. Multiple bilateral pulmonary nodules, stable and increasing in size. Reference right apical subpleural nodule increased in size measuring 10 x 8 mm on image 25 series 4, previously measured 9 x 5 mm. Reference left perifissural nodular focus similar in size and appearance measuring 8 x 6 mm on image 63 series 4, previously measured 8 x 5 mm. Stable groundglass opacity in right lower lobe, image 72 series Emphysema. Bibasilar atelectasis. Stable small mediastinal lymph nodes. Mild. Partially imaged right chest wall port with tip at confluence of innominate vein and SVC. Contracted gallbladder containing cholelithiasis. No significant abnormality noted. No significant abnormality noted. Left adrenal mass slightly increased in size, measuring 3.6 x 3.2 cm on image 123 series 3, previously measured 3.1 x 3 cm. Interval placement of left-sided percutaneous nephrostomy and right-sided nephroureteral catheter exiting patients right-sided urostomy. Resultant marked improvement in previously seen bilateral hydronephrosis. Unchanged perinephric stranding bilaterally. Stable subcentimeter right renal hemorrhagic or proteinaceous material-containing cyst, image 134 series Additional simple appearing exophytic left renal cyst measuring 2.7 cm unchanged. No significant abnormality noted. Moderate to severe. No significant abnormality noted. Extensive beam hardening artifact from patients right hip arthroplasty makes assessment of pelvic structures suboptimal. Status post prostatectomy. Status post cystectomy with formation of ileal conduit. Scattered sclerotic osseous metastases, stable and increasing in size. Reference T6 vertebral body lesion increased in size measuring 2 x 1.5 cm on sagittal image 78, previously measured 1.6 x 1.5 cm. Please refer to concomitant nuclear medicine bone scan from same day for additional findings. Right total hip arthroplasty. Multilevel spinal degenerative disease. Fat-containing parastomal hernia.
location descriptor_fin: ['bilateral']clinical findings_fin: {'multiple bilateral pulmonary nodules': {'clinical finding': 'multiple bilateral pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'multiple bilateral pulmonary', 'observation': 'nodule', 'quantity_term': 'multiple'}}size_fin: [{'size': '10 x 8 mm'}, {'size': '9 x 5 mm'}]imaging observation_fin: ['apical']location descriptor_fin: ['right']clinical findings_fin: {'reference right apical subpleural nodule': {'clinical finding': 'reference right apical subpleural nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'reference right apical subpleural', 'observation': 'nodule'}}size_fin: [{'size': '8 x 6 mm'}, {'size': '8 x 5 mm'}]location descriptor_fin: ['left']clinical findings_fin: {'reference left perifissural nodular focus': {'clinical finding': 'reference left perifissural nodular focus', 'existence': 'pos_dx', 'descriptive_term': 'reference left perifissural nodular', 'observation': 'focus'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'stable groundglass opacity': {'clinical finding': 'stable groundglass opacity', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'stable groundglass', 'observation': 'opacity', 'strength_term': 'stable', 'change_term': 'stable'}, 'series emphysema': {'clinical finding': 'series emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'descriptive_term': 'series', 'observation': 'emphysema'}}clinical findings_fin: {'bibasilar atelectasis': {'clinical finding': 'bibasilar atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'bibasilar', 'observation': 'atelectasis'}}anatomical entity_fin: {'mediastinal lymph nodes': {}}clinical findings_fin: {'stable small mediastinal lymph nodes': {'clinical finding': 'stable small mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'stable small mediastinal lymph', 'observation': 'node', 'strength_term': 'stable - small', 'change_term': 'stable'}}anatomical entity_fin: {'chest wall': {'location descriptor': 'right'}, 'vein': {}}location descriptor_fin: ['right']object_fin: ['port']clinical findings_fin: {'partially imaged right chest wall port with tip at confluence of innominate vein and svc': {'clinical finding': 'partially imaged right chest wall port with tip at