. Redemonstration of marked nodular pleural thickening in the right lower hemithorax compatible with patients history of mesothelioma. At the level of the aortic arch. 00 position 3 mm previously 2 mm, 5:00 position 4 mm unchanged. At the level of the main pulmonary artery. 00 position measures 7 mm unchanged. 3.00 position measures 28 mm unchanged, 7:00 position measures 17 mm previously measuring 15 mm. Numerous new and increasing small predominantly left lower lobe pulmonary nodules most likely representing metastatic disease. Marked mediastinal and hilar lymphadenopathy redemonstrated. Reference subcarinal lymph node unchanged measuring 3.8 cm. Reference right hilar lymph node unchanged measuring 28 mm in short axis. Markedly enlarged paratracheal and precarinal lymphadenopathy is unchanged. Cardiac size is normal without evidence of pericardial effusion. Moderate. Left supraclavicular reference lymph node now measuring 22 mm in short axis previously measuring 19 mm. Additional left supraclavicular adenopathy unchanged. Soft tissue nodule along the right costovertebral junction at the level of the upper abdomen now measuring 21 mm previously measuring 19 mm on corresponding image. Right lateral chest wall soft tissue nodule stable measuring 15 mm. Prominent right internal mammary and intercostal lymphadenopathy redemonstrated. Right diaphragmatic patch redemonstrated. Absence of enteric contrast material limits sensitivity for abdominal pathology. Progressive interval increase in size of hepatic metastasis in perihepatic, perisplenic ascites, and retrocrural lymphadenopathy. See same day report for CT abdomen or pelvis.
anatomical entity_fin: {'right lower hemithorax': {}}clinical findings_fin: {'marked nodular pleural thickening': {'clinical finding': 'marked nodular pleural thickening', 'existence': 'pos_dx', 'descriptive_term': 'marked nodular pleural', 'observation': 'thickening'}, 'mesothelioma': {'clinical finding': 'mesothelioma', 'existence': 'pos_dx', 'observation': 'mesothelioma'}}anatomical entity_fin: {'aortic arch': {}}size_fin: [{'size': '3 mm'}, {'size': '2 mm'}, {'size': '4 mm'}]clinical findings_fin: {'unchanged': {'clinical finding': 'unchanged', 'change_term': 'unchanged'}}anatomical entity_fin: {'main pulmonary artery': {}}size_fin: [{'size': '7 mm', 'size_descriptor': 'position'}]clinical findings_fin: {'position measures 7 mm unchanged': {'clinical finding': 'position measures 7 mm unchanged', 'change_term': 'unchanged'}}size_fin: [{'size': '28 mm'}, {'size': '17 mm'}, {'size': '15 mm'}]clinical findings_fin: {'position measures 28 mm unchanged , 7:00 position measures': {'clinical finding': 'position measures 28 mm unchanged , 7:00 position measures', 'change_term': 'unchanged'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'numerous new and increasing small predominantly left lower lobe pulmonary nodules': {'clinical finding': 'numerous new and increasing small predominantly left lower lobe pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'numerous new and increasing small predominantly left lower lobe pulmonary', 'observation': 'nodule', 'strength_term': 'increasing - small', 'quantity_term': 'numerous', 'temporal_term': 'new', 'change_term': 'increasing'}, 'metastatic disease': {'clinical finding': 'metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'metastatic', 'observation': 'disease'}}clinical findings_fin: {'marked mediastinal and hilar lymphadenopathy': {'clinical finding': 'marked mediastinal and hilar lymphadenopathy', 'cf_snomed': {'hilar lymphadenopathy': 87500009}, 'existence': 'pos_dx', 'descriptive_term': 'marked mediastinal and hilar', 'observation': 'lymphadenopathy'}}size_fin: [{'size': '3.8 cm'}]anatomical entity_fin: {'subcarinal lymph node': {}}clinical findings_fin: {'reference subcarinal lymph node': {'clinical finding': 'reference subcarinal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference subcarinal lymph', 'observation': 'node'}}size_fin: [{'size': '28 mm'}]anatomical entity_fin: {'axis': {}}location descriptor_fin: ['right']clinical findings_fin: {'reference right hilar lymph node': {'clinical finding': 'reference right hilar lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference right hilar lymph', 'observation': 'node'}}clinical findings_fin: {'markedly enlarged paratracheal and precarinal lymphadenopathy': {'clinical finding': 'markedly enlarged paratracheal and precarinal lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'pos_dx', 'descriptive_term': 'markedly enlarged paratracheal and precarinal', 'observation': 'lymphadenopathy', 'strength_term': 'enlarged', 'change_term': 'enlarged'}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}size_fin: [{'size': '22 mm'}, {'size': '19 mm'}]anatomical entity_fin: {'axis': {}}location descriptor_fin: ['left']clinical findings_fin: {'left supraclavicular reference lymph node': {'clinical finding': 'left supraclavicular reference lymph node', 'existence': 'pos_dx', 'descriptive_term': 'left supraclavicular reference lymph', 'observation': 'node'}}location descriptor_fin: ['left']clinical findings_fin: {'additional left supraclavicular adenopathy': {'clinical finding': 'additional left supraclavicular adenopathy', 'existence': 'pos_dx', 'descriptive_term': 'additional left supraclavicular', 'observation': 'adenopathy'}}size_fin: [{'size': '21 mm'}, {'size': '19 mm'}]anatomical entity_fin: {'upper abdomen': {}}location descriptor_fin: ['right']clinical findings_fin: {'soft tissue nodule': {'clinical finding': 'soft tissue nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'nodule'}}size_fin: [{'size': '15 mm', 'size_descriptor': 'wall'}]anatomical entity_fin: {'right lateral chest wall': {}}clinical findings_fin: {'right lateral chest wall soft tissue nodule': {'clinical finding': 'right lateral chest wall soft tissue nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'right lateral chest wall soft tissue', 'observation': 'nodule'}}location descriptor_fin: ['right']clinical findings_fin: {'prominent right internal mammary and intercostal lymphadenopathy': {'clinical finding': 'prominent right internal mammary and intercostal lymphadenopathy', 'cf_snomed': {'intercostal lymphadenopathy': 127112005}, 'existence': 'pos_dx', 'descriptive_term': 'prominent right internal mammary and intercostal', 'observation': 'lymphadenopathy', 'strength_term': 'prominent'}}location descriptor_fin: ['right']clinical findings_fin: {'right diaphragmatic patch redemonstrated': {'clinical finding': 'right diaphragmatic patch redemonstrated'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'hepatic metastasis': {'clinical finding': 'hepatic metastasis', 'existence': 'pos_dx', 'descriptive_term': 'hepatic', 'observation': 'metastasis'}, 'perihepatic, perisplenic ascites': {'clinical finding': 'perihepatic, perisplenic ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'perihepatic perisplenic', 'observation': 'ascite'}, 'retrocrural lymphadenopathy': {'clinical finding': 'retrocrural lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'pos_dx', 'descriptive_term': 'retrocrural', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'abdomen': {}, 'pelvis': {}}
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'right lower hemithorax': {}}clinical findings_fin: {'marked nodular pleural thickening': {'clinical finding': 'marked nodular pleural thickening', 'existence': 'pos_dx', 'descriptive_term': 'marked nodular pleural', 'observation': 'thickening'}, 'mesothelioma': {'clinical finding': 'mesothelioma', 'existence': 'pos_dx', 'observation': 'mesothelioma'}}anatomical entity_fin: {'aortic arch': {}}size_fin: [{'size': '3 mm'}, {'size': '2 mm'}, {'size': '4 mm'}]clinical findings_fin: {'unchanged': {'clinical finding': 'unchanged', 'change_term': 'unchanged'}}anatomical entity_fin: {'main pulmonary artery': {}}size_fin: [{'size': '7 mm', 'size_descriptor': 'position'}]clinical findings_fin: {'position measures 7 mm unchanged': {'clinical finding': 'position measures 7 mm unchanged', 'change_term': 'unchanged'}}size_fin: [{'size': '28 mm'}, {'size': '17 mm'}, {'size': '15 mm'}]clinical findings_fin: {'position measures 28 mm unchanged , 7:00 position measures': {'clinical finding': 'position measures 28 mm unchanged , 7:00 position measures', 'change_term': 'unchanged'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'numerous new and increasing small predominantly left lower lobe pulmonary nodules': {'clinical finding': 'numerous new and increasing small predominantly left lower lobe pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'numerous new and increasing small predominantly left lower lobe pulmonary', 'observation': 'nodule', 'strength_term': 'increasing - small', 'quantity_term': 'numerous', 'temporal_term': 'new', 'change_term': 'increasing'}, 'metastatic disease': {'clinical finding': 'metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'metastatic', 'observation': 'disease'}}clinical findings_fin: {'marked mediastinal and hilar lymphadenopathy': {'clinical finding': 'marked mediastinal and hilar lymphadenopathy', 'cf_snomed': {'hilar lymphadenopathy': 87500009}, 'existence': 'pos_dx', 'descriptive_term': 'marked mediastinal and hilar', 'observation': 'lymphadenopathy'}}size_fin: [{'size': '3.8 cm'}]anatomical entity_fin: {'subcarinal lymph node': {}}clinical findings_fin: {'reference subcarinal lymph node': {'clinical finding': 'reference subcarinal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference subcarinal lymph', 'observation': 'node'}}size_fin: [{'size': '28 mm'}]anatomical entity_fin: {'axis': {}}location