. The referenced left upper lobe mass measures 47 x 46 mm , previously 45 x 41 mm this mass is again seen encasing and obliterating the left main pulmonary artery and its branches. Adjacent post radiation changes are not significant changed. Scattered areas of peripheral groundglass nodules and tree-in-bud opacities are again seen, suggestive of chronic aspiration or angulated. Mild upper lobe predominant centrilobular emphysema is not significantly changed. Heart size is within normal limits with persistent mild anterior pericardial thickening or fluid. The mediastinum is shifted to the left secondary to post radiation fibrosis. Enlarged mediastinal lymph nodes are not significantly changed. The previously described left upper lobe mass encases the left hilum making evaluation of hilar lymphadenopathy difficult. The main pulmonary artery is of normal caliber. However, multiple segmental pulmonary emboli are seen adjacent to the mass, which are either new or increased from prior study. Mild. Mildly prominent left axillary lymph nodes are similar to prior. Multinodular thyroid gland is again seen. Absence of enteric contrast material limits sensitivity for abdominal pathology. No significant abnormality noted. Status post splenectomy. No significant abnormality noted. Subcentimeter renal lesions are again seen, likely representing benign cysts. Postoperative changes are again noted. Multiple new enlarged and centrally necrotic peripancreatic and gastrohepatic lymph nodes which are concerning for metastatic disease. Peripancreatic inflammatory changes may be related to metastatic disease. No significant abnormality noted. Absence of enteric contrast material limits sensitivity for GI pathology. Postsurgical changes related to bowel resection are seen in the right lower quadrant. Multiple prominent mesenteric lymph nodes are new from prior study. The previously described left upper quadrant mesenteric nodule is similar to prior measuring 9 x 12 mm. Widemouth ventral hernia containing loops of bowel without evidence of obstruction or strangulation. No significant abnormality noted.
size_fin: [{'size': '47 x 46 mm'}, {'size': '45 x 41 mm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}, 'main pulmonary artery': {'location descriptor': 'left'}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'referenced left upper lobe mass': {'clinical finding': 'referenced left upper lobe mass', 'existence': 'pos_dx', 'descriptive_term': 'referenced left upper lobe', 'observation': 'mass'}, 'this mass': {'clinical finding': 'this mass', 'existence': 'pos_dx', 'descriptive_term': 'this', 'observation': 'mass'}}location descriptor_fin: ['adjacent']clinical findings_fin: {'adjacent post radiation changes': {'clinical finding': 'adjacent post radiation changes', 'existence': 'neg_dx', 'descriptive_term': 'adjacent post radiation', 'observation': 'change'}}imaging observation_fin: ['tree-in-bud']location descriptor_fin: ['peripheral']clinical findings_fin: {'peripheral groundglass nodules': {'clinical finding': 'peripheral groundglass nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'peripheral groundglass', 'observation': 'nodule'}, 'opacities': {'clinical finding': 'opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'observation': 'opacity'}, 'chronic aspiration': {'clinical finding': 'chronic aspiration', 'existence': 'unc_dx', 'descriptive_term': 'chronic', 'observation': 'aspiration', 'temporal_term': 'chronic'}, 'angulated': {'clinical finding': 'angulated', 'existence': 'unc_dx', 'observation': 'angulated'}}anatomical entity_fin: {'lobe': {'location descriptor': 'upper'}}location descriptor_fin: ['upper']clinical findings_fin: {'mild upper lobe predominant centrilobular emphysema': {'clinical finding': 'mild upper lobe predominant centrilobular emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'neg_dx', 'descriptive_term': 'mild upper lobe predominant centrilobular', 'observation': 'emphysema', 'strength_term': 'mild'}}anatomical entity_fin: {'heart': {}, 'fluid': {}}location descriptor_fin: ['anterior']clinical findings_fin: {'persistent mild anterior pericardial thickening': {'clinical finding': 'persistent mild anterior pericardial thickening', 'existence': 'pos_dx', 'descriptive_term': 'persistent mild anterior pericardial', 'observation': 'thickening', 'strength_term': 'mild', 'temporal_term': 'persistent'}}anatomical entity_fin: {'mediastinum': {}}location descriptor_fin: ['shifted', 'left']clinical findings_fin: {'shifted': {'clinical finding': 'shifted', 'existence': 'pos_dx', 'observation': 'shifted'}, 'post radiation fibrosis': {'clinical finding': 'post radiation fibrosis', 'existence': 'pos_dx', 'descriptive_term': 'post radiation', 'observation': 'fibrosis'}}anatomical entity_fin: {'mediastinal lymph nodes': {}}clinical findings_fin: {'enlarged mediastinal