. Reference right sided lung nodule unchanged, measuring 5 x 5 mm on image 47 series 5, previously measured 5 x 4 mm. Additional ground glass pulmonary micronodularity seen on prior study appears improved, for example on axial image 47 series 5 in right lower lobe. Bilateral axillary surgical clips. Reference left axillary lymph node stable measuring 1.4 x 1 cm on image 33 series 3, previously measured 1.4 x 1.1 cm. Again seen in incompletely imaged prominent right supraclavicular lymph node, measuring approximately 2 x 1.4 cm on image 3 series 3, without significant change as previously measured 2.3 x 1.5 cm. Stable in size 10 mm left-sided hypoattenuating thyroid nodule, for which follow up with dedicated sonography may be pursued. Right chest wall port with tip near cavoatrial junction. Incompletely imaged bilateral breast prostheses. Without significant change is medial right chest wall soft tissue nodularity, measuring 2 x 1.1 cm on image 34 series 3, previously measured 2 x 1.2 cm. Innumerable hepatic metastases, enlarging and more conglomerate in appearance, new lesions also seen. Reference hepatic segment 6 lesion similar to earlier study, measuring 3.3 x 3 cm on image 77 series 3, previously measured 3.3 x 2.9 cm. Additional hepatic segment 2 lesion on image 68 series 3 measures 2.4 x 1.6 cm, previously measured 2.1 x 1.5 cm. No significant abnormality noted. No significant abnormality noted. Stable right adrenal nodule, measuring up to 1.1 cm on image 84 series No significant abnormality noted. Small gastrohepatic and retroperitoneal lymph nodes as well as pelvic or iliac lymph nodes, stable and mildly increased in prominence or more conglomerate in appearance. Submitted for reference is aortocaval lymph node measuring 1.2 x 0.9 cm on image 121 series 3, previously measured 0.9 to 0.8 cm. Sigmoid colon anastomotic suture material. No significant abnormality noted. No significant abnormality noted. Subjectively similar sclerotic lesions in L2 vertebral body and involving upper sacrum, at approximately S2 level.
size_fin: [{'size': '5 x 5 mm'}, {'size': '5 x 4 mm'}]anatomical entity_fin: {'lung': {}}location descriptor_fin: ['right']clinical findings_fin: {'reference right sided lung nodule': {'clinical finding': 'reference right sided lung nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'reference right sided lung', 'observation': 'nodule'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'additional ground glass pulmonary micronodularity': {'clinical finding': 'additional ground glass pulmonary micronodularity', 'existence': 'neg_dx', 'descriptive_term': 'additional ground glass pulmonary', 'observation': 'micronodularity'}}location descriptor_fin: ['bilateral']object_fin: ['surgical clips']clinical findings_fin: {'bilateral axillary surgical clips': {'clinical finding': 'bilateral axillary surgical clips', 'existence': 'pos_dx', 'descriptive_term': 'bilateral axillary surgical', 'observation': 'clip'}}size_fin: [{'size': '1.4 x 1 cm'}, {'size': '1.4 x 1.1 cm'}]anatomical entity_fin: {'axillary lymph node': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'reference left axillary lymph node': {'clinical finding': 'reference left axillary lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference left axillary lymph', 'observation': 'node'}}size_fin: [{'size': '2 x 1.4 cm'}, {'size': '2.3 x 1.5 cm'}]anatomical entity_fin: {'supraclavicular lymph node': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'incompletely imaged prominent right supraclavicular lymph node': {'clinical finding': 'incompletely imaged prominent right supraclavicular lymph node', 'existence': 'pos_dx', 'descriptive_term': 'incompletely imaged prominent right supraclavicular lymph', 'observation': 'node', 'strength_term': 'prominent'}, 'significant change': {'clinical finding': 'significant change', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'change'}}size_fin: [{'size': '10 mm', 'size_descriptor': 'nodule'}]location descriptor_fin: ['left']clinical findings_fin: {'sided hypoattenuating thyroid nodule': {'clinical finding': 'sided hypoattenuating thyroid nodule', 'cf_snomed': {'thyroid nodule': 237495005}, 'existence': 'pos_dx', 'descriptive_term': 'sided hypoattenuating thyroid', 'observation': 'nodule'}}follow-up_fin: follow-up recommendedanatomical entity_fin: {'chest wall': {'location descriptor': 'right'}}location descriptor_fin: ['right']object_fin: ['port']anatomical entity_fin: {'breast': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'incompletely imaged bilateral breast prostheses': {'clinical finding': 'incompletely imaged bilateral breast prostheses', 'existence': 'pos_dx', 'descriptive_term': 'incompletely imaged bilateral breast', 'observation': 'prosthes'}}size_fin: [{'size': '2 x 1.1 cm'}, {'size': '2 x 1.2 cm'}]anatomical entity_fin: {'chest wall': {'location descriptor': 'medial right'}}location descriptor_fin: ['medial', 'right']clinical findings_fin: {'significant change': {'clinical finding': 'significant change', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'change'}, 'medial right chest wall soft tissue nodularity': {'clinical finding': 'medial right chest wall soft tissue nodularity', 'existence': 