. Innumerable pulmonary nodules, increased in size. Reference left upper lobe perihilar nodule increased in size, measuring 10 x 8 mm on image 42 series 4, previously measured 9 x 8 mm. Axillary surgical clips. Incompletely imaged thyroid demonstrated subcentimeter right-sided posterior thyroid nodule, stable. Right chest wall port with tip near cavoatrial junction. Stable small lateral right breast micronodule air to the, image 43 series Subtle hypoattenuating lesions seen in hepatic dome, one of which appears slightly larger accounting for differences in technique, measuring 10 mm on image 74 series 3, previously measured approximately 6 mm. Additional subcentimeter hepatic dome focus not significantly changed on image 73 series Unchanged subcentimeter nodularity along posterior or medial right hepatic lobe on image 117 series 3 without significant change, peritoneal metastatic deposit not entirely excluded. No significant abnormality noted. Mild interval enlargement of ill-defined residual pancreatic body soft tissue attenuation, measuring 2.6 x 1.4 cm on image 97 series 3, previously remeasured at this level as 1.6 x 1 cm. Adjacent luminal narrowing splenic vein again seen. Worsening soft tissue attenuation around SMA, image 106 series 3, measuring up to 6 mm along right aspect of image 106 series 3, previously measured up to 3 mm. Persistent soft tissue attenuation around celiac trunk. Atrophy of pancreatic tail. No significant abnormality noted. No significant abnormality noted. Enlarged retroperitoneal including paraaortic and aortocaval lymphadenopathy. Cluster of left paraaortic lymph nodes without significant change, measuring 3.4 x 3 cm in image 116 series 3, previously measured 3.4 x 3.1 cm. Without significant change in size but decreased internal attenuation seen of additional left paraaortic lymph node, measuring 2.3 x 1.7 cm on image 127 series 3, previously measured 2.1 x 1.5 cm. Interval increase in size of nonreference aortocaval lymph node, measuring 3.1 x 2 cm on image 117 series 3, previous measured 2.7 x 1.7 cm. Colonic submucosal fat deposition again seen, compatible with sequela of prior inflammation. Status post hysterectomy. No significant abnormality noted. Severe left-sided hip osteoarthritis.
clinical findings_fin: {'innumerable pulmonary nodules': {'clinical finding': 'innumerable pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'innumerable pulmonary', 'observation': 'nodule'}}size_fin: [{'size': '10 x 8 mm'}, {'size': '9 x 8 mm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'reference left upper lobe perihilar nodule': {'clinical finding': 'reference left upper lobe perihilar nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'reference left upper lobe perihilar', 'observation': 'nodule'}}object_fin: ['surgical clips']clinical findings_fin: {'axillary surgical clips': {'clinical finding': 'axillary surgical clips', 'existence': 'pos_dx', 'descriptive_term': 'axillary surgical', 'observation': 'clip'}}location descriptor_fin: ['right', 'posterior']clinical findings_fin: {'subcentimeter right-sided posterior thyroid nodule': {'clinical finding': 'subcentimeter right-sided posterior thyroid nodule', 'cf_snomed': {'thyroid nodule': 237495005}, 'existence': 'neg_dx', 'descriptive_term': 'subcentimeter right-sided posterior thyroid', 'observation': 'nodule'}}anatomical entity_fin: {'chest wall': {'location descriptor': 'right'}}location descriptor_fin: ['right']object_fin: ['port']size_fin: [{'size': '10 mm'}, {'size': '6 mm'}]anatomical entity_fin: {'breast': {'location descriptor': 'lateral right'}}location descriptor_fin: ['lateral', 'right']clinical findings_fin: {'stable small lateral right breast micronodule air': {'clinical finding': 'stable small lateral right breast micronodule air', 'existence': 'pos_dx', 'descriptive_term': 'stable small lateral right breast micronodule', 'observation': 'air', 'strength_term': 'stable - small', 'change_term': 'stable'}, 'subtle hypoattenuating lesions': {'clinical finding': 'subtle hypoattenuating lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'subtle hypoattenuating', 'observation': 'lesion', 'strength_term': 'subtle'}}anatomical entity_fin: {'lobe': {}}location descriptor_fin: ['posterior', 'medial', 'right']clinical findings_fin: {'additional subcentimeter hepatic dome focus': {'clinical finding': 'additional subcentimeter hepatic dome focus', 'existence': 'neg_dx', 'descriptive_term': 