. Again seen are multifocal bilateral lung nodules and masses. The majority of the nodules have decreased in size. Index lesion in the left lower lobe measures 0.7 x 0.6 cm , previously 0.8 x 0.6 cm. Note that a nonindex mass adjacent to this index lesion in the left lower lobe is markedly decreased in size compared to prior. Cardiac size is within normal limits without pericardial effusion. No pathologically enlarged mediastinal or hilar lymph nodes. None. No axillary lymphadenopathy. Status post cholecystectomy. No liver lesions are seen. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Mild. No significant abnormality noted. Multilevel degenerative changes affect the thoracolumbar spine. There is grade 1 anterolisthesis of L4 and L5. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Index right inguinal lymph node currently measures 1.7 x 0.9 cm , previously 1.9 x 1.1 cm. Status post appendectomy. The previous identified soft tissue density lesion in the subcutaneous tissues of the anterior right abdominal wall currently measure 0.6 x 0.4 cm , previously 0.7 x 0.6 cm. There is a small umbilical hernia containing fat. Previously seen right perineal lesion appears less convex compared to prior examination and measures 3.2 x 1.6 cm , previously 3.3 x 1.8 cm.
anatomical entity_fin: {'lung': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'multifocal bilateral lung nodules': {'clinical finding': 'multifocal bilateral lung nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'multifocal bilateral lung', 'observation': 'nodule'}, 'masses': {'clinical finding': 'masses', 'existence': 'pos_dx', 'observation': 'mass'}}clinical findings_fin: {'nodules': {'clinical finding': 'nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'observation': 'nodule'}}size_fin: [{'size': '0.7 x 0.6 cm'}, {'size': '0.8 x 0.6 cm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'index lesion': {'clinical finding': 'index lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'index', 'observation': 'lesion'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['adjacent', 'left', 'lower']clinical findings_fin: {'nonindex mass': {'clinical finding': 'nonindex mass', 'existence': 'pos_dx', 'descriptive_term': 'nonindex', 'observation': 'mass'}, 'this index lesion': {'clinical finding': 'this index lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'this index', 'observation': 'lesion'}, 'decreased': {'clinical finding': 'decreased', 'existence': 'pos_dx', 'observation': 'decrease'}}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: {'pathologically enlarged mediastinal or hilar lymph nodes': {'clinical finding': 'pathologically enlarged mediastinal or hilar lymph nodes', 'existence': 'neg_dx', 'descriptive_term': 'pathologically enlarged mediastinal or hilar lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'}}clinical findings_fin: {'axillary lymphadenopathy': {'clinical finding': 'axillary lymphadenopathy', 'cf_snomed': {'axillary lymphadenopathy': 127189005}, 'existence': 'neg_dx', 'descriptive_term': 'axillary', 'observation': 'lymphadenopathy'}}procedure_fin: ['cholecystectomy']anatomical entity_fin: {'liver': {}}clinical findings_fin: {'liver lesions': {'clinical finding': 'liver lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'liver', 'observation': 'lesion'}}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: {'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: {'spine': {}}clinical findings_fin: {'multilevel degenerative changes': {'clinical finding': 'multilevel degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'multilevel degenerative', 'observation': 'change'}}clinical findings_fin: {'grade 1 anterolisthesis': {'clinical finding': 'grade 1 anterolisthesis', 'existence': 'pos_dx', 'descriptive_term': 'grade 1', 'observation': 'anterolisthesis'}}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': '1.7 x 0.9 cm'}, {'size': '1.9 x 1.1 cm'}]anatomical entity_fin: {'inguinal lymph node': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'index right inguinal lymph node': {'clinical finding': 'index right inguinal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'index right inguinal lymph', 'observation': 'node'}}procedure_fin: ['appendectomy']size_fin: [{'size': '0.6 x 0.4 cm'}, {'size': '0.7 x 0.6 cm'}]anatomical entity_fin: {'abdominal': {'location descriptor': 'anterior right'}, 'wall': {}}imaging observation_fin: ['soft tissue density']location descriptor_fin: ['anterior', 'right']clinical findings_fin: {'previous identified soft tissue density lesion': {'clinical finding': 'previous identified soft tissue density lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'previous identified soft tissue density', 'observation': 'lesion', 'temporal_term': 'previous'}}imaging observation_fin: ['fat']clinical findings_fin: {'small umbilical hernia': {'clinical finding': 'small umbilical hernia', 'cf_snomed': {'umbilical hernia': 396347007}, 'existence': 'pos_dx', 'descriptive_term': 'small umbilical', 'observation': 'hernia', 'strength_term': 'small'}}size_fin: [{'size': '3.2 x 1.6 cm'}, {'size': '3.3 x 1.8 cm'}]location descriptor_fin: ['right']clinical findings_fin: {'previously seen right perineal lesion': {'clinical finding': 'previously seen right perineal lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'previously seen right perineal', 'observation': 'lesion'}}
