. Partially solid right apical lesion is difficult to reproducibly measure, but measure slightly smaller at 20 mm , previously 24 mm. There is however increasing solid component. Partially solid nodule in the superior segment of the left lower lobe is difficult to reproducibly measure and distinct from adjacent scarring or atelectasis. Using similar technique a solid component measures 19 x 11 mm , previously 18 x 12 mm. Right upper lobe septated cystic lesion measures 15 mm , previously 17 mm. Spiculated right middle lobe solid nodule adjacent to the major fissure measures 6 x 3 mm , compared to 7 x 5 mm previously. Right lower lobe surgical staples again noted. No pleural effusion or pneumothorax. New 19 x 14 mm ground glass opacity in the right lower lobe. Scattered pulmonary micronodules are unchanged. No new suspicious pulmonary nodules or masses are identified. Cardiac size within normal limits without significant pericardial effusion. Aorta and great vessels are normal in caliber. Irregular calcification is noted. Mildly enlarged right hilar lymph node measuring 9 mm. Mild. No lymphadenopathy. Absence of enteric contrast material limits sensitivity for abdominal pathology. Stable appearance of right hepatic lobe hemangiomas. Cholelithiasis without evidence of cholecystitis. No significant abnormality noted. Diffuse nodular thickening of the left adrenal gland. Scattered low-attenuation foci in both kidneys too small to accurately characterize but likely represent simple cysts. No significant abnormality noted. No significant abnormality noted. Absence of enteric contrast material limits sensitivity for GI pathology. Bilateral Bochdalek hernias. Mild degenerative changes of the thoracolumbar spine. Atherosclerotic calcifications of the aorta and major branches.
size_fin: [{'size': '20 mm'}, {'size': '24 mm'}]imaging observation_fin: ['apical']location descriptor_fin: ['right']clinical findings_fin: {'partially solid right apical lesion': {'clinical finding': 'partially solid right apical lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'partially solid right apical', 'observation': 'lesion', 'strength_term': 'partially'}}clinical findings_fin: {'is however increasing': {'clinical finding': 'is however increasing', 'change_term': 'increasing'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['superior', 'left', 'lower', 'adjacent']clinical findings_fin: {'partially solid nodule': {'clinical finding': 'partially solid nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'partially solid', 'observation': 'nodule', 'strength_term': 'partially'}, 'adjacent scarring': {'clinical finding': 'adjacent scarring', 'existence': 'unc_dx', 'descriptive_term': 'adjacent', 'observation': 'scarr'}, 'atelectasis': {'clinical finding': 'atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'unc_dx', 'observation': 'atelectasis'}}size_fin: [{'size': '19 x 11 mm'}, {'size': '18 x 12 mm'}]clinical findings_fin: {'using similar technique a solid component measures': {'clinical finding': 'using similar technique a solid component measures'}}size_fin: [{'size': '15 mm'}, {'size': '17 mm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right upper'}}location descriptor_fin: ['right', 'upper']clinical findings_fin: {'right upper lobe septated cystic lesion': {'clinical finding': 'right upper lobe septated cystic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'right upper lobe septated cystic', 'observation': 'lesion'}}size_fin: [{'size': '6 x 3 mm'}, {'size': '7 x 5 mm'}]anatomical entity_fin: {'middle': {'location descriptor': 'right'}, 'lobe': {}}location descriptor_fin: ['right', 'adjacent']clinical findings_fin: {'spiculated right middle lobe solid nodule': {'clinical finding': 'spiculated right middle lobe solid nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'spiculated right middle lobe solid', 'observation': 'nodule'}, 'major fissure': {'clinical finding': 'major fissure', 'cf_snomed': {'fissure': 47393002}, 'existence': 'pos_dx', 'descriptive_term': 'major', 'observation': 'fissure'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'lower lobe surgical staples': {'clinical finding': 'lower lobe surgical staples', 'existence': 'pos_dx', 'descriptive_term': 'lower lobe