'additional subcentimeter hepatic dome', 'observation': 'focus'}, 'unchanged subcentimeter nodularity': {'clinical finding': 'unchanged subcentimeter nodularity', 'existence': 'pos_dx', 'descriptive_term': 'unchanged subcentimeter', 'observation': 'nodularity', 'strength_term': 'unchanged', 'change_term': 'unchanged'}, 'significant change': {'clinical finding': 'significant change', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'change'}, 'peritoneal metastatic': {'clinical finding': 'peritoneal metastatic', 'existence': 'unc_dx', 'descriptive_term': 'peritoneal', 'observation': 'metastatic'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}size_fin: [{'size': '2.6 x 1.4 cm'}, {'size': '1.6 x 1 cm'}]anatomical entity_fin: {'body': {}}clinical findings_fin: {'ill-defined residual': {'clinical finding': 'ill-defined residual', 'existence': 'pos_dx', 'descriptive_term': 'ill-defined', 'observation': 'residual', 'strength_term': 'ill-defined'}}anatomical entity_fin: {'splenic vein': {}}location descriptor_fin: ['adjacent']clinical findings_fin: {'adjacent luminal narrowing': {'clinical finding': 'adjacent luminal narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'adjacent luminal', 'observation': 'narrowing'}}size_fin: [{'size': '6 mm'}, {'size': '3 mm'}]location descriptor_fin: ['right']clinical findings_fin: {'soft tissue attenuation': {'clinical finding': 'soft tissue attenuation', 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'attenuation'}}anatomical entity_fin: {'trunk': {}}clinical findings_fin: {'persistent soft tissue attenuation': {'clinical finding': 'persistent soft tissue attenuation', 'existence': 'pos_dx', 'descriptive_term': 'persistent soft tissue', 'observation': 'attenuation', 'temporal_term': 'persistent'}}clinical findings_fin: {'atrophy': {'clinical finding': 'atrophy', 'cf_snomed': {'atrophy': 13331008}, 'existence': 'pos_dx', 'observation': 'atrophy'}, 'pancreatic tail': {'clinical finding': 'pancreatic tail', 'existence': 'pos_dx', 'descriptive_term': 'pancreatic', 'observation': 'tail'}}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'}}clinical findings_fin: {'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}, 'paraaortic and aortocaval lymphadenopathy': {'clinical finding': 'paraaortic and aortocaval lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'pos_dx', 'descriptive_term': 'paraaortic and aortocaval', 'observation': 'lymphadenopathy'}}size_fin: [{'size': '3.4 x 3 cm'}, {'size': '3.4 x 3.1 cm'}]location descriptor_fin: ['left']clinical findings_fin: {'left paraaortic lymph nodes': {'clinical finding': 'left paraaortic lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'left paraaortic lymph', 'observation': 'node'}, 'significant change': {'clinical finding': 'significant change', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'change'}}size_fin: [{'size': '2.3 x 1.7 cm'}, {'size': '2.1 x 1.5 cm'}]location descriptor_fin: ['left']clinical findings_fin: {'significant change': {'clinical finding': 'significant change', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'change'}, 'additional left paraaortic lymph node': {'clinical finding': 'additional left paraaortic lymph node', 'existence': 'neg_dx', 'descriptive_term': 'additional left paraaortic lymph', 'observation': 'node'}}size_fin: [{'size': '3.1 x 2 cm'}, {'size': '2.7 x 1.7 cm'}]clinical findings_fin: {'nonreference aortocaval lymph node': {'clinical finding': 'nonreference aortocaval lymph node', 'existence': 'pos_dx', 'descriptive_term': 'nonreference aortocaval lymph', 'observation': 'node'}}clinical findings_fin: {'colonic submucosal fat deposition': {'clinical finding': 'colonic submucosal fat deposition', 'cf_snomed': {'deposition': 46595003}, 'existence': 'pos_dx', 'descriptive_term': 'colonic submucosal fat', 'observation': 'deposition'}, 'prior inflammation': {'clinical finding': 'prior inflammation', 'existence': 'pos_dx', 'descriptive_term': 'prior', 'observation': 'inflammation'}}procedure_fin: ['hysterectomy']clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'hip': {}}location descriptor_fin: ['left']clinical findings_fin: {'severe left-sided hip osteoarthritis': {'clinical finding': 'severe left-sided hip osteoarthritis', 'cf_snomed': {'osteoarthritis': 396275006}, 'existence': 'pos_dx', 'descriptive_term': 'severe left-sided hip', 'observation': 'osteoarthritis', 'strength_term': 'severe'}}