lymph nodes': {'clinical finding': 'enlarged mediastinal lymph nodes', 'existence': 'neg_dx', 'descriptive_term': 'enlarged mediastinal lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}, 'hilum': {'location descriptor': 'left'}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'previously described left upper lobe mass': {'clinical finding': 'previously described left upper lobe mass', 'existence': 'pos_dx', 'descriptive_term': 'previously described left upper lobe', 'observation': 'mass'}, 'hilar lymphadenopathy': {'clinical finding': 'hilar lymphadenopathy', 'cf_snomed': {'hilar lymphadenopathy': 87500009}, 'existence': 'unc_dx', 'descriptive_term': 'hilar', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'main pulmonary artery': {}}clinical findings_fin: {'main pulmonary artery is of normal caliber': {'clinical finding': 'main pulmonary artery is of normal caliber'}}location descriptor_fin: ['adjacent']clinical findings_fin: {'multiple segmental pulmonary emboli': {'clinical finding': 'multiple segmental pulmonary emboli', 'existence': 'pos_dx', 'descriptive_term': 'multiple segmental pulmonary', 'observation': 'emboli', 'quantity_term': 'multiple'}, 'mass': {'clinical finding': 'mass', 'existence': 'pos_dx', 'observation': 'mass'}}anatomical entity_fin: {'axillary lymph nodes': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'mildly prominent left axillary lymph nodes': {'clinical finding': 'mildly prominent left axillary lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'mildly prominent left axillary lymph', 'observation': 'node', 'strength_term': 'mildly - prominent'}}anatomical entity_fin: {'thyroid gland': {}}clinical findings_fin: {'multinodular thyroid gland': {'clinical finding': 'multinodular thyroid gland', 'existence': 'pos_dx', 'descriptive_term': 'multinodular thyroid', 'observation': 'gland'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}procedure_fin: ['splenectomy']clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'subcentimeter renal lesions': {'clinical finding': 'subcentimeter renal lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter renal', 'observation': 'lesion'}, 'benign cysts': {'clinical finding': 'benign cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'unc_dx', 'descriptive_term': 'benign', 'observation': 'cyst', 'strength_term': 'benign'}}clinical findings_fin: {'multiple new enlarged and centrally necrotic peripancreatic and gastrohepatic lymph nodes': {'clinical finding': 'multiple new enlarged and centrally necrotic peripancreatic and gastrohepatic lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'multiple new enlarged and centrally necrotic peripancreatic and gastrohepatic lymph', 'observation': 'node', 'strength_term': 'enlarged', 'quantity_term': 'multiple', 'temporal_term': 'new', 'change_term': 'enlarged'}, 'metastatic disease': {'clinical finding': 'metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'unc_dx', 'descriptive_term': 'metastatic', 'observation': 'disease'}}clinical findings_fin: {'peripancreatic inflammatory changes': {'clinical finding': 'peripancreatic inflammatory changes', 'existence': 'unc_dx', 'descriptive_term': 'peripancreatic inflammatory', 'observation': 'change'}, '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: {'gi': {'clinical finding': 'gi', 'existence': 'unc_dx', 'observation': 'gi'}}anatomical entity_fin: {'bowel': {}, 'quadrant': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'postsurgical changes': {'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'}}anatomical entity_fin: {'mesenteric lymph nodes': {}}clinical findings_fin: {'multiple prominent mesenteric lymph nodes': {'clinical finding': 'multiple prominent mesenteric lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'multiple prominent mesenteric lymph', 'observation': 'node', 'strength_term': 'prominent', 'quantity_term': 'multiple'}}size_fin: [{'size': '9 x 12 mm', 'size_descriptor': 'nodule'}]anatomical entity_fin: {'quadrant': {'location descriptor': 'left upper'}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'previously described left upper quadrant mesenteric nodule': {'clinical finding': 'previously described left upper quadrant mesenteric nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'previously described left upper quadrant mesenteric', 'observation': 'nodule'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'widemouth ventral hernia': {'clinical finding': 'widemouth ventral hernia', 'cf_snomed': {'hernia': 414403008}, 'existence': 'pos_dx', 'descriptive_term': 'widemouth ventral', 'observation': 'hernia'}, 'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'observation': 'obstruction'}, 'strangulation': {'clinical finding': 'strangulation', 'existence': 'neg_dx', 'observation': 'strangulation'}}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': '47 