. Scattered subcentimeter nodules, possibly representing metastases. For reference, a posterior right upper lobe nodule measures 5 mm. No evidence of infection or edema. No pleural effusions. Enlarged right hilar lymph node measuring 19 mm in short axis. No mediastinal lymphadenopathy. Normal-sized heart without pericardial effusion. Minimal atherosclerotic calcification of the thoracic aorta. None. Status post thyroidectomy with small paratracheal lymph nodes or soft tissue nodules. Please see separate neck CT report for additional evaluation. Absence of enteric contrast material limits sensitivity for abdominal pathology. Numerous scattered ill-defined enhancing foci throughout the liver, likely representing hypervascular metastases. No significant abnormality noted. No significant abnormality noted. Multiple bilateral renal cysts. Bilateral medullary nephrocalcinosis. No significant abnormality noted. Mild atherosclerotic calcification of the abdominal aorta, without aneurysm. No retroperitoneal or abdominal lymphadenopathy. Absence of enteric contrast material limits sensitivity for GI pathology. No gross abnormalities noted. No significant abnormality noted.
clinical findings_fin: {'scattered subcentimeter nodules': {'clinical finding': 'scattered subcentimeter nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'scattered subcentimeter', 'observation': 'nodule'}, 'metastases': {'clinical finding': 'metastases', 'existence': 'pos_dx', 'observation': 'metastase'}}size_fin: [{'size': '5 mm', 'size_descriptor': 'nodule'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right upper'}}location descriptor_fin: ['posterior', 'right', 'upper']clinical findings_fin: {'posterior right upper lobe nodule': {'clinical finding': 'posterior right upper lobe nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'posterior right upper lobe', 'observation': 'nodule'}}clinical findings_fin: {'infection': {'clinical finding': 'infection', 'existence': 'neg_dx', 'observation': 'infection'}, 'edema': {'clinical finding': 'edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'neg_dx', 'observation': 'edema'}}clinical findings_fin: {'pleural effusions': {'clinical finding': 'pleural effusions', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}}size_fin: [{'size': '19 mm', 'size_descriptor': 'node'}]anatomical entity_fin: {'axis': {}}location descriptor_fin: ['right']clinical findings_fin: {'enlarged right hilar lymph node': {'clinical finding': 'enlarged right hilar lymph node', 'existence': 'pos_dx', 'descriptive_term': 'enlarged right hilar lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'}}clinical findings_fin: {'mediastinal lymphadenopathy': {'clinical finding': 'mediastinal lymphadenopathy', 'cf_snomed': {'mediastinal lymphadenopathy': 52324001}, 'existence': 'neg_dx', 'descriptive_term': 'mediastinal', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'heart': {}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'pos_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}anatomical entity_fin: {'thoracic aorta': {}}clinical findings_fin: {'atherosclerotic calcification of the thoracic aorta': {'clinical finding': 'atherosclerotic calcification of the thoracic aorta', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic calcification of the thoracic', 'observation': 'aorta'}}clinical findings_fin: {'status post thyroidectomy': {'clinical finding': 'status post thyroidectomy', 'existence': 'pos_dx', 'descriptive_term': 'status post', 'observation': 'thyroidectomy'}, 'small paratracheal lymph nodes': {'clinical finding': 'small paratracheal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small paratracheal lymph', 'observation': 'node', 'strength_term': 'small'}, 'soft tissue nodules': {'clinical finding': 'soft tissue nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'unc_dx', 'descriptive_term': 'soft tissue', 'observation': 'nodule'}}anatomical entity_fin: {'neck': {}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}anatomical entity_fin: {'liver': {}}imaging observation_fin: ['enhancing', 'foci']clinical findings_fin: {'numerous scattered ill-defined enhancing foci': {'clinical finding': 'numerous scattered ill-defined enhancing foci', 'existence': 'pos_dx', 'descriptive_term': 'numerous scattered ill-defined enhancing', 'observation': 'foci', 'strength_term': 'ill-defined', 'quantity_term': 'numerous'}, 'hypervascular metastases': {'clinical finding': 'hypervascular metastases', 'existence': 'pos_dx', 'descriptive_term': 'hypervascular', 'observation': 'metastase'}}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'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'multiple bilateral renal cysts': {'clinical finding': 'multiple bilateral renal cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'multiple bilateral renal', 'observation': 'cyst', 'quantity_term': 'multiple'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral medullary nephrocalcinosis': {'clinical finding': 'bilateral medullary nephrocalcinosis', 'cf_snomed': {'medullary nephrocalcinosis': 236447005}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral medullary', 'observation': 'nephrocalcinosis'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'abdominal aorta': {}}clinical findings_fin: {'atherosclerotic calcification of the abdominal aorta': {'clinical finding': 'atherosclerotic calcification of the abdominal aorta', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic calcification of the abdominal', 'observation': 'aorta'}, 'aneurysm': {'clinical finding': 'aneurysm', 'cf_snomed': {'aneurysm': 432119003}, 'existence': 'neg_dx', 'observation': 'aneurysm'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'retroperitoneal or abdominal lymphadenopathy': {'clinical finding': 'retroperitoneal or abdominal lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'descriptive_term': 'retroperitoneal or abdominal', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'gi': {'clinical finding': 'gi', 'existence': 'unc_dx', 'observation': 'gi'}}clinical findings_fin: {'gross abnormalities': {'clinical finding': 'gross abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'gross', 'observation': 'abnormality'}}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: clinical findings_fin: {'scattered subcentimeter nodules': {'clinical finding': 'scattered subcentimeter nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'scattered subcentimeter', 'observation': 'nodule'}, 'metastases': {'clinical finding': 'metastases', 'existence': 'pos_dx', 'observation': 'metastase'}}size_fin: [{'size': '5 mm', 'size_descriptor': 'nodule'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right upper'}}location descriptor_fin: ['posterior', 'right', 'upper']clinical findings_fin: {'posterior right upper lobe nodule': {'clinical finding': 'posterior right upper lobe nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'posterior right upper lobe', 'observation': 'nodule'}}clinical findings_fin: {'infection': {'clinical finding': 'infection', 'existence': 'neg_dx', 'observation': 'infection'}, 'edema': {'clinical finding': 'edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'neg_dx', 'observation': 'edema'}}clinical findings_fin: {'pleural effusions': {'clinical finding': 'pleural effusions', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}}size_fin: [{'size': '19 mm', 'size_descriptor': 'node'}]anatomical entity_fin: {'axis': {}}location descriptor_fin: ['right']clinical findings_fin: {'enlarged right hilar lymph node': {'clinical finding': 'enlarged right hilar lymph node', 'existence': 'pos_dx', 'descriptive_term': 'enlarged right hilar lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'}}clinical findings_fin: {'mediastinal lymphadenopathy': {'clinical finding': 'mediastinal lymphadenopathy', 'cf_snomed': {'mediastinal lymphadenopathy': 52324001}, 'existence': 'neg_dx', 'descriptive_term': 'mediastinal', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'heart': {}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'pos_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}anatomical entity_fin: {'thoracic aorta': {}}clinical findings_fin: {'atherosclerotic calcification of the thoracic aorta': {'clinical finding': 'atherosclerotic calcification of the thoracic aorta', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic calcification of the thoracic', 'observation': 'aorta'}}clinical findings_fin: {'status post thyroidectomy': {'clinical finding': 'status post thyroidectomy', 'existence': 'pos_dx', 'descriptive_term': 'status post', 'observation': 'thyroidectomy'}, 'small paratracheal lymph nodes': {'clinical finding': 'small paratracheal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small paratracheal lymph', 'observation': 'node', 'strength_term': 'small'}, 'soft tissue nodules': {'clinical finding': 'soft tissue nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'unc_dx', 'descriptive_term': 'soft tissue', 'observation': 'nodule'}}anatomical entity_fin: {'neck': {}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}anatomical entity_fin: {'liver': {}}imaging observation_fin: ['enhancing', 'foci']clinical findings_fin: {'numerous scattered ill-defined enhancing foci': {'clinical finding': 'numerous scattered ill-defined enhancing foci', 'existence': 'pos_dx', 'descriptive_term': 'numerous scattered ill-defined enhancing', 'observation': 'foci', 'strength_term': 'ill-defined', 'quantity_term': 'numerous'}, 'hypervascular metastases': {'clinical finding': 'hypervascular metastases', 'existence': 'pos_dx', 'descriptive_term': 'hypervascular', 'observation': 'metastase'}}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'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'multiple bilateral renal cysts': {'clinical finding': 'multiple bilateral renal cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'multiple bilateral renal', 'observation': 'cyst', 'quantity_term': 'multiple'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral medullary nephrocalcinosis': {'clinical finding': 'bilateral medullary nephrocalcinosis', 'cf_snomed': {'medullary nephrocalcinosis': 236447005}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral medullary', 'observation': 'nephrocalcinosis'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'abdominal aorta': {}}clinical findings_fin: {'atherosclerotic calcification of the abdominal aorta': {'clinical finding': 'atherosclerotic calcification of the abdominal aorta', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic calcification of the abdominal', 'observation': 'aorta'}, 'aneurysm': {'clinical finding': 'aneurysm', 'cf_snomed': {'aneurysm': 432119003}, 'existence': 'neg_dx', 'observation': 'aneurysm'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'retroperitoneal or abdominal lymphadenopathy': {'clinical finding': 'retroperitoneal or abdominal lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'descriptive_term': 'retroperitoneal or abdominal', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'gi': {'clinical finding': 'gi', 'existence': 'unc_dx', 'observation': 'gi'}}clinical findings_fin: {'gross abnormalities': {'clinical finding': 'gross abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'gross', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . Scattered subcentimeter nodules, possibly representing metastases. For reference, a posterior right upper lobe nodule measures 5 mm. No evidence of infection or edema. No pleural effusions. Enlarged right hilar lymph node measuring 19 mm in short axis. No mediastinal lymphadenopathy. Normal-sized heart without pericardial effusion. Minimal atherosclerotic calcification of the thoracic aorta. None. Status post thyroidectomy with small paratracheal lymph nodes or soft tissue nodules. Please see separate neck CT report for additional evaluation. Absence of enteric contrast material limits sensitivity for abdominal pathology. Numerous scattered ill-defined enhancing foci throughout the liver, likely representing hypervascular metastases. No significant abnormality noted. No significant abnormality noted. Multiple bilateral renal cysts. Bilateral medullary nephrocalcinosis. No significant abnormality noted. Mild atherosclerotic calcification of the abdominal aorta, without aneurysm. No retroperitoneal or abdominal lymphadenopathy. Absence of enteric contrast material limits sensitivity for GI pathology. No gross abnormalities noted. No significant abnormality noted. </s>