. Poorly defined groundglass opacity in the right middle lobe is unchanged. Intrapulmonary lymph nodes in the right major fissure also appear similar to prior. Enlarged superior prevascular and partially imaged supraclavicular lymph nodes are not significantly changed. Slight interval enlargement of right cardiophrenic lymph nodes. The heart size is within normal limits, no significant pericardial effusion. Soft tissue density in the anterior mediastinum likely represents thymic hyperplasia. None. No significant abnormality noted. Scattered hypoattenuating hepatic lesions, which have increased when compared to prior outside study. A lesion in the periphery of the left hepatic lobe measures 19 x 16 mm , previously 14 x 10 mm. Surgically absent. Status post distal pancreatectomy. No pancreatic ductal dilatation. No definite pancreatic lesion is identified. No significant abnormality noted. No significant abnormality noted. Left pararenal metastasis, measuring 31 x 28 mm , previously 26 x 23 mm. IVC filter which terminates at the level of the renal veins. None. Multiple mesenteric metastatic implants for reference, a nodule in the left paracolic gutter measures 10 x 7 mm , not definitely visualized on previous study. The bowel is of normal caliber, without evidence of obstruction. Large amount of stool seen within the rectum. Postoperative changes related to previous bowel obstruction seen within the pelvis. No significant abnormality noted. No significant abnormality noted. Surgically absent. Surgically absent. Enlarged right inguinal lymph node measuring 21 x 19 mm , previously 15 x 15 mm. Status post apparent pelvic lymph node dissection. As above. No significant abnormality noted. No significant abnormality noted.
anatomical entity_fin: {'middle': {'location descriptor': 'right'}, 'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'poorly defined groundglass opacity': {'clinical finding': 'poorly defined groundglass opacity', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'poorly defined groundglass', 'observation': 'opacity'}}anatomical entity_fin: {'right major fissure': {}}clinical findings_fin: {'intrapulmonary lymph nodes': {'clinical finding': 'intrapulmonary lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'intrapulmonary lymph', 'observation': 'node'}}anatomical entity_fin: {'supraclavicular lymph nodes': {}}location descriptor_fin: ['superior']clinical findings_fin: {'enlarged superior prevascular and partially imaged supraclavicular lymph nodes': {'clinical finding': 'enlarged superior prevascular and partially imaged supraclavicular lymph nodes', 'existence': 'neg_dx', 'descriptive_term': 'enlarged superior prevascular and partially imaged supraclavicular lymph', 'observation': 'node', 'strength_term': 'enlarged - superior - partially', 'change_term': 'enlarged'}}location descriptor_fin: ['right']clinical findings_fin: {'right cardiophrenic lymph nodes': {'clinical finding': 'right cardiophrenic lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'right cardiophrenic lymph', 'observation': 'node'}}anatomical entity_fin: {'heart': {}}clinical findings_fin: {'significant pericardial effusion': {'clinical finding': 'significant pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'significant pericardial', 'observation': 'effusion'}}anatomical entity_fin: {'anterior mediastinum': {}}imaging observation_fin: ['soft tissue density']clinical findings_fin: {'soft tissue density': {'clinical finding': 'soft tissue density', 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'density'}, 'thymic hyperplasia': {'clinical finding': 'thymic hyperplasia', 'cf_snomed': {'hyperplasia': 76197007}, 'existence': 'pos_dx', 'descriptive_term': 'thymic', 'observation': 'hyperplasia'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'hypoattenuating hepatic lesions': {'clinical finding': 'hypoattenuating hepatic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'hypoattenuating hepatic', 'observation': 'lesion'}}size_fin: [{'size': '19 x 16 mm'}, {'size': '14 x 10 mm'}]anatomical entity_fin: {'lobe': {}}location descriptor_fin: ['left']clinical findings_fin: {'lesion': {'clinical finding': 'lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'observation': 'lesion'}}location descriptor_fin: ['distal']procedure_fin: ['pancreatectomy']clinical findings_fin: {'definite pancreatic lesion': {'clinical finding': 'definite pancreatic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'definite pancreatic', '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'}}size_fin: [{'size': '31 x 28 mm'}, {'size': '26 x 23 mm'}]location descriptor_fin: ['left']clinical findings_fin: {'left pararenal metastasis': {'clinical finding': 'left pararenal metastasis', 'existence': 'pos_dx', 'descriptive_term': 'left pararenal', 'observation': 'metastasis'}}anatomical entity_fin: {'renal veins': {}}object_fin: ['filter']size_fin: [{'size': '10 x 7 mm'}]anatomical entity_fin: {'paracolic gutter': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'multiple mesenteric metastatic implants': {'clinical finding': 'multiple mesenteric metastatic implants', 'existence': 'pos_dx', 'descriptive_term': 'multiple mesenteric metastatic', 'observation': 'implant', 'quantity_term': 'multiple'}, 'nodule': {'clinical finding': 'nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'observation': 'nodule'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'observation': 'obstruction'}}anatomical entity_fin: {'rectum': {}}clinical findings_fin: {'large amount of stool seen within the rectum': {'clinical finding': 'large amount of stool seen within the rectum'}}anatomical entity_fin: {'bowel': {}, 'pelvis': {}}clinical findings_fin: {'postoperative changes': {'clinical finding': 'postoperative changes', 'existence': 'pos_dx', 'descriptive_term': 'postoperative', 'observation': 'change'}, 'previous bowel obstruction': {'clinical finding': 'previous bowel obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'pos_dx', 'descriptive_term': 'previous bowel', 'observation': 'obstruction', 'temporal_term': 'previous'}}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': '21 x 19 mm'}, {'size': '15 x 15 mm'}]anatomical entity_fin: {'inguinal lymph node': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'enlarged right inguinal lymph node': {'clinical finding': 'enlarged right inguinal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'enlarged right inguinal lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'}}procedure_fin: ['lymph node dissection']clinical findings_fin: {'apparent pelvic lymph node dissection': {'clinical finding': 'apparent pelvic lymph node dissection', 'existence': 'pos_dx', 'descriptive_term': 'apparent pelvic lymph node', 'observation': 'dissection'}}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: anatomical entity_fin: {'middle': {'location descriptor': 'right'}, 'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'poorly defined groundglass opacity': {'clinical finding': 'poorly defined groundglass opacity', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'poorly defined groundglass', 'observation': 'opacity'}}anatomical entity_fin: {'right major fissure': {}}clinical findings_fin: {'intrapulmonary lymph nodes': {'clinical finding': 'intrapulmonary lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'intrapulmonary lymph', 'observation': 'node'}}anatomical entity_fin: {'supraclavicular lymph nodes': {}}location descriptor_fin: ['superior']clinical findings_fin: {'enlarged superior prevascular and partially imaged supraclavicular lymph nodes': {'clinical finding': 'enlarged superior prevascular and partially imaged supraclavicular lymph nodes', 'existence': 'neg_dx', 'descriptive_term': 'enlarged superior prevascular and partially imaged supraclavicular lymph', 'observation': 'node', 'strength_term': 'enlarged - superior - partially', 'change_term': 'enlarged'}}location descriptor_fin: ['right']clinical findings_fin: {'right cardiophrenic lymph nodes': {'clinical finding': 'right cardiophrenic lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'right cardiophrenic lymph', 'observation': 'node'}}anatomical entity_fin: {'heart': {}}clinical findings_fin: {'significant pericardial effusion': {'clinical finding': 'significant pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'significant pericardial', 'observation': 'effusion'}}anatomical entity_fin: {'anterior mediastinum': {}}imaging observation_fin: ['soft tissue density']clinical findings_fin: {'soft tissue density': {'clinical finding': 'soft tissue density', 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'density'}, 'thymic hyperplasia': {'clinical finding': 'thymic hyperplasia', 'cf_snomed': {'hyperplasia': 76197007}, 'existence': 'pos_dx', 'descriptive_term': 'thymic', 'observation': 'hyperplasia'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'hypoattenuating hepatic lesions': {'clinical finding': 'hypoattenuating hepatic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'hypoattenuating hepatic', 'observation': 'lesion'}}size_fin: [{'size': '19 x 16 