. Small left basilar atelectasis. Scattered pulmonary micronodules are seen in the lungs bilaterally, new compared to prior exam. No pleural effusion. Small hypoattenuating subcentimeter nonspecific nodule in the right lower lobe of the thyroid, unchanged. No significant mediastinal or hilar lymphadenopathy is seen. None. Previously noted low right cervical lymph node is again seen, substantially decreased in size now measuring 0.4 cm in short axis compared to 0.8 cm previously. Multiple prominent axillary lymph nodes again seen bilaterally, stable to slightly decreased compared to prior imaging. Reference right axillary lymph node now measures 1.5 x 1.4 cm compared 1.8 x 1.8 cm previously. Small hypoattenuating lesions are seen in segment 4B, segment 5/8, and segment 6 of the liver, too small to characterize. The gallbladder is unremarkable. There is no intrahepatic or extrahepatic biliary ductal dilatation. Small hypoattenuating lesions are seen in the superior and inferior aspect of the spleen, new compared to prior exam. Indeterminate but worrisome for metastatic disease. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Scattered subcentimeter retroperitoneal lymph nodes are again seen, unchanged. Mild. Colonic diverticulosis without evidence of diverticulitis. Soft tissue mass is seen between the right fifth and sixth ribs , indeterminate on CT but may be amenable to biopsy if clinically indicated. Previously described focal thickening of the skin of the lower anterior left abdominal wall is markedly improved and is no longer measurable. Multiple slightly hyperattenuating lesions are noted within the musculature throughout the chest, abdomen, and pelvis. For reference, there is a lesion in the right gluteus maximus muscle which measures up to 5.5 x 1.5 cm. This is suspicious for metastatic disease. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Reference right common iliac lymph node measures 0.7 cm compared to 1.1 cm previously. Scattered prominent right and left external and internal iliac nodes are also seen, unchanged. Bilateral inguinal adenopathy is again seen, increased compared to prior. The largest lymph node is seen on the right, measuring 6.9 x 4.3 cm compared to 2.7 x 4.5 cm previously. No significant abnormality noted. Multiple slightly hyperattenuating lesions are noted within the musculature throughout the chest, abdomen, and pelvis. For reference, there is a lesion in the right gluteus maximus muscle which measures up to 5.5 x 1.5 cm. This is suspicious for metastatic disease. No significant abnormality noted
location descriptor_fin: ['left']clinical findings_fin: {'small left basilar atelectasis': {'clinical finding': 'small left basilar atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'small left basilar', 'observation': 'atelectasis', 'strength_term': 'small'}}anatomical entity_fin: {'lungs': {}}clinical findings_fin: {'scattered pulmonary micronodules': {'clinical finding': 'scattered pulmonary micronodules', 'existence': 'pos_dx', 'descriptive_term': 'scattered pulmonary', 'observation': 'micronodule'}}clinical findings_fin: {'pleural effusion': {'clinical finding': 'pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'small hypoattenuating subcentimeter nonspecific nodule': {'clinical finding': 'small hypoattenuating subcentimeter nonspecific nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'small hypoattenuating subcentimeter nonspecific', 'observation': 'nodule', 'strength_term': 'small'}}clinical findings_fin: {'significant mediastinal or hilar lymphadenopathy': {'clinical finding': 'significant mediastinal or hilar lymphadenopathy', 'cf_snomed': {'hilar lymphadenopathy': 87500009}, 'existence': 'neg_dx', 'descriptive_term': 'significant mediastinal or hilar', 'observation': 'lymphadenopathy'}}size_fin: [{'size': '0.4 cm'}, {'size': '0.8 cm'}]anatomical entity_fin: {'axis': {}}location descriptor_fin: ['right']clinical findings_fin: {'previously noted low right cervical lymph node': {'clinical finding': 'previously noted low right cervical lymph node', 'existence': 'pos_dx', 'descriptive_term': 'previously noted low right cervical lymph', 'observation': 'node'}}anatomical entity_fin: {'axillary lymph nodes': {}}clinical findings_fin: {'multiple prominent axillary lymph nodes': {'clinical finding': 'multiple prominent axillary lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'multiple prominent axillary lymph', 'observation': 'node', 'strength_term': 'prominent', 'quantity_term': 'multiple'}}size_fin: [{'size': '1.5 x 1.4 cm'}, {'size': '1.8 x 1.8 cm'}]anatomical entity_fin: {'axillary lymph node': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'reference right axillary lymph node': {'clinical finding': 'reference right axillary lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference right axillary lymph', 'observation': 'node'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'small hypoattenuating