confluence of innominate vein and svc'}}anatomical entity_fin: {'gallbladder': {}}clinical findings_fin: {'containing cholelithiasis': {'clinical finding': 'containing cholelithiasis', 'existence': 'pos_dx', 'descriptive_term': 'containing', 'observation': 'cholelithiasis'}}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'}}size_fin: [{'size': '3.6 x 3.2 cm'}, {'size': '3.1 x 3 cm'}]location descriptor_fin: ['left']clinical findings_fin: {'left adrenal mass': {'clinical finding': 'left adrenal mass', 'cf_snomed': {'adrenal mass': 237783006}, 'existence': 'pos_dx', 'descriptive_term': 'left adrenal', 'observation': 'mass'}}location descriptor_fin: ['left', 'right']object_fin: ['catheter']procedure_fin: ['nephrostomy']clinical findings_fin: {'right-sided nephroureteral catheter exiting patients right-sided urostomy': {'clinical finding': 'right-sided nephroureteral catheter exiting patients right-sided urostomy', 'existence': 'pos_dx', 'descriptive_term': 'right-sided nephroureteral catheter exiting patients right-sided', 'observation': 'urostomy'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'previously seen bilateral hydronephrosis': {'clinical finding': 'previously seen bilateral hydronephrosis', 'cf_snomed': {'bilateral hydronephrosis': 95581005}, 'existence': 'pos_dx', 'descriptive_term': 'previously seen bilateral', 'observation': 'hydronephrosis'}}clinical findings_fin: {'unchanged perinephric stranding': {'clinical finding': 'unchanged perinephric stranding', 'existence': 'pos_dx', 'descriptive_term': 'unchanged perinephric', 'observation': 'strand', 'strength_term': 'unchanged', 'change_term': 'unchanged'}}size_fin: [{'size': '2.7 cm', 'size_descriptor': 'cyst'}]location descriptor_fin: ['right', 'left']clinical findings_fin: {'stable subcentimeter right renal hemorrhagic or proteinaceous material-containing cyst': {'clinical finding': 'stable subcentimeter right renal hemorrhagic or proteinaceous material-containing cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'stable subcentimeter right renal hemorrhagic or proteinaceous material-containing', 'observation': 'cyst', 'strength_term': 'stable', 'change_term': 'stable'}, 'additional simple appearing exophytic left renal cyst': {'clinical finding': 'additional simple appearing exophytic left renal cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'additional simple appearing exophytic left renal', 'observation': 'cyst'}}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: {'hip': {'location descriptor': 'right'}}imaging observation_fin: ['assessment']location descriptor_fin: ['right']procedure_fin: ['arthroplasty']clinical findings_fin: {'extensive beam hardening artifact': {'clinical finding': 'extensive beam hardening artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'pos_dx', 'descriptive_term': 'extensive beam hardening', 'observation': 'artifact', 'strength_term': 'extensive'}}procedure_fin: ['prostatectomy']procedure_fin: ['cystectomy', 'ileal conduit']clinical findings_fin: {'scattered sclerotic osseous metastases': {'clinical finding': 'scattered sclerotic osseous metastases', 'existence': 'pos_dx', 'descriptive_term': 'scattered sclerotic osseous', 'observation': 'metastase'}}size_fin: [{'size': '2 x 1.5 cm'}, {'size': '1.6 x 1.5 cm'}]anatomical entity_fin: {'t6 vertebral body': {}}clinical findings_fin: {'reference t6 vertebral body lesion': {'clinical finding': 'reference t6 vertebral body lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'reference t6 vertebral body', 'observation': 'lesion'}}anatomical entity_fin: {'hip': {}}location descriptor_fin: ['right']procedure_fin: ['arthroplasty']clinical findings_fin: {'multilevel spinal degenerative disease': {'clinical finding': 'multilevel spinal degenerative disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'multilevel spinal degenerative', 'observation': 'disease'}}imaging observation_fin: ['fat']clinical findings_fin: {'fat-containing parastomal hernia': {'clinical finding': 'fat-containing parastomal hernia', 'cf_snomed': {'parastomal hernia': 236048007}, 'existence': 'pos_dx', 'descriptive_term': 'fat-containing parastomal', 'observation': 'hernia'}}
