. Multiple bilateral pulmonary nodules are again seen, with the reference right lower lobe pulmonary nodule measuring 14 x 12 mm, previously 10 x 7 mm. Several small new pulmonary nodules are appreciated. Heart size within normal limits, no pericardial effusion. Right chest Port-A-Cath with tip in SVC. Marked coronary artery calcifications. No significant mediastinal lymphadenopathy. Necrotic left axillary reference lymph node measures approximately 31 x 23 mm, previously 28 x 19 mm. Additional necrotic lymph nodes are similar to slightly increased in size. Mildly enlarged right axillary lymph nodes are also seen. New approximately 14 x 11 mm hypoattenuating left hepatic dome lesion, in this clinical setting is suspicious for metastatic disease. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Small bilateral renal cysts, unchanged. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Left ilium small focus of sclerosis, unchanged. Liquid benign bone island. The skeleton is heterogeneously sclerotic, consider nuclear medicine study for additional specificity. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted.
size_fin: [{'size': '14 x 12 mm'}, {'size': '10 x 7 mm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['bilateral', 'right', 'lower']clinical findings_fin: {'multiple bilateral pulmonary nodules': {'clinical finding': 'multiple bilateral pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'multiple bilateral pulmonary', 'observation': 'nodule', 'quantity_term': 'multiple'}, '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'}}clinical findings_fin: {'several small new pulmonary nodules': {'clinical finding': 'several small new pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'several small new pulmonary', 'observation': 'nodule', 'strength_term': 'small', 'quantity_term': 'several', 'temporal_term': 'new'}}anatomical entity_fin: {'heart': {}}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: {'chest': {'location descriptor': 'right'}}location descriptor_fin: ['right']object_fin: ['port']clinical findings_fin: {'right chest port-a-cath': {'clinical finding': 'right chest port-a-cath', 'existence': 'pos_dx', 'descriptive_term': 'right chest', 'observation': 'port-a-'}}clinical findings_fin: {'marked coronary artery calcifications': {'clinical finding': 'marked coronary artery calcifications', 'existence': 'pos_dx', 'descriptive_term': 'marked coronary artery', 'observation': 'calcification'}}clinical findings_fin: {'significant mediastinal lymphadenopathy': {'clinical finding': 'significant mediastinal lymphadenopathy', 'cf_snomed': {'mediastinal lymphadenopathy': 52324001}, 'existence': 'neg_dx', 'descriptive_term': 'significant mediastinal', 'observation': 'lymphadenopathy'}}size_fin: [{'size': '31 x 23 mm'}, {'size': '28 x 19 mm'}]location descriptor_fin: ['left']clinical findings_fin: {'necrotic left axillary reference lymph node': {'clinical finding': 'necrotic left axillary reference lymph node', 'existence': 'pos_dx', 'descriptive_term': 'necrotic left axillary reference lymph', 'observation': 'node'}}clinical findings_fin: {'additional necrotic lymph nodes': {'clinical finding': 'additional necrotic lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'additional necrotic lymph', 'observation': 'node'}}anatomical entity_fin: {'axillary lymph nodes': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'mildly enlarged right axillary lymph nodes': {'clinical finding': 'mildly enlarged right axillary lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'mildly enlarged right axillary lymph', 'observation': 'node', 'strength_term': 'mildly - enlarged', 'change_term': 'enlarged'}}size_fin: [{'size': '14 x 11 mm', 'size_descriptor': 'lesion'}]location descriptor_fin: ['left']clinical findings_fin: {'new approximately 14 x 11 mm hypoattenuating left hepatic dome lesion': {'clinical finding': 'new approximately 14 x 11 mm hypoattenuating left hepatic dome lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'new approximately 14 x 11 mm hypoattenuating left hepatic dome', 'observation': 'lesion', 'temporal_term': 'new'}, 'metastatic disease': {'clinical finding': 'metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'unc_dx', 'descriptive_term': 'metastatic', 'observation': 'disease'}}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'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'small bilateral renal cysts': {'clinical finding': 'small bilateral renal cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'small bilateral renal', 'observation': 'cyst', 'strength_term': 'small'}}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: {'ilium': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'sclerosis': {'clinical finding': 'sclerosis', 'cf_snomed': {'sclerosis': 43846000}, 'existence': 'pos_dx', 'observation': 'sclerosis'}}clinical findings_fin: {'liquid benign bone island': {'clinical finding': 'liquid benign bone island', 'cf_snomed': {'liquid': 264312008}}}anatomical entity_fin: {'skeleton': {}}clinical findings_fin: {'sclerotic': {'clinical finding': 'sclerotic', 'existence': 'pos_dx', 'observation': 'sclerotic'}}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'}}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'}}