lesions': {'clinical finding': 'small hypoattenuating lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'small hypoattenuating', 'observation': 'lesion', 'strength_term': 'small'}}anatomical entity_fin: {'gallbladder': {}}clinical findings_fin: {'gallbladder is unremarkable': {'clinical finding': 'gallbladder is unremarkable'}}anatomical entity_fin: {'spleen': {}}location descriptor_fin: ['superior', 'inferior']clinical findings_fin: {'small hypoattenuating lesions': {'clinical finding': 'small hypoattenuating lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'small hypoattenuating', 'observation': 'lesion', 'strength_term': 'small'}}clinical findings_fin: {'metastatic disease': {'clinical finding': 'metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'scattered subcentimeter retroperitoneal lymph nodes': {'clinical finding': 'scattered subcentimeter retroperitoneal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'scattered subcentimeter retroperitoneal lymph', 'observation': 'node'}}clinical findings_fin: {'colonic diverticulosis': {'clinical finding': 'colonic diverticulosis', 'existence': 'pos_dx', 'descriptive_term': 'colonic', 'observation': 'diverticulosis'}, 'diverticulitis': {'clinical finding': 'diverticulitis', 'cf_snomed': {'diverticulitis': 307496006}, 'existence': 'neg_dx', 'observation': 'diverticulitis'}}anatomical entity_fin: {'ribs': {}}location descriptor_fin: ['right']procedure_fin: ['biopsy']clinical findings_fin: {'soft tissue mass': {'clinical finding': 'soft tissue mass', 'cf_snomed': {'soft tissue mass': 278002000}, 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'mass'}}anatomical entity_fin: {'skin': {}, 'abdominal': {'location descriptor': 'anterior left'}, 'wall': {}}location descriptor_fin: ['lower', 'anterior', 'left']clinical findings_fin: {'previously described focal thickening': {'clinical finding': 'previously described focal thickening', 'existence': 'pos_dx', 'descriptive_term': 'previously described focal', 'observation': 'thickening'}, 'improved': {'clinical finding': 'improved', 'existence': 'pos_dx', 'observation': 'improve'}}anatomical entity_fin: {'musculature': {}, 'chest': {}, 'abdomen': {}, 'pelvis': {}}clinical findings_fin: {'multiple slightly hyperattenuating lesions': {'clinical finding': 'multiple slightly hyperattenuating lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'multiple slightly hyperattenuating', 'observation': 'lesion', 'quantity_term': 'multiple'}}size_fin: [{'size': '5.5 x 1.5 cm', 'size_descriptor': 'lesion'}]anatomical entity_fin: {'gluteus maximus muscle': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'lesion': {'clinical finding': 'lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'observation': 'lesion'}}clinical findings_fin: {'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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}size_fin: [{'size': '0.7 cm'}, {'size': '1.1 cm'}]anatomical entity_fin: {'common iliac lymph node': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'reference right common iliac lymph node': {'clinical finding': 'reference right common iliac lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference right common iliac lymph', 'observation': 'node'}}location descriptor_fin: ['right', 'left', 'external']clinical findings_fin: {'scattered prominent right and left external and internal iliac nodes': {'clinical finding': 'scattered prominent right and left external and internal iliac nodes', 'cf_snomed': {'internal iliac node': 245357003}, 'existence': 'pos_dx', 'descriptive_term': 'scattered prominent right and left external and internal iliac', 'observation': 'node', 'strength_term': 'prominent'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral inguinal adenopathy': {'clinical finding': 'bilateral inguinal adenopathy', 'existence': 'pos_dx', 'descriptive_term': 'bilateral inguinal', 'observation': 'adenopathy'}}size_fin: [{'size': '6.9 x 4.3 cm'}, {'size': '2.7 x 4.5 cm'}]location descriptor_fin: ['right']clinical findings_fin: {'largest lymph node': {'clinical finding': 'largest lymph node', 'existence': 'pos_dx', 'descriptive_term': 'largest lymph', 'observation': 'node'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'musculature': {}, 'chest': {}, 'abdomen': {}, 'pelvis': {}}clinical findings_fin: {'multiple slightly hyperattenuating lesions': {'clinical finding': 'multiple slightly hyperattenuating lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'multiple slightly hyperattenuating', 'observation': 'lesion', 'quantity_term': 'multiple'}}size_fin: [{'size': '5.5 x 1.5 cm', 'size_descriptor': 'lesion'}]anatomical entity_fin: {'gluteus maximus muscle': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'lesion': {'clinical finding': 'lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'observation': 'lesion'}}clinical findings_fin: {'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'}}
