 'sarcoma'}}size_fin: [{'size': '4.5 x 3.4 cm'}, {'size': '10.5 cm'}]anatomical entity_fin: {'musculature': {}}clinical findings_fin: {'lobulated cystic or necrotic lesion': {'clinical finding': 'lobulated cystic or necrotic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'lobulated cystic or necrotic', 'observation': 'lesion', 'change_term': 'lobulated'}}clinical findings_fin: {'infection': {'clinical finding': 'infection', 'existence': 'unc_dx', 'observation': 'infection'}}anatomical entity_fin: {'thigh': {'location descriptor': 'left'}}imaging observation_fin: ['reticulation']location descriptor_fin: ['left']clinical findings_fin: {'diffuse subcutaneous reticulation': {'clinical finding': 'diffuse subcutaneous reticulation', 'existence': 'pos_dx', 'descriptive_term': 'diffuse subcutaneous', 'observation': 'reticulation'}, 'skin thickening': {'clinical finding': 'skin thickening', 'existence': 'pos_dx', 'descriptive_term': 'skin', 'observation': 'thickening'}}size_fin: [{'size': '2.5 x 2.9 cm', 'size_descriptor': 'anterior'}]location descriptor_fin: ['anterior', 'left', 'external']clinical findings_fin: {'enlarged necrotic appearing lymph node': {'clinical finding': 'enlarged necrotic appearing lymph node', 'existence': 'pos_dx', 'descriptive_term': 'enlarged necrotic appearing lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'}}imaging observation_fin: ['fat']location descriptor_fin: ['right']clinical findings_fin: {'small fat-containing right inguinal hernia': {'clinical finding': 'small fat-containing right inguinal hernia', 'cf_snomed': {'right inguinal hernia': 236021006}, 'existence': 'pos_dx', 'descriptive_term': 'small fat-containing right inguinal', 'observation': 'hernia', 'strength_term': 'small'}}anatomical entity_fin: {'l4 vertebral body': {}}clinical findings_fin: {'lytic lesion': {'clinical finding': 'lytic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'lytic', 'observation': 'lesion'}} [/INST] Exam is limited by poor contrast opacification, likely related to patients cardiac status. Redemonstration of heterogeneous ill-defined soft tissue mass with areas of calcification in the groin extending to the pelvis and proximal thigh, representing known sarcoma. This mass remains poorly marginated and difficult to measure accurately, yet measures approximately 10 x 8 cm in axial dimension. Again seen is cystic or necrotic components adjacent to the sarcoma just inferior to the pubic bone measuring approximately 9.1 x 3.3 cm , previously 9.2 x 3.5 cm. There is interval development of lobulated cystic or necrotic lesion centered in the abductor magnus musculature measuring 4.5 x 3.4 cm axial dimension and 10.5 cm in craniocaudal dimension. There is no specific associated additional evidence to suggest infection. There is diffuse subcutaneous reticulation and skin thickening of the left thigh. Enlarged necrotic appearing lymph node anterior to the left external iliac vessels measuring 2.5 x 2.9 cm. Small fat-containing right inguinal hernia noted. Incomplete visualization of lytic lesion in the presumed L4 vertebral body. </s>