Todays CT portion grossly demonstrates approximately 3-cm soft tissue density mass in the mid to distal esophagus. Sliding hiatal hernia is noted. Bibasilar atelectasis or scarring is present. Right chest Port-A-Cath with tip at the SVC or RA junction. Trace pericardial effusion or thickening is noted. Extensive atherosclerotic including very mild coronary arterial calcifications are seen. Cholecystectomy clips are identified. Todays PET examination demonstrates a medium-sized markedly hypermetabolic mass in the mid to distal esophagus , compatible with the patients diagnosis of esophageal carcinoma. No additional suspicious FDG avid lesion to indicate metastatic disease. No suspicious FDG avid lesion in the neck. Several tubular hypermetabolic bowel foci consistent with benign physiologic or inflammatory uptake.
size_fin: [{'size': '3-cm', 'size_descriptor': 'mass'}]anatomical entity_fin: {'esophagus': {'location descriptor': 'distal'}}imaging observation_fin: ['soft tissue density']location descriptor_fin: ['distal']clinical findings_fin: {'approximately 3-cm soft tissue density mass': {'clinical finding': 'approximately 3-cm soft tissue density mass', 'existence': 'pos_dx', 'descriptive_term': 'approximately 3-cm soft tissue density', 'observation': 'mass'}}clinical findings_fin: {'sliding hiatal hernia': {'clinical finding': 'sliding hiatal hernia', 'cf_snomed': {'hiatal hernia': 84089009}, 'existence': 'pos_dx', 'descriptive_term': 'sliding hiatal', 'observation': 'hernia'}}clinical findings_fin: {'bibasilar atelectasis': {'clinical finding': 'bibasilar atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'bibasilar', 'observation': 'atelectasis'}, 'scarring': {'clinical finding': 'scarring', 'existence': 'unc_dx', 'observation': 'scarr'}}anatomical entity_fin: {'chest': {'location descriptor': 'right'}}location descriptor_fin: ['right']object_fin: ['port']clinical findings_fin: {'right chest port-a-cath': {'clinical finding': 'right chest port-a-cath', 'existence': 'pos_dx', 'descriptive_term': 'right chest', 'observation': 'port-a-'}}clinical findings_fin: {'trace pericardial effusion': {'clinical finding': 'trace pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'pos_dx', 'descriptive_term': 'trace pericardial', 'observation': 'effusion'}, 'thickening': {'clinical finding': 'thickening', 'existence': 'unc_dx', 'observation': 'thickening'}}clinical findings_fin: {'extensive atherosclerotic': {'clinical finding': 'extensive atherosclerotic', 'existence': 'pos_dx', 'descriptive_term': 'extensive', 'observation': 'atherosclerotic', 'strength_term': 'extensive'}, 'very mild coronary arterial calcifications': {'clinical finding': 'very mild coronary arterial calcifications', 'existence': 'pos_dx', 'descriptive_term': 'very mild coronary arterial', 'observation': 'calcification', 'strength_term': 'mild'}}object_fin: ['cholecystectomy clips']clinical findings_fin: {'cholecystectomy clips': {'clinical finding': 'cholecystectomy clips', 'existence': 'pos_dx', 'descriptive_term': 'cholecystectomy', 'observation': 'clip'}}anatomical entity_fin: {'esophagus': {'location descriptor': 'distal'}}location descriptor_fin: ['distal']clinical findings_fin: {'medium-sized markedly hypermetabolic mass': {'clinical finding': 'medium-sized markedly hypermetabolic mass', 'existence': 'pos_dx', 'descriptive_term': 'medium-sized markedly hypermetabolic', 'observation': 'mass', 'strength_term': 'medium'}, 'esophageal carcinoma': {'clinical finding': 'esophageal carcinoma', 'cf_snomed': {'carcinoma': 1187425009}, 'existence': 'pos_dx', 'descriptive_term': 'esophageal', 'observation': 'carcinoma'}}clinical findings_fin: {'additional suspicious fdg avid lesion': {'clinical finding': 'additional suspicious fdg avid lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'additional suspicious fdg avid', 'observation': 'lesion'}, 'metastatic disease': {'clinical finding': 'metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'neg_dx', 'descriptive_term': 'metastatic', 'observation': 'disease'}}anatomical entity_fin: {'neck': {}}clinical findings_fin: {'suspicious fdg avid lesion': {'clinical finding': 'suspicious fdg avid lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious fdg avid', 'observation': 'lesion'}}anatomical entity_fin: {'bowel': {}}imaging observation_fin: ['foci']clinical findings_fin: {'several tubular hypermetabolic bowel foci': {'clinical finding': 'several tubular hypermetabolic bowel foci', 'existence': 'pos_dx', 'descriptive_term': 'several tubular hypermetabolic bowel', 'observation': 'foci', 'quantity_term': 'several'}}
