. Scattered pulmonary micronodules with reference left upper lobe nodule measuring 0.8 x 0.7 cm. No pleural effusions or pneumothorax. Severe distal esophageal wall circumferential thickening with evidence of a gas foci within the wall , most likely patients known esophageal carcinoma. The esophageal wall thickening results in severe narrowing of the distal esophageal lumen. No mediastinal or hilar lymphadenopathy. Heart size is normal without pericardial effusion. Moderate coronary artery calcifications. Degenerative disease affects the spine. Diffuse hypoattenuating lesions in the liver consistent with metastatic disease. Reference segment 8 lesion measures 7.7 x 6.8 cm. These masses result in attenuation of the left hepatic vein as it nears the IVC. Additionally, there is attenuation of the distal left portal venous branches. No evidence of occlusion of the hepatic or portal veins. Accessory splenule is noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Mildly prominent retroperitoneal lymph nodes. Reference portacaval lymph node measures 0.8 x 1.0 cm. Enlarged gastrohepatic lymph node measures 1.1 x 1.6 cm. Moderate atherosclerotic calcifications affect the abdominal aorta and its branches. No significant abnormality noted. Degenerative disease of the visualized spine. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Diverticulosis without evidence of diverticulitis or colitis. No small bowel obstruction. No significant abnormality noted. No significant abnormality noted.
size_fin: [{'size': '0.8 x 0.7 cm', 'size_descriptor': 'micronodules'}]anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'scattered pulmonary micronodules': {'clinical finding': 'scattered pulmonary micronodules', 'existence': 'pos_dx', 'descriptive_term': 'scattered pulmonary', 'observation': 'micronodule'}, 'reference left upper lobe nodule': {'clinical finding': 'reference left upper lobe nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'reference left upper lobe', 'observation': 'nodule'}}clinical findings_fin: {'pleural effusions': {'clinical finding': 'pleural effusions', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}, 'pneumothorax': {'clinical finding': 'pneumothorax', 'cf_snomed': {'pneumothorax': 36118008}, 'existence': 'neg_dx', 'observation': 'pneumothorax'}}anatomical entity_fin: {'wall': {}}imaging observation_fin: ['foci']location descriptor_fin: ['distal']clinical findings_fin: {'severe distal esophageal wall circumferential thickening': {'clinical finding': 'severe distal esophageal wall circumferential thickening', 'existence': 'pos_dx', 'descriptive_term': 'severe distal esophageal wall circumferential', 'observation': 'thickening', 'strength_term': 'severe'}, 'gas foci': {'clinical finding': 'gas foci', 'existence': 'pos_dx', 'descriptive_term': 'gas', 'observation': 'foci'}, 'esophageal carcinoma': {'clinical finding': 'esophageal carcinoma', 'cf_snomed': {'carcinoma': 1187425009}, 'existence': 'pos_dx', 'descriptive_term': 'esophageal', 'observation': 'carcinoma'}}anatomical entity_fin: {'lumen': {}}location descriptor_fin: ['distal']clinical findings_fin: {'esophageal wall thickening': {'clinical finding': 'esophageal wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'esophageal wall', 'observation': 'thickening'}, 'severe narrowing': {'clinical finding': 'severe narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'severe', 'observation': 'narrowing', 'strength_term': 'severe'}}clinical findings_fin: {'mediastinal or hilar lymphadenopathy': {'clinical finding': 'mediastinal or hilar lymphadenopathy', 'cf_snomed': {'hilar lymphadenopathy': 87500009}, 'existence': 'neg_dx', 'descriptive_term': 'mediastinal or hilar', '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'}}clinical findings_fin: {'moderate coronary artery calcifications': {'clinical finding': 'moderate coronary artery calcifications', 'existence': 'pos_dx', 'descriptive_term': 'moderate coronary artery', 'observation': 'calcification', 'strength_term': 'moderate'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'degenerative disease': {'clinical finding': 'degenerative disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'disease'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'diffuse hypoattenuating lesions': {'clinical finding': 'diffuse hypoattenuating lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'diffuse hypoattenuating', 'observation': 'lesion'}, 'metastatic disease': {'clinical finding': 'metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'metastatic', 'observation': 'disease'}}size_fin: [{'size': '7.7 x 6.8 cm', 'size_descriptor': 'lesion'}]clinical findings_fin: {'reference segment 8 lesion': {'clinical finding': 'reference segment 8 lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'reference segment 8', 'observation': 'lesion'}}anatomical entity_fin: {'left hepatic vein': {}}clinical findings_fin: {'these masses': {'clinical finding': 'these masses', 'existence': 'pos_dx', 'descriptive_term': 'these', 'observation': 'mass'}, 'attenuation': {'clinical finding': 'attenuation', 'existence': 'pos_dx', 'observation': 'attenuation'}}location descriptor_fin: ['distal', 'left']clinical findings_fin: {'attenuation': {'clinical