Infiltrative, masslike soft tissue thickening is redemonstrated involving the right parapharyngeal space extending to involve the carotid space, with infiltrative extension along the fascial planes of the right neck down to the level of the supraclavicular fossa. At its superior most extent, this thickening appears stable or perhaps slightly smaller measuring 35 x 20 mm , previously 40 x 21 mm. More inferiorly, however, there are areas where the tumor appears slightly bulkier as it tracks along and infiltrates the sternocleidomastoid muscle, though accurate measurement is difficult. A right level IIa reference node measures 22 x 14 mm , previously 14 x 11 mm. A more laterally positioned node at the same level measures 18 x 11 mm previously 16 x 10 mm. A referenced right supraclavicular lymph node measures 15 x 14 mm , previously 18 x 14 mm. An additional right supraclavicular lymph node measures 16 x 13 mm , previously 17 x 13 mm. An ill-defined right subpectoral mass measures up to 13 mm in thickness , previously up to 15 mm. Ill-defined right axillary adenopathy is also redemonstrated appearing more confluent but, in aggregate, slightly less extensive than on the prior exam. Discrete nodes within this aggregate are no longer accurately measurable. Ill-defined soft tissue infiltration of the anterior mediastinum appears similar to prior. A left apical lung nodule is redemonstrated measuring approximately 10 mm, not significantly changed. A subcentimeter hypoattenuating lesion is unchanged in the right thyroid lobe. As before, the right internal jugular vein does not opacify.
anatomical entity_fin: {'parapharyngeal space': {'location descriptor': 'right'}, 'carotid space': {}, 'neck': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'infiltrative_1': {'clinical finding': 'infiltrative', 'existence': 'pos_dx', 'observation': 'infiltrative'}, 'masslike soft tissue thickening': {'clinical finding': 'masslike soft tissue thickening', 'existence': 'pos_dx', 'descriptive_term': 'masslike soft tissue', 'observation': 'thickening'}, 'infiltrative_2': {'clinical finding': 'infiltrative', 'existence': 'pos_dx', 'observation': 'infiltrative'}}size_fin: [{'size': '35 x 20 mm'}, {'size': '40 x 21 mm'}]location descriptor_fin: ['superior']clinical findings_fin: {'this thickening': {'clinical finding': 'this thickening', 'existence': 'pos_dx', 'descriptive_term': 'this', 'observation': 'thickening'}}anatomical entity_fin: {'sternocleidomastoid muscle': {}}imaging observation_fin: ['infiltrates']clinical findings_fin: {'tumor': {'clinical finding': 'tumor', 'existence': 'pos_dx', 'observation': 'tumor'}, 'infiltrates': {'clinical finding': 'infiltrates', 'existence': 'pos_dx', 'observation': 'infiltrate'}}size_fin: [{'size': '22 x 14 mm'}, {'size': '14 x 11 mm'}]location descriptor_fin: ['right']clinical findings_fin: {'right level iia reference node': {'clinical finding': 'right level iia reference node', 'existence': 'pos_dx', 'descriptive_term': 'right level iia reference', 'observation': 'node'}}size_fin: [{'size': '18 x 11 mm'}, {'size': '16 x 10 mm'}]clinical findings_fin: {'more laterally positioned node': {'clinical finding': 'more laterally positioned node', 'existence': 'pos_dx', 'descriptive_term': 'more laterally positioned', 'observation': 'node', 'quantity_term': 'more'}}size_fin: [{'size': '15 x 14 mm'}, {'size': '18 x 14 mm'}]anatomical entity_fin: {'supraclavicular lymph node': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'referenced right supraclavicular lymph node': {'clinical finding': 'referenced right supraclavicular lymph node', 'existence': 'pos_dx', 'descriptive_term': 'referenced right supraclavicular lymph', 'observation': 'node'}}size_fin: [{'size': '16 x 13 mm'}, {'size': '17 x 13 mm'}]anatomical entity_fin: {'supraclavicular lymph node': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'additional right supraclavicular lymph node': {'clinical finding': 'additional right supraclavicular