. Scattered pulmonary micronodules and nodules are seen bilaterally and are highly suspicious for metastatic disease. A reference right upper lobe lesion measures 1.2 x 0.9 cm. A soft tissue attenuation mass with central hypodensity suspicious for necrotic adenopathy is seen within the superior mediastinum and surrounds the origin of the left carotid artery. A central venous catheter terminates at the cavoatrial junction. None. Nodular and enlarged thyroid gland with a few punctate calcifications. Displacement without narrowing of the trachea. Moderate pneumobilia secondary to recent ERCP with common bile duct stent placement. An ill-defined hypodensity in the right lobe of the liver measures approximately 1.0 x 1.2 cm. No significant abnormality noted. There is an approximately 4.1 x 3.8 cm mass in the region of the pancreatic head and uncinate process. The pancreatic duct is dilated through the entirety of the pancreatic body and tail, measuring up to 1.5 cm in diameter with atrophy of the pancreatic substance. There is 180 degree abutment by tumor of the superior mesenteric artery at its origin. There is complete tumor encasement of the junction of the splenic vein and SMV with focal narrowing of these vessels. No significant abnormality noted. No significant abnormality noted. Scattered shotty subcentimeter mesenteric and peripancreatic lymph nodes. Mild. There is irregular thickening of the wall of the gastric antrum and proximal duodenum. There is infiltration of the fat extending from the pancreatic head involving the duodenum, gallbladder and thickening of the gastric antrum. There is also soft tissue infiltration in the aortocaval space. 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'}, 'nodules': {'clinical finding': 'nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'observation': 'nodule'}, 'metastatic disease': {'clinical finding': 'metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'unc_dx', 'descriptive_term': 'metastatic', 'observation': 'disease'}}size_fin: [{'size': '1.2 x 0.9 cm', 'size_descriptor': 'lesion'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right upper'}}location descriptor_fin: ['right', 'upper']clinical findings_fin: {'reference right upper lobe lesion': {'clinical finding': 'reference right upper lobe lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'reference right upper lobe', 'observation': 'lesion'}}anatomical entity_fin: {'superior mediastinum': {}, 'origin': {}, 'artery': {}}imaging observation_fin: ['central hypodensity']location descriptor_fin: ['left']clinical findings_fin: {'soft tissue attenuation mass': {'clinical finding': 'soft tissue attenuation mass', 'existence': 'pos_dx', 'descriptive_term': 'soft tissue attenuation', 'observation': 'mass'}, 'central hypodensity': {'clinical finding': 'central hypodensity', 'existence': 'pos_dx', 'descriptive_term': 'central', 'observation': 'hypodensity'}, 'necrotic adenopathy': {'clinical finding': 'necrotic adenopathy', 'existence': 'unc_dx', 'descriptive_term': 'necrotic', 'observation': 'adenopathy'}}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'}}anatomical entity_fin: {'thyroid gland': {}}clinical findings_fin: {'nodular and enlarged thyroid gland': {'clinical finding': 'nodular and enlarged thyroid gland', 'existence': 'pos_dx', 'descriptive_term': 'nodular and enlarged thyroid', 'observation': 'gland', 'strength_term': 'enlarged', 'change_term': 'enlarged'}, 'few punctate calcifications': {'clinical finding': 'few punctate calcifications', 'cf_snomed': {'punctate calcification': 129755006}, 'existence': 'pos_dx', 'descriptive_term': 'few punctate', 'observation': 'calcification', 'quantity_term': 'few'}}anatomical entity_fin: {'trachea': {}}clinical findings_fin: {'displacement': {'clinical finding': 'displacement', 'existence': 'pos_dx', 'observation': 'displacement'}, 'narrowing': {'clinical finding': 'narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'neg_dx', 'observation': 'narrowing'}}anatomical entity_fin: {'common bile duct': {}}procedure_fin: ['stent placement']clinical findings_fin: {'moderate pneumobilia': {'clinical finding': 'moderate pneumobilia', 'existence': 'pos_dx', 'descriptive_term': 'moderate', 'observation': 'pneumobilia', 'strength_term': 'moderate'}, 'common bile duct stent': {'clinical finding': 'common bile duct stent', 'existence': 'pos_dx', 'descriptive_term': 'common bile duct', 'observation': 'stent'}}size_fin: [{'size': '1.0 x 1.2 cm', 'size_descriptor': 'hypodensity'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right'}, 'liver': {}}location descriptor_fin: ['right']clinical findings_fin: {'ill-defined hypodensity': {'clinical finding': 'ill-defined hypodensity', 'existence': 'pos_dx', 'descriptive_term': 'ill-defined', 'observation': 'hypodensity', 'strength_term': 'ill-defined'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}size_fin: [{'size': '4.1 x 3.8 cm', 'size_descriptor': 'mass'}]anatomical entity_fin: {'head': {}}clinical findings_fin: {'approximately 4.1 x 3.8 cm mass': {'clinical finding': 'approximately 4.1 x 3.8 cm mass', 'existence': 'pos_dx', 'descriptive_term': 'approximately 4 1 x 3 8 cm', 'observation': 'mass'}}size_fin: [{'size': '1.5 cm'}]anatomical entity_fin: {'pancreatic duct': {}, 'body': {}}clinical findings_fin: {'dilated': {'clinical finding': 'dilated', 'existence': 'pos_dx', 'observation': 'dilated'}, 'tail': {'clinical finding': 'tail', 'existence': 'pos_dx', 'observation': 'tail'}, 'atrophy': {'clinical finding': 'atrophy', 'cf_snomed': {'atrophy': 13331008}, 'existence': 'pos_dx', 'observation': 'atrophy'}, 'pancreatic substance': {'clinical finding': 'pancreatic substance', 'existence': 'pos_dx', 'descriptive_term': 'pancreatic', 'observation': 'substance'}}anatomical entity_fin: {'superior mesenteric artery': {}, 'origin': {}}clinical findings_fin: {'tumor': {'clinical finding': 'tumor', 'existence': 'pos_dx', 'observation': 'tumor'}}anatomical entity_fin: {'splenic vein': {}}clinical findings_fin: {'complete tumor': {'clinical finding': 'complete tumor', 'existence': 'pos_dx', 'descriptive_term': 'complete', 'observation': 'tumor'}, 'focal narrowing': {'clinical finding': 'focal narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'focal', 'observation': 'narrowing'}}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: {'scattered shotty subcentimeter mesenteric and peripancreatic lymph nodes': {'clinical finding': 'scattered shotty subcentimeter mesenteric and peripancreatic lymph nodes', 'cf_snomed': {'peripancreatic lymph node': 245346008}, 'existence': 'pos_dx', 'descriptive_term': 'scattered shotty subcentimeter mesenteric and peripancreatic lymph', 'observation': 'node'}}anatomical entity_fin: {'wall': {}, 'antrum': {}, 'duodenum': {'location descriptor': 'proximal'}}location descriptor_fin: ['proximal']clinical findings_fin: {'irregular thickening': {'clinical finding': 'irregular thickening', 'existence': 'pos_dx', 'descriptive_term': 'irregular', 'observation': 'thickening'}}anatomical entity_fin: {'head': {}, 'duodenum': {}, 'gallbladder': {}, 'antrum': {}}imaging observation_fin: ['fat']clinical findings_fin: {'thickening': {'clinical finding': 'thickening', 'existence': 'pos_dx', 'observation': 'thickening'}}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'}, 'nodules': {'clinical finding': 'nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'observation': 'nodule'}, 'metastatic disease': {'clinical finding': 'metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'unc_dx', 'descriptive_term': 'metastatic', 'observation': 'disease'}}size_fin: [{'size': '1.2 x 0.9 cm', 'size_descriptor': 'lesion'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right upper'}}location descriptor_fin: ['right', 'upper']clinical findings_fin: {'reference right upper lobe lesion': {'clinical finding': 'reference right upper lobe lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'reference right upper lobe', 'observation': 'lesion'}}anatomical entity_fin: {'superior mediastinum': {}, 'origin': {}, 'artery': {}}imaging observation_fin: ['central hypodensity']location descriptor_fin: ['left']clinical findings_fin: {'soft tissue attenuation mass': {'clinical finding': 'soft tissue attenuation mass', 'existence': 'pos_dx', 'descriptive_term': 'soft tissue attenuation', 'observation': 'mass'}, 'central hypodensity': {'clinical finding': 'central hypodensity', 'existence': 'pos_dx', 'descriptive_term': 'central', 'observation': 'hypodensity'}, 'necrotic adenopathy': {'clinical finding': 'necrotic adenopathy', 'existence': 'unc_dx', 'descriptive_term': 'necrotic', 'observation': 'adenopathy'}}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'}}anatomical entity_fin: {'thyroid gland': {}}clinical findings_fin: {'nodular and enlarged thyroid gland': {'clinical finding': 'nodular and enlarged thyroid gland', 'existence': 'pos_dx', 'descriptive_term': 'nodular and enlarged thyroid', 'observation': 'gland', 'strength_term': 'enlarged', 'change_term': 'enlarged'}, 'few punctate calcifications': {'clinical finding': 'few punctate calcifications', 'cf_snomed': {'punctate calcification': 129755006}, 'existence': 'pos_dx', 'descriptive_term': 'few punctate', 'observation': 'calcification', 'quantity_term': 'few'}}anatomical entity_fin: {'trachea': {}}clinical findings_fin: {'displacement': {'clinical finding': 'displacement', 'existence': 'pos_dx', 'observation': 'displacement'}, 'narrowing': {'clinical finding': 'narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'neg_dx', 'observation': 'narrowing'}}anatomical entity_fin: {'common bile duct': {}}procedure_fin: ['stent placement']clinical findings_fin: {'moderate pneumobilia': {'clinical finding': 