. Scattered pulmonary micronodules, stable. There is no pleural effusion or pneumothorax. Reference right hilar lymph node measures 1.6 x 1 cm, stable. A vascular stent is again noted. Mild. Left chest wall pacemaker is again noted. Right anterolateral chest wall nodule appears stable, measuring 2.7 x 2.2 cm. Scattered focal areas of calcification suggestive of prior granulomatous disease are again seen, unchanged. Subcentimeter hypodense lesion in the right lobe of the liver appears stable. There is no intrahepatic or extrahepatic biliary dilatation. The gallbladder is unremarkable. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. The left kidney is absent. Previously noted right renal nodules are stable in size. However, there is an ill-defined area of hyperattenuation which measures 3.1 x 3.2 cm noted within the midpole of the right kidney which appears as though it may have been present previously but is less conspicuous on prior imaging. This likely represents a hypertrophied column of Bertin however a mass cannot be excluded. Recommend further characterization with MRI. There is no hydronephrosis. No significant abnormality noted. Moderate. No significant abnormality noted. Stable degenerative changes of the spine and mild scoliosis, stable. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted
clinical findings_fin: {'scattered pulmonary micronodules': {'clinical finding': 'scattered pulmonary micronodules', 'existence': 'pos_dx', 'descriptive_term': 'scattered pulmonary', 'observation': 'micronodule'}}clinical findings_fin: {'pleural effusion': {'clinical finding': 'pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}, 'pneumothorax': {'clinical finding': 'pneumothorax', 'cf_snomed': {'pneumothorax': 36118008}, 'existence': 'neg_dx', 'observation': 'pneumothorax'}}size_fin: [{'size': '1.6 x 1 cm'}]location descriptor_fin: ['right']clinical findings_fin: {'reference right hilar lymph node': {'clinical finding': 'reference right hilar lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference right hilar lymph', 'observation': 'node'}}object_fin: ['vascular stent']clinical findings_fin: {'vascular stent': {'clinical finding': 'vascular stent', 'existence': 'pos_dx', 'descriptive_term': 'vascular', 'observation': 'stent'}}anatomical entity_fin: {'chest wall': {'location descriptor': 'left'}}location descriptor_fin: ['left']object_fin: ['pacemaker']clinical findings_fin: {'chest wall pacemaker is again noted': {'clinical finding': 'chest wall pacemaker is again noted'}}size_fin: [{'size': '2.7 x 2.2 cm', 'size_descriptor': 'nodule'}]anatomical entity_fin: {'chest wall': {'location descriptor': 'right anterolateral'}}location descriptor_fin: ['right', 'anterolateral']clinical findings_fin: {'right anterolateral chest wall nodule': {'clinical finding': 'right anterolateral chest wall nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'right anterolateral chest wall', 'observation': 'nodule'}}clinical findings_fin: {'calcification': {'clinical finding': 'calcification', 'existence': 'pos_dx', 'observation': 'calcification'}, 'prior granulomatous disease': {'clinical finding': 'prior granulomatous disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'unc_dx', 'descriptive_term': 'prior granulomatous', 'observation': 'disease'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right'}, 'liver': {}}location descriptor_fin: ['right']clinical findings_fin: {'subcentimeter hypodense lesion': {'clinical finding': 'subcentimeter hypodense lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter hypodense', 'observation': 'lesion'}}anatomical entity_fin: {'gallbladder': {}}clinical findings_fin: {'gallbladder is unremarkable': {'clinical finding': 'gallbladder is unremarkable'}}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: {'left kidney': {}}clinical findings_fin: {'absent': {'clinical finding': 'absent', 'existence': 'pos_dx', 'observation': 'absent'}}location descriptor_fin: ['right']clinical findings_fin: {'previously noted right renal nodules': {'clinical finding': 'previously noted right renal nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'previously noted right renal', 'observation': 'nodule'}}size_fin: [{'size': '3.1 x 3.2 cm', 'size_descriptor': 'area'}]anatomical entity_fin: {'right kidney': {}}clinical findings_fin: {'hyperattenuation': {'clinical finding': 'hyperattenuation', 'existence': 'pos_dx', 'observation': 'hyperattenuation'}}clinical findings_fin: {'mass': {'clinical finding': 'mass', 'existence': 'unc_dx', 'observation': 'mass'}}clinical findings_fin: {'hydronephrosis': {'clinical finding': 'hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'neg_dx', 'observation': 'hydronephrosis'}}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: {'spine': {}}clinical findings_fin: {'stable degenerative changes': {'clinical finding': 'stable degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'stable degenerative', 'observation': 'change', 'strength_term': 'stable', 'change_term': 'stable'}, 'mild scoliosis': {'clinical finding': 'mild scoliosis', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'scoliosis', 'strength_term': 'mild'}}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'}}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: clinical