mm'}, {'size': '14 x 10 mm'}]anatomical entity_fin: {'lobe': {}}location descriptor_fin: ['left']clinical findings_fin: {'lesion': {'clinical finding': 'lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'observation': 'lesion'}}location descriptor_fin: ['distal']procedure_fin: ['pancreatectomy']clinical findings_fin: {'definite pancreatic lesion': {'clinical finding': 'definite pancreatic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'definite pancreatic', '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'}}size_fin: [{'size': '31 x 28 mm'}, {'size': '26 x 23 mm'}]location descriptor_fin: ['left']clinical findings_fin: {'left pararenal metastasis': {'clinical finding': 'left pararenal metastasis', 'existence': 'pos_dx', 'descriptive_term': 'left pararenal', 'observation': 'metastasis'}}anatomical entity_fin: {'renal veins': {}}object_fin: ['filter']size_fin: [{'size': '10 x 7 mm'}]anatomical entity_fin: {'paracolic gutter': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'multiple mesenteric metastatic implants': {'clinical finding': 'multiple mesenteric metastatic implants', 'existence': 'pos_dx', 'descriptive_term': 'multiple mesenteric metastatic', 'observation': 'implant', 'quantity_term': 'multiple'}, 'nodule': {'clinical finding': 'nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'observation': 'nodule'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'observation': 'obstruction'}}anatomical entity_fin: {'rectum': {}}clinical findings_fin: {'large amount of stool seen within the rectum': {'clinical finding': 'large amount of stool seen within the rectum'}}anatomical entity_fin: {'bowel': {}, 'pelvis': {}}clinical findings_fin: {'postoperative changes': {'clinical finding': 'postoperative changes', 'existence': 'pos_dx', 'descriptive_term': 'postoperative', 'observation': 'change'}, 'previous bowel obstruction': {'clinical finding': 'previous bowel obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'pos_dx', 'descriptive_term': 'previous bowel', 'observation': 'obstruction', 'temporal_term': 'previous'}}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': '21 x 19 mm'}, {'size': '15 x 15 mm'}]anatomical entity_fin: {'inguinal lymph node': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'enlarged right inguinal lymph node': {'clinical finding': 'enlarged right inguinal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'enlarged right inguinal lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'}}procedure_fin: ['lymph node dissection']clinical findings_fin: {'apparent pelvic lymph node dissection': {'clinical finding': 'apparent pelvic lymph node dissection', 'existence': 'pos_dx', 'descriptive_term': 'apparent pelvic lymph node', 'observation': 'dissection'}}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] . Poorly defined groundglass opacity in the right middle lobe is unchanged. Intrapulmonary lymph nodes in the right major fissure also appear similar to prior. Enlarged superior prevascular and partially imaged supraclavicular lymph nodes are not significantly changed. Slight interval enlargement of right cardiophrenic lymph nodes. The heart size is within normal limits, no significant pericardial effusion. Soft tissue density in the anterior mediastinum likely represents thymic hyperplasia. None. No significant abnormality noted. Scattered hypoattenuating hepatic lesions, which have increased when compared to prior outside study. A lesion in the periphery of the left hepatic lobe measures 19 x 16 mm , previously 14 x 10 mm. Surgically absent. Status post distal pancreatectomy. No pancreatic ductal dilatation. No definite pancreatic lesion is identified. No significant abnormality noted. No significant abnormality noted. Left pararenal metastasis, measuring 31 x 28 mm , previously 26 x 23 mm. IVC filter which terminates at the level of the renal veins. None. Multiple mesenteric metastatic implants for reference, a nodule in the left paracolic gutter measures 10 x 7 mm , not definitely visualized on previous study. The bowel is of normal caliber, without evidence of obstruction. Large amount of stool seen within the rectum. Postoperative changes related to previous bowel obstruction seen within the pelvis. No significant abnormality noted. No significant abnormality noted. Surgically absent. Surgically absent. Enlarged right inguinal lymph node measuring 21 x 19 mm , previously 15 x 15 mm. Status post apparent pelvic lymph node dissection. As above. No significant abnormality noted. No significant abnormality noted. </s>