Todays CT portion grossly demonstrates focus of soft tissue density in the distal left aspect of the esophagus with calcification or contrast media from prior swallow study. There is additional soft tissue density in the region of the gastric cardia. There is a subcentimeter nodular density in the left lower lobe. There is a sclerotic focus in the proximal left femur at the intertrochanteric region. There is atherosclerotic calcification of the aorta and peripheral branches. Todays PET examination demonstrates marked hypermetabolic activity in the gastric cardia with an SUV value of 9.2 corresponding to the soft tissue density on CT consistent with tumor. There is increased activity in the distal esophagus which is nonspecific and could represent tumor or esophagitis. There is mild activity in the region of the paraesophageal soft tissue density noted on CT. There is increased activity in the sclerotic focus in the left proximal femur at the intertrochanteric region noted on CT with SUV value of 4.1. There are two foci of hypermetabolic activity in the retroperitoneum at the level of the left renal vasculature is nonspecific.
anatomical entity_fin: {'esophagus': {}}imaging observation_fin: ['soft tissue density']location descriptor_fin: ['distal', 'left']clinical findings_fin: {'soft tissue density': {'clinical finding': 'soft tissue density', 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'density'}, 'calcification': {'clinical finding': 'calcification', 'existence': 'unc_dx', 'observation': 'calcification'}, 'contrast media': {'clinical finding': 'contrast media', 'existence': 'unc_dx', 'descriptive_term': 'contrast', 'observation': 'media'}}anatomical entity_fin: {'gastric cardia': {}}imaging observation_fin: ['soft tissue density']clinical findings_fin: {'additional soft tissue density': {'clinical finding': 'additional soft tissue density', 'existence': 'pos_dx', 'descriptive_term': 'additional soft tissue', 'observation': 'density'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'subcentimeter nodular density': {'clinical finding': 'subcentimeter nodular density', 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter nodular', 'observation': 'density'}}anatomical entity_fin: {'left femur': {'location descriptor': 'proximal'}}location descriptor_fin: ['proximal']clinical findings_fin: {'sclerotic': {'clinical finding': 'sclerotic', 'existence': 'pos_dx', 'observation': 'sclerotic'}}anatomical entity_fin: {'aorta': {}}location descriptor_fin: ['peripheral']clinical findings_fin: {'atherosclerotic calcification': {'clinical finding': 'atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'}}anatomical entity_fin: {'gastric cardia': {}}imaging observation_fin: ['soft tissue density']clinical findings_fin: {'marked hypermetabolic activity': {'clinical finding': 'marked hypermetabolic activity', 'existence': 'pos_dx', 'descriptive_term': 'marked hypermetabolic', 'observation': 'activity'}, 'suv': {'clinical finding': 'suv', 'existence': 'pos_dx', 'observation': 'suv'}, 'soft tissue density': {'clinical finding': 'soft tissue density', 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'density'}, 'tumor': {'clinical finding': 'tumor', 'existence': 'pos_dx', 'observation': 'tumor'}}anatomical entity_fin: {'esophagus': {'location descriptor': 'distal'}}location descriptor_fin: ['distal']clinical findings_fin: {'tumor': {'clinical finding': 'tumor', 'existence': 'unc_dx', 'observation': 'tumor'}, 'esophagitis': {'clinical finding': 'esophagitis', 'cf_snomed': {'esophagitis': 16761005}, 'existence': 'unc_dx', 'observation': 'esophagitis'}}imaging observation_fin: ['soft tissue density']clinical findings_fin: {'paraesophageal soft tissue density': {'clinical finding': 'paraesophageal soft tissue density', 'existence': 'pos_dx', 'descriptive_term': 'paraesophageal soft tissue', 'observation': 'density'}}anatomical entity_fin: {'femur': {'location descriptor': 'left proximal'}}location descriptor_fin: ['left', 'proximal']clinical findings_fin: {'sclerotic focus': {'clinical finding': 'sclerotic focus', 'existence': 'pos_dx', 'descriptive_term': 'sclerotic', 'observation': 'focus'}}anatomical entity_fin: {'retroperitoneum': {}, 'vasculature': {}}imaging observation_fin: ['foci']location descriptor_fin: ['left']clinical findings_fin: {'hypermetabolic activity': {'clinical finding': 'hypermetabolic activity', 'existence': 'pos_dx', 'descriptive_term': 'hypermetabolic', 'observation': 'activity'}}
