. There is new, subtle, groundglass opacity seen in the right upper lobe. A left apical micronodule is unchanged. There is right basilar scarring and rounded atelectasis. Multiple enlarged mediastinal and hilar lymph nodes are noted with reference right paratracheal lymph node measuring 12 mm, previously 13 mm. Additionally, a prevascular lymph node has significantly increased in size now measuring 24 mm, previously 14 mm. The heart and pericardium are unremarkable. A central venous catheter tip is seen in the SVC. None. There are numerous bilateral enlarged axillary lymph nodes with a reference left axillary node measuring 42 mm, previously 23 mm. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. Cholelithiasis without evidence of cholecystitis. The spleen is atrophic and calcified. Multiple enlarged gastrohepatic and portacaval lymph nodes are noted.
anatomical entity_fin: {'lobe': {'location descriptor': 'right upper'}}location descriptor_fin: ['right', 'upper']clinical findings_fin: {'new, subtle, groundglass opacity': {'clinical finding': 'new, subtle, groundglass opacity', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'new subtle groundglass', 'observation': 'opacity', 'strength_term': 'subtle', 'temporal_term': 'new'}}imaging observation_fin: ['apical']location descriptor_fin: ['left']clinical findings_fin: {'left apical micronodule': {'clinical finding': 'left apical micronodule', 'existence': 'pos_dx', 'descriptive_term': 'left apical', 'observation': 'micronodule'}}location descriptor_fin: ['right']clinical findings_fin: {'basilar scarring': {'clinical finding': 'basilar scarring', 'existence': 'pos_dx', 'descriptive_term': 'basilar', 'observation': 'scarr'}, 'rounded atelectasis': {'clinical finding': 'rounded atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'rounded', 'observation': 'atelectasis'}}size_fin: [{'size': '12 mm'}, {'size': '13 mm'}]location descriptor_fin: ['right']clinical findings_fin: {'multiple enlarged mediastinal and hilar lymph nodes': {'clinical finding': 'multiple enlarged mediastinal and hilar lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'multiple enlarged mediastinal and hilar lymph', 'observation': 'node', 'strength_term': 'enlarged', 'quantity_term': 'multiple', 'change_term': 'enlarged'}, 'reference right paratracheal lymph node': {'clinical finding': 'reference right paratracheal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference right paratracheal lymph', 'observation': 'node'}}size_fin: [{'size': '24 mm'}, {'size': '14 mm'}]clinical findings_fin: {'prevascular lymph node': {'clinical finding': 'prevascular lymph node', 'existence': 'pos_dx', 'descriptive_term': 'prevascular lymph', 'observation': 'node'}}anatomical entity_fin: {'heart': {}, 'pericardium': {}}clinical findings_fin: {'heart and pericardium are unremarkable': {'clinical finding': 'heart and pericardium are unremarkable'}}object_fin: ['central venous catheter']clinical findings_fin: {'central venous catheter': {'clinical finding': 'central venous catheter', 'existence': 'pos_dx', 'descriptive_term': 'central venous', 'observation': 'catheter'}}size_fin: [{'size': '42 mm'}, {'size': '23 mm'}]anatomical entity_fin: {'axillary lymph nodes': {}}location descriptor_fin: ['bilateral', 'left']clinical findings_fin: {'numerous bilateral enlarged axillary lymph nodes': {'clinical finding': 'numerous bilateral enlarged axillary lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'numerous bilateral enlarged axillary lymph', 'observation': 'node', 'strength_term': 'enlarged', 'quantity_term': 'numerous', 'change_term': 'enlarged'}, 'reference left axillary node': {'clinical finding': 'reference left axillary node', 'existence': 'pos_dx', 'descriptive_term': 'reference left axillary', 'observation': 'node'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'cholelithiasis': {'clinical finding': 'cholelithiasis', 'existence': 'pos_dx', 'observation': 'cholelithiasis'}, 'cholecystitis': {'clinical finding': 'cholecystitis', 'cf_snomed': {'cholecystitis': 76581006}, 'existence': 'neg_dx', 'observation': 'cholecystitis'}}anatomical entity_fin: {'spleen': {}}clinical findings_fin: {'atrophic': {'clinical finding': 'atrophic', 'existence': 'pos_dx', 'observation': 'atrophic'}}clinical findings_fin: {'multiple enlarged gastrohepatic and portacaval lymph nodes': {'clinical finding': 'multiple enlarged gastrohepatic and portacaval lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'multiple enlarged gastrohepatic and portacaval lymph', 'observation': 'node', 'strength_term': 'enlarged', 'quantity_term': 'multiple', 'change_term': 'enlarged'}}
