. Central solid component of the right upper lobe mixed density nodule measures 7 x 9 mm , previously measuring 7 x 7 mm. The overall size of the groundglass component is difficult to quantify as it is a subtle, approximately 2.7 cm compared to 2.7 cm previously. Numerous additional groundglass density and mixed density nodules are identified. A groundglass nodule containing internal cystic component measures 18 mm in the right lower lobe , previously measuring around 17 mm, however there is significant motion artifact on the last study. Previously referenced groundglass nodule in the right upper lobe is no longer visualized. Solid subpleural nodule in the left lower lobe measures similarly at 9 x 7 mm , previously 9 x 7 mm, however this appears to have a broader base with the pleural surface on the current study. Additional left lower lobe subpleural solid nodule is unchanged measuring 11 mm, previously 9 mm , minimally larger. Postsurgical changes consistent with a left upper lobe lobectomy and left lower lobe wedge resection are noted. Redemonstration of a chronic loculated pneumothorax on the left. Cardiac size is mildly enlarged. No significant hilar or mediastinal lymphadenopathy. The aorta and great vessels are normal in caliber. Atherosclerotic calcification of the aorta and major branching vessels. Redemonstration of pericardial calcification. Moderate. No axillary, internal mammary, retrocrural, or cardiophrenic lymphadenopathy. Mild degenerative changes and dextroscoliosis of the thoracic spine. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. Cholelithiasis without evidence of cholecystitis. Calcifications in the right hepatic lobe. Too small to characterize low-attenuation focus within the right hepatic lobe.
size_fin: [{'size': '7 x 9 mm'}, {'size': '7 x 7 mm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right upper'}}location descriptor_fin: ['central', 'right', 'upper']clinical findings_fin: {'right upper lobe mixed density nodule': {'clinical finding': 'right upper lobe mixed density nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'right upper lobe mixed density', 'observation': 'nodule'}}size_fin: [{'size': '2.7 cm'}, {'size': '2.7 cm'}]clinical findings_fin: {'groundglass': {'clinical finding': 'groundglass', 'existence': 'pos_dx', 'observation': 'groundglass'}}clinical findings_fin: {'numerous additional groundglass density and mixed density nodules': {'clinical finding': 'numerous additional groundglass density and mixed density nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'numerous additional groundglass density and mixed density', 'observation': 'nodule', 'quantity_term': 'numerous'}}size_fin: [{'size': '18 mm', 'size_descriptor': 'nodule'}, {'size': '17 mm', 'size_descriptor': 'artifact'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}artifact_fin: ['motion artifact']location descriptor_fin: ['right', 'lower']clinical findings_fin: {'groundglass nodule': {'clinical finding': 'groundglass nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'groundglass', 'observation': 'nodule'}, 'significant motion artifact': {'clinical finding': 'significant motion artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'pos_dx', 'descriptive_term': 'significant motion', 'observation': 'artifact'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right upper'}}location descriptor_fin: ['right', 'upper']clinical findings_fin: {'previously referenced groundglass nodule': {'clinical finding': 'previously referenced groundglass nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'previously referenced groundglass', 'observation': 'nodule'}}size_fin: [{'size': '9 x 7 mm'}, {'size': '9 x 7 mm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}, 'base': {}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'solid subpleural nodule': {'clinical finding': 'solid subpleural nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'solid subpleural', 'observation': 'nodule'}}size_fin: [{'size': '11 mm'}, {'size': '9 mm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'additional left lower lobe subpleural solid nodule': {'clinical finding': 'additional left lower lobe subpleural solid nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'additional left lower lobe subpleural solid', 'observation': 'nodule'}}anatomical entity_fin: {'lobe': {}}imaging observation_fin: ['wedge']location descriptor_fin: ['left', 'upper', 'lower']clinical findings_fin: {'postsurgical changes': {'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'}, 'left upper lobe lobectomy': {'clinical finding': 'left upper lobe lobectomy', 'existence': 'pos_dx', 'descriptive_term': 'left upper lobe', 'observation': 'lobectomy'}}location descriptor_fin: ['left']clinical findings_fin: {'chronic loculated pneumothorax': {'clinical finding': 'chronic loculated pneumothorax', 'cf_snomed': {'pneumothorax': 36118008}, 'existence': 'pos_dx', 'descriptive_term': 'chronic loculated', 'observation': 