surgical', 'observation': 'staple'}}clinical findings_fin: {'pleural effusion': {'clinical finding': 'pleural effusion', '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'}}size_fin: [{'size': '19 x 14 mm', 'size_descriptor': 'opacity'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'new 19 x 14 mm ground glass opacity': {'clinical finding': 'new 19 x 14 mm ground glass opacity', 'cf_snomed': {'ground glass opacity': 1217294009}, 'existence': 'pos_dx', 'descriptive_term': 'new 19 x 14 mm ground glass', 'observation': 'opacity', 'temporal_term': 'new'}}clinical findings_fin: {'scattered pulmonary micronodules': {'clinical finding': 'scattered pulmonary micronodules', 'existence': 'pos_dx', 'descriptive_term': 'scattered pulmonary', 'observation': 'micronodule'}}clinical findings_fin: {'new suspicious pulmonary nodules': {'clinical finding': 'new suspicious pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'new suspicious pulmonary', 'observation': 'nodule', 'temporal_term': 'new'}, 'masses': {'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass'}}clinical findings_fin: {'significant pericardial effusion': {'clinical finding': 'significant pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'pos_dx', 'descriptive_term': 'significant pericardial', 'observation': 'effusion'}}anatomical entity_fin: {'aorta': {}}clinical findings_fin: {'aorta and great vessels are normal in caliber': {'clinical finding': 'aorta and great vessels are normal in caliber'}}clinical findings_fin: {'irregular calcification': {'clinical finding': 'irregular calcification', 'existence': 'pos_dx', 'descriptive_term': 'irregular', 'observation': 'calcification'}}size_fin: [{'size': '9 mm', 'size_descriptor': 'node'}]location descriptor_fin: ['right']clinical findings_fin: {'mildly enlarged right hilar lymph node': {'clinical finding': 'mildly enlarged right hilar lymph node', 'existence': 'pos_dx', 'descriptive_term': 'mildly enlarged right hilar lymph', 'observation': 'node', 'strength_term': 'mildly - enlarged', 'change_term': 'enlarged'}}clinical findings_fin: {'lymphadenopathy': {'clinical finding': 'lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}anatomical entity_fin: {'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'right hepatic lobe hemangiomas': {'clinical finding': 'right hepatic lobe hemangiomas', 'existence': 'pos_dx', 'descriptive_term': 'right hepatic lobe', 'observation': 'hemangiomas'}}clinical findings_fin: {'cholelithiasis': {'clinical finding': 'cholelithiasis', 'existence': 'pos_dx', 'observation': 'cholelithiasis'}, 'cholecystitis': {'clinical finding': 'cholecystitis', 'cf_snomed': {'cholecystitis': 76581006}, 'existence': 'neg_dx', 'observation': 'cholecystitis'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'left adrenal gland': {}}clinical findings_fin: {'nodular thickening': {'clinical finding': 'nodular thickening', 'existence': 'pos_dx', 'descriptive_term': 'nodular', 'observation': 'thickening'}}anatomical entity_fin: {'kidneys': {}}imaging observation_fin: ['foci']clinical findings_fin: {'scattered low-attenuation foci': {'clinical finding': 'scattered low-attenuation foci', 'existence': 'pos_dx', 'descriptive_term': 'scattered low-attenuation', 'observation': 'foci'}, 'simple cysts': {'clinical finding': 'simple cysts', 'cf_snomed': {'simple cyst': 367644007}, 'existence': 'pos_dx', 'descriptive_term': 'simple', 'observation': 'cyst'}}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: {'gi': {'clinical finding': 'gi', 'existence': 'unc_dx', 'observation': 'gi'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral bochdalek hernias': {'clinical finding': 'bilateral bochdalek hernias', 'existence': 'pos_dx', 'descriptive_term': 'bilateral bochdalek', 'observation': 'hernias'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'mild degenerative changes': {'clinical finding': 'mild degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'mild degenerative', 'observation': 'change', 'strength_term': 'mild'}}anatomical entity_fin: {'aorta': {}}clinical findings_fin: {'atherosclerotic calcifications': {'clinical finding': 'atherosclerotic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'}}