<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['bilateral']clinical findings_fin: {'multiple bilateral pulmonary nodules': {'clinical finding': 'multiple bilateral pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'multiple bilateral pulmonary', 'observation': 'nodule', 'quantity_term': 'multiple'}}size_fin: [{'size': '10 x 8 mm'}, {'size': '9 x 5 mm'}]imaging observation_fin: ['apical']location descriptor_fin: ['right']clinical findings_fin: {'reference right apical subpleural nodule': {'clinical finding': 'reference right apical subpleural nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'reference right apical subpleural', 'observation': 'nodule'}}size_fin: [{'size': '8 x 6 mm'}, {'size': '8 x 5 mm'}]location descriptor_fin: ['left']clinical findings_fin: {'reference left perifissural nodular focus': {'clinical finding': 'reference left perifissural nodular focus', 'existence': 'pos_dx', 'descriptive_term': 'reference left perifissural nodular', 'observation': 'focus'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'stable groundglass opacity': {'clinical finding': 'stable groundglass opacity', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'stable groundglass', 'observation': 'opacity', 'strength_term': 'stable', 'change_term': 'stable'}, 'series emphysema': {'clinical finding': 'series emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'descriptive_term': 'series', 'observation': 'emphysema'}}clinical findings_fin: {'bibasilar atelectasis': {'clinical finding': 'bibasilar atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'bibasilar', 'observation': 'atelectasis'}}anatomical entity_fin: {'mediastinal lymph nodes': {}}clinical findings_fin: {'stable small mediastinal lymph nodes': {'clinical finding': 'stable small mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'stable small mediastinal lymph', 'observation': 'node', 'strength_term': 'stable - small', 'change_term': 'stable'}}anatomical entity_fin: {'chest wall': {'location descriptor': 'right'}, 'vein': {}}location descriptor_fin: ['right']object_fin: ['port']clinical findings_fin: {'partially imaged right chest wall port with tip at confluence of innominate vein and svc': {'clinical finding': 'partially imaged right chest wall port with tip at confluence of innominate vein and svc'}}anatomical entity_fin: {'gallbladder': {}}clinical findings_fin: {'containing cholelithiasis': {'clinical finding': 'containing cholelithiasis', 'existence': 'pos_dx', 'descriptive_term': 'containing', 'observation': 'cholelithiasis'}}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'}}size_fin: [{'size': '3.6 x 3.2 cm'}, {'size': '3.1 x 3 cm'}]location descriptor_fin: ['left']clinical findings_fin: {'left adrenal mass': {'clinical finding': 'left adrenal mass', 'cf_snomed': {'adrenal mass': 237783006}, 'existence': 'pos_dx', 'descriptive_term': 'left adrenal', 'observation': 'mass'}}location descriptor_fin: ['left', 'right']object_fin: ['catheter']procedure_fin: ['nephrostomy']clinical findings_fin: {'right-sided nephroureteral catheter exiting patients right-sided urostomy': {'clinical finding': 'right-sided nephroureteral catheter exiting patients right-sided urostomy', 'existence': 'pos_dx', 'descriptive_term': 'right-sided nephroureteral catheter exiting patients right-sided', 'observation': 'urostomy'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'previously seen bilateral hydronephrosis': {'clinical finding': 'previously seen bilateral hydronephrosis', 'cf_snomed': {'bilateral hydronephrosis': 95581005}, 'existence': 'pos_dx', 'descriptive_term': 'previously seen bilateral', 'observation': 'hydronephrosis'}}clinical findings_fin: {'unchanged perinephric stranding': {'clinical finding': 'unchanged perinephric stranding', 'existence': 'pos_dx', 'descriptive_term': 'unchanged perinephric', 'observation': 'strand', 'strength_term': 'unchanged', 'change_term': 'unchanged'}}size_fin: [{'size': '2.7 cm', 'size_descriptor': 'cyst'}]location descriptor_fin: ['right', 'left']clinical findings_fin: {'stable subcentimeter right renal hemorrhagic or proteinaceous material-containing cyst': {'clinical finding': 'stable subcentimeter right renal hemorrhagic or proteinaceous