<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['left']clinical findings_fin: {'small left basilar atelectasis': {'clinical finding': 'small left basilar atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'small left basilar', 'observation': 'atelectasis', 'strength_term': 'small'}}anatomical entity_fin: {'lungs': {}}clinical findings_fin: {'scattered pulmonary micronodules': {'clinical finding': 'scattered pulmonary micronodules', 'existence': 'pos_dx', 'descriptive_term': 'scattered pulmonary', 'observation': 'micronodule'}}clinical findings_fin: {'pleural effusion': {'clinical finding': 'pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'small hypoattenuating subcentimeter nonspecific nodule': {'clinical finding': 'small hypoattenuating subcentimeter nonspecific nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'small hypoattenuating subcentimeter nonspecific', 'observation': 'nodule', 'strength_term': 'small'}}clinical findings_fin: {'significant mediastinal or hilar lymphadenopathy': {'clinical finding': 'significant mediastinal or hilar lymphadenopathy', 'cf_snomed': {'hilar lymphadenopathy': 87500009}, 'existence': 'neg_dx', 'descriptive_term': 'significant mediastinal or hilar', 'observation': 'lymphadenopathy'}}size_fin: [{'size': '0.4 cm'}, {'size': '0.8 cm'}]anatomical entity_fin: {'axis': {}}location descriptor_fin: ['right']clinical findings_fin: {'previously noted low right cervical lymph node': {'clinical finding': 'previously noted low right cervical lymph node', 'existence': 'pos_dx', 'descriptive_term': 'previously noted low right cervical lymph', 'observation': 'node'}}anatomical entity_fin: {'axillary lymph nodes': {}}clinical findings_fin: {'multiple prominent axillary lymph nodes': {'clinical finding': 'multiple prominent axillary lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'multiple prominent axillary lymph', 'observation': 'node', 'strength_term': 'prominent', 'quantity_term': 'multiple'}}size_fin: [{'size': '1.5 x 1.4 cm'}, {'size': '1.8 x 1.8 cm'}]anatomical entity_fin: {'axillary lymph node': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'reference right axillary lymph node': {'clinical finding': 'reference right axillary lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference right axillary lymph', 'observation': 'node'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'small hypoattenuating lesions': {'clinical finding': 'small hypoattenuating lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'small hypoattenuating', 'observation': 'lesion', 'strength_term': 'small'}}anatomical entity_fin: {'gallbladder': {}}clinical findings_fin: {'gallbladder is unremarkable': {'clinical finding': 'gallbladder is unremarkable'}}anatomical entity_fin: {'spleen': {}}location descriptor_fin: ['superior', 'inferior']clinical findings_fin: {'small hypoattenuating lesions': {'clinical finding': 'small hypoattenuating lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'small hypoattenuating', 'observation': 'lesion', 'strength_term': 'small'}}clinical findings_fin: {'metastatic disease': {'clinical finding': 'metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'scattered subcentimeter retroperitoneal lymph nodes': {'clinical finding': 'scattered subcentimeter retroperitoneal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'scattered subcentimeter retroperitoneal lymph', 'observation': 'node'}}clinical findings_fin: {'colonic diverticulosis': {'clinical finding': 'colonic diverticulosis', 'existence': 'pos_dx', 'descriptive_term': 'colonic', 'observation': 'diverticulosis'}, 'diverticulitis': {'clinical finding': 'diverticulitis', 'cf_snomed': {'diverticulitis': 307496006}, 'existence': 'neg_dx', 'observation': 'diverticulitis'}}anatomical entity_fin: {'ribs': {}}location descriptor_fin: ['right']procedure_fin: ['biopsy']clinical findings_fin: {'soft tissue mass': {'clinical finding': 'soft tissue mass', 'cf_snomed': {'soft tissue mass': 278002000}, 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'mass'}}anatomical entity_fin: {'skin': {}, 'abdominal': {'location descriptor': 'anterior left'}, 'wall': {}}location descriptor_fin: ['lower', 'anterior', 'left']clinical findings_fin: {'previously described focal thickening': {'clinical finding': 'previously described focal thickening', 'existence': 'pos_dx', 'descriptive_term': 'previously described focal', 'observation': 'thickening'}, 'improved': {'clinical finding': 'improved', 'existence': 'pos_dx', 'observation': 'improve'}}anatomical entity_fin: {'musculature': {}, 'chest': {}, 'abdomen': {}, 'pelvis': {}}clinical findings_fin: {'multiple slightly hyperattenuating lesions': {'clinical finding': 'multiple slightly hyperattenuating lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'multiple slightly hyperattenuating', 'observation': 'lesion', 'quantity_term': 'multiple'}}size_fin: [{'size': '5.5 x 1.5 cm', 'size_descriptor': 'lesion'}]anatomical entity_fin: {'gluteus