<s>[INST] Write the finding section for a radiology report based on the following information: size_fin: [{'size': '20 mm'}, {'size': '24 mm'}]imaging observation_fin: ['apical']location descriptor_fin: ['right']clinical findings_fin: {'partially solid right apical lesion': {'clinical finding': 'partially solid right apical lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'partially solid right apical', 'observation': 'lesion', 'strength_term': 'partially'}}clinical findings_fin: {'is however increasing': {'clinical finding': 'is however increasing', 'change_term': 'increasing'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['superior', 'left', 'lower', 'adjacent']clinical findings_fin: {'partially solid nodule': {'clinical finding': 'partially solid nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'partially solid', 'observation': 'nodule', 'strength_term': 'partially'}, 'adjacent scarring': {'clinical finding': 'adjacent scarring', 'existence': 'unc_dx', 'descriptive_term': 'adjacent', 'observation': 'scarr'}, 'atelectasis': {'clinical finding': 'atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'unc_dx', 'observation': 'atelectasis'}}size_fin: [{'size': '19 x 11 mm'}, {'size': '18 x 12 mm'}]clinical findings_fin: {'using similar technique a solid component measures': {'clinical finding': 'using similar technique a solid component measures'}}size_fin: [{'size': '15 mm'}, {'size': '17 mm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right upper'}}location descriptor_fin: ['right', 'upper']clinical findings_fin: {'right upper lobe septated cystic lesion': {'clinical finding': 'right upper lobe septated cystic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'right upper lobe septated cystic', 'observation': 'lesion'}}size_fin: [{'size': '6 x 3 mm'}, {'size': '7 x 5 mm'}]anatomical entity_fin: {'middle': {'location descriptor': 'right'}, 'lobe': {}}location descriptor_fin: ['right', 'adjacent']clinical findings_fin: {'spiculated right middle lobe solid nodule': {'clinical finding': 'spiculated right middle lobe solid nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'spiculated right middle lobe solid', 'observation': 'nodule'}, 'major fissure': {'clinical finding': 'major fissure', 'cf_snomed': {'fissure': 47393002}, 'existence': 'pos_dx', 'descriptive_term': 'major', 'observation': 'fissure'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'lower lobe surgical staples': {'clinical finding': 'lower lobe surgical staples', 'existence': 'pos_dx', 'descriptive_term': 'lower lobe surgical', 'observation': 'staple'}}clinical findings_fin: {'pleural effusion': {'clinical finding': 'pleural effusion', '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'}}size_fin: [{'size': '19 x 14 mm', 'size_descriptor': 'opacity'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'new 19 x 14 mm ground glass opacity': {'clinical finding': 'new 19 x 14 mm ground glass opacity', 'cf_snomed': {'ground glass opacity': 1217294009}, 'existence': 'pos_dx', 'descriptive_term': 'new 19 x 14 mm ground glass', 'observation': 'opacity', 'temporal_term': 'new'}}clinical findings_fin: {'scattered pulmonary micronodules': {'clinical finding': 'scattered pulmonary micronodules', 'existence': 'pos_dx', 'descriptive_term': 'scattered pulmonary', 'observation': 'micronodule'}}clinical findings_fin: {'new suspicious pulmonary nodules': {'clinical finding': 'new suspicious pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'new suspicious pulmonary', 'observation': 'nodule', 'temporal_term': 'new'}, 'masses': {'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass'}}clinical findings_fin: {'significant pericardial effusion': {'clinical finding': 'significant pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'pos_dx', 'descriptive_term': 'significant pericardial', 'observation': 'effusion'}}anatomical entity_fin: {'aorta': {}}clinical findings_fin: {'aorta and great vessels are normal in caliber': {'clinical finding': 'aorta and great vessels are normal in caliber'}}clinical findings_fin: {'irregular calcification': {'clinical finding': 'irregular calcification', 'existence': 'pos_dx', 'descriptive_term': 'irregular', 'observation': 'calcification'}}size_fin: [{'size': '9 mm', 'size_descriptor': 'node'}]location descriptor_fin: ['right']clinical findings_fin: {'mildly enlarged right hilar lymph node': {'clinical finding': 'mildly enlarged right hilar lymph node', 'existence': 'pos_dx', 'descriptive_term': 'mildly enlarged right hilar lymph', 'observation': 'node', 'strength_term': 'mildly - enlarged', 'change_term': 'enlarged'}}clinical findings_fin: {'lymphadenopathy': {'clinical finding': 'lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}anatomical entity_fin: {'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'right hepatic lobe hemangiomas': {'clinical finding': 'right hepatic lobe hemangiomas', 'existence': 'pos_dx', 'descriptive_term': 'right hepatic lobe', 'observation': 'hemangiomas'}}clinical findings_fin: {'cholelithiasis': {'clinical finding': 'cholelithiasis', 'existence': 'pos_dx', 'observation': 'cholelithiasis'}, 'cholecystitis': {'clinical finding': 'cholecystitis', 'cf_snomed': {'cholecystitis': 76581006}, 'existence': 'neg_dx', 'observation': 'cholecystitis'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'left adrenal gland': {}}clinical findings_fin: {'nodular thickening': {'clinical finding': 'nodular thickening', 'existence': 'pos_dx', 'descriptive_term': 'nodular', 'observation': 'thickening'}}anatomical entity_fin: {'kidneys': {}}imaging observation_fin: ['foci']clinical findings_fin: {'scattered low-attenuation foci': {'clinical finding': 'scattered low-attenuation foci', 'existence': 'pos_dx', 'descriptive_term': 'scattered low-attenuation', 'observation': 'foci'}, 'simple cysts': {'clinical finding': 'simple cysts', 'cf_snomed': {'simple cyst': 367644007}, 'existence': 'pos_dx', 'descriptive_term': 'simple', 'observation': 'cyst'}}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: {'gi': {'clinical finding': 'gi', 'existence': 'unc_dx', 'observation': 'gi'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral bochdalek hernias': {'clinical finding': 'bilateral bochdalek hernias', 'existence': 'pos_dx', 'descriptive_term': 'bilateral bochdalek', 'observation': 'hernias'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'mild degenerative changes': {'clinical finding': 'mild degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'mild degenerative', 'observation': 'change', 'strength_term': 'mild'}}anatomical entity_fin: {'aorta': {}}clinical findings_fin: {'atherosclerotic calcifications': {'clinical finding': 'atherosclerotic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'}} [/INST] . Partially solid right apical lesion is difficult to reproducibly measure, but measure slightly smaller at 20 mm , previously 24 mm. There is however increasing solid component. Partially solid nodule in the superior segment of the left lower lobe is difficult to reproducibly measure and distinct from adjacent scarring or atelectasis. Using similar technique a solid component measures 19 x 11 mm , previously 18 x 12 mm. Right upper lobe septated cystic lesion measures 15 mm , previously 17 mm. Spiculated right middle lobe solid nodule adjacent to the major fissure measures 6 x 3 mm , compared to 7 x 5 mm previously. Right lower lobe surgical staples again noted. No pleural effusion or pneumothorax. New 19 x 14 mm ground glass opacity in the right lower lobe. Scattered pulmonary micronodules are unchanged. No new suspicious pulmonary nodules or masses are identified. Cardiac size within normal limits without significant pericardial effusion. Aorta and great vessels are normal in caliber. Irregular calcification is noted. Mildly enlarged right hilar lymph node measuring 9 mm. Mild. No lymphadenopathy. Absence of enteric contrast material limits sensitivity for abdominal pathology. Stable appearance of right hepatic lobe hemangiomas. Cholelithiasis without evidence of cholecystitis. No significant abnormality noted. Diffuse nodular thickening of the left adrenal gland. Scattered low-attenuation foci in both kidneys too small to accurately characterize but likely represent simple cysts. No significant abnormality noted. No significant abnormality noted. Absence of enteric contrast material limits sensitivity for GI pathology. Bilateral Bochdalek hernias. Mild degenerative changes of the thoracolumbar spine. Atherosclerotic calcifications of the aorta and major branches. </s>