x 46 mm'}, {'size': '45 x 41 mm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}, 'main pulmonary artery': {'location descriptor': 'left'}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'referenced left upper lobe mass': {'clinical finding': 'referenced left upper lobe mass', 'existence': 'pos_dx', 'descriptive_term': 'referenced left upper lobe', 'observation': 'mass'}, 'this mass': {'clinical finding': 'this mass', 'existence': 'pos_dx', 'descriptive_term': 'this', 'observation': 'mass'}}location descriptor_fin: ['adjacent']clinical findings_fin: {'adjacent post radiation changes': {'clinical finding': 'adjacent post radiation changes', 'existence': 'neg_dx', 'descriptive_term': 'adjacent post radiation', 'observation': 'change'}}imaging observation_fin: ['tree-in-bud']location descriptor_fin: ['peripheral']clinical findings_fin: {'peripheral groundglass nodules': {'clinical finding': 'peripheral groundglass nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'peripheral groundglass', 'observation': 'nodule'}, 'opacities': {'clinical finding': 'opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'observation': 'opacity'}, 'chronic aspiration': {'clinical finding': 'chronic aspiration', 'existence': 'unc_dx', 'descriptive_term': 'chronic', 'observation': 'aspiration', 'temporal_term': 'chronic'}, 'angulated': {'clinical finding': 'angulated', 'existence': 'unc_dx', 'observation': 'angulated'}}anatomical entity_fin: {'lobe': {'location descriptor': 'upper'}}location descriptor_fin: ['upper']clinical findings_fin: {'mild upper lobe predominant centrilobular emphysema': {'clinical finding': 'mild upper lobe predominant centrilobular emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'neg_dx', 'descriptive_term': 'mild upper lobe predominant centrilobular', 'observation': 'emphysema', 'strength_term': 'mild'}}anatomical entity_fin: {'heart': {}, 'fluid': {}}location descriptor_fin: ['anterior']clinical findings_fin: {'persistent mild anterior pericardial thickening': {'clinical finding': 'persistent mild anterior pericardial thickening', 'existence': 'pos_dx', 'descriptive_term': 'persistent mild anterior pericardial', 'observation': 'thickening', 'strength_term': 'mild', 'temporal_term': 'persistent'}}anatomical entity_fin: {'mediastinum': {}}location descriptor_fin: ['shifted', 'left']clinical findings_fin: {'shifted': {'clinical finding': 'shifted', 'existence': 'pos_dx', 'observation': 'shifted'}, 'post radiation fibrosis': {'clinical finding': 'post radiation fibrosis', 'existence': 'pos_dx', 'descriptive_term': 'post radiation', 'observation': 'fibrosis'}}anatomical entity_fin: {'mediastinal lymph nodes': {}}clinical findings_fin: {'enlarged mediastinal lymph nodes': {'clinical finding': 'enlarged mediastinal lymph nodes', 'existence': 'neg_dx', 'descriptive_term': 'enlarged mediastinal lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}, 'hilum': {'location descriptor': 'left'}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'previously described left upper lobe mass': {'clinical finding': 'previously described left upper lobe mass', 'existence': 'pos_dx', 'descriptive_term': 'previously described left upper lobe', 'observation': 'mass'}, 'hilar lymphadenopathy': {'clinical finding': 'hilar lymphadenopathy', 'cf_snomed': {'hilar lymphadenopathy': 87500009}, 'existence': 'unc_dx', 'descriptive_term': 'hilar', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'main pulmonary artery': {}}clinical findings_fin: {'main pulmonary artery is of normal caliber': {'clinical finding': 'main pulmonary artery is of normal caliber'}}location descriptor_fin: ['adjacent']clinical findings_fin: {'multiple segmental pulmonary emboli': {'clinical finding': 'multiple segmental pulmonary emboli', 'existence': 'pos_dx', 'descriptive_term': 'multiple segmental pulmonary', 'observation': 'emboli', 'quantity_term': 'multiple'}, 'mass': {'clinical finding': 'mass', 'existence': 'pos_dx', 'observation': 'mass'}}anatomical entity_fin: {'axillary lymph nodes': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'mildly prominent left axillary lymph nodes': {'clinical finding': 'mildly prominent left axillary lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'mildly prominent left axillary lymph', 'observation': 'node', 'strength_term': 'mildly - prominent'}}anatomical entity_fin: {'thyroid gland': {}}clinical findings_fin: {'multinodular thyroid gland': {'clinical finding': 'multinodular thyroid gland', 'existence': 'pos_dx', 'descriptive_term': 'multinodular thyroid', 'observation': 'gland'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}procedure_fin: ['splenectomy']clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'subcentimeter renal lesions': {'clinical finding': 'subcentimeter renal lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter renal', 'observation': 'lesion'}, 'benign cysts': {'clinical finding': 'benign cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'unc_dx', 'descriptive_term': 'benign', 'observation': 'cyst', 'strength_term': 'benign'}}clinical findings_fin: {'multiple new enlarged and centrally necrotic peripancreatic and gastrohepatic lymph nodes': {'clinical finding': 'multiple new enlarged and centrally necrotic peripancreatic and gastrohepatic lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'multiple new enlarged and centrally necrotic peripancreatic and gastrohepatic lymph', 'observation': 'node', 'strength_term': 'enlarged', 'quantity_term': 'multiple', 'temporal_term': 'new', 'change_term': 'enlarged'}, 'metastatic disease': {'clinical finding': 'metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'unc_dx', 'descriptive_term': 'metastatic', 'observation': 'disease'}}clinical findings_fin: {'peripancreatic inflammatory changes': {'clinical finding': 'peripancreatic inflammatory changes', 'existence': 'unc_dx', 'descriptive_term': 'peripancreatic inflammatory', 'observation': 'change'}, '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: {'gi': {'clinical finding': 'gi', 'existence': 'unc_dx', 'observation': 'gi'}}anatomical entity_fin: {'bowel': {}, 'quadrant': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'postsurgical changes': {'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'}}anatomical entity_fin: {'mesenteric lymph nodes': {}}clinical findings_fin: {'multiple prominent mesenteric lymph nodes': {'clinical finding': 'multiple prominent mesenteric lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'multiple prominent mesenteric lymph', 'observation': 'node', 'strength_term': 'prominent', 'quantity_term': 'multiple'}}size_fin: [{'size': '9 x 12 mm', 'size_descriptor': 'nodule'}]anatomical entity_fin: {'quadrant': {'location descriptor': 'left upper'}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'previously described left upper quadrant mesenteric nodule': {'clinical finding': 'previously described left upper quadrant mesenteric nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'previously described left upper quadrant mesenteric', 'observation': 'nodule'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'widemouth ventral hernia': {'clinical finding': 'widemouth ventral hernia', 'cf_snomed': {'hernia': 414403008}, 'existence': 'pos_dx', 'descriptive_term': 'widemouth ventral', 'observation': 'hernia'}, 'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'observation': 'obstruction'}, 'strangulation': {'clinical finding': 'strangulation', 'existence': 'neg_dx', 'observation': 'strangulation'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . The referenced left upper lobe mass measures 47 x 46 mm , previously 45 x 41 mm this mass is again seen encasing and obliterating the left main pulmonary artery and its branches. Adjacent post radiation changes are not significant changed. Scattered areas of peripheral groundglass nodules and tree-in-bud opacities are again seen, suggestive of chronic aspiration or angulated. Mild upper lobe predominant centrilobular emphysema is not significantly changed. Heart size is within normal limits with persistent mild anterior pericardial thickening or fluid. The mediastinum is shifted to the left secondary to post radiation fibrosis. Enlarged mediastinal lymph nodes are not significantly changed. The previously described left upper lobe mass encases the left hilum making evaluation of hilar lymphadenopathy difficult. The main pulmonary artery is of normal caliber. However, multiple segmental pulmonary emboli are seen adjacent to the mass, which are either new or increased from prior study. Mild. Mildly prominent left axillary lymph nodes are similar to prior. Multinodular thyroid gland is again seen. Absence of enteric contrast material limits sensitivity for abdominal pathology. No significant abnormality noted. Status post splenectomy. No significant abnormality noted. Subcentimeter renal lesions are again seen, likely representing benign cysts. Postoperative changes are again noted. Multiple new enlarged and centrally necrotic peripancreatic and gastrohepatic lymph nodes which are concerning for metastatic disease. Peripancreatic inflammatory changes may be related to metastatic disease. No significant abnormality noted. Absence of enteric contrast material limits sensitivity for GI pathology. Postsurgical changes related to bowel resection are seen in the right lower quadrant. Multiple prominent mesenteric lymph nodes are new from prior study. The previously described left upper quadrant mesenteric nodule is similar to prior measuring 9 x 12 mm. Widemouth ventral hernia containing loops of bowel without evidence of obstruction or strangulation. No significant abnormality noted. </s>