findings_fin: {'scattered pulmonary micronodules': {'clinical finding': 'scattered pulmonary micronodules', 'existence': 'pos_dx', 'descriptive_term': 'scattered pulmonary', 'observation': 'micronodule'}}clinical findings_fin: {'pleural effusion': {'clinical finding': 'pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}, 'pneumothorax': {'clinical finding': 'pneumothorax', 'cf_snomed': {'pneumothorax': 36118008}, 'existence': 'neg_dx', 'observation': 'pneumothorax'}}size_fin: [{'size': '1.6 x 1 cm'}]location descriptor_fin: ['right']clinical findings_fin: {'reference right hilar lymph node': {'clinical finding': 'reference right hilar lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference right hilar lymph', 'observation': 'node'}}object_fin: ['vascular stent']clinical findings_fin: {'vascular stent': {'clinical finding': 'vascular stent', 'existence': 'pos_dx', 'descriptive_term': 'vascular', 'observation': 'stent'}}anatomical entity_fin: {'chest wall': {'location descriptor': 'left'}}location descriptor_fin: ['left']object_fin: ['pacemaker']clinical findings_fin: {'chest wall pacemaker is again noted': {'clinical finding': 'chest wall pacemaker is again noted'}}size_fin: [{'size': '2.7 x 2.2 cm', 'size_descriptor': 'nodule'}]anatomical entity_fin: {'chest wall': {'location descriptor': 'right anterolateral'}}location descriptor_fin: ['right', 'anterolateral']clinical findings_fin: {'right anterolateral chest wall nodule': {'clinical finding': 'right anterolateral chest wall nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'right anterolateral chest wall', 'observation': 'nodule'}}clinical findings_fin: {'calcification': {'clinical finding': 'calcification', 'existence': 'pos_dx', 'observation': 'calcification'}, 'prior granulomatous disease': {'clinical finding': 'prior granulomatous disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'unc_dx', 'descriptive_term': 'prior granulomatous', 'observation': 'disease'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right'}, 'liver': {}}location descriptor_fin: ['right']clinical findings_fin: {'subcentimeter hypodense lesion': {'clinical finding': 'subcentimeter hypodense lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter hypodense', 'observation': 'lesion'}}anatomical entity_fin: {'gallbladder': {}}clinical findings_fin: {'gallbladder is unremarkable': {'clinical finding': 'gallbladder is unremarkable'}}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: {'left kidney': {}}clinical findings_fin: {'absent': {'clinical finding': 'absent', 'existence': 'pos_dx', 'observation': 'absent'}}location descriptor_fin: ['right']clinical findings_fin: {'previously noted right renal nodules': {'clinical finding': 'previously noted right renal nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'previously noted right renal', 'observation': 'nodule'}}size_fin: [{'size': '3.1 x 3.2 cm', 'size_descriptor': 'area'}]anatomical entity_fin: {'right kidney': {}}clinical findings_fin: {'hyperattenuation': {'clinical finding': 'hyperattenuation', 'existence': 'pos_dx', 'observation': 'hyperattenuation'}}clinical findings_fin: {'mass': {'clinical finding': 'mass', 'existence': 'unc_dx', 'observation': 'mass'}}clinical findings_fin: {'hydronephrosis': {'clinical finding': 'hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'neg_dx', 'observation': 'hydronephrosis'}}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: {'spine': {}}clinical findings_fin: {'stable degenerative changes': {'clinical finding': 'stable degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'stable degenerative', 'observation': 'change', 'strength_term': 'stable', 'change_term': 'stable'}, 'mild scoliosis': {'clinical finding': 'mild scoliosis', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'scoliosis', 'strength_term': 'mild'}}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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . Scattered pulmonary micronodules, stable. There is no pleural effusion or pneumothorax. Reference right hilar lymph node measures 1.6 x 1 cm, stable. A vascular stent is again noted. Mild. Left chest wall pacemaker is again noted. Right anterolateral chest wall nodule appears stable, measuring 2.7 x 2.2 cm. Scattered focal areas of calcification suggestive of prior granulomatous disease are again seen, unchanged. Subcentimeter hypodense lesion in the right lobe of the liver appears stable. There is no intrahepatic or extrahepatic biliary dilatation. The gallbladder is unremarkable. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. The left kidney is absent. Previously noted right renal nodules are stable in size. However, there is an ill-defined area of hyperattenuation which measures 3.1 x 3.2 cm noted within the midpole of the right kidney which appears as though it may have been present previously but is less conspicuous on prior imaging. This likely represents a hypertrophied column of Bertin however a mass cannot be excluded. Recommend further characterization with MRI. There is no hydronephrosis. No significant abnormality noted. Moderate. No significant abnormality noted. Stable degenerative changes of the spine and mild scoliosis, stable. No significant abnormality noted. 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>