. Reference right upper lobe pulmonary nodule measures 16 mm x 8 mm on image 27 of series 5 as Compared to 15 x 8 mm in the previous study. Multiple additional nodules are again noted and are not significantly changed. Left lower lobe masslike consolidation is unchanged but demonstrates better aeration. There is increase in obstruction of the right lower lobe bronchus with debris in the lumen, resulting in increase in the distal atelectasis in the right lower lobe masslike lesion, giving it a more solid appearance. Otherwise no significant change in size of the right lower lobe lesion. No hilar or mediastinal lymphadenopathy. Cardiac size is normal. No pericardial effusion. Mild. No significant abnormality noted. Absence of enteric contrast material limits sensitivity for abdominal pathology. Status post cholecystectomy. No significant abnormality noted. New nodule in the right adrenal gland measuring 13 mm on image 84 of series 3, concerning for metastatic disease. No significant abnormality noted. No significant abnormality noted. Calcification of the abdominal aorta redemonstrated. Absence of enteric contrast material limits sensitivity for GI pathology. No gross abnormalities noted. No significant abnormality noted. No significant abnormality noted.
size_fin: [{'size': '16 mm x 8 mm'}, {'size': '15 x 8 mm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right upper'}}location descriptor_fin: ['right', 'upper']clinical findings_fin: {'reference right upper lobe pulmonary nodule': {'clinical finding': 'reference right upper lobe pulmonary nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'reference right upper lobe pulmonary', 'observation': 'nodule'}}clinical findings_fin: {'multiple additional nodules': {'clinical finding': 'multiple additional nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'multiple additional', 'observation': 'nodule', 'quantity_term': 'multiple'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'left lower lobe masslike consolidation': {'clinical finding': 'left lower lobe masslike consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'pos_dx', 'descriptive_term': 'left lower lobe masslike', 'observation': 'consolidation'}}anatomical entity_fin: {'right lower lobe bronchus': {}, 'lumen': {}, 'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['distal', 'right', 'lower']clinical findings_fin: {'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'pos_dx', 'observation': 'obstruction'}, 'debris': {'clinical finding': 'debris', 'existence': 'pos_dx', 'observation': 'debris'}, 'distal atelectasis': {'clinical finding': 'distal atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'distal', 'observation': 'atelectasis'}, 'right lower lobe masslike lesion': {'clinical finding': 'right lower lobe masslike lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'right lower lobe masslike', 'observation': 'lesion'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'otherwise no significant change': {'clinical finding': 'otherwise no significant change', 'existence': 'pos_dx', 'descriptive_term': 'otherwise no significant', 'observation': 'change', 'quantity_term': 'no'}, 'right lower lobe lesion': {'clinical finding': 'right lower lobe lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'right lower lobe', 'observation': 'lesion'}}clinical findings_fin: {'hilar or mediastinal lymphadenopathy': {'clinical finding': 'hilar or mediastinal lymphadenopathy', 'cf_snomed': {'mediastinal lymphadenopathy': 52324001}, 'existence': 'neg_dx', 'descriptive_term': 'hilar or mediastinal', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'cardiac size is normal': {'clinical finding': 'cardiac 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'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}procedure_fin: ['cholecystectomy']clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}size_fin: [{'size': '13 mm', 'size_descriptor': 'nodule'}]anatomical entity_fin: {'right adrenal gland': {}}clinical findings_fin: {'new nodule': {'clinical finding': 'new nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'new', 'observation': 'nodule', 'temporal_term': 'new'}, 'metastatic disease': {'clinical finding': 'metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'unc_dx', 'descriptive_term': 'metastatic', 'observation': 'disease'}}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: {'abdominal aorta': {}}clinical findings_fin: {'calcification': {'clinical finding': 'calcification', 'existence': 'pos_dx', 'observation': 'calcification'}}clinical findings_fin: {'gi': {'clinical finding': 'gi', 'existence': 'unc_dx', 'observation': 'gi'}}clinical findings_fin: {'gross abnormalities': {'clinical finding': 'gross abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'gross', '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: size_fin: [{'size': '16 mm x 8 mm'}, {'size': '15 x 8 mm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right upper'}}location descriptor_fin: ['right', 'upper']clinical findings_fin: {'reference right upper lobe pulmonary nodule': {'clinical finding': 'reference right upper lobe pulmonary nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'reference right upper lobe pulmonary', 'observation': 'nodule'}}clinical findings_fin: {'multiple additional nodules': {'clinical finding': 'multiple additional nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'multiple additional', 'observation': 'nodule', 'quantity_term': 'multiple'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'left lower lobe masslike consolidation': {'clinical finding': 'left lower lobe masslike consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'pos_dx', 'descriptive_term': 'left lower lobe masslike', 'observation': 'consolidation'}}anatomical entity_fin: {'right lower lobe bronchus': {}, 'lumen': {}, 'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['distal', 'right', 'lower']clinical findings_fin: {'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'pos_dx', 'observation': 'obstruction'}, 'debris': {'clinical finding': 'debris', 'existence': 'pos_dx', 'observation': 'debris'}, 'distal atelectasis': {'clinical finding': 'distal atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'distal', 'observation': 'atelectasis'}, 'right lower lobe masslike lesion': {'clinical finding': 'right lower lobe masslike lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'right lower lobe masslike', 'observation': 'lesion'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'otherwise no significant change': {'clinical finding': 'otherwise no significant change', 'existence': 'pos_dx', 'descriptive_term': 'otherwise no significant', 'observation': 'change', 'quantity_term': 'no'}, 'right lower lobe lesion': {'clinical finding': 'right lower lobe lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'right lower lobe', 'observation': 'lesion'}}clinical findings_fin: {'hilar or mediastinal lymphadenopathy': {'clinical finding': 'hilar or mediastinal lymphadenopathy', 'cf_snomed': {'mediastinal lymphadenopathy': 52324001}, 'existence': 'neg_dx', 'descriptive_term': 'hilar or mediastinal', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'cardiac size is normal': {'clinical finding': 'cardiac 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'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}procedure_fin: ['cholecystectomy']clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}size_fin: [{'size': '13 mm', 'size_descriptor': 'nodule'}]anatomical entity_fin: {'right adrenal gland': {}}clinical findings_fin: {'new nodule': {'clinical finding': 'new nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'new', 'observation': 'nodule', 'temporal_term': 'new'}, 'metastatic disease': {'clinical finding': 'metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'unc_dx', 'descriptive_term': 'metastatic', 'observation': 'disease'}}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: {'abdominal aorta': {}}clinical findings_fin: {'calcification': {'clinical finding': 'calcification', 'existence': 'pos_dx', 'observation': 'calcification'}}clinical findings_fin: {'gi': {'clinical finding': 'gi', 'existence': 'unc_dx', 'observation': 'gi'}}clinical findings_fin: {'gross abnormalities': {'clinical finding': 'gross abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'gross', '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] . Reference right upper lobe pulmonary nodule measures 16 mm x 8 mm on image 27 of series 5 as Compared to 15 x 8 mm in the previous study. Multiple additional nodules are again noted and are not significantly changed. Left lower lobe masslike consolidation is unchanged but demonstrates better aeration. There is increase in obstruction of the right lower lobe bronchus with debris in the lumen, resulting in increase in the distal atelectasis in the right lower lobe masslike lesion, giving it a more solid appearance. Otherwise no significant change in size of the right lower lobe lesion. No hilar or mediastinal lymphadenopathy. Cardiac size is normal. No pericardial effusion. Mild. No significant abnormality noted. Absence of enteric contrast material limits sensitivity for abdominal pathology. Status post cholecystectomy. No significant abnormality noted. New nodule in the right adrenal gland measuring 13 mm on image 84 of series 3, concerning for metastatic disease. No significant abnormality noted. No significant abnormality noted. Calcification of the abdominal aorta redemonstrated. Absence of enteric contrast material limits sensitivity for GI pathology. No gross abnormalities noted. No significant abnormality noted. No significant abnormality noted. </s>