. Innumerable pulmonary metastases, increased from prior. Reference right apical nodule measures 1.3 cm , previously 0.8 cm. Reference right lower lobe pulmonary nodule measures 1.1 cm , previously 0.7 cm. Small pleural effusions, right greater the left. No lymphadenopathy. Moderate coronary artery calcifications. No significant abnormality noted. No significant abnormality noted. Splenomegaly. The splenic vein is patent. Status post Whipple procedure. No significant abnormality noted. No significant abnormality noted. Significant increase in infiltrative abdominal lymphadenopathy. Reference aortocaval lymph node mass measures 6.2 x 4.7 cm , previously 4.0 x 2.8 cm. There is mass effect upon the IVC, which is deviated posterolaterally. Tumor encases the celiac axis, SMA and SMV. Large amount of ascites. Lateral to the right hepatic lobe is a rind of soft tissue, new from the prior exam suspicious for peritoneal carcinomatosis. No significant abnormality noted. Status post prostatectomy. No significant abnormality noted. Pelvic lymphadenopathy. Comparison measurements are difficult to make given extensive ascites. Reference left external iliac lymph node measures 1.4 x 0.9 cm , previously 1.7 x 1.2 cm. No significant abnormality noted. Total left hip arthroplasty.
clinical findings_fin: {'innumerable pulmonary metastases': {'clinical finding': 'innumerable pulmonary metastases', 'existence': 'pos_dx', 'descriptive_term': 'innumerable pulmonary', 'observation': 'metastase'}}size_fin: [{'size': '1.3 cm'}, {'size': '0.8 cm'}]imaging observation_fin: ['apical']location descriptor_fin: ['right']clinical findings_fin: {'reference right apical nodule': {'clinical finding': 'reference right apical nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'reference right apical', 'observation': 'nodule'}}size_fin: [{'size': '1.1 cm'}, {'size': '0.7 cm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'reference right lower lobe pulmonary nodule': {'clinical finding': 'reference right lower lobe pulmonary nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'reference right lower lobe pulmonary', 'observation': 'nodule'}}location descriptor_fin: ['right', 'left']clinical findings_fin: {'small pleural effusions': {'clinical finding': 'small pleural effusions', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'small pleural', 'observation': 'effusion', 'strength_term': 'small'}}clinical findings_fin: {'lymphadenopathy': {'clinical finding': 'lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'moderate coronary artery calcifications': {'clinical finding': 'moderate coronary artery calcifications', 'existence': 'pos_dx', 'descriptive_term': 'moderate coronary artery', 'observation': 'calcification', 'strength_term': 'moderate'}}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: {'splenic vein': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}clinical findings_fin: {'status post whipple': {'clinical finding': 'status post whipple', 'existence': 'pos_dx', 'descriptive_term': 'status post', 'observation': 'whipple'}}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: {'abdominal': {}}clinical findings_fin: {'infiltrative abdominal lymphadenopathy': {'clinical finding': 'infiltrative abdominal lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'pos_dx', 'descriptive_term': 'infiltrative abdominal', 'observation': 'lymphadenopathy'}}size_fin: [{'size': '6.2 x 4.7 cm'}, {'size': '4.0 x 2.8 cm'}]clinical findings_fin: {'reference aortocaval lymph node mass': {'clinical finding': 'reference aortocaval lymph node mass', 'existence': 'pos_dx', 'descriptive_term': 'reference aortocaval lymph node', 'observation': 'mass'}}location descriptor_fin: ['deviated']clinical findings_fin: {'mass effect': {'clinical finding': 'mass effect', 'existence': 'pos_dx', 'descriptive_term': 'mass', 'observation': 'effect'}}anatomical entity_fin: {'axis': {}}clinical findings_fin: {'tumor': {'clinical finding': 'tumor', 'existence': 'pos_dx', 'observation': 'tumor'}}clinical findings_fin: {'ascites': {'clinical finding': 'ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'observation': 'ascite'}}anatomical entity_fin: {'lobe': {}}location descriptor_fin: ['lateral', 'right']clinical findings_fin: {'peritoneal carcinomatosis': {'clinical finding': 'peritoneal carcinomatosis', 'cf_snomed': {'carcinomatosis': 307593001}, 'existence': 'pos_dx', 'descriptive_term': 'peritoneal', 'observation': 'carcinomatosis'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}procedure_fin: ['prostatectomy']clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'pelvic lymphadenopathy': {'clinical finding': 'pelvic lymphadenopathy', 'cf_snomed': {'pelvic lymphadenopathy': 127158006}, 'existence': 'pos_dx', 'descriptive_term': 'pelvic', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'extensive ascites': {'clinical finding': 'extensive ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'extensive', 'observation': 'ascite', 'strength_term': 'extensive'}}size_fin: [{'size': '1.4 x 0.9 cm'}, {'size': '1.7 x 1.2 cm'}]anatomical entity_fin: {'external iliac lymph node': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'reference left external iliac lymph node': {'clinical finding': 'reference left external iliac lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference left external iliac lymph', 'observation': 'node'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'hip': {'location descriptor': 'left'}}location descriptor_fin: ['left']procedure_fin: ['arthroplasty']