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'innumerable pulmonary nodules': {'clinical finding': 'innumerable pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'innumerable pulmonary', 'observation': 'nodule'}}size_fin: [{'size': '10 x 8 mm'}, {'size': '9 x 8 mm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'reference left upper lobe perihilar nodule': {'clinical finding': 'reference left upper lobe perihilar nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'reference left upper lobe perihilar', 'observation': 'nodule'}}object_fin: ['surgical clips']clinical findings_fin: {'axillary surgical clips': {'clinical finding': 'axillary surgical clips', 'existence': 'pos_dx', 'descriptive_term': 'axillary surgical', 'observation': 'clip'}}location descriptor_fin: ['right', 'posterior']clinical findings_fin: {'subcentimeter right-sided posterior thyroid nodule': {'clinical finding': 'subcentimeter right-sided posterior thyroid nodule', 'cf_snomed': {'thyroid nodule': 237495005}, 'existence': 'neg_dx', 'descriptive_term': 'subcentimeter right-sided posterior thyroid', 'observation': 'nodule'}}anatomical entity_fin: {'chest wall': {'location descriptor': 'right'}}location descriptor_fin: ['right']object_fin: ['port']size_fin: [{'size': '10 mm'}, {'size': '6 mm'}]anatomical entity_fin: {'breast': {'location descriptor': 'lateral right'}}location descriptor_fin: ['lateral', 'right']clinical findings_fin: {'stable small lateral right breast micronodule air': {'clinical finding': 'stable small lateral right breast micronodule air', 'existence': 'pos_dx', 'descriptive_term': 'stable small lateral right breast micronodule', 'observation': 'air', 'strength_term': 'stable - small', 'change_term': 'stable'}, 'subtle hypoattenuating lesions': {'clinical finding': 'subtle hypoattenuating lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'subtle hypoattenuating', 'observation': 'lesion', 'strength_term': 'subtle'}}anatomical entity_fin: {'lobe': {}}location descriptor_fin: ['posterior', 'medial', 'right']clinical findings_fin: {'additional subcentimeter hepatic dome focus': {'clinical finding': 'additional subcentimeter hepatic dome focus', 'existence': 'neg_dx', 'descriptive_term': 'additional subcentimeter hepatic dome', 'observation': 'focus'}, 'unchanged subcentimeter nodularity': {'clinical finding': 'unchanged subcentimeter nodularity', 'existence': 'pos_dx', 'descriptive_term': 'unchanged subcentimeter', 'observation': 'nodularity', 'strength_term': 'unchanged', 'change_term': 'unchanged'}, 'significant change': {'clinical finding': 'significant change', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'change'}, 'peritoneal metastatic': {'clinical finding': 'peritoneal metastatic', 'existence': 'unc_dx', 'descriptive_term': 'peritoneal', 'observation': 'metastatic'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}size_fin: [{'size': '2.6 x 1.4 cm'}, {'size': '1.6 x 1 cm'}]anatomical entity_fin: {'body': {}}clinical findings_fin: {'ill-defined residual': {'clinical finding': 'ill-defined residual', 'existence': 'pos_dx', 'descriptive_term': 'ill-defined', 'observation': 'residual', 'strength_term': 'ill-defined'}}anatomical entity_fin: {'splenic vein': {}}location descriptor_fin: ['adjacent']clinical findings_fin: {'adjacent luminal narrowing': {'clinical finding': 'adjacent luminal narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'adjacent luminal', 'observation': 'narrowing'}}size_fin: [{'size': '6 mm'}, {'size': '3 mm'}]location descriptor_fin: ['right']clinical findings_fin: {'soft tissue attenuation': {'clinical finding': 'soft tissue attenuation', 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'attenuation'}}anatomical entity_fin: {'trunk': {}}clinical findings_fin: {'persistent soft tissue attenuation': {'clinical finding': 'persistent soft tissue attenuation', 'existence': 'pos_dx', 'descriptive_term': 'persistent soft tissue', 'observation': 'attenuation', 'temporal_term': 'persistent'}}clinical findings_fin: {'atrophy': {'clinical finding': 'atrophy', 'cf_snomed': {'atrophy': 13331008}, 'existence': 'pos_dx', 'observation': 'atrophy'}, 'pancreatic tail': {'clinical finding': 'pancreatic tail', 'existence': 'pos_dx', 'descriptive_term': 'pancreatic', 'observation': 'tail'}}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'}}clinical findings_fin: {'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}, 'paraaortic and aortocaval