'moderate pneumobilia', 'existence': 'pos_dx', 'descriptive_term': 'moderate', 'observation': 'pneumobilia', 'strength_term': 'moderate'}, 'common bile duct stent': {'clinical finding': 'common bile duct stent', 'existence': 'pos_dx', 'descriptive_term': 'common bile duct', 'observation': 'stent'}}size_fin: [{'size': '1.0 x 1.2 cm', 'size_descriptor': 'hypodensity'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right'}, 'liver': {}}location descriptor_fin: ['right']clinical findings_fin: {'ill-defined hypodensity': {'clinical finding': 'ill-defined hypodensity', 'existence': 'pos_dx', 'descriptive_term': 'ill-defined', 'observation': 'hypodensity', 'strength_term': 'ill-defined'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}size_fin: [{'size': '4.1 x 3.8 cm', 'size_descriptor': 'mass'}]anatomical entity_fin: {'head': {}}clinical findings_fin: {'approximately 4.1 x 3.8 cm mass': {'clinical finding': 'approximately 4.1 x 3.8 cm mass', 'existence': 'pos_dx', 'descriptive_term': 'approximately 4 1 x 3 8 cm', 'observation': 'mass'}}size_fin: [{'size': '1.5 cm'}]anatomical entity_fin: {'pancreatic duct': {}, 'body': {}}clinical findings_fin: {'dilated': {'clinical finding': 'dilated', 'existence': 'pos_dx', 'observation': 'dilated'}, 'tail': {'clinical finding': 'tail', 'existence': 'pos_dx', 'observation': 'tail'}, 'atrophy': {'clinical finding': 'atrophy', 'cf_snomed': {'atrophy': 13331008}, 'existence': 'pos_dx', 'observation': 'atrophy'}, 'pancreatic substance': {'clinical finding': 'pancreatic substance', 'existence': 'pos_dx', 'descriptive_term': 'pancreatic', 'observation': 'substance'}}anatomical entity_fin: {'superior mesenteric artery': {}, 'origin': {}}clinical findings_fin: {'tumor': {'clinical finding': 'tumor', 'existence': 'pos_dx', 'observation': 'tumor'}}anatomical entity_fin: {'splenic vein': {}}clinical findings_fin: {'complete tumor': {'clinical finding': 'complete tumor', 'existence': 'pos_dx', 'descriptive_term': 'complete', 'observation': 'tumor'}, 'focal narrowing': {'clinical finding': 'focal narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'focal', 'observation': 'narrowing'}}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: {'scattered shotty subcentimeter mesenteric and peripancreatic lymph nodes': {'clinical finding': 'scattered shotty subcentimeter mesenteric and peripancreatic lymph nodes', 'cf_snomed': {'peripancreatic lymph node': 245346008}, 'existence': 'pos_dx', 'descriptive_term': 'scattered shotty subcentimeter mesenteric and peripancreatic lymph', 'observation': 'node'}}anatomical entity_fin: {'wall': {}, 'antrum': {}, 'duodenum': {'location descriptor': 'proximal'}}location descriptor_fin: ['proximal']clinical findings_fin: {'irregular thickening': {'clinical finding': 'irregular thickening', 'existence': 'pos_dx', 'descriptive_term': 'irregular', 'observation': 'thickening'}}anatomical entity_fin: {'head': {}, 'duodenum': {}, 'gallbladder': {}, 'antrum': {}}imaging observation_fin: ['fat']clinical findings_fin: {'thickening': {'clinical finding': 'thickening', 'existence': 'pos_dx', 'observation': 'thickening'}}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 and nodules are seen bilaterally and are highly suspicious for metastatic disease. A reference right upper lobe lesion measures 1.2 x 0.9 cm. A soft tissue attenuation mass with central hypodensity suspicious for necrotic adenopathy is seen within the superior mediastinum and surrounds the origin of the left carotid artery. A central venous catheter terminates at the cavoatrial junction. None. Nodular and enlarged thyroid gland with a few punctate calcifications. Displacement without narrowing of the trachea. Moderate pneumobilia secondary to recent ERCP with common bile duct stent placement. An ill-defined hypodensity in the right lobe of the liver measures approximately 1.0 x 1.2 cm. No significant abnormality noted. There is an approximately 4.1 x 3.8 cm mass in the region of the pancreatic head and uncinate process. The pancreatic duct is dilated through the entirety of the pancreatic body and tail, measuring up to 1.5 cm in diameter with atrophy of the pancreatic substance. There is 180 degree abutment by tumor of the superior mesenteric artery at its origin. There is complete tumor encasement of the junction of the splenic vein and SMV with focal narrowing of these vessels. No significant abnormality noted. No significant abnormality noted. Scattered shotty subcentimeter mesenteric and peripancreatic lymph nodes. Mild. There is irregular thickening of the wall of the gastric antrum and proximal duodenum. There is infiltration of the fat extending from the pancreatic head involving the duodenum, gallbladder and thickening of the gastric antrum. There is also soft tissue infiltration in the aortocaval space. 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>