finding': 'attenuation', 'existence': 'pos_dx', 'observation': 'attenuation'}}anatomical entity_fin: {'portal veins': {}}clinical findings_fin: {'occlusion': {'clinical finding': 'occlusion', 'existence': 'neg_dx', 'observation': 'occlusion'}}clinical findings_fin: {'accessory splenule is noted': {'clinical finding': 'accessory splenule is noted'}}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: {'mildly prominent retroperitoneal lymph nodes': {'clinical finding': 'mildly prominent retroperitoneal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'mildly prominent retroperitoneal lymph', 'observation': 'node', 'strength_term': 'mildly - prominent'}}size_fin: [{'size': '0.8 x 1.0 cm'}]clinical findings_fin: {'reference portacaval lymph node': {'clinical finding': 'reference portacaval lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference portacaval lymph', 'observation': 'node'}}size_fin: [{'size': '1.1 x 1.6 cm', 'size_descriptor': 'node'}]clinical findings_fin: {'enlarged gastrohepatic lymph node': {'clinical finding': 'enlarged gastrohepatic lymph node', 'existence': 'pos_dx', 'descriptive_term': 'enlarged gastrohepatic lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'}}anatomical entity_fin: {'abdominal aorta': {}}clinical findings_fin: {'moderate atherosclerotic calcifications': {'clinical finding': 'moderate atherosclerotic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'moderate atherosclerotic', 'observation': 'calcification', 'strength_term': 'moderate'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'degenerative disease': {'clinical finding': 'degenerative disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'degenerative', '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: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'diverticulosis': {'clinical finding': 'diverticulosis', 'existence': 'pos_dx', 'observation': 'diverticulosis'}, 'diverticulitis': {'clinical finding': 'diverticulitis', 'cf_snomed': {'diverticulitis': 307496006}, 'existence': 'neg_dx', 'observation': 'diverticulitis'}, 'colitis': {'clinical finding': 'colitis', 'cf_snomed': {'colitis': 64226004}, 'existence': 'neg_dx', 'observation': 'colitis'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'small bowel obstruction': {'clinical finding': 'small bowel obstruction', 'cf_snomed': {'small bowel obstruction': 281255004}, 'existence': 'neg_dx', 'descriptive_term': 'small bowel', 'observation': 'obstruction', 'strength_term': 'small'}}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'}}
<s>[INST] Write the finding section for a radiology report based on the following information: size_fin: [{'size': '0.8 x 0.7 cm', 'size_descriptor': 'micronodules'}]anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'scattered pulmonary micronodules': {'clinical finding': 'scattered pulmonary micronodules', 'existence': 'pos_dx', 'descriptive_term': 'scattered pulmonary', 'observation': 'micronodule'}, 'reference left upper lobe nodule': {'clinical finding': 'reference left upper lobe nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'reference left upper lobe', 'observation': 'nodule'}}clinical findings_fin: {'pleural effusions': {'clinical finding': 'pleural effusions', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}, 'pneumothorax': {'clinical finding': 'pneumothorax', 'cf_snomed': {'pneumothorax': 36118008}, 'existence': 'neg_dx', 'observation': 'pneumothorax'}}anatomical entity_fin: {'wall': {}}imaging observation_fin: ['foci']location descriptor_fin: ['distal']clinical findings_fin: {'severe distal esophageal wall circumferential thickening': {'clinical finding': 'severe distal esophageal wall circumferential thickening', 'existence': 'pos_dx', 'descriptive_term': 'severe distal esophageal wall circumferential', 'observation': 'thickening', 'strength_term': 'severe'}, 'gas foci': {'clinical finding': 'gas foci', 'existence': 'pos_dx', 'descriptive_term': 'gas', 'observation': 'foci'}, 'esophageal carcinoma': {'clinical finding': 'esophageal carcinoma', 'cf_snomed': {'carcinoma': 1187425009}, 'existence': 'pos_dx', 'descriptive_term': 'esophageal', 'observation': 'carcinoma'}}anatomical entity_fin: {'lumen': {}}location descriptor_fin: ['distal']clinical findings_fin: {'esophageal wall thickening': {'clinical finding': 'esophageal wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'esophageal wall', 'observation': 'thickening'}, 'severe narrowing': {'clinical finding': 'severe narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'severe', 'observation': 'narrowing', 'strength_term': 'severe'}}clinical findings_fin: {'mediastinal or hilar lymphadenopathy': {'clinical finding': 'mediastinal or hilar lymphadenopathy', 'cf_snomed': {'hilar lymphadenopathy': 87500009}, 'existence': 'neg_dx', 'descriptive_term': 'mediastinal or hilar', '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'}}clinical findings_fin: {'moderate coronary artery calcifications': {'clinical finding': 'moderate coronary artery calcifications', 'existence': 'pos_dx', 'descriptive_term': 'moderate coronary artery', 'observation': 'calcification', 'strength_term': 'moderate'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'degenerative