lymphadenopathy': {'clinical finding': 'paraaortic and aortocaval lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'pos_dx', 'descriptive_term': 'paraaortic and aortocaval', 'observation': 'lymphadenopathy'}}size_fin: [{'size': '3.4 x 3 cm'}, {'size': '3.4 x 3.1 cm'}]location descriptor_fin: ['left']clinical findings_fin: {'left paraaortic lymph nodes': {'clinical finding': 'left paraaortic lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'left paraaortic lymph', 'observation': 'node'}, 'significant change': {'clinical finding': 'significant change', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'change'}}size_fin: [{'size': '2.3 x 1.7 cm'}, {'size': '2.1 x 1.5 cm'}]location descriptor_fin: ['left']clinical findings_fin: {'significant change': {'clinical finding': 'significant change', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'change'}, 'additional left paraaortic lymph node': {'clinical finding': 'additional left paraaortic lymph node', 'existence': 'neg_dx', 'descriptive_term': 'additional left paraaortic lymph', 'observation': 'node'}}size_fin: [{'size': '3.1 x 2 cm'}, {'size': '2.7 x 1.7 cm'}]clinical findings_fin: {'nonreference aortocaval lymph node': {'clinical finding': 'nonreference aortocaval lymph node', 'existence': 'pos_dx', 'descriptive_term': 'nonreference aortocaval lymph', 'observation': 'node'}}clinical findings_fin: {'colonic submucosal fat deposition': {'clinical finding': 'colonic submucosal fat deposition', 'cf_snomed': {'deposition': 46595003}, 'existence': 'pos_dx', 'descriptive_term': 'colonic submucosal fat', 'observation': 'deposition'}, 'prior inflammation': {'clinical finding': 'prior inflammation', 'existence': 'pos_dx', 'descriptive_term': 'prior', 'observation': 'inflammation'}}procedure_fin: ['hysterectomy']clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'hip': {}}location descriptor_fin: ['left']clinical findings_fin: {'severe left-sided hip osteoarthritis': {'clinical finding': 'severe left-sided hip osteoarthritis', 'cf_snomed': {'osteoarthritis': 396275006}, 'existence': 'pos_dx', 'descriptive_term': 'severe left-sided hip', 'observation': 'osteoarthritis', 'strength_term': 'severe'}} [/INST] . Innumerable pulmonary nodules, increased in size. Reference left upper lobe perihilar nodule increased in size, measuring 10 x 8 mm on image 42 series 4, previously measured 9 x 8 mm. Axillary surgical clips. Incompletely imaged thyroid demonstrated subcentimeter right-sided posterior thyroid nodule, stable. Right chest wall port with tip near cavoatrial junction. Stable small lateral right breast micronodule air to the, image 43 series Subtle hypoattenuating lesions seen in hepatic dome, one of which appears slightly larger accounting for differences in technique, measuring 10 mm on image 74 series 3, previously measured approximately 6 mm. Additional subcentimeter hepatic dome focus not significantly changed on image 73 series Unchanged subcentimeter nodularity along posterior or medial right hepatic lobe on image 117 series 3 without significant change, peritoneal metastatic deposit not entirely excluded. No significant abnormality noted. Mild interval enlargement of ill-defined residual pancreatic body soft tissue attenuation, measuring 2.6 x 1.4 cm on image 97 series 3, previously remeasured at this level as 1.6 x 1 cm. Adjacent luminal narrowing splenic vein again seen. Worsening soft tissue attenuation around SMA, image 106 series 3, measuring up to 6 mm along right aspect of image 106 series 3, previously measured up to 3 mm. Persistent soft tissue attenuation around celiac trunk. Atrophy of pancreatic tail. No significant abnormality noted. No significant abnormality noted. Enlarged retroperitoneal including paraaortic and aortocaval lymphadenopathy. Cluster of left paraaortic lymph nodes without significant change, measuring 3.4 x 3 cm in image 116 series 3, previously measured 3.4 x 3.1 cm. Without significant change in size but decreased internal attenuation seen of additional left paraaortic lymph node, measuring 2.3 x 1.7 cm on image 127 series 3, previously measured 2.1 x 1.5 cm. Interval increase in size of nonreference aortocaval lymph node, measuring 3.1 x 2 cm on image 117 series 3, previous measured 2.7 x 1.7 cm. Colonic submucosal fat deposition again seen, compatible with sequela of prior inflammation. Status post hysterectomy. No significant abnormality noted. Severe left-sided hip osteoarthritis. </s>