'neg_dx', 'descriptive_term': 'medial right chest wall soft tissue', 'observation': 'nodularity'}}clinical findings_fin: {'innumerable hepatic metastases': {'clinical finding': 'innumerable hepatic metastases', 'existence': 'pos_dx', 'descriptive_term': 'innumerable hepatic', 'observation': 'metastase'}, 'new lesions': {'clinical finding': 'new lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'new', 'observation': 'lesion', 'temporal_term': 'new'}}size_fin: [{'size': '3.3 x 3 cm'}, {'size': '3.3 x 2.9 cm'}]clinical findings_fin: {'reference hepatic segment 6 lesion': {'clinical finding': 'reference hepatic segment 6 lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'reference hepatic segment 6', 'observation': 'lesion'}}size_fin: [{'size': '2.4 x 1.6 cm'}, {'size': '2.1 x 1.5 cm'}]clinical findings_fin: {'additional hepatic segment 2 lesion': {'clinical finding': 'additional hepatic segment 2 lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'additional hepatic segment 2', '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': '1.1 cm', 'size_descriptor': 'nodule'}]location descriptor_fin: ['right']clinical findings_fin: {'stable right adrenal nodule': {'clinical finding': 'stable right adrenal nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'stable right adrenal', 'observation': 'nodule', 'strength_term': 'stable', 'change_term': 'stable'}, 'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'small gastrohepatic and retroperitoneal lymph nodes': {'clinical finding': 'small gastrohepatic and retroperitoneal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small gastrohepatic and retroperitoneal lymph', 'observation': 'node', 'strength_term': 'small'}, 'pelvic or iliac lymph nodes': {'clinical finding': 'pelvic or iliac lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'pelvic or iliac lymph', 'observation': 'node'}}size_fin: [{'size': '1.2 x 0.9 cm'}, {'size': '0.8 cm'}]clinical findings_fin: {'aortocaval lymph node': {'clinical finding': 'aortocaval lymph node', 'existence': 'pos_dx', 'descriptive_term': 'aortocaval lymph', 'observation': 'node'}}anatomical entity_fin: {'sigmoid colon': {}}object_fin: ['suture']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: {'l2 vertebral body': {}, 'sacrum': {'location descriptor': 'upper'}}location descriptor_fin: ['upper']clinical findings_fin: {'subjectively similar sclerotic lesions': {'clinical finding': 'subjectively similar sclerotic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'subjectively similar sclerotic', 'observation': 'lesion'}}
<s>[INST] Write the finding section for a radiology report based on the following information: size_fin: [{'size': '5 x 5 mm'}, {'size': '5 x 4 mm'}]anatomical entity_fin: {'lung': {}}location descriptor_fin: ['right']clinical findings_fin: {'reference right sided lung nodule': {'clinical finding': 'reference right sided lung nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'reference right sided lung', 'observation': 'nodule'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'additional ground glass pulmonary micronodularity': {'clinical finding': 'additional ground glass pulmonary micronodularity', 'existence': 'neg_dx', 'descriptive_term': 'additional ground glass pulmonary', 'observation': 'micronodularity'}}location descriptor_fin: ['bilateral']object_fin: ['surgical clips']clinical findings_fin: {'bilateral axillary surgical clips': {'clinical finding': 'bilateral axillary surgical clips', 'existence': 'pos_dx', 'descriptive_term': 'bilateral axillary surgical', 'observation': 'clip'}}size_fin: [{'size': '1.4 x 1 cm'}, {'size': '1.4 x 1.1 cm'}]anatomical entity_fin: {'axillary lymph node': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'reference left axillary lymph node': {'clinical finding': 'reference left axillary lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference left axillary lymph', 'observation': 'node'}}size_fin: [{'size': '2 x 1.4 cm'}, {'size': '2.3 x 1.5 cm'}]anatomical entity_fin: {'supraclavicular lymph node': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'incompletely imaged prominent right supraclavicular lymph node': {'clinical finding': 'incompletely imaged prominent right supraclavicular lymph node', 'existence': 'pos_dx', 'descriptive_term': 'incompletely imaged prominent right supraclavicular lymph', 'observation': 'node', 'strength_term': 'prominent'}, 'significant change': {'clinical finding': 'significant change', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'change'}}size_fin: [{'size': '10 mm', 'size_descriptor': 'nodule'}]location descriptor_fin: ['left']clinical findings_fin: {'sided hypoattenuating thyroid nodule': {'clinical finding': 'sided hypoattenuating thyroid nodule', 'cf_snomed': {'thyroid nodule': 237495005}, 'existence': 'pos_dx', 'descriptive_term': 'sided hypoattenuating thyroid', 'observation': 'nodule'}}follow-up_fin: follow-up recommendedanatomical entity_fin: {'chest wall': {'location descriptor': 'right'}}location descriptor_fin: ['right']object_fin: ['port']anatomical entity_fin: {'breast': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'incompletely imaged bilateral breast prostheses': {'clinical finding': 'incompletely imaged