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'innumerable pulmonary metastases': {'clinical finding': 'innumerable pulmonary metastases', 'existence': 'pos_dx', 'descriptive_term': 'innumerable pulmonary', 'observation': 'metastase'}}size_fin: [{'size': '1.3 cm'}, {'size': '0.8 cm'}]imaging observation_fin: ['apical']location descriptor_fin: ['right']clinical findings_fin: {'reference right apical nodule': {'clinical finding': 'reference right apical nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'reference right apical', 'observation': 'nodule'}}size_fin: [{'size': '1.1 cm'}, {'size': '0.7 cm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'reference right lower lobe pulmonary nodule': {'clinical finding': 'reference right lower lobe pulmonary nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'reference right lower lobe pulmonary', 'observation': 'nodule'}}location descriptor_fin: ['right', 'left']clinical findings_fin: {'small pleural effusions': {'clinical finding': 'small pleural effusions', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'small pleural', 'observation': 'effusion', 'strength_term': 'small'}}clinical findings_fin: {'lymphadenopathy': {'clinical finding': 'lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'moderate coronary artery calcifications': {'clinical finding': 'moderate coronary artery calcifications', 'existence': 'pos_dx', 'descriptive_term': 'moderate coronary artery', 'observation': 'calcification', 'strength_term': 'moderate'}}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: {'splenic vein': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}clinical findings_fin: {'status post whipple': {'clinical finding': 'status post whipple', 'existence': 'pos_dx', 'descriptive_term': 'status post', 'observation': 'whipple'}}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: {'abdominal': {}}clinical findings_fin: {'infiltrative abdominal lymphadenopathy': {'clinical finding': 'infiltrative abdominal lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'pos_dx', 'descriptive_term': 'infiltrative abdominal', 'observation': 'lymphadenopathy'}}size_fin: [{'size': '6.2 x 4.7 cm'}, {'size': '4.0 x 2.8 cm'}]clinical findings_fin: {'reference aortocaval lymph node mass': {'clinical finding': 'reference aortocaval lymph node mass', 'existence': 'pos_dx', 'descriptive_term': 'reference aortocaval lymph node', 'observation': 'mass'}}location descriptor_fin: ['deviated']clinical findings_fin: {'mass effect': {'clinical finding': 'mass effect', 'existence': 'pos_dx', 'descriptive_term': 'mass', 'observation': 'effect'}}anatomical entity_fin: {'axis': {}}clinical findings_fin: {'tumor': {'clinical finding': 'tumor', 'existence': 'pos_dx', 'observation': 'tumor'}}clinical findings_fin: {'ascites': {'clinical finding': 'ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'observation': 'ascite'}}anatomical entity_fin: {'lobe': {}}location descriptor_fin: ['lateral', 'right']clinical findings_fin: {'peritoneal carcinomatosis': {'clinical finding': 'peritoneal carcinomatosis', 'cf_snomed': {'carcinomatosis': 307593001}, 'existence': 'pos_dx', 'descriptive_term': 'peritoneal', 'observation': 'carcinomatosis'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}procedure_fin: ['prostatectomy']clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'pelvic lymphadenopathy': {'clinical finding': 'pelvic lymphadenopathy', 'cf_snomed': {'pelvic lymphadenopathy': 127158006}, 'existence': 'pos_dx', 'descriptive_term': 'pelvic', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'extensive ascites': {'clinical finding': 'extensive ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'extensive', 'observation': 'ascite', 'strength_term': 'extensive'}}size_fin: [{'size': '1.4 x 0.9 cm'}, {'size': '1.7 x 1.2 cm'}]anatomical entity_fin: {'external iliac lymph node': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'reference left external iliac lymph node': {'clinical finding': 'reference left external iliac lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference left external iliac lymph', 'observation': 'node'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'hip': {'location descriptor': 'left'}}location descriptor_fin: ['left']procedure_fin: ['arthroplasty'] [/INST] . Innumerable pulmonary metastases, increased from prior. Reference right apical nodule measures 1.3 cm , previously 0.8 cm. Reference right lower lobe pulmonary nodule measures 1.1 cm , previously 0.7 cm. Small pleural effusions, right greater the left. No lymphadenopathy. Moderate coronary artery calcifications. No significant abnormality noted. No significant abnormality noted. Splenomegaly. The splenic vein is patent. Status post Whipple procedure. No significant abnormality noted. No significant abnormality noted. Significant increase in infiltrative abdominal lymphadenopathy. Reference aortocaval lymph node mass measures 6.2 x 4.7 cm , previously 4.0 x 2.8 cm. There is mass effect upon the IVC, which is deviated posterolaterally. Tumor encases the celiac axis, SMA and SMV. Large amount of ascites. Lateral to the right hepatic lobe is a rind of soft tissue, new from the prior exam suspicious for peritoneal carcinomatosis. No significant abnormality noted. Status post prostatectomy. No significant abnormality noted. Pelvic lymphadenopathy. Comparison measurements are difficult to make given extensive ascites. Reference left external iliac lymph node measures 1.4 x 0.9 cm , previously 1.7 x 1.2 cm. No significant abnormality noted. Total left hip arthroplasty. </s>