. There is a 9 x 9 mm nodule in the left upper lobe. Additional scattered micronodules are noted bilaterally. Mild lung base scarring is noted. The heart and pericardium appear normal. There is minimal coronary artery calcification. There is no significant mediastinal or hilar lymphadenopathy. No significant abnormality noted. Subcentimeter arterially enhancing lesions in the dome of the liver are isoattenuating to liver on venous and delayed phase images favor benign etiology such as hemangiomas. No suspicious hepatic lesions are identified. The gallbladder is decompressed. Approximately 1 cm hypoattenuating lesion in the spleen gradually becomes isoattenuating to normal splenic parenchyma on the delayed phase images and likely represents a hemangioma. There is a 52 x 24-mm masslike area of hypoattenuation and hypoenhancement in the pancreatic head. Additionally, there is dilation of the entire pancreatic duct to approximately 9 mm in the body of the pancreas. This tumor encases and narrows the hepatic artery near its origin. The tumor also abuts the splenic and superior mesenteric veins at the confluence and the anterior aspect of the proximal portal vein , however these vessels are not encased or attenuated. The adrenal glands are normal. The right kidney is small and the renal cortex is thinned. There are scattered renal cortical cysts. There are small retroperitoneal lymph nodes. There is mild, scattered atherosclerotic calcification of the abdominal aorta and its branches. There is subtle omental stranding and nodularity seen in the upper abdomen. The small bowel appears normal. There is colonic diverticulosis without evidence of diverticulitis. The appendix appears normal. There is mild degenerative change in the lower lumbar spine. No significant abnormality noted. No significant abnormality noted. The bladder appears normal. No significant lymphadenopathy noted. There is a small amount of pelvic free fluid. No significant abnormality noted. No significant abnormality noted.
size_fin: [{'size': '9 x 9 mm', 'size_descriptor': 'nodule'}]anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'9 x 9 mm nodule': {'clinical finding': '9 x 9 mm nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': '9 x 9 mm', 'observation': 'nodule'}}clinical findings_fin: {'additional scattered micronodules': {'clinical finding': 'additional scattered micronodules', 'existence': 'pos_dx', 'descriptive_term': 'additional scattered', 'observation': 'micronodule'}}anatomical entity_fin: {'lung': {}, 'base': {}}clinical findings_fin: {'mild lung base scarring': {'clinical finding': 'mild lung base scarring', 'existence': 'pos_dx', 'descriptive_term': 'mild lung base', 'observation': 'scarr', 'strength_term': 'mild'}}anatomical entity_fin: {'heart': {}, 'pericardium': {}}clinical findings_fin: {'heart and pericardium appear normal': {'clinical finding': 'heart and pericardium appear normal'}}clinical findings_fin: {'minimal coronary artery calcification': {'clinical finding': 'minimal coronary artery calcification', 'existence': 'pos_dx', 'descriptive_term': 'minimal coronary artery', 'observation': 'calcification', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'liver': {}}imaging observation_fin: ['enhancing']clinical findings_fin: {'subcentimeter arterially enhancing lesions': {'clinical finding': 'subcentimeter arterially enhancing lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter arterially enhancing', 'observation': 'lesion'}, 'hemangiomas': {'clinical finding': 'hemangiomas', 'existence': 'unc_dx', 'observation': 'hemangiomas'}}clinical findings_fin: {'suspicious hepatic lesions': {'clinical finding': 'suspicious hepatic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious hepatic', 'observation': 'lesion'}}anatomical entity_fin: {'gallbladder': {}}clinical findings_fin: {'decompressed': {'clinical finding': 'decompressed', 'existence': 'pos_dx', 'observation': 'decompressed'}}size_fin: [{'size': '1 cm', 'size_descriptor': 'lesion'}]anatomical entity_fin: {'spleen': {}, 'parenchyma': {}}clinical findings_fin: {'approximately 1 cm hypoattenuating lesion': {'clinical finding': 'approximately 1 cm hypoattenuating lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'approximately 1 cm hypoattenuating', 'observation': 'lesion'}, 'hemangioma': {'clinical finding': 'hemangioma', 'cf_snomed': {'hemangioma': 400210000}, 'existence': 'unc_dx', 'observation': 'hemangioma'}}size_fin: [{'size': '52 x 24', 'size_descriptor': 'masslike'}]anatomical entity_fin: {'head': {}}clinical findings_fin: {'hypoattenuation': {'clinical finding': 'hypoattenuation', 'existence': 'pos_dx', 'observation': 'hypoattenuation'}, 'hypoenhancement': {'clinical finding': 'hypoenhancement', 'existence': 'pos_dx', 'observation': 'hypoenhancement'}}size_fin: [{'size': '9 mm', 'size_descriptor': 'dilation'}]anatomical entity_fin: {'pancreatic duct': {}, 'body': {}, 'pancreas': {}}clinical findings_fin: {'dilation': {'clinical finding': 'dilation', 'existence': 'pos_dx', 'observation': 'dilation'}}anatomical entity_fin: {'hepatic artery': {}, 'origin': {}}clinical findings_fin: {'this tumor': {'clinical finding': 'this tumor', 'existence': 'pos_dx', 'descriptive_term': 'this', 'observation': 'tumor'}, 'narrows': {'clinical finding': 'narrows', 'existence': 'pos_dx', 'observation': 'narrow'}}anatomical entity_fin: {'superior mesenteric veins': {}, 'portal vein': {'location descriptor': 'proximal'}}location descriptor_fin: ['anterior', 'proximal']clinical findings_fin: {'tumor': {'clinical finding': 'tumor', 'existence': 'pos_dx', 'observation': 'tumor'}}anatomical entity_fin: {'adrenal glands': {}}clinical findings_fin: {'adrenal glands are normal': {'clinical finding': 'adrenal glands are normal'}}anatomical entity_fin: {'right kidney': {}, 'cortex': {}}clinical findings_fin: {'small': {'clinical finding': 'small', 'existence': 'pos_dx', 'observation': 'small'}, 'thinned': {'clinical finding': 'thinned', 'existence': 'pos_dx', 'observation': 'thin'}}clinical findings_fin: {'scattered renal cortical cysts': {'clinical finding': 'scattered renal cortical cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'scattered renal cortical', 'observation': 'cyst'}}clinical findings_fin: {'small retroperitoneal lymph nodes': {'clinical finding': 'small retroperitoneal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small retroperitoneal lymph', 'observation': 'node', 'strength_term': 'small'}}anatomical entity_fin: {'abdominal aorta': {}}clinical findings_fin: {'mild, scattered atherosclerotic calcification': {'clinical finding': 'mild, scattered atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'mild scattered atherosclerotic', 'observation': 'calcification', 'strength_term': 'mild'}, 'abdominal aorta': {'clinical finding': 'abdominal aorta', 'existence': 'pos_dx', 'descriptive_term': 'abdominal', 'observation': 'aorta'}}anatomical entity_fin: {'upper abdomen': {}}clinical findings_fin: {'subtle omental stranding': {'clinical finding': 'subtle omental stranding', 'existence': 'pos_dx', 'descriptive_term': 'subtle omental', 'observation': 'strand', 'strength_term': 'subtle'}, 'nodularity': {'clinical finding': 'nodularity', 'existence': 'pos_dx', 'observation': 'nodularity'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'small bowel appears': {'clinical finding': 'small bowel appears'}}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: {'appendix': {}}clinical findings_fin: {'appendix appears normal': {'clinical finding': 'appendix appears normal'}}anatomical entity_fin: {'spine': {}}location descriptor_fin: ['lower']clinical findings_fin: {'mild degenerative change': {'clinical finding': 'mild degenerative change', 'existence': 'pos_dx', 'descriptive_term': 'mild degenerative', 'observation': 'change', 'strength_term': 'mild'}}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'}}anatomical entity_fin: {'bladder': {}}clinical findings_fin: {'bladder appears normal': {'clinical finding': 'bladder appears normal'}}clinical findings_fin: {'significant lymphadenopathy': {'clinical finding': 'significant lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'pelvic free fluid': {'clinical finding': 'pelvic free fluid', 'existence': 'pos_dx', 'descriptive_term': 'pelvic free', 'observation': 'fluid'}}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': '9 