lymph node', 'existence': 'pos_dx', 'descriptive_term': 'additional right supraclavicular lymph', 'observation': 'node'}}size_fin: [{'size': '13 mm'}, {'size': '15 mm'}]location descriptor_fin: ['right']clinical findings_fin: {'ill-defined right subpectoral mass': {'clinical finding': 'ill-defined right subpectoral mass', 'existence': 'pos_dx', 'descriptive_term': 'ill-defined right subpectoral', 'observation': 'mass', 'strength_term': 'ill-defined'}}location descriptor_fin: ['right']clinical findings_fin: {'ill-defined right axillary adenopathy': {'clinical finding': 'ill-defined right axillary adenopathy', 'existence': 'pos_dx', 'descriptive_term': 'ill-defined right axillary', 'observation': 'adenopathy', 'strength_term': 'ill-defined'}}clinical findings_fin: {'discrete nodes': {'clinical finding': 'discrete nodes', 'existence': 'neg_dx', 'descriptive_term': 'discrete', 'observation': 'node'}}anatomical entity_fin: {'anterior mediastinum': {}}clinical findings_fin: {'ill-defined soft tissue infiltration of the anterior mediastinum appears similar to prior': {'clinical finding': 'ill-defined soft tissue infiltration of the anterior mediastinum appears similar to prior'}}size_fin: [{'size': '10 mm'}]anatomical entity_fin: {'lung': {}}imaging observation_fin: ['apical']location descriptor_fin: ['left']clinical findings_fin: {'left apical lung nodule': {'clinical finding': 'left apical lung nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'left apical lung', 'observation': 'nodule'}}anatomical entity_fin: {'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'subcentimeter hypoattenuating lesion': {'clinical finding': 'subcentimeter hypoattenuating lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter hypoattenuating', 'observation': 'lesion'}}anatomical entity_fin: {'internal jugular vein': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'opacify': {'clinical finding': 'opacify', 'existence': 'pos_dx', 'observation': 'opacify'}}
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'parapharyngeal space': {'location descriptor': 'right'}, 'carotid space': {}, 'neck': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'infiltrative_1': {'clinical finding': 'infiltrative', 'existence': 'pos_dx', 'observation': 'infiltrative'}, 'masslike soft tissue thickening': {'clinical finding': 'masslike soft tissue thickening', 'existence': 'pos_dx', 'descriptive_term': 'masslike soft tissue', 'observation': 'thickening'}, 'infiltrative_2': {'clinical finding': 'infiltrative', 'existence': 'pos_dx', 'observation': 'infiltrative'}}size_fin: [{'size': '35 x 20 mm'}, {'size': '40 x 21 mm'}]location descriptor_fin: ['superior']clinical findings_fin: {'this thickening': {'clinical finding': 'this thickening', 'existence': 'pos_dx', 'descriptive_term': 'this', 'observation': 'thickening'}}anatomical entity_fin: {'sternocleidomastoid muscle': {}}imaging observation_fin: ['infiltrates']clinical findings_fin: {'tumor': {'clinical finding': 'tumor', 'existence': 'pos_dx', 'observation': 'tumor'}, 'infiltrates': {'clinical finding': 'infiltrates', 'existence': 'pos_dx', 'observation': 'infiltrate'}}size_fin: [{'size': '22 x 14 mm'}, {'size': '14 x 11 mm'}]location descriptor_fin: ['right']clinical findings_fin: {'right level iia reference node': {'clinical finding': 'right level iia reference node', 'existence': 'pos_dx', 'descriptive_term': 'right level iia reference', 'observation': 'node'}}size_fin: [{'size': '18 x 11 mm'}, {'size': '16 x 10 mm'}]clinical findings_fin: {'more laterally positioned node': {'clinical finding': 'more laterally positioned node', 'existence': 'pos_dx', 'descriptive_term': 'more laterally positioned', 'observation': 'node', 'quantity_term': 'more'}}size_fin: [{'size': '15 x 14 mm'}, {'size': '18 x 14 mm'}]anatomical entity_fin: {'supraclavicular lymph node': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'referenced right supraclavicular lymph node': {'clinical finding': 'referenced right