Todays CT portion grossly demonstrates an ill-defined hypodense hepatic lesion similar to recent diagnostic CT. There are several small isodense renal lesions again noted. Todays PET examination demonstrates a large irregularly lobular markedly hypermetabolic mass which resides largely in the liver but is also indistinguishable from the gallbladder compatible with malignancy, possibly a primary gallbladder cancer. There are multiple small but markedly hypermetabolic regional lymph nodes seen in the portal hepatic and celiac stations. A borderline enlarged mildly hypermetabolic right cardiophrenic lymph node could represent additional lymph node metastasis. No suspicious FDG avid lesions are noted in the neck, thorax or pelvis. Of note the small left renal lesion which was suspicious on recent CT is not hypermetabolic however this does not exclude the possibility of a synchronous renal cell cancer.
clinical findings_fin: {'ill-defined hypodense hepatic lesion': {'clinical finding': 'ill-defined hypodense hepatic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'ill-defined hypodense hepatic', 'observation': 'lesion', 'strength_term': 'ill-defined'}}clinical findings_fin: {'several small isodense renal lesions': {'clinical finding': 'several small isodense renal lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'several small isodense renal', 'observation': 'lesion', 'strength_term': 'small', 'quantity_term': 'several'}}anatomical entity_fin: {'liver': {}, 'gallbladder': {}}clinical findings_fin: {'large irregularly lobular markedly hypermetabolic mass': {'clinical finding': 'large irregularly lobular markedly hypermetabolic mass', 'existence': 'unc_dx', 'descriptive_term': 'large irregularly lobular markedly hypermetabolic', 'observation': 'mass', 'strength_term': 'large'}, 'malignancy': {'clinical finding': 'malignancy', 'existence': 'pos_dx', 'observation': 'malignancy'}, 'possibly a primary gallbladder cancer': {'clinical finding': 'possibly a primary gallbladder cancer', 'existence': 'pos_dx', 'descriptive_term': 'possibly a primary gallbladder', 'observation': 'cancer'}}clinical findings_fin: {'multiple small but markedly hypermetabolic regional lymph nodes': {'clinical finding': 'multiple small but markedly hypermetabolic regional lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'multiple small but markedly hypermetabolic regional lymph', 'observation': 'node', 'strength_term': 'small', 'quantity_term': 'multiple'}}location descriptor_fin: ['right']clinical findings_fin: {'borderline enlarged mildly hypermetabolic right cardiophrenic lymph node': {'clinical finding': 'borderline enlarged mildly hypermetabolic right cardiophrenic lymph node', 'existence': 'pos_dx', 'descriptive_term': 'borderline enlarged mildly hypermetabolic right cardiophrenic lymph', 'observation': 'node', 'strength_term': 'borderline - enlarged - mildly', 'change_term': 'enlarged'}, 'additional lymph node metastasis': {'clinical finding': 'additional lymph node metastasis', 'existence': 'unc_dx', 'descriptive_term': 'additional lymph node', 'observation': 'metastasis'}}anatomical entity_fin: {'neck': {}, 'thorax': {}, 'pelvis': {}}clinical findings_fin: {'suspicious fdg avid lesions': {'clinical finding': 'suspicious fdg avid lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious fdg avid', 'observation': 'lesion'}}anatomical entity_fin: {'cell': {}}location descriptor_fin: ['left']clinical findings_fin: {'small left renal lesion': {'clinical finding': 'small left renal lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'unc_dx', 'descriptive_term': 'small left renal', 'observation': 'lesion', 'strength_term': 'small'}}
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'ill-defined hypodense hepatic lesion': {'clinical finding': 'ill-defined hypodense hepatic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'ill-defined hypodense hepatic', 'observation': 'lesion', 'strength_term': 'ill-defined'}}clinical findings_fin: {'several small isodense renal lesions': {'clinical finding': 'several small isodense renal lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'several small isodense renal', 'observation': 'lesion', 'strength_term': 'small', 'quantity_term': 'several'}}anatomical entity_fin: {'liver': {}, 'gallbladder': {}}clinical findings_fin: {'large irregularly lobular markedly hypermetabolic mass': {'clinical finding': 'large irregularly lobular markedly hypermetabolic mass', 'existence': 'unc_dx', 'descriptive_term': 'large irregularly lobular markedly hypermetabolic', 'observation': 'mass', 'strength_term': 'large'}, 'malignancy': {'clinical finding': 'malignancy', 'existence': 'pos_dx', 'observation': 'malignancy'}, 'possibly a primary gallbladder cancer': {'clinical finding': 'possibly a primary gallbladder cancer', 'existence': 'pos_dx', 'descriptive_term': 'possibly a primary gallbladder', 'observation': 'cancer'}}clinical findings_fin: {'multiple small but markedly hypermetabolic regional lymph nodes': {'clinical finding': 'multiple small but markedly hypermetabolic regional lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'multiple small but markedly hypermetabolic regional lymph', 'observation': 'node', 'strength_term': 'small', 'quantity_term': 'multiple'}}location descriptor_fin: ['right']clinical findings_fin: {'borderline enlarged mildly hypermetabolic right cardiophrenic lymph node': {'clinical finding': 'borderline enlarged mildly hypermetabolic right cardiophrenic lymph node', 'existence': 'pos_dx', 'descriptive_term': 'borderline enlarged mildly hypermetabolic right cardiophrenic lymph', 'observation': 'node', 'strength_term': 'borderline - enlarged - mildly', 'change_term': 'enlarged'}, 'additional lymph node metastasis': {'clinical finding': 'additional lymph node metastasis', 'existence': 'unc_dx', 'descriptive_term': 'additional lymph node', 'observation': 'metastasis'}}anatomical entity_fin: {'neck': {}, 'thorax': {}, 'pelvis': {}}clinical findings_fin: {'suspicious fdg avid lesions': {'clinical finding': 'suspicious fdg avid lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious fdg avid', 'observation': 'lesion'}}anatomical entity_fin: {'cell': {}}location descriptor_fin: ['left']clinical findings_fin: {'small left renal lesion': {'clinical finding': 'small left renal lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'unc_dx', 'descriptive_term': 'small left renal', 'observation': 'lesion', 'strength_term': 'small'}} [/INST] Todays CT portion grossly demonstrates an ill-defined hypodense hepatic lesion similar to recent diagnostic CT. There are several small isodense renal lesions again noted. Todays PET examination demonstrates a large irregularly lobular markedly hypermetabolic mass which resides largely in the liver but is also indistinguishable from the gallbladder compatible with malignancy, possibly a primary gallbladder cancer. There are multiple small but markedly hypermetabolic regional lymph nodes seen in the portal hepatic and celiac stations. A borderline enlarged mildly hypermetabolic right cardiophrenic lymph node could represent additional lymph node metastasis. No suspicious FDG avid lesions are noted in the neck, thorax or pelvis. Of note the small left renal lesion which was suspicious on recent CT is not hypermetabolic however this does not exclude the possibility of a synchronous renal cell cancer. </s>