x 9 mm', 'size_descriptor': 'nodule'}]anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'9 x 9 mm nodule': {'clinical finding': '9 x 9 mm nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': '9 x 9 mm', 'observation': 'nodule'}}clinical findings_fin: {'additional scattered micronodules': {'clinical finding': 'additional scattered micronodules', 'existence': 'pos_dx', 'descriptive_term': 'additional scattered', 'observation': 'micronodule'}}anatomical entity_fin: {'lung': {}, 'base': {}}clinical findings_fin: {'mild lung base scarring': {'clinical finding': 'mild lung base scarring', 'existence': 'pos_dx', 'descriptive_term': 'mild lung base', 'observation': 'scarr', 'strength_term': 'mild'}}anatomical entity_fin: {'heart': {}, 'pericardium': {}}clinical findings_fin: {'heart and pericardium appear normal': {'clinical finding': 'heart and pericardium appear normal'}}clinical findings_fin: {'minimal coronary artery calcification': {'clinical finding': 'minimal coronary artery calcification', 'existence': 'pos_dx', 'descriptive_term': 'minimal coronary artery', 'observation': 'calcification', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'liver': {}}imaging observation_fin: ['enhancing']clinical findings_fin: {'subcentimeter arterially enhancing lesions': {'clinical finding': 'subcentimeter arterially enhancing lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter arterially enhancing', 'observation': 'lesion'}, 'hemangiomas': {'clinical finding': 'hemangiomas', 'existence': 'unc_dx', 'observation': 'hemangiomas'}}clinical findings_fin: {'suspicious hepatic lesions': {'clinical finding': 'suspicious hepatic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious hepatic', 'observation': 'lesion'}}anatomical entity_fin: {'gallbladder': {}}clinical findings_fin: {'decompressed': {'clinical finding': 'decompressed', 'existence': 'pos_dx', 'observation': 'decompressed'}}size_fin: [{'size': '1 cm', 'size_descriptor': 'lesion'}]anatomical entity_fin: {'spleen': {}, 'parenchyma': {}}clinical findings_fin: {'approximately 1 cm hypoattenuating lesion': {'clinical finding': 'approximately 1 cm hypoattenuating lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'approximately 1 cm hypoattenuating', 'observation': 'lesion'}, 'hemangioma': {'clinical finding': 'hemangioma', 'cf_snomed': {'hemangioma': 400210000}, 'existence': 'unc_dx', 'observation': 'hemangioma'}}size_fin: [{'size': '52 x 24', 'size_descriptor': 'masslike'}]anatomical entity_fin: {'head': {}}clinical findings_fin: {'hypoattenuation': {'clinical finding': 'hypoattenuation', 'existence': 'pos_dx', 'observation': 'hypoattenuation'}, 'hypoenhancement': {'clinical finding': 'hypoenhancement', 'existence': 'pos_dx', 'observation': 'hypoenhancement'}}size_fin: [{'size': '9 mm', 'size_descriptor': 'dilation'}]anatomical entity_fin: {'pancreatic duct': {}, 'body': {}, 'pancreas': {}}clinical findings_fin: {'dilation': {'clinical finding': 'dilation', 'existence': 'pos_dx', 'observation': 'dilation'}}anatomical entity_fin: {'hepatic artery': {}, 'origin': {}}clinical findings_fin: {'this tumor': {'clinical finding': 'this tumor', 'existence': 'pos_dx', 'descriptive_term': 'this', 'observation': 'tumor'}, 'narrows': {'clinical finding': 'narrows', 'existence': 'pos_dx', 'observation': 'narrow'}}anatomical entity_fin: {'superior mesenteric veins': {}, 'portal vein': {'location descriptor': 'proximal'}}location descriptor_fin: ['anterior', 'proximal']clinical findings_fin: {'tumor': {'clinical finding': 'tumor', 'existence': 'pos_dx', 'observation': 'tumor'}}anatomical entity_fin: {'adrenal glands': {}}clinical findings_fin: {'adrenal glands are normal': {'clinical finding': 'adrenal glands are normal'}}anatomical entity_fin: {'right kidney': {}, 'cortex': {}}clinical findings_fin: {'small': {'clinical finding': 'small', 'existence': 'pos_dx', 'observation': 'small'}, 'thinned': {'clinical finding': 'thinned', 'existence': 'pos_dx', 'observation': 'thin'}}clinical findings_fin: {'scattered renal cortical cysts': {'clinical finding': 'scattered renal cortical cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'scattered renal cortical', 