'pneumothorax', 'temporal_term': 'chronic'}}clinical findings_fin: {'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}}clinical findings_fin: {'significant hilar or mediastinal lymphadenopathy': {'clinical finding': 'significant hilar or mediastinal lymphadenopathy', 'cf_snomed': {'mediastinal lymphadenopathy': 52324001}, 'existence': 'neg_dx', 'descriptive_term': 'significant hilar or mediastinal', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'aorta': {}}clinical findings_fin: {'aorta and great vessels are normal in caliber': {'clinical finding': 'aorta and great vessels are normal in caliber'}}anatomical entity_fin: {'aorta': {}}clinical findings_fin: {'atherosclerotic calcification': {'clinical finding': 'atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'}}clinical findings_fin: {'pericardial calcification': {'clinical finding': 'pericardial calcification', 'existence': 'pos_dx', 'descriptive_term': 'pericardial', 'observation': 'calcification'}}clinical findings_fin: {'axillary, internal mammary, retrocrural, or cardiophrenic lymphadenopathy': {'clinical finding': 'axillary, internal mammary, retrocrural, or cardiophrenic lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'descriptive_term': 'axillary internal mammary retrocrural or cardiophrenic', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'mild degenerative changes': {'clinical finding': 'mild degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'mild degenerative', 'observation': 'change', 'strength_term': 'mild'}, 'dextroscoliosis': {'clinical finding': 'dextroscoliosis', 'cf_snomed': {'dextroscoliosis': 431001000124101}, 'existence': 'pos_dx', 'observation': 'dextroscoliosis'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'cholelithiasis': {'clinical finding': 'cholelithiasis', 'existence': 'pos_dx', 'observation': 'cholelithiasis'}, 'cholecystitis': {'clinical finding': 'cholecystitis', 'cf_snomed': {'cholecystitis': 76581006}, 'existence': 'neg_dx', 'observation': 'cholecystitis'}}anatomical entity_fin: {'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'calcifications': {'clinical finding': 'calcifications', 'existence': 'pos_dx', 'observation': 'calcification'}}anatomical entity_fin: {'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'low-attenuation focus': {'clinical finding': 'low-attenuation focus', 'existence': 'unc_dx', 'descriptive_term': 'low-attenuation', 'observation': 'focus'}}
<s>[INST] Write the finding section for a radiology report based on the following information: size_fin: [{'size': '7 x 9 mm'}, {'size': '7 x 7 mm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right upper'}}location descriptor_fin: ['central', 'right', 'upper']clinical findings_fin: {'right upper lobe mixed density nodule': {'clinical finding': 'right upper lobe mixed density nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'right upper lobe mixed density', 'observation': 'nodule'}}size_fin: [{'size': '2.7 cm'}, {'size': '2.7 cm'}]clinical findings_fin: {'groundglass': {'clinical finding': 'groundglass', 'existence': 'pos_dx', 'observation': 'groundglass'}}clinical findings_fin: {'numerous additional groundglass density and mixed density nodules': {'clinical finding': 'numerous additional groundglass density and mixed density nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'numerous additional groundglass density and mixed density', 'observation': 'nodule', 'quantity_term': 'numerous'}}size_fin: [{'size': '18 mm', 'size_descriptor': 'nodule'}, {'size': '17 mm', 'size_descriptor': 'artifact'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}artifact_fin: ['motion artifact']location descriptor_fin: ['right', 'lower']clinical findings_fin: {'groundglass nodule': {'clinical finding': 'groundglass nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'groundglass', 'observation': 'nodule'}, 'significant motion artifact': {'clinical finding': 'significant motion artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'pos_dx', 'descriptive_term': 'significant motion', 'observation': 'artifact'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right upper'}}location descriptor_fin: ['right', 'upper']clinical findings_fin: {'previously referenced groundglass nodule': {'clinical finding': 'previously referenced groundglass nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'previously referenced groundglass', 'observation': 'nodule'}}size_fin: [{'size': '9 x 7 mm'}, {'size': '9 x 7 mm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}, 'base': {}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'solid subpleural nodule': {'clinical finding': 'solid subpleural nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'solid subpleural', 'observation': 'nodule'}}size_fin: [{'size': '11 mm'}, {'size': '9 mm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'additional left lower lobe subpleural solid nodule': {'clinical finding': 'additional left lower lobe subpleural solid nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'additional left lower lobe subpleural solid', 'observation': 'nodule'}}anatomical entity_fin: {'lobe': {}}imaging observation_fin: ['wedge']location descriptor_fin: ['left', 'upper', 'lower']clinical findings_fin: {'postsurgical changes': {'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'}, 'left upper lobe lobectomy': {'clinical finding': 'left upper lobe lobectomy', 'existence': 'pos_dx', 'descriptive_term': 'left upper lobe', 'observation': 'lobectomy'}}location descriptor_fin: ['left']clinical findings_fin: {'chronic loculated pneumothorax': {'clinical finding': 'chronic loculated pneumothorax', 'cf_snomed': {'pneumothorax': 36118008}, 'existence': 'pos_dx', 'descriptive_term': 'chronic loculated', 'observation': 'pneumothorax', 'temporal_term': 'chronic'}}clinical findings_fin: {'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}}clinical findings_fin: {'significant hilar or mediastinal lymphadenopathy': {'clinical finding': 'significant hilar or mediastinal lymphadenopathy', 'cf_snomed': {'mediastinal lymphadenopathy': 52324001}, 'existence': 'neg_dx', 'descriptive_term': 'significant hilar or mediastinal', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'aorta': {}}clinical findings_fin: {'aorta and great vessels are normal in caliber': {'clinical finding': 'aorta and great vessels are normal in caliber'}}anatomical entity_fin: {'aorta': {}}clinical findings_fin: {'atherosclerotic calcification': {'clinical finding': 'atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'}}clinical findings_fin: {'pericardial calcification': {'clinical finding': 'pericardial calcification', 'existence': 'pos_dx', 'descriptive_term': 'pericardial', 'observation': 'calcification'}}clinical findings_fin: {'axillary, internal mammary, retrocrural, or cardiophrenic lymphadenopathy': {'clinical finding': 'axillary, internal mammary, retrocrural, or cardiophrenic lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'descriptive_term': 'axillary internal mammary retrocrural or cardiophrenic', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'mild degenerative changes': {'clinical finding': 'mild degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'mild degenerative', 'observation': 'change', 'strength_term': 'mild'}, 'dextroscoliosis': {'clinical finding': 'dextroscoliosis', 'cf_snomed': {'dextroscoliosis': 431001000124101}, 'existence': 'pos_dx', 'observation': 'dextroscoliosis'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'cholelithiasis': {'clinical finding': 'cholelithiasis', 'existence': 'pos_dx', 'observation': 'cholelithiasis'}, 'cholecystitis': {'clinical finding': 'cholecystitis', 'cf_snomed': {'cholecystitis': 76581006}, 'existence': 'neg_dx', 'observation': 'cholecystitis'}}anatomical entity_fin: {'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'calcifications': {'clinical finding': 'calcifications', 'existence': 'pos_dx', 'observation': 'calcification'}}anatomical entity_fin: {'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'low-attenuation focus': {'clinical finding': 'low-attenuation focus', 'existence': 'unc_dx', 'descriptive_term': 'low-attenuation', 'observation': 'focus'}} [/INST] . Central solid component of the right upper lobe mixed density nodule measures 7 x 9 mm , previously measuring 7 x 7 mm. The overall size of the groundglass component is difficult to quantify as it is a subtle, approximately 2.7 cm compared to 2.7 cm previously. Numerous additional groundglass density and mixed density nodules are identified. A groundglass nodule containing internal cystic component measures 18 mm in the right lower lobe , previously measuring around 17 mm, however there is significant motion artifact on the last study. Previously referenced groundglass nodule in the right upper lobe is no longer visualized. Solid subpleural nodule in the left lower lobe measures similarly at 9 x 7 mm , previously 9 x 7 mm, however this appears to have a broader base with the pleural surface on the current study. Additional left lower lobe subpleural solid nodule is unchanged measuring 11 mm, previously 9 mm , minimally larger. Postsurgical changes consistent with a left upper lobe lobectomy and left lower lobe wedge resection are noted. Redemonstration of a chronic loculated pneumothorax on the left. Cardiac size is mildly enlarged. No significant hilar or mediastinal lymphadenopathy. The aorta and great vessels are normal in caliber. Atherosclerotic calcification of the aorta and major branching vessels. Redemonstration of pericardial calcification. Moderate. No axillary, internal mammary, retrocrural, or cardiophrenic lymphadenopathy. Mild degenerative changes and dextroscoliosis of the thoracic spine. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. Cholelithiasis without evidence of cholecystitis. Calcifications in the right hepatic lobe. Too small to characterize low-attenuation focus within the right hepatic lobe. </s>