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'esophagus': {}}imaging observation_fin: ['soft tissue density']location descriptor_fin: ['distal', 'left']clinical findings_fin: {'soft tissue density': {'clinical finding': 'soft tissue density', 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'density'}, 'calcification': {'clinical finding': 'calcification', 'existence': 'unc_dx', 'observation': 'calcification'}, 'contrast media': {'clinical finding': 'contrast media', 'existence': 'unc_dx', 'descriptive_term': 'contrast', 'observation': 'media'}}anatomical entity_fin: {'gastric cardia': {}}imaging observation_fin: ['soft tissue density']clinical findings_fin: {'additional soft tissue density': {'clinical finding': 'additional soft tissue density', 'existence': 'pos_dx', 'descriptive_term': 'additional soft tissue', 'observation': 'density'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'subcentimeter nodular density': {'clinical finding': 'subcentimeter nodular density', 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter nodular', 'observation': 'density'}}anatomical entity_fin: {'left femur': {'location descriptor': 'proximal'}}location descriptor_fin: ['proximal']clinical findings_fin: {'sclerotic': {'clinical finding': 'sclerotic', 'existence': 'pos_dx', 'observation': 'sclerotic'}}anatomical entity_fin: {'aorta': {}}location descriptor_fin: ['peripheral']clinical findings_fin: {'atherosclerotic calcification': {'clinical finding': 'atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'}}anatomical entity_fin: {'gastric cardia': {}}imaging observation_fin: ['soft tissue density']clinical findings_fin: {'marked hypermetabolic activity': {'clinical finding': 'marked hypermetabolic activity', 'existence': 'pos_dx', 'descriptive_term': 'marked hypermetabolic', 'observation': 'activity'}, 'suv': {'clinical finding': 'suv', 'existence': 'pos_dx', 'observation': 'suv'}, 'soft tissue density': {'clinical finding': 'soft tissue density', 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'density'}, 'tumor': {'clinical finding': 'tumor', 'existence': 'pos_dx', 'observation': 'tumor'}}anatomical entity_fin: {'esophagus': {'location descriptor': 'distal'}}location descriptor_fin: ['distal']clinical findings_fin: {'tumor': {'clinical finding': 'tumor', 'existence': 'unc_dx', 'observation': 'tumor'}, 'esophagitis': {'clinical finding': 'esophagitis', 'cf_snomed': {'esophagitis': 16761005}, 'existence': 'unc_dx', 'observation': 'esophagitis'}}imaging observation_fin: ['soft tissue density']clinical findings_fin: {'paraesophageal soft tissue density': {'clinical finding': 'paraesophageal soft tissue density', 'existence': 'pos_dx', 'descriptive_term': 'paraesophageal soft tissue', 'observation': 'density'}}anatomical entity_fin: {'femur': {'location descriptor': 'left proximal'}}location descriptor_fin: ['left', 'proximal']clinical findings_fin: {'sclerotic focus': {'clinical finding': 'sclerotic focus', 'existence': 'pos_dx', 'descriptive_term': 'sclerotic', 'observation': 'focus'}}anatomical entity_fin: {'retroperitoneum': {}, 'vasculature': {}}imaging observation_fin: ['foci']location descriptor_fin: ['left']clinical findings_fin: {'hypermetabolic activity': {'clinical finding': 'hypermetabolic activity', 'existence': 'pos_dx', 'descriptive_term': 'hypermetabolic', 'observation': 'activity'}} [/INST] Todays CT portion grossly demonstrates focus of soft tissue density in the distal left aspect of the esophagus with calcification or contrast media from prior swallow study. There is additional soft tissue density in the region of the gastric cardia. There is a subcentimeter nodular density in the left lower lobe. There is a sclerotic focus in the proximal left femur at the intertrochanteric region. There is atherosclerotic calcification of the aorta and peripheral branches. Todays PET examination demonstrates marked hypermetabolic activity in the gastric cardia with an SUV value of 9.2 corresponding to the soft tissue density on CT consistent with tumor. There is increased activity in the distal esophagus which is nonspecific and could represent tumor or esophagitis. There is mild activity in the region of the paraesophageal soft tissue density noted on CT. There is increased activity in the sclerotic focus in the left proximal femur at the intertrochanteric region noted on CT with SUV value of 4.1. There are two foci of hypermetabolic activity in the retroperitoneum at the level of the left renal vasculature is nonspecific. </s>