material-containing cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'stable subcentimeter right renal hemorrhagic or proteinaceous material-containing', 'observation': 'cyst', 'strength_term': 'stable', 'change_term': 'stable'}, 'additional simple appearing exophytic left renal cyst': {'clinical finding': 'additional simple appearing exophytic left renal cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'additional simple appearing exophytic left renal', 'observation': 'cyst'}}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: {'hip': {'location descriptor': 'right'}}imaging observation_fin: ['assessment']location descriptor_fin: ['right']procedure_fin: ['arthroplasty']clinical findings_fin: {'extensive beam hardening artifact': {'clinical finding': 'extensive beam hardening artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'pos_dx', 'descriptive_term': 'extensive beam hardening', 'observation': 'artifact', 'strength_term': 'extensive'}}procedure_fin: ['prostatectomy']procedure_fin: ['cystectomy', 'ileal conduit']clinical findings_fin: {'scattered sclerotic osseous metastases': {'clinical finding': 'scattered sclerotic osseous metastases', 'existence': 'pos_dx', 'descriptive_term': 'scattered sclerotic osseous', 'observation': 'metastase'}}size_fin: [{'size': '2 x 1.5 cm'}, {'size': '1.6 x 1.5 cm'}]anatomical entity_fin: {'t6 vertebral body': {}}clinical findings_fin: {'reference t6 vertebral body lesion': {'clinical finding': 'reference t6 vertebral body lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'reference t6 vertebral body', 'observation': 'lesion'}}anatomical entity_fin: {'hip': {}}location descriptor_fin: ['right']procedure_fin: ['arthroplasty']clinical findings_fin: {'multilevel spinal degenerative disease': {'clinical finding': 'multilevel spinal degenerative disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'multilevel spinal degenerative', 'observation': 'disease'}}imaging observation_fin: ['fat']clinical findings_fin: {'fat-containing parastomal hernia': {'clinical finding': 'fat-containing parastomal hernia', 'cf_snomed': {'parastomal hernia': 236048007}, 'existence': 'pos_dx', 'descriptive_term': 'fat-containing parastomal', 'observation': 'hernia'}} [/INST] . Multiple bilateral pulmonary nodules, stable and increasing in size. Reference right apical subpleural nodule increased in size measuring 10 x 8 mm on image 25 series 4, previously measured 9 x 5 mm. Reference left perifissural nodular focus similar in size and appearance measuring 8 x 6 mm on image 63 series 4, previously measured 8 x 5 mm. Stable groundglass opacity in right lower lobe, image 72 series Emphysema. Bibasilar atelectasis. Stable small mediastinal lymph nodes. Mild. Partially imaged right chest wall port with tip at confluence of innominate vein and SVC. Contracted gallbladder containing cholelithiasis. No significant abnormality noted. No significant abnormality noted. Left adrenal mass slightly increased in size, measuring 3.6 x 3.2 cm on image 123 series 3, previously measured 3.1 x 3 cm. Interval placement of left-sided percutaneous nephrostomy and right-sided nephroureteral catheter exiting patients right-sided urostomy. Resultant marked improvement in previously seen bilateral hydronephrosis. Unchanged perinephric stranding bilaterally. Stable subcentimeter right renal hemorrhagic or proteinaceous material-containing cyst, image 134 series Additional simple appearing exophytic left renal cyst measuring 2.7 cm unchanged. No significant abnormality noted. Moderate to severe. No significant abnormality noted. Extensive beam hardening artifact from patients right hip arthroplasty makes assessment of pelvic structures suboptimal. Status post prostatectomy. Status post cystectomy with formation of ileal conduit. Scattered sclerotic osseous metastases, stable and increasing in size. Reference T6 vertebral body lesion increased in size measuring 2 x 1.5 cm on sagittal image 78, previously measured 1.6 x 1.5 cm. Please refer to concomitant nuclear medicine bone scan from same day for additional findings. Right total hip arthroplasty. Multilevel spinal degenerative disease. Fat-containing parastomal hernia. </s>