'observation': 'cyst'}}clinical findings_fin: {'small retroperitoneal lymph nodes': {'clinical finding': 'small retroperitoneal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small retroperitoneal lymph', 'observation': 'node', 'strength_term': 'small'}}anatomical entity_fin: {'abdominal aorta': {}}clinical findings_fin: {'mild, scattered atherosclerotic calcification': {'clinical finding': 'mild, scattered atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'mild scattered atherosclerotic', 'observation': 'calcification', 'strength_term': 'mild'}, 'abdominal aorta': {'clinical finding': 'abdominal aorta', 'existence': 'pos_dx', 'descriptive_term': 'abdominal', 'observation': 'aorta'}}anatomical entity_fin: {'upper abdomen': {}}clinical findings_fin: {'subtle omental stranding': {'clinical finding': 'subtle omental stranding', 'existence': 'pos_dx', 'descriptive_term': 'subtle omental', 'observation': 'strand', 'strength_term': 'subtle'}, 'nodularity': {'clinical finding': 'nodularity', 'existence': 'pos_dx', 'observation': 'nodularity'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'small bowel appears': {'clinical finding': 'small bowel appears'}}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: {'appendix': {}}clinical findings_fin: {'appendix appears normal': {'clinical finding': 'appendix appears normal'}}anatomical entity_fin: {'spine': {}}location descriptor_fin: ['lower']clinical findings_fin: {'mild degenerative change': {'clinical finding': 'mild degenerative change', 'existence': 'pos_dx', 'descriptive_term': 'mild degenerative', 'observation': 'change', 'strength_term': 'mild'}}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'}}anatomical entity_fin: {'bladder': {}}clinical findings_fin: {'bladder appears normal': {'clinical finding': 'bladder appears normal'}}clinical findings_fin: {'significant lymphadenopathy': {'clinical finding': 'significant lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'pelvic free fluid': {'clinical finding': 'pelvic free fluid', 'existence': 'pos_dx', 'descriptive_term': 'pelvic free', 'observation': 'fluid'}}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] . There is a 9 x 9 mm nodule in the left upper lobe. Additional scattered micronodules are noted bilaterally. Mild lung base scarring is noted. The heart and pericardium appear normal. There is minimal coronary artery calcification. There is no significant mediastinal or hilar lymphadenopathy. No significant abnormality noted. Subcentimeter arterially enhancing lesions in the dome of the liver are isoattenuating to liver on venous and delayed phase images favor benign etiology such as hemangiomas. No suspicious hepatic lesions are identified. The gallbladder is decompressed. Approximately 1 cm hypoattenuating lesion in the spleen gradually becomes isoattenuating to normal splenic parenchyma on the delayed phase images and likely represents a hemangioma. There is a 52 x 24-mm masslike area of hypoattenuation and hypoenhancement in the pancreatic head. Additionally, there is dilation of the entire pancreatic duct to approximately 9 mm in the body of the pancreas. This tumor encases and narrows the hepatic artery near its origin. The tumor also abuts the splenic and superior mesenteric veins at the confluence and the anterior aspect of the proximal portal vein , however these vessels are not encased or attenuated. The adrenal glands are normal. The right kidney is small and the renal cortex is thinned. There are scattered renal cortical cysts. There are small retroperitoneal lymph nodes. There is mild, scattered atherosclerotic calcification of the abdominal aorta and its branches. There is subtle omental stranding and nodularity seen in the upper abdomen. The small bowel appears normal. There is colonic diverticulosis without evidence of diverticulitis. The appendix appears normal. There is mild degenerative change in the lower lumbar spine. No significant abnormality noted. No significant abnormality noted. The bladder appears normal. No significant lymphadenopathy noted. There is a small amount of pelvic free fluid. No significant abnormality noted. No significant abnormality noted. </s>