<s>[INST] Write the finding section for a radiology report based on the following information: size_fin: [{'size': '3-cm', 'size_descriptor': 'mass'}]anatomical entity_fin: {'esophagus': {'location descriptor': 'distal'}}imaging observation_fin: ['soft tissue density']location descriptor_fin: ['distal']clinical findings_fin: {'approximately 3-cm soft tissue density mass': {'clinical finding': 'approximately 3-cm soft tissue density mass', 'existence': 'pos_dx', 'descriptive_term': 'approximately 3-cm soft tissue density', 'observation': 'mass'}}clinical findings_fin: {'sliding hiatal hernia': {'clinical finding': 'sliding hiatal hernia', 'cf_snomed': {'hiatal hernia': 84089009}, 'existence': 'pos_dx', 'descriptive_term': 'sliding hiatal', 'observation': 'hernia'}}clinical findings_fin: {'bibasilar atelectasis': {'clinical finding': 'bibasilar atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'bibasilar', 'observation': 'atelectasis'}, 'scarring': {'clinical finding': 'scarring', 'existence': 'unc_dx', 'observation': 'scarr'}}anatomical entity_fin: {'chest': {'location descriptor': 'right'}}location descriptor_fin: ['right']object_fin: ['port']clinical findings_fin: {'right chest port-a-cath': {'clinical finding': 'right chest port-a-cath', 'existence': 'pos_dx', 'descriptive_term': 'right chest', 'observation': 'port-a-'}}clinical findings_fin: {'trace pericardial effusion': {'clinical finding': 'trace pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'pos_dx', 'descriptive_term': 'trace pericardial', 'observation': 'effusion'}, 'thickening': {'clinical finding': 'thickening', 'existence': 'unc_dx', 'observation': 'thickening'}}clinical findings_fin: {'extensive atherosclerotic': {'clinical finding': 'extensive atherosclerotic', 'existence': 'pos_dx', 'descriptive_term': 'extensive', 'observation': 'atherosclerotic', 'strength_term': 'extensive'}, 'very mild coronary arterial calcifications': {'clinical finding': 'very mild coronary arterial calcifications', 'existence': 'pos_dx', 'descriptive_term': 'very mild coronary arterial', 'observation': 'calcification', 'strength_term': 'mild'}}object_fin: ['cholecystectomy clips']clinical findings_fin: {'cholecystectomy clips': {'clinical finding': 'cholecystectomy clips', 'existence': 'pos_dx', 'descriptive_term': 'cholecystectomy', 'observation': 'clip'}}anatomical entity_fin: {'esophagus': {'location descriptor': 'distal'}}location descriptor_fin: ['distal']clinical findings_fin: {'medium-sized markedly hypermetabolic mass': {'clinical finding': 'medium-sized markedly hypermetabolic mass', 'existence': 'pos_dx', 'descriptive_term': 'medium-sized markedly hypermetabolic', 'observation': 'mass', 'strength_term': 'medium'}, 'esophageal carcinoma': {'clinical finding': 'esophageal carcinoma', 'cf_snomed': {'carcinoma': 1187425009}, 'existence': 'pos_dx', 'descriptive_term': 'esophageal', 'observation': 'carcinoma'}}clinical findings_fin: {'additional suspicious fdg avid lesion': {'clinical finding': 'additional suspicious fdg avid lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'additional suspicious fdg avid', 'observation': 'lesion'}, 'metastatic disease': {'clinical finding': 'metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'neg_dx', 'descriptive_term': 'metastatic', 'observation': 'disease'}}anatomical entity_fin: {'neck': {}}clinical findings_fin: {'suspicious fdg avid lesion': {'clinical finding': 'suspicious fdg avid lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious fdg avid', 'observation': 'lesion'}}anatomical entity_fin: {'bowel': {}}imaging observation_fin: ['foci']clinical findings_fin: {'several tubular hypermetabolic bowel foci': {'clinical finding': 'several tubular hypermetabolic bowel foci', 'existence': 'pos_dx', 'descriptive_term': 'several tubular hypermetabolic bowel', 'observation': 'foci', 'quantity_term': 'several'}} [/INST] Todays CT portion grossly demonstrates approximately 3-cm soft tissue density mass in the mid to distal esophagus. Sliding hiatal hernia is noted. Bibasilar atelectasis or scarring is present. Right chest Port-A-Cath with tip at the SVC or RA junction. Trace pericardial effusion or thickening is noted. Extensive atherosclerotic including very mild coronary arterial calcifications are seen. Cholecystectomy clips are identified. Todays PET examination demonstrates a medium-sized markedly hypermetabolic mass in the mid to distal esophagus , compatible with the patients diagnosis of esophageal carcinoma. No additional suspicious FDG avid lesion to indicate metastatic disease. No suspicious FDG avid lesion in the neck. Several tubular hypermetabolic bowel foci consistent with benign physiologic or inflammatory uptake. </s>