Todays CT portion grossly redemonstrates enlarged left anterior mediastinal lymph nodes and a left paramediastinal mass in the left upper lung. A streaky opacity adjacent to the mass is present. Right central venous catheter tip is in the right atrium. Please note accurate comparison of metabolic activity cannot be made due to inability to measure SUV on the outside study. Todays PET examination demonstrates interval increase in size and number of left paramediastinal or left upper lobe lesions. No additional foci of increased activity are identified.
anatomical entity_fin: {'anterior mediastinal lymph nodes': {'location descriptor': 'left'}, 'lung': {'location descriptor': 'left upper'}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'enlarged left anterior mediastinal lymph nodes': {'clinical finding': 'enlarged left anterior mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'enlarged left anterior mediastinal lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'}, 'left paramediastinal mass': {'clinical finding': 'left paramediastinal mass', 'existence': 'pos_dx', 'descriptive_term': 'left paramediastinal', 'observation': 'mass'}}location descriptor_fin: ['adjacent']clinical findings_fin: {'streaky opacity': {'clinical finding': 'streaky opacity', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'streaky', 'observation': 'opacity'}, 'mass': {'clinical finding': 'mass', 'existence': 'pos_dx', 'observation': 'mass'}}anatomical entity_fin: {'right atrium': {}}location descriptor_fin: ['right']object_fin: ['central venous catheter']clinical findings_fin: {'right central venous catheter': {'clinical finding': 'right central venous catheter', 'existence': 'pos_dx', 'descriptive_term': 'right central venous', 'observation': 'catheter'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'left paramediastinal or left upper lobe lesions': {'clinical finding': 'left paramediastinal or left upper lobe lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'left paramediastinal or left upper lobe', 'observation': 'lesion'}}imaging observation_fin: ['foci']clinical findings_fin: {'additional foci': {'clinical finding': 'additional foci', 'existence': 'neg_dx', 'descriptive_term': 'additional', 'observation': 'foci'}, 'increased activity': {'clinical finding': 'increased activity', 'existence': 'neg_dx', 'descriptive_term': 'increased', 'observation': 'activity', 'strength_term': 'increased', 'change_term': 'increased'}}
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'anterior mediastinal lymph nodes': {'location descriptor': 'left'}, 'lung': {'location descriptor': 'left upper'}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'enlarged left anterior mediastinal lymph nodes': {'clinical finding': 'enlarged left anterior mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'enlarged left anterior mediastinal lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'}, 'left paramediastinal mass': {'clinical finding': 'left paramediastinal mass', 'existence': 'pos_dx', 'descriptive_term': 'left paramediastinal', 'observation': 'mass'}}location descriptor_fin: ['adjacent']clinical findings_fin: {'streaky opacity': {'clinical finding': 'streaky opacity', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'streaky', 'observation': 'opacity'}, 'mass': {'clinical finding': 'mass', 'existence': 'pos_dx', 'observation': 'mass'}}anatomical entity_fin: {'right atrium': {}}location descriptor_fin: ['right']object_fin: ['central venous catheter']clinical findings_fin: {'right central venous catheter': {'clinical finding': 'right central venous catheter', 'existence': 'pos_dx', 'descriptive_term': 'right central venous', 'observation': 'catheter'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'left paramediastinal or left upper lobe lesions': {'clinical finding': 'left paramediastinal or left upper lobe lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'left paramediastinal or left upper lobe', 'observation': 'lesion'}}imaging observation_fin: ['foci']clinical findings_fin: {'additional foci': {'clinical finding': 'additional foci', 'existence': 'neg_dx', 'descriptive_term': 'additional', 'observation': 'foci'}, 'increased activity': {'clinical finding': 'increased activity', 'existence': 'neg_dx', 'descriptive_term': 'increased', 'observation': 'activity', 'strength_term': 'increased', 'change_term': 'increased'}} [/INST] Todays CT portion grossly redemonstrates enlarged left anterior mediastinal lymph nodes and a left paramediastinal mass in the left upper lung. A streaky opacity adjacent to the mass is present. Right central venous catheter tip is in the right atrium. Please note accurate comparison of metabolic activity cannot be made due to inability to measure SUV on the outside study. Todays PET examination demonstrates interval increase in size and number of left paramediastinal or left upper lobe lesions. No additional foci of increased activity are identified. </s>