<s>[INST] Write the finding section for a radiology report based on the following information: size_fin: [{'size': '14 x 12 mm'}, {'size': '10 x 7 mm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['bilateral', 'right', 'lower']clinical findings_fin: {'multiple bilateral pulmonary nodules': {'clinical finding': 'multiple bilateral pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'multiple bilateral pulmonary', 'observation': 'nodule', 'quantity_term': 'multiple'}, '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'}}clinical findings_fin: {'several small new pulmonary nodules': {'clinical finding': 'several small new pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'several small new pulmonary', 'observation': 'nodule', 'strength_term': 'small', 'quantity_term': 'several', 'temporal_term': 'new'}}anatomical entity_fin: {'heart': {}}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: {'chest': {'location descriptor': 'right'}}location descriptor_fin: ['right']object_fin: ['port']clinical findings_fin: {'right chest port-a-cath': {'clinical finding': 'right chest port-a-cath', 'existence': 'pos_dx', 'descriptive_term': 'right chest', 'observation': 'port-a-'}}clinical findings_fin: {'marked coronary artery calcifications': {'clinical finding': 'marked coronary artery calcifications', 'existence': 'pos_dx', 'descriptive_term': 'marked coronary artery', 'observation': 'calcification'}}clinical findings_fin: {'significant mediastinal lymphadenopathy': {'clinical finding': 'significant mediastinal lymphadenopathy', 'cf_snomed': {'mediastinal lymphadenopathy': 52324001}, 'existence': 'neg_dx', 'descriptive_term': 'significant mediastinal', 'observation': 'lymphadenopathy'}}size_fin: [{'size': '31 x 23 mm'}, {'size': '28 x 19 mm'}]location descriptor_fin: ['left']clinical findings_fin: {'necrotic left axillary reference lymph node': {'clinical finding': 'necrotic left axillary reference lymph node', 'existence': 'pos_dx', 'descriptive_term': 'necrotic left axillary reference lymph', 'observation': 'node'}}clinical findings_fin: {'additional necrotic lymph nodes': {'clinical finding': 'additional necrotic lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'additional necrotic lymph', 'observation': 'node'}}anatomical entity_fin: {'axillary lymph nodes': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'mildly enlarged right axillary lymph nodes': {'clinical finding': 'mildly enlarged right axillary lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'mildly enlarged right axillary lymph', 'observation': 'node', 'strength_term': 'mildly - enlarged', 'change_term': 'enlarged'}}size_fin: [{'size': '14 x 11 mm', 'size_descriptor': 'lesion'}]location descriptor_fin: ['left']clinical findings_fin: {'new approximately 14 x 11 mm hypoattenuating left hepatic dome lesion': {'clinical finding': 'new approximately 14 x 11 mm hypoattenuating left hepatic dome lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'new approximately 14 x 11 mm hypoattenuating left hepatic dome', 'observation': 'lesion', 'temporal_term': 'new'}, 'metastatic disease': {'clinical finding': 'metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'unc_dx', 'descriptive_term': 'metastatic', 'observation': 'disease'}}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'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'small bilateral renal cysts': {'clinical finding': 'small bilateral renal cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'small bilateral renal', 'observation': 'cyst', 'strength_term': 'small'}}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: {'ilium': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'sclerosis': {'clinical finding': 'sclerosis', 'cf_snomed': {'sclerosis': 43846000}, 'existence': 'pos_dx', 'observation': 'sclerosis'}}clinical findings_fin: {'liquid benign bone island': {'clinical finding': 'liquid benign bone island', 'cf_snomed': {'liquid': 264312008}}}anatomical entity_fin: {'skeleton': {}}clinical findings_fin: {'sclerotic': {'clinical finding': 'sclerotic', 'existence': 'pos_dx', 'observation': 'sclerotic'}}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'}}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'}} [/INST] . Multiple bilateral pulmonary nodules are again seen, with the reference right lower lobe pulmonary nodule measuring 14 x 12 mm, previously 10 x 7 mm. Several small new pulmonary nodules are appreciated. Heart size within normal limits, no pericardial effusion. Right chest Port-A-Cath with tip in SVC. Marked coronary artery calcifications. No significant mediastinal lymphadenopathy. Necrotic left axillary reference lymph node measures approximately 31 x 23 mm, previously 28 x 19 mm. Additional necrotic lymph nodes are similar to slightly increased in size. Mildly enlarged right axillary lymph nodes are also seen. New approximately 14 x 11 mm hypoattenuating left hepatic dome lesion, in this clinical setting is suspicious for metastatic disease. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Small bilateral renal cysts, unchanged. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Left ilium small focus of sclerosis, unchanged. Liquid benign bone island. The skeleton is heterogeneously sclerotic, consider nuclear medicine study for additional specificity. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. </s>