bilateral breast prostheses', 'existence': 'pos_dx', 'descriptive_term': 'incompletely imaged bilateral breast', 'observation': 'prosthes'}}size_fin: [{'size': '2 x 1.1 cm'}, {'size': '2 x 1.2 cm'}]anatomical entity_fin: {'chest wall': {'location descriptor': 'medial right'}}location descriptor_fin: ['medial', 'right']clinical findings_fin: {'significant change': {'clinical finding': 'significant change', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'change'}, 'medial right chest wall soft tissue nodularity': {'clinical finding': 'medial right chest wall soft tissue nodularity', 'existence': 'neg_dx', 'descriptive_term': 'medial right chest wall soft tissue', 'observation': 'nodularity'}}clinical findings_fin: {'innumerable hepatic metastases': {'clinical finding': 'innumerable hepatic metastases', 'existence': 'pos_dx', 'descriptive_term': 'innumerable hepatic', 'observation': 'metastase'}, 'new lesions': {'clinical finding': 'new lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'new', 'observation': 'lesion', 'temporal_term': 'new'}}size_fin: [{'size': '3.3 x 3 cm'}, {'size': '3.3 x 2.9 cm'}]clinical findings_fin: {'reference hepatic segment 6 lesion': {'clinical finding': 'reference hepatic segment 6 lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'reference hepatic segment 6', 'observation': 'lesion'}}size_fin: [{'size': '2.4 x 1.6 cm'}, {'size': '2.1 x 1.5 cm'}]clinical findings_fin: {'additional hepatic segment 2 lesion': {'clinical finding': 'additional hepatic segment 2 lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'additional hepatic segment 2', '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': '1.1 cm', 'size_descriptor': 'nodule'}]location descriptor_fin: ['right']clinical findings_fin: {'stable right adrenal nodule': {'clinical finding': 'stable right adrenal nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'stable right adrenal', 'observation': 'nodule', 'strength_term': 'stable', 'change_term': 'stable'}, 'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'small gastrohepatic and retroperitoneal lymph nodes': {'clinical finding': 'small gastrohepatic and retroperitoneal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small gastrohepatic and retroperitoneal lymph', 'observation': 'node', 'strength_term': 'small'}, 'pelvic or iliac lymph nodes': {'clinical finding': 'pelvic or iliac lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'pelvic or iliac lymph', 'observation': 'node'}}size_fin: [{'size': '1.2 x 0.9 cm'}, {'size': '0.8 cm'}]clinical findings_fin: {'aortocaval lymph node': {'clinical finding': 'aortocaval lymph node', 'existence': 'pos_dx', 'descriptive_term': 'aortocaval lymph', 'observation': 'node'}}anatomical entity_fin: {'sigmoid colon': {}}object_fin: ['suture']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: {'l2 vertebral body': {}, 'sacrum': {'location descriptor': 'upper'}}location descriptor_fin: ['upper']clinical findings_fin: {'subjectively similar sclerotic lesions': {'clinical finding': 'subjectively similar sclerotic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'subjectively similar sclerotic', 'observation': 'lesion'}} [/INST] . Reference right sided lung nodule unchanged, measuring 5 x 5 mm on image 47 series 5, previously measured 5 x 4 mm. Additional ground glass pulmonary micronodularity seen on prior study appears improved, for example on axial image 47 series 5 in right lower lobe. Bilateral axillary surgical clips. Reference left axillary lymph node stable measuring 1.4 x 1 cm on image 33 series 3, previously measured 1.4 x 1.1 cm. Again seen in incompletely imaged prominent right supraclavicular lymph node, measuring approximately 2 x 1.4 cm on image 3 series 3, without significant change as previously measured 2.3 x 1.5 cm. Stable in size 10 mm left-sided hypoattenuating thyroid nodule, for which follow up with dedicated sonography may be pursued. Right chest wall port with tip near cavoatrial junction. Incompletely imaged bilateral breast prostheses. Without significant change is medial right chest wall soft tissue nodularity, measuring 2 x 1.1 cm on image 34 series 3, previously measured 2 x 1.2 cm. Innumerable hepatic metastases, enlarging and more conglomerate in appearance, new lesions also seen. Reference hepatic segment 6 lesion similar to earlier study, measuring 3.3 x 3 cm on image 77 series 3, previously measured 3.3 x 2.9 cm. Additional hepatic segment 2 lesion on image 68 series 3 measures 2.4 x 1.6 cm, previously measured 2.1 x 1.5 cm. No significant abnormality noted. No significant abnormality noted. Stable right adrenal nodule, measuring up to 1.1 cm on image 84 series No significant abnormality noted. Small gastrohepatic and retroperitoneal lymph nodes as well as pelvic or iliac lymph nodes, stable and mildly increased in prominence or more conglomerate in appearance. Submitted for reference is aortocaval lymph node measuring 1.2 x 0.9 cm on image 121 series 3, previously measured 0.9 to 0.8 cm. Sigmoid colon anastomotic suture material. No significant abnormality noted. No significant abnormality noted. Subjectively similar sclerotic lesions in L2 vertebral body and involving upper sacrum, at approximately S2 level. </s>