disease': {'clinical finding': 'degenerative disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'disease'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'diffuse hypoattenuating lesions': {'clinical finding': 'diffuse hypoattenuating lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'diffuse hypoattenuating', 'observation': 'lesion'}, 'metastatic disease': {'clinical finding': 'metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'metastatic', 'observation': 'disease'}}size_fin: [{'size': '7.7 x 6.8 cm', 'size_descriptor': 'lesion'}]clinical findings_fin: {'reference segment 8 lesion': {'clinical finding': 'reference segment 8 lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'reference segment 8', 'observation': 'lesion'}}anatomical entity_fin: {'left hepatic vein': {}}clinical findings_fin: {'these masses': {'clinical finding': 'these masses', 'existence': 'pos_dx', 'descriptive_term': 'these', 'observation': 'mass'}, 'attenuation': {'clinical finding': 'attenuation', 'existence': 'pos_dx', 'observation': 'attenuation'}}location descriptor_fin: ['distal', 'left']clinical findings_fin: {'attenuation': {'clinical finding': 'attenuation', 'existence': 'pos_dx', 'observation': 'attenuation'}}anatomical entity_fin: {'portal veins': {}}clinical findings_fin: {'occlusion': {'clinical finding': 'occlusion', 'existence': 'neg_dx', 'observation': 'occlusion'}}clinical findings_fin: {'accessory splenule is noted': {'clinical finding': 'accessory splenule is noted'}}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: {'mildly prominent retroperitoneal lymph nodes': {'clinical finding': 'mildly prominent retroperitoneal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'mildly prominent retroperitoneal lymph', 'observation': 'node', 'strength_term': 'mildly - prominent'}}size_fin: [{'size': '0.8 x 1.0 cm'}]clinical findings_fin: {'reference portacaval lymph node': {'clinical finding': 'reference portacaval lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference portacaval lymph', 'observation': 'node'}}size_fin: [{'size': '1.1 x 1.6 cm', 'size_descriptor': 'node'}]clinical findings_fin: {'enlarged gastrohepatic lymph node': {'clinical finding': 'enlarged gastrohepatic lymph node', 'existence': 'pos_dx', 'descriptive_term': 'enlarged gastrohepatic lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'}}anatomical entity_fin: {'abdominal aorta': {}}clinical findings_fin: {'moderate atherosclerotic calcifications': {'clinical finding': 'moderate atherosclerotic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'moderate atherosclerotic', 'observation': 'calcification', 'strength_term': 'moderate'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'degenerative disease': {'clinical finding': 'degenerative disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'degenerative', '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: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'diverticulosis': {'clinical finding': 'diverticulosis', 'existence': 'pos_dx', 'observation': 'diverticulosis'}, 'diverticulitis': {'clinical finding': 'diverticulitis', 'cf_snomed': {'diverticulitis': 307496006}, 'existence': 'neg_dx', 'observation': 'diverticulitis'}, 'colitis': {'clinical finding': 'colitis', 'cf_snomed': {'colitis': 64226004}, 'existence': 'neg_dx', 'observation': 'colitis'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'small bowel obstruction': {'clinical finding': 'small bowel obstruction', 'cf_snomed': {'small bowel obstruction': 281255004}, 'existence': 'neg_dx', 'descriptive_term': 'small bowel', 'observation': 'obstruction', 'strength_term': 'small'}}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'}} [/INST] . Scattered pulmonary micronodules with reference left upper lobe nodule measuring 0.8 x 0.7 cm. No pleural effusions or pneumothorax. Severe distal esophageal wall circumferential thickening with evidence of a gas foci within the wall , most likely patients known esophageal carcinoma. The esophageal wall thickening results in severe narrowing of the distal esophageal lumen. No mediastinal or hilar lymphadenopathy. Heart size is normal without pericardial effusion. Moderate coronary artery calcifications. Degenerative disease affects the spine. Diffuse hypoattenuating lesions in the liver consistent with metastatic disease. Reference segment 8 lesion measures 7.7 x 6.8 cm. These masses result in attenuation of the left hepatic vein as it nears the IVC. Additionally, there is attenuation of the distal left portal venous branches. No evidence of occlusion of the hepatic or portal veins. Accessory splenule is noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Mildly prominent retroperitoneal lymph nodes. Reference portacaval lymph node measures 0.8 x 1.0 cm. Enlarged gastrohepatic lymph node measures 1.1 x 1.6 cm. Moderate atherosclerotic calcifications affect the abdominal aorta and its branches. No significant abnormality noted. Degenerative disease of the visualized spine. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Diverticulosis without evidence of diverticulitis or colitis. No small bowel obstruction. No significant abnormality noted. No significant abnormality noted. </s>