descriptor_fin: ['right']clinical findings_fin: {'reference right hilar lymph node': {'clinical finding': 'reference right hilar lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference right hilar lymph', 'observation': 'node'}}clinical findings_fin: {'markedly enlarged paratracheal and precarinal lymphadenopathy': {'clinical finding': 'markedly enlarged paratracheal and precarinal lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'pos_dx', 'descriptive_term': 'markedly enlarged paratracheal and precarinal', 'observation': 'lymphadenopathy', 'strength_term': 'enlarged', 'change_term': 'enlarged'}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}size_fin: [{'size': '22 mm'}, {'size': '19 mm'}]anatomical entity_fin: {'axis': {}}location descriptor_fin: ['left']clinical findings_fin: {'left supraclavicular reference lymph node': {'clinical finding': 'left supraclavicular reference lymph node', 'existence': 'pos_dx', 'descriptive_term': 'left supraclavicular reference lymph', 'observation': 'node'}}location descriptor_fin: ['left']clinical findings_fin: {'additional left supraclavicular adenopathy': {'clinical finding': 'additional left supraclavicular adenopathy', 'existence': 'pos_dx', 'descriptive_term': 'additional left supraclavicular', 'observation': 'adenopathy'}}size_fin: [{'size': '21 mm'}, {'size': '19 mm'}]anatomical entity_fin: {'upper abdomen': {}}location descriptor_fin: ['right']clinical findings_fin: {'soft tissue nodule': {'clinical finding': 'soft tissue nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'nodule'}}size_fin: [{'size': '15 mm', 'size_descriptor': 'wall'}]anatomical entity_fin: {'right lateral chest wall': {}}clinical findings_fin: {'right lateral chest wall soft tissue nodule': {'clinical finding': 'right lateral chest wall soft tissue nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'right lateral chest wall soft tissue', 'observation': 'nodule'}}location descriptor_fin: ['right']clinical findings_fin: {'prominent right internal mammary and intercostal lymphadenopathy': {'clinical finding': 'prominent right internal mammary and intercostal lymphadenopathy', 'cf_snomed': {'intercostal lymphadenopathy': 127112005}, 'existence': 'pos_dx', 'descriptive_term': 'prominent right internal mammary and intercostal', 'observation': 'lymphadenopathy', 'strength_term': 'prominent'}}location descriptor_fin: ['right']clinical findings_fin: {'right diaphragmatic patch redemonstrated': {'clinical finding': 'right diaphragmatic patch redemonstrated'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'hepatic metastasis': {'clinical finding': 'hepatic metastasis', 'existence': 'pos_dx', 'descriptive_term': 'hepatic', 'observation': 'metastasis'}, 'perihepatic, perisplenic ascites': {'clinical finding': 'perihepatic, perisplenic ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'perihepatic perisplenic', 'observation': 'ascite'}, 'retrocrural lymphadenopathy': {'clinical finding': 'retrocrural lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'pos_dx', 'descriptive_term': 'retrocrural', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'abdomen': {}, 'pelvis': {}} [/INST] . Redemonstration of marked nodular pleural thickening in the right lower hemithorax compatible with patients history of mesothelioma. At the level of the aortic arch. 00 position 3 mm previously 2 mm, 5:00 position 4 mm unchanged. At the level of the main pulmonary artery. 00 position measures 7 mm unchanged. 3.00 position measures 28 mm unchanged, 7:00 position measures 17 mm previously measuring 15 mm. Numerous new and increasing small predominantly left lower lobe pulmonary nodules most likely representing metastatic disease. Marked mediastinal and hilar lymphadenopathy redemonstrated. Reference subcarinal lymph node unchanged measuring 3.8 cm. Reference right hilar lymph node unchanged measuring 28 mm in short axis. Markedly enlarged paratracheal and precarinal lymphadenopathy is unchanged. Cardiac size is normal without evidence of pericardial effusion. Moderate. Left supraclavicular reference lymph node now measuring 22 mm in short axis previously measuring 19 mm. Additional left supraclavicular adenopathy unchanged. Soft tissue nodule along the right costovertebral junction at the level of the upper abdomen now measuring 21 mm previously measuring 19 mm on corresponding image. Right lateral chest wall soft tissue nodule stable measuring 15 mm. Prominent right internal mammary and intercostal lymphadenopathy redemonstrated. Right diaphragmatic patch redemonstrated. Absence of enteric contrast material limits sensitivity for abdominal pathology. Progressive interval increase in size of hepatic metastasis in perihepatic, perisplenic ascites, and retrocrural lymphadenopathy. See same day report for CT abdomen or pelvis. </s>