maximus muscle': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'lesion': {'clinical finding': 'lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'observation': 'lesion'}}clinical findings_fin: {'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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}size_fin: [{'size': '0.7 cm'}, {'size': '1.1 cm'}]anatomical entity_fin: {'common iliac lymph node': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'reference right common iliac lymph node': {'clinical finding': 'reference right common iliac lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference right common iliac lymph', 'observation': 'node'}}location descriptor_fin: ['right', 'left', 'external']clinical findings_fin: {'scattered prominent right and left external and internal iliac nodes': {'clinical finding': 'scattered prominent right and left external and internal iliac nodes', 'cf_snomed': {'internal iliac node': 245357003}, 'existence': 'pos_dx', 'descriptive_term': 'scattered prominent right and left external and internal iliac', 'observation': 'node', 'strength_term': 'prominent'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral inguinal adenopathy': {'clinical finding': 'bilateral inguinal adenopathy', 'existence': 'pos_dx', 'descriptive_term': 'bilateral inguinal', 'observation': 'adenopathy'}}size_fin: [{'size': '6.9 x 4.3 cm'}, {'size': '2.7 x 4.5 cm'}]location descriptor_fin: ['right']clinical findings_fin: {'largest lymph node': {'clinical finding': 'largest lymph node', 'existence': 'pos_dx', 'descriptive_term': 'largest lymph', 'observation': 'node'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'musculature': {}, 'chest': {}, 'abdomen': {}, 'pelvis': {}}clinical findings_fin: {'multiple slightly hyperattenuating lesions': {'clinical finding': 'multiple slightly hyperattenuating lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'multiple slightly hyperattenuating', 'observation': 'lesion', 'quantity_term': 'multiple'}}size_fin: [{'size': '5.5 x 1.5 cm', 'size_descriptor': 'lesion'}]anatomical entity_fin: {'gluteus maximus muscle': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'lesion': {'clinical finding': 'lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'observation': 'lesion'}}clinical findings_fin: {'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'}} [/INST] . Small left basilar atelectasis. Scattered pulmonary micronodules are seen in the lungs bilaterally, new compared to prior exam. No pleural effusion. Small hypoattenuating subcentimeter nonspecific nodule in the right lower lobe of the thyroid, unchanged. No significant mediastinal or hilar lymphadenopathy is seen. None. Previously noted low right cervical lymph node is again seen, substantially decreased in size now measuring 0.4 cm in short axis compared to 0.8 cm previously. Multiple prominent axillary lymph nodes again seen bilaterally, stable to slightly decreased compared to prior imaging. Reference right axillary lymph node now measures 1.5 x 1.4 cm compared 1.8 x 1.8 cm previously. Small hypoattenuating lesions are seen in segment 4B, segment 5/8, and segment 6 of the liver, too small to characterize. The gallbladder is unremarkable. There is no intrahepatic or extrahepatic biliary ductal dilatation. Small hypoattenuating lesions are seen in the superior and inferior aspect of the spleen, new compared to prior exam. Indeterminate but worrisome for metastatic disease. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Scattered subcentimeter retroperitoneal lymph nodes are again seen, unchanged. Mild. Colonic diverticulosis without evidence of diverticulitis. Soft tissue mass is seen between the right fifth and sixth ribs , indeterminate on CT but may be amenable to biopsy if clinically indicated. Previously described focal thickening of the skin of the lower anterior left abdominal wall is markedly improved and is no longer measurable. Multiple slightly hyperattenuating lesions are noted within the musculature throughout the chest, abdomen, and pelvis. For reference, there is a lesion in the right gluteus maximus muscle which measures up to 5.5 x 1.5 cm. This is suspicious for metastatic disease. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Reference right common iliac lymph node measures 0.7 cm compared to 1.1 cm previously. Scattered prominent right and left external and internal iliac nodes are also seen, unchanged. Bilateral inguinal adenopathy is again seen, increased compared to prior. The largest lymph node is seen on the right, measuring 6.9 x 4.3 cm compared to 2.7 x 4.5 cm previously. No significant abnormality noted. Multiple slightly hyperattenuating lesions are noted within the musculature throughout the chest, abdomen, and pelvis. For reference, there is a lesion in the right gluteus maximus muscle which measures up to 5.5 x 1.5 cm. This is suspicious for metastatic disease. No significant abnormality noted </s>