. Small left pleural effusion with overlying atelectasis. Multiple micronodules all less than 5 mm in diameter, is at least one likely an intrapulmonary lymph node, possibly benign although given the patients metastatic disease elsewhere could just as easily be metastatic. Asymmetric thyroid enlargement. Tortuous brachiocephalic vessels. No lymphadenopathy identified. Moderate cardiomegaly. None. 11 mm left axillary lymph node, possible low density related to chronic center, with prominent left axillary nodes elsewhere. Absence of enteric contrast material limits sensitivity for abdominal pathology. See recent abdomen CT report for its description of extensive pancreatic metastatic disease.
location descriptor_fin: ['left']clinical findings_fin: {'small left pleural effusion': {'clinical finding': 'small left pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'small left pleural', 'observation': 'effusion', 'strength_term': 'small'}, 'overlying atelectasis': {'clinical finding': 'overlying atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'overlying', 'observation': 'atelectasis'}}size_fin: [{'size': '5 mm'}]clinical findings_fin: {'multiple micronodules': {'clinical finding': 'multiple micronodules', 'existence': 'pos_dx', 'descriptive_term': 'multiple', 'observation': 'micronodule', 'quantity_term': 'multiple'}, 'at least one likely an intrapulmonary lymph node': {'clinical finding': 'at least one likely an intrapulmonary lymph node', 'existence': 'pos_dx', 'descriptive_term': 'at least one likely an intrapulmonary lymph', 'observation': 'node'}, 'metastatic disease': {'clinical finding': 'metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'metastatic', 'observation': 'disease'}, 'metastatic': {'clinical finding': 'metastatic', 'existence': 'unc_dx', 'observation': 'metastatic'}}clinical findings_fin: {'tortuous brachiocephalic vessels': {'clinical finding': 'tortuous brachiocephalic vessels'}}clinical findings_fin: {'lymphadenopathy': {'clinical finding': 'lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'moderate cardiomegaly': {'clinical finding': 'moderate cardiomegaly', 'cf_snomed': {'cardiomegaly': 8186001}, 'existence': 'pos_dx', 'descriptive_term': 'moderate', 'observation': 'cardiomegaly', 'strength_term': 'moderate'}}size_fin: [{'size': '11 mm', 'size_descriptor': 'node'}]anatomical entity_fin: {'axillary lymph node': {'location descriptor': 'left'}}location descriptor_fin: ['left', 'center']clinical findings_fin: {'11 mm left axillary lymph node': {'clinical finding': '11 mm left axillary lymph node', 'existence': 'pos_dx', 'descriptive_term': '11 mm left axillary lymph', 'observation': 'node'}, 'prominent left axillary nodes': {'clinical finding': 'prominent left axillary nodes', 'existence': 'pos_dx', 'descriptive_term': 'prominent left axillary', 'observation': 'node', 'strength_term': 'prominent'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}anatomical entity_fin: {'abdomen': {}}clinical findings_fin: {'extensive pancreatic metastatic disease': {'clinical finding': 'extensive pancreatic metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'extensive pancreatic metastatic', 'observation': 'disease', 'strength_term': 'extensive'}}
<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['left']clinical findings_fin: {'small left pleural effusion': {'clinical finding': 'small left pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'small left pleural', 'observation': 'effusion', 'strength_term': 'small'}, 'overlying atelectasis': {'clinical finding': 'overlying atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'overlying', 'observation': 'atelectasis'}}size_fin: [{'size': '5 mm'}]clinical findings_fin: {'multiple micronodules': {'clinical finding': 'multiple micronodules', 'existence': 'pos_dx', 'descriptive_term': 'multiple', 'observation': 'micronodule', 'quantity_term': 'multiple'}, 'at least one likely an intrapulmonary lymph node': {'clinical finding': 'at least one likely an intrapulmonary lymph node', 'existence': 'pos_dx', 'descriptive_term': 'at least one likely an intrapulmonary lymph', 'observation': 'node'}, 'metastatic disease': {'clinical finding': 'metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'metastatic', 'observation': 'disease'}, 'metastatic': {'clinical finding': 'metastatic', 'existence': 'unc_dx', 'observation': 'metastatic'}}clinical findings_fin: {'tortuous brachiocephalic vessels': {'clinical finding': 'tortuous brachiocephalic vessels'}}clinical findings_fin: {'lymphadenopathy': {'clinical finding': 'lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'moderate cardiomegaly': {'clinical finding': 'moderate cardiomegaly', 'cf_snomed': {'cardiomegaly': 8186001}, 'existence': 'pos_dx', 'descriptive_term': 'moderate', 'observation': 'cardiomegaly', 'strength_term': 'moderate'}}size_fin: [{'size': '11 mm', 'size_descriptor': 'node'}]anatomical entity_fin: {'axillary lymph node': {'location descriptor': 'left'}}location descriptor_fin: ['left', 'center']clinical findings_fin: {'11 mm left axillary lymph node': {'clinical finding': '11 mm left axillary lymph node', 'existence': 'pos_dx', 'descriptive_term': '11 mm left axillary lymph', 'observation': 'node'}, 'prominent left axillary nodes': {'clinical finding': 'prominent left axillary nodes', 'existence': 'pos_dx', 'descriptive_term': 'prominent left axillary', 'observation': 'node', 'strength_term': 'prominent'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}anatomical entity_fin: {'abdomen': {}}clinical findings_fin: {'extensive pancreatic metastatic disease': {'clinical finding': 'extensive pancreatic metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'extensive pancreatic metastatic', 'observation': 'disease', 'strength_term': 'extensive'}} [/INST] . Small left pleural effusion with overlying atelectasis. Multiple micronodules all less than 5 mm in diameter, is at least one likely an intrapulmonary lymph node, possibly benign although given the patients metastatic disease elsewhere could just as easily be metastatic. Asymmetric thyroid enlargement. Tortuous brachiocephalic vessels. No lymphadenopathy identified. Moderate cardiomegaly. None. 11 mm left axillary lymph node, possible low density related to chronic center, with prominent left axillary nodes elsewhere. Absence of enteric contrast material limits sensitivity for abdominal pathology. See recent abdomen CT report for its description of extensive pancreatic metastatic disease. </s>