. Demonstration of subtle interval increase in size of multiple pulmonary nodules particularly when compared to the exam dated 1/9/2015. Left upper lobe referenced nodule now measuring 9 mm previously measuring 7 mm. Left lingular nodule measuring 11 mm previously measuring 11 mm. Left lower lobe nodule image 75 series 6 measuring 9 mm previously measuring 7 mm and measuring 6 mm on the exam dated 1/9/2015. Other small pulmonary nodules appear to slightly have increased in size as well. No new pulmonary nodules or masses identified. No pleural effusions. No hilar or mediastinal lymphadenopathy. Cardiac size is normal without evidence of a pericardial effusion. Redemonstration of ectasia of the ascending aorta. None. Extensive left neck dissection. Absence of enteric contrast material limits sensitivity for abdominal pathology. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Stable hypoattenuating lesion within the right kidney most likely representing a cyst. Hypoattenuating nodules in the pancreas similar to the prior exams. No significant abnormality noted. Absence of enteric contrast material limits sensitivity for GI pathology. Mesenteric haziness and fat stranding similar to the prior exams. No significant abnormality noted. No significant abnormality noted.
clinical findings_fin: {'multiple pulmonary nodules': {'clinical finding': 'multiple pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'unc_dx', 'descriptive_term': 'multiple pulmonary', 'observation': 'nodule', 'quantity_term': 'multiple'}}size_fin: [{'size': '9 mm'}, {'size': '7 mm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'left upper lobe referenced nodule': {'clinical finding': 'left upper lobe referenced nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'left upper lobe referenced', 'observation': 'nodule'}}size_fin: [{'size': '11 mm'}, {'size': '11 mm'}]location descriptor_fin: ['left']clinical findings_fin: {'left lingular nodule': {'clinical finding': 'left lingular nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'left lingular', 'observation': 'nodule'}}size_fin: [{'size': '9 mm'}, {'size': '7 mm'}, {'size': '6 mm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'left lower lobe nodule': {'clinical finding': 'left lower lobe nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'left lower lobe', 'observation': 'nodule'}}clinical findings_fin: {'other small pulmonary nodules': {'clinical finding': 'other small pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'other small pulmonary', 'observation': 'nodule', 'strength_term': 'small'}}clinical findings_fin: {'new pulmonary nodules': {'clinical finding': 'new pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'new pulmonary', 'observation': 'nodule', 'temporal_term': 'new'}, 'masses': {'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass'}}clinical findings_fin: {'pleural effusions': {'clinical finding': 'pleural effusions', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}}clinical findings_fin: {'hilar or mediastinal lymphadenopathy': {'clinical finding': 'hilar or mediastinal lymphadenopathy', 'cf_snomed': {'mediastinal lymphadenopathy': 52324001}, 'existence': 'neg_dx', 'descriptive_term': 'hilar or mediastinal', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}anatomical entity_fin: {'ascending aorta': {}}clinical findings_fin: {'ectasia': {'clinical finding': 'ectasia', 'existence': 'pos_dx', 'observation': 'ectasia'}, 'ascending aorta': {'clinical finding': 'ascending aorta', 'existence': 'pos_dx', 'descriptive_term': 'ascending', 'observation': 'aorta'}}anatomical entity_fin: {'neck': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'extensive left neck dissection': {'clinical finding': 'extensive left neck dissection', 'existence': 'pos_dx', 'descriptive_term': 'extensive left neck', 'observation': 'dissection', 'strength_term': 'extensive'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}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: {'right kidney': {}}clinical findings_fin: {'stable hypoattenuating lesion': {'clinical finding': 'stable hypoattenuating lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'stable hypoattenuating', 'observation': 'lesion', 'strength_term': 'stable', 'change_term': 'stable'}, 'cyst': {'clinical finding': 'cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'unc_dx', 'observation': 'cyst'}}anatomical entity_fin: {'pancreas': {}}clinical findings_fin: {'hypoattenuating nodules': {'clinical finding': 'hypoattenuating nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'hypoattenuating', 'observation': 'nodule'}}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'}}imaging observation_fin: ['fat']clinical findings_fin: {'mesenteric haziness': {'clinical finding': 'mesenteric haziness', 'existence': 'pos_dx', 'descriptive_term': 'mesenteric', 'observation': 'haziness'}, 'fat stranding': {'clinical finding': 'fat stranding', 'existence': 'pos_dx', 'descriptive_term': 'fat', 'observation': 'strand'}}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: clinical findings_fin: {'multiple pulmonary nodules': {'clinical finding': 'multiple pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'unc_dx', 'descriptive_term': 'multiple pulmonary', 'observation': 'nodule', 'quantity_term': 'multiple'}}size_fin: [{'size': '9 mm'}, {'size': '7 mm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'left upper lobe referenced nodule': {'clinical finding': 'left upper lobe referenced nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'left upper lobe referenced', 'observation': 'nodule'}}size_fin: [{'size': '11 mm'}, {'size': '11 mm'}]location descriptor_fin: ['left']clinical findings_fin: {'left lingular nodule': {'clinical finding': 'left lingular nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'left lingular', 'observation': 'nodule'}}size_fin: [{'size': '9 mm'}, {'size': '7 mm'}, {'size': '6 mm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'left lower lobe nodule': {'clinical finding': 'left lower lobe nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'left lower lobe', 'observation': 'nodule'}}clinical findings_fin: {'other small pulmonary nodules': {'clinical finding': 'other small pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'other small pulmonary', 'observation': 'nodule', 'strength_term': 'small'}}clinical findings_fin: {'new pulmonary nodules': {'clinical finding': 'new pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'new pulmonary', 'observation': 'nodule', 'temporal_term': 'new'}, 'masses': {'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass'}}clinical findings_fin: {'pleural effusions': {'clinical finding': 'pleural effusions', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}}clinical findings_fin: {'hilar or mediastinal lymphadenopathy': {'clinical finding': 'hilar or mediastinal lymphadenopathy', 'cf_snomed': {'mediastinal lymphadenopathy': 52324001}, 'existence': 'neg_dx', 'descriptive_term': 'hilar or mediastinal', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}anatomical entity_fin: {'ascending aorta': {}}clinical findings_fin: {'ectasia': {'clinical finding': 'ectasia', 'existence': 'pos_dx', 'observation': 'ectasia'}, 'ascending aorta': {'clinical finding': 'ascending aorta', 'existence': 'pos_dx', 'descriptive_term': 'ascending', 'observation': 'aorta'}}anatomical entity_fin: {'neck': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'extensive left neck dissection': {'clinical finding': 'extensive left neck dissection', 'existence': 'pos_dx', 'descriptive_term': 'extensive left neck', 'observation': 'dissection', 'strength_term': 'extensive'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}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: {'right kidney': {}}clinical findings_fin: {'stable hypoattenuating lesion': {'clinical finding': 'stable hypoattenuating lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'stable hypoattenuating', 'observation': 'lesion', 'strength_term': 'stable', 'change_term': 'stable'}, 'cyst': {'clinical finding': 'cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'unc_dx', 'observation': 'cyst'}}anatomical entity_fin: {'pancreas': {}}clinical findings_fin: {'hypoattenuating nodules': {'clinical finding': 'hypoattenuating nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'hypoattenuating', 'observation': 'nodule'}}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'}}imaging observation_fin: ['fat']clinical findings_fin: {'mesenteric haziness': {'clinical finding': 'mesenteric haziness', 'existence': 'pos_dx', 'descriptive_term': 'mesenteric', 'observation': 'haziness'}, 'fat stranding': {'clinical finding': 'fat stranding', 'existence': 'pos_dx', 'descriptive_term': 'fat', 'observation': 'strand'}}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] . Demonstration of subtle interval increase in size of multiple pulmonary nodules particularly when compared to the exam dated 1/9/2015. Left upper lobe referenced nodule now measuring 9 mm previously measuring 7 mm. Left lingular nodule measuring 11 mm previously measuring 11 mm. Left lower lobe nodule image 75 series 6 measuring 9 mm previously measuring 7 mm and measuring 6 mm on the exam dated 1/9/2015. Other small pulmonary nodules appear to slightly have increased in size as well. No new pulmonary nodules or masses identified. No pleural effusions. No hilar or mediastinal lymphadenopathy. Cardiac size is normal without evidence of a pericardial effusion. Redemonstration of ectasia of the ascending aorta. None. Extensive left neck dissection. Absence of enteric contrast material limits sensitivity for abdominal pathology. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Stable hypoattenuating lesion within the right kidney most likely representing a cyst. Hypoattenuating nodules in the pancreas similar to the prior exams. No significant abnormality noted. Absence of enteric contrast material limits sensitivity for GI pathology. Mesenteric haziness and fat stranding similar to the prior exams. No significant abnormality noted. No significant abnormality noted. </s>