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'lung': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'multifocal bilateral lung nodules': {'clinical finding': 'multifocal bilateral lung nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'multifocal bilateral lung', 'observation': 'nodule'}, 'masses': {'clinical finding': 'masses', 'existence': 'pos_dx', 'observation': 'mass'}}clinical findings_fin: {'nodules': {'clinical finding': 'nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'observation': 'nodule'}}size_fin: [{'size': '0.7 x 0.6 cm'}, {'size': '0.8 x 0.6 cm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'index lesion': {'clinical finding': 'index lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'index', 'observation': 'lesion'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['adjacent', 'left', 'lower']clinical findings_fin: {'nonindex mass': {'clinical finding': 'nonindex mass', 'existence': 'pos_dx', 'descriptive_term': 'nonindex', 'observation': 'mass'}, 'this index lesion': {'clinical finding': 'this index lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'this index', 'observation': 'lesion'}, 'decreased': {'clinical finding': 'decreased', 'existence': 'pos_dx', 'observation': 'decrease'}}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: {'pathologically enlarged mediastinal or hilar lymph nodes': {'clinical finding': 'pathologically enlarged mediastinal or hilar lymph nodes', 'existence': 'neg_dx', 'descriptive_term': 'pathologically enlarged mediastinal or hilar lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'}}clinical findings_fin: {'axillary lymphadenopathy': {'clinical finding': 'axillary lymphadenopathy', 'cf_snomed': {'axillary lymphadenopathy': 127189005}, 'existence': 'neg_dx', 'descriptive_term': 'axillary', 'observation': 'lymphadenopathy'}}procedure_fin: ['cholecystectomy']anatomical entity_fin: {'liver': {}}clinical findings_fin: {'liver lesions': {'clinical finding': 'liver lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'liver', 'observation': 'lesion'}}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: {'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: {'spine': {}}clinical findings_fin: {'multilevel degenerative changes': {'clinical finding': 'multilevel degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'multilevel degenerative', 'observation': 'change'}}clinical findings_fin: {'grade 1 anterolisthesis': {'clinical finding': 'grade 1 anterolisthesis', 'existence': 'pos_dx', 'descriptive_term': 'grade 1', 'observation': 'anterolisthesis'}}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': '1.7 x 0.9 cm'}, {'size': '1.9 x 1.1 cm'}]anatomical entity_fin: {'inguinal lymph node': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'index right inguinal lymph node': {'clinical finding': 'index right inguinal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'index right inguinal lymph', 'observation': 'node'}}procedure_fin: ['appendectomy']size_fin: [{'size': '0.6 x 0.4 cm'}, {'size': '0.7 x 0.6 cm'}]anatomical entity_fin: {'abdominal': {'location descriptor': 'anterior right'}, 'wall': {}}imaging observation_fin: ['soft tissue density']location descriptor_fin: ['anterior', 'right']clinical findings_fin: {'previous identified soft tissue density lesion': {'clinical finding': 'previous identified soft tissue density lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'previous identified soft tissue density', 'observation': 'lesion', 'temporal_term': 'previous'}}imaging observation_fin: ['fat']clinical findings_fin: {'small umbilical hernia': {'clinical finding': 'small umbilical hernia', 'cf_snomed': {'umbilical hernia': 396347007}, 'existence': 'pos_dx', 'descriptive_term': 'small umbilical', 'observation': 'hernia', 'strength_term': 'small'}}size_fin: [{'size': '3.2 x 1.6 cm'}, {'size': '3.3 x 1.8 cm'}]location descriptor_fin: ['right']clinical findings_fin: {'previously seen right perineal lesion': {'clinical finding': 'previously seen right perineal lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'previously seen right perineal', 'observation': 'lesion'}} [/INST] . Again seen are multifocal bilateral lung nodules and masses. The majority of the nodules have decreased in size. Index lesion in the left lower lobe measures 0.7 x 0.6 cm , previously 0.8 x 0.6 cm. Note that a nonindex mass adjacent to this index lesion in the left lower lobe is markedly decreased in size compared to prior. Cardiac size is within normal limits without pericardial effusion. No pathologically enlarged mediastinal or hilar lymph nodes. None. No axillary lymphadenopathy. Status post cholecystectomy. No liver lesions are seen. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Mild. No significant abnormality noted. Multilevel degenerative changes affect the thoracolumbar spine. There is grade 1 anterolisthesis of L4 and L5. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Index right inguinal lymph node currently measures 1.7 x 0.9 cm , previously 1.9 x 1.1 cm. Status post appendectomy. The previous identified soft tissue density lesion in the subcutaneous tissues of the anterior right abdominal wall currently measure 0.6 x 0.4 cm , previously 0.7 x 0.6 cm. There is a small umbilical hernia containing fat. Previously seen right perineal lesion appears less convex compared to prior examination and measures 3.2 x 1.6 cm , previously 3.3 x 1.8 cm. </s>