supraclavicular lymph node', 'existence': 'pos_dx', 'descriptive_term': 'referenced right supraclavicular lymph', 'observation': 'node'}}size_fin: [{'size': '16 x 13 mm'}, {'size': '17 x 13 mm'}]anatomical entity_fin: {'supraclavicular lymph node': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'additional right supraclavicular lymph node': {'clinical finding': 'additional right supraclavicular lymph node', 'existence': 'pos_dx', 'descriptive_term': 'additional right supraclavicular lymph', 'observation': 'node'}}size_fin: [{'size': '13 mm'}, {'size': '15 mm'}]location descriptor_fin: ['right']clinical findings_fin: {'ill-defined right subpectoral mass': {'clinical finding': 'ill-defined right subpectoral mass', 'existence': 'pos_dx', 'descriptive_term': 'ill-defined right subpectoral', 'observation': 'mass', 'strength_term': 'ill-defined'}}location descriptor_fin: ['right']clinical findings_fin: {'ill-defined right axillary adenopathy': {'clinical finding': 'ill-defined right axillary adenopathy', 'existence': 'pos_dx', 'descriptive_term': 'ill-defined right axillary', 'observation': 'adenopathy', 'strength_term': 'ill-defined'}}clinical findings_fin: {'discrete nodes': {'clinical finding': 'discrete nodes', 'existence': 'neg_dx', 'descriptive_term': 'discrete', 'observation': 'node'}}anatomical entity_fin: {'anterior mediastinum': {}}clinical findings_fin: {'ill-defined soft tissue infiltration of the anterior mediastinum appears similar to prior': {'clinical finding': 'ill-defined soft tissue infiltration of the anterior mediastinum appears similar to prior'}}size_fin: [{'size': '10 mm'}]anatomical entity_fin: {'lung': {}}imaging observation_fin: ['apical']location descriptor_fin: ['left']clinical findings_fin: {'left apical lung nodule': {'clinical finding': 'left apical lung nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'left apical lung', 'observation': 'nodule'}}anatomical entity_fin: {'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'subcentimeter hypoattenuating lesion': {'clinical finding': 'subcentimeter hypoattenuating lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter hypoattenuating', 'observation': 'lesion'}}anatomical entity_fin: {'internal jugular vein': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'opacify': {'clinical finding': 'opacify', 'existence': 'pos_dx', 'observation': 'opacify'}} [/INST] Infiltrative, masslike soft tissue thickening is redemonstrated involving the right parapharyngeal space extending to involve the carotid space, with infiltrative extension along the fascial planes of the right neck down to the level of the supraclavicular fossa. At its superior most extent, this thickening appears stable or perhaps slightly smaller measuring 35 x 20 mm , previously 40 x 21 mm. More inferiorly, however, there are areas where the tumor appears slightly bulkier as it tracks along and infiltrates the sternocleidomastoid muscle, though accurate measurement is difficult. A right level IIa reference node measures 22 x 14 mm , previously 14 x 11 mm. A more laterally positioned node at the same level measures 18 x 11 mm previously 16 x 10 mm. A referenced right supraclavicular lymph node measures 15 x 14 mm , previously 18 x 14 mm. An additional right supraclavicular lymph node measures 16 x 13 mm , previously 17 x 13 mm. An ill-defined right subpectoral mass measures up to 13 mm in thickness , previously up to 15 mm. Ill-defined right axillary adenopathy is also redemonstrated appearing more confluent but, in aggregate, slightly less extensive than on the prior exam. Discrete nodes within this aggregate are no longer accurately measurable. Ill-defined soft tissue infiltration of the anterior mediastinum appears similar to prior. A left apical lung nodule is redemonstrated measuring approximately 10 mm, not significantly changed. A subcentimeter hypoattenuating lesion is unchanged in the right thyroid lobe. As before, the right internal jugular vein does not opacify. </s>