. Multiple low density masses in the right lung consistent with metastases. Reference right paramediastinal or apica lesionl , 5.9 x 8.0 cm, increased from 5.3 x 7.5 cm previously. Right lower lobe reference lesion 5.6 x 4.5 cm, minimally increased from 5.5 x 4.2 cm previously. Reference lesion adjacent to the IVC 4.1 x 3.9 cm, slightly increased from 3.8 x 3.3 cm previously. Moderately enlarged mediastinal lymph nodes. Reference lower right paratracheal node 8 mm in short axis, slightly increased from 6 mm previously. Subcarinal lymph node 18 mm in short axis, not significantly changed when using comparable measurement parameters. Reference right hilar lymph node 14 mm in short axis, slightly increased from 12 mm previously. No pericardial effusion. None. Postsurgical abnormalities in the right anterior chest wall. Absence of enteric contrast material limits sensitivity for abdominal pathology. No significant abnormality noted.
anatomical entity_fin: {'right lung': {}}clinical findings_fin: {'multiple low density masses': {'clinical finding': 'multiple low density masses', 'existence': 'pos_dx', 'descriptive_term': 'multiple low density', 'observation': 'mass', 'quantity_term': 'multiple'}, 'metastases': {'clinical finding': 'metastases', 'existence': 'pos_dx', 'observation': 'metastase'}}size_fin: [{'size': '5.9 x 8.0 cm'}, {'size': '5.3 x 7.5 cm'}]location descriptor_fin: ['right']clinical findings_fin: {'reference right paramediastinal or apica lesionl': {'clinical finding': 'reference right paramediastinal or apica lesionl', 'existence': 'pos_dx', 'descriptive_term': 'reference right paramediastinal or apica', 'observation': 'lesionl'}}size_fin: [{'size': '5.6 x 4.5 cm'}, {'size': '5.5 x 4.2 cm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'right lower lobe reference lesion': {'clinical finding': 'right lower lobe reference lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'right lower lobe reference', 'observation': 'lesion'}}size_fin: [{'size': '4.1 x 3.9 cm'}, {'size': '3.8 x 3.3 cm'}]location descriptor_fin: ['adjacent']clinical findings_fin: {'reference lesion': {'clinical finding': 'reference lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'reference', 'observation': 'lesion'}}anatomical entity_fin: {'mediastinal lymph nodes': {}}clinical findings_fin: {'moderately enlarged mediastinal lymph nodes': {'clinical finding': 'moderately enlarged mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'moderately enlarged mediastinal lymph', 'observation': 'node', 'strength_term': 'moderately - enlarged', 'change_term': 'enlarged'}}size_fin: [{'size': '8 mm'}, {'size': '6 mm'}]anatomical entity_fin: {'axis': {}}location descriptor_fin: ['lower', 'right']clinical findings_fin: {'reference lower right paratracheal node': {'clinical finding': 'reference lower right paratracheal node', 'existence': 'pos_dx', 'descriptive_term': 'reference lower right paratracheal', 'observation': 'node'}}size_fin: [{'size': '18 mm', 'size_descriptor': 'node'}]anatomical entity_fin: {'subcarinal lymph node': {}, 'axis': {}}clinical findings_fin: {'subcarinal lymph node': {'clinical finding': 'subcarinal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'subcarinal lymph', 'observation': 'node'}, 'changed': {'clinical finding': 'changed', 'existence': 'neg_dx', 'observation': 'change'}}size_fin: [{'size': '14 mm'}, {'size': '12 mm'}]anatomical entity_fin: {'axis': {}}location descriptor_fin: ['right']clinical findings_fin: {'reference right hilar lymph node': {'clinical finding': 'reference right hilar lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference right hilar lymph', 'observation': 'node'}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}anatomical entity_fin: {'anterior chest wall': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'postsurgical abnormalities': {'clinical finding': 'postsurgical abnormalities', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'abnormality'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}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: anatomical entity_fin: {'right lung': {}}clinical findings_fin: {'multiple low density masses': {'clinical finding': 'multiple low density masses', 'existence': 'pos_dx', 'descriptive_term': 'multiple low density', 'observation': 'mass', 'quantity_term': 'multiple'}, 'metastases': {'clinical finding': 'metastases', 'existence': 'pos_dx', 'observation': 'metastase'}}size_fin: [{'size': '5.9 x 8.0 cm'}, {'size': '5.3 x 7.5 cm'}]location descriptor_fin: ['right']clinical findings_fin: {'reference right paramediastinal or apica lesionl': {'clinical finding': 'reference right paramediastinal or apica lesionl', 'existence': 'pos_dx', 'descriptive_term': 'reference right paramediastinal or apica', 'observation': 'lesionl'}}size_fin: [{'size': '5.6 x 4.5 cm'}, {'size': '5.5 x 4.2 cm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'right lower lobe reference lesion': {'clinical finding': 'right lower lobe reference lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'right lower lobe reference', 'observation': 'lesion'}}size_fin: [{'size': '4.1 x 3.9 cm'}, {'size': '3.8 x 3.3 cm'}]location descriptor_fin: ['adjacent']clinical findings_fin: {'reference lesion': {'clinical finding': 'reference lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'reference', 'observation': 'lesion'}}anatomical entity_fin: {'mediastinal lymph nodes': {}}clinical findings_fin: {'moderately enlarged mediastinal lymph nodes': {'clinical finding': 'moderately enlarged mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'moderately enlarged mediastinal lymph', 'observation': 'node', 'strength_term': 'moderately - enlarged', 'change_term': 'enlarged'}}size_fin: [{'size': '8 mm'}, {'size': '6 mm'}]anatomical entity_fin: {'axis': {}}location descriptor_fin: ['lower', 'right']clinical findings_fin: {'reference lower right paratracheal node': {'clinical finding': 'reference lower right paratracheal node', 'existence': 'pos_dx', 'descriptive_term': 'reference lower right paratracheal', 'observation': 'node'}}size_fin: [{'size': '18 mm', 'size_descriptor': 'node'}]anatomical entity_fin: {'subcarinal lymph node': {}, 'axis': {}}clinical findings_fin: {'subcarinal lymph node': {'clinical finding': 'subcarinal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'subcarinal lymph', 'observation': 'node'}, 'changed': {'clinical finding': 'changed', 'existence': 'neg_dx', 'observation': 'change'}}size_fin: [{'size': '14 mm'}, {'size': '12 mm'}]anatomical entity_fin: {'axis': {}}location descriptor_fin: ['right']clinical findings_fin: {'reference right hilar lymph node': {'clinical finding': 'reference right hilar lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference right hilar lymph', 'observation': 'node'}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}anatomical entity_fin: {'anterior chest wall': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'postsurgical abnormalities': {'clinical finding': 'postsurgical abnormalities', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'abnormality'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . Multiple low density masses in the right lung consistent with metastases. Reference right paramediastinal or apica lesionl , 5.9 x 8.0 cm, increased from 5.3 x 7.5 cm previously. Right lower lobe reference lesion 5.6 x 4.5 cm, minimally increased from 5.5 x 4.2 cm previously. Reference lesion adjacent to the IVC 4.1 x 3.9 cm, slightly increased from 3.8 x 3.3 cm previously. Moderately enlarged mediastinal lymph nodes. Reference lower right paratracheal node 8 mm in short axis, slightly increased from 6 mm previously. Subcarinal lymph node 18 mm in short axis, not significantly changed when using comparable measurement parameters. Reference right hilar lymph node 14 mm in short axis, slightly increased from 12 mm previously. No pericardial effusion. None. Postsurgical abnormalities in the right anterior chest wall. Absence of enteric contrast material limits sensitivity for abdominal pathology. No significant abnormality noted. </s>