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'lobe': {'location descriptor': 'right upper'}}location descriptor_fin: ['right', 'upper']clinical findings_fin: {'new, subtle, groundglass opacity': {'clinical finding': 'new, subtle, groundglass opacity', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'new subtle groundglass', 'observation': 'opacity', 'strength_term': 'subtle', 'temporal_term': 'new'}}imaging observation_fin: ['apical']location descriptor_fin: ['left']clinical findings_fin: {'left apical micronodule': {'clinical finding': 'left apical micronodule', 'existence': 'pos_dx', 'descriptive_term': 'left apical', 'observation': 'micronodule'}}location descriptor_fin: ['right']clinical findings_fin: {'basilar scarring': {'clinical finding': 'basilar scarring', 'existence': 'pos_dx', 'descriptive_term': 'basilar', 'observation': 'scarr'}, 'rounded atelectasis': {'clinical finding': 'rounded atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'rounded', 'observation': 'atelectasis'}}size_fin: [{'size': '12 mm'}, {'size': '13 mm'}]location descriptor_fin: ['right']clinical findings_fin: {'multiple enlarged mediastinal and hilar lymph nodes': {'clinical finding': 'multiple enlarged mediastinal and hilar lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'multiple enlarged mediastinal and hilar lymph', 'observation': 'node', 'strength_term': 'enlarged', 'quantity_term': 'multiple', 'change_term': 'enlarged'}, 'reference right paratracheal lymph node': {'clinical finding': 'reference right paratracheal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference right paratracheal lymph', 'observation': 'node'}}size_fin: [{'size': '24 mm'}, {'size': '14 mm'}]clinical findings_fin: {'prevascular lymph node': {'clinical finding': 'prevascular lymph node', 'existence': 'pos_dx', 'descriptive_term': 'prevascular lymph', 'observation': 'node'}}anatomical entity_fin: {'heart': {}, 'pericardium': {}}clinical findings_fin: {'heart and pericardium are unremarkable': {'clinical finding': 'heart and pericardium are unremarkable'}}object_fin: ['central venous catheter']clinical findings_fin: {'central venous catheter': {'clinical finding': 'central venous catheter', 'existence': 'pos_dx', 'descriptive_term': 'central venous', 'observation': 'catheter'}}size_fin: [{'size': '42 mm'}, {'size': '23 mm'}]anatomical entity_fin: {'axillary lymph nodes': {}}location descriptor_fin: ['bilateral', 'left']clinical findings_fin: {'numerous bilateral enlarged axillary lymph nodes': {'clinical finding': 'numerous bilateral enlarged axillary lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'numerous bilateral enlarged axillary lymph', 'observation': 'node', 'strength_term': 'enlarged', 'quantity_term': 'numerous', 'change_term': 'enlarged'}, 'reference left axillary node': {'clinical finding': 'reference left axillary node', 'existence': 'pos_dx', 'descriptive_term': 'reference left axillary', 'observation': 'node'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'cholelithiasis': {'clinical finding': 'cholelithiasis', 'existence': 'pos_dx', 'observation': 'cholelithiasis'}, 'cholecystitis': {'clinical finding': 'cholecystitis', 'cf_snomed': {'cholecystitis': 76581006}, 'existence': 'neg_dx', 'observation': 'cholecystitis'}}anatomical entity_fin: {'spleen': {}}clinical findings_fin: {'atrophic': {'clinical finding': 'atrophic', 'existence': 'pos_dx', 'observation': 'atrophic'}}clinical findings_fin: {'multiple enlarged gastrohepatic and portacaval lymph nodes': {'clinical finding': 'multiple enlarged gastrohepatic and portacaval lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'multiple enlarged gastrohepatic and portacaval lymph', 'observation': 'node', 'strength_term': 'enlarged', 'quantity_term': 'multiple', 'change_term': 'enlarged'}} [/INST] . There is new, subtle, groundglass opacity seen in the right upper lobe. A left apical micronodule is unchanged. There is right basilar scarring and rounded atelectasis. Multiple enlarged mediastinal and hilar lymph nodes are noted with reference right paratracheal lymph node measuring 12 mm, previously 13 mm. Additionally, a prevascular lymph node has significantly increased in size now measuring 24 mm, previously 14 mm. The heart and pericardium are unremarkable. A central venous catheter tip is seen in the SVC. None. There are numerous bilateral enlarged axillary lymph nodes with a reference left axillary node measuring 42 mm, previously 23 mm. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. Cholelithiasis without evidence of cholecystitis. The spleen is atrophic and calcified. Multiple enlarged gastrohepatic and portacaval lymph nodes are noted. </s>