Todays CT portion of the neck demonstrates no significant pathology. Please see diagnostic CT reports for details of the chest, abdomen, and pelvis. Todays PET examination demonstrates a large destructive hypermetabolic manubrial lesion , consistent with an osseous metastasis. A small left upper paratracheal hypermetabolic lymph node , consistent with additional metastatic disease. Abnormal FDG accumulation involving right pleural effusion , very suspicious for pleural tumor seeding. Large left hepatic hypermetabolic mass , indicates liver metastatic disease. Multiple hypermetabolic abdominal lymph nodes seen in the celiac axis and retroperitoneum , indicate additional metastatic disease. Multiple hypermetabolic soft tissue foci involving bowel and mesentery , indicates carcinomatosis. A small hypermetabolic lesion at the level of the rectum , very suspicious for additional tumor activity.
anatomical entity_fin: {'neck': {}}clinical findings_fin: {'todays ct portion of the neck demonstrates no significant pathology': {'clinical finding': 'todays ct portion of the neck demonstrates no significant pathology'}}anatomical entity_fin: {'chest': {}, 'abdomen': {}, 'pelvis': {}}clinical findings_fin: {'large destructive hypermetabolic manubrial lesion': {'clinical finding': 'large destructive hypermetabolic manubrial lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'large destructive hypermetabolic manubrial', 'observation': 'lesion', 'strength_term': 'large'}, 'osseous metastasis': {'clinical finding': 'osseous metastasis', 'existence': 'pos_dx', 'descriptive_term': 'osseous', 'observation': 'metastasis'}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'small left upper paratracheal hypermetabolic lymph node': {'clinical finding': 'small left upper paratracheal hypermetabolic lymph node', 'existence': 'pos_dx', 'descriptive_term': 'small left upper paratracheal hypermetabolic lymph', 'observation': 'node', 'strength_term': 'small'}, 'additional metastatic disease': {'clinical finding': 'additional metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'additional metastatic', 'observation': 'disease'}}location descriptor_fin: ['right']clinical findings_fin: {'abnormal fdg accumulation': {'clinical finding': 'abnormal fdg accumulation', 'existence': 'pos_dx', 'descriptive_term': 'abnormal fdg', 'observation': 'accumulation'}, 'right pleural effusion': {'clinical finding': 'right pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'right pleural', 'observation': 'effusion'}, 'pleural tumor': {'clinical finding': 'pleural tumor', 'existence': 'unc_dx', 'descriptive_term': 'pleural', 'observation': 'tumor'}}anatomical entity_fin: {'liver': {}}location descriptor_fin: ['left']clinical findings_fin: {'large left hepatic hypermetabolic mass': {'clinical finding': 'large left hepatic hypermetabolic mass', 'existence': 'pos_dx', 'descriptive_term': 'large left hepatic hypermetabolic', 'observation': 'mass', 'strength_term': 'large'}, 'liver metastatic disease': {'clinical finding': 'liver metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'liver metastatic', 'observation': 'disease'}}anatomical entity_fin: {'abdominal': {}, 'axis': {}, 'retroperitoneum': {}}clinical findings_fin: {'multiple hypermetabolic abdominal lymph nodes': {'clinical finding': 'multiple hypermetabolic abdominal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'multiple hypermetabolic abdominal lymph', 'observation': 'node', 'quantity_term': 'multiple'}, 'additional metastatic disease': {'clinical finding': 'additional metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'additional metastatic', 'observation': 'disease'}}anatomical entity_fin: {'bowel': {}, 'mesentery': {}}imaging observation_fin: ['foci']clinical findings_fin: {'multiple hypermetabolic soft tissue foci': {'clinical finding': 'multiple hypermetabolic soft tissue foci', 'existence': 'pos_dx', 'descriptive_term': 'multiple hypermetabolic soft tissue', 'observation': 'foci', 'quantity_term': 'multiple'}, 'carcinomatosis': {'clinical finding': 'carcinomatosis', 'cf_snomed': {'carcinomatosis': 307593001}, 'existence': 'pos_dx', 'observation': 'carcinomatosis'}}anatomical entity_fin: {'rectum': {}}clinical findings_fin: {'small hypermetabolic lesion': {'clinical finding': 'small hypermetabolic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'small hypermetabolic', 'observation': 'lesion', 'strength_term': 'small'}, 'additional tumor': {'clinical finding': 'additional tumor', 'existence': 'unc_dx', 'descriptive_term': 'additional', 'observation': 'tumor'}}
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'neck': {}}clinical findings_fin: {'todays ct portion of the neck demonstrates no significant pathology': {'clinical finding': 'todays ct portion of the neck demonstrates no significant pathology'}}anatomical entity_fin: {'chest': {}, 'abdomen': {}, 'pelvis': {}}clinical findings_fin: {'large destructive hypermetabolic manubrial lesion': {'clinical finding': 'large destructive hypermetabolic manubrial lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'large destructive hypermetabolic manubrial', 'observation': 'lesion', 'strength_term': 'large'}, 'osseous metastasis': {'clinical finding': 'osseous metastasis', 'existence': 'pos_dx', 'descriptive_term': 'osseous', 'observation': 'metastasis'}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'small left upper paratracheal hypermetabolic lymph node': {'clinical finding': 'small left upper paratracheal hypermetabolic lymph node', 'existence': 'pos_dx', 'descriptive_term': 'small left upper paratracheal hypermetabolic lymph', 'observation': 'node', 'strength_term': 'small'}, 'additional metastatic disease': {'clinical finding': 'additional metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'additional metastatic', 'observation': 'disease'}}location descriptor_fin: ['right']clinical findings_fin: {'abnormal fdg accumulation': {'clinical finding': 'abnormal fdg accumulation', 'existence': 'pos_dx', 'descriptive_term': 'abnormal fdg', 'observation': 'accumulation'}, 'right pleural effusion': {'clinical finding': 'right pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'right pleural', 'observation': 'effusion'}, 'pleural tumor': {'clinical finding': 'pleural tumor', 'existence': 'unc_dx', 'descriptive_term': 'pleural', 'observation': 'tumor'}}anatomical entity_fin: {'liver': {}}location descriptor_fin: ['left']clinical findings_fin: {'large left hepatic hypermetabolic mass': {'clinical finding': 'large left hepatic hypermetabolic mass', 'existence': 'pos_dx', 'descriptive_term': 'large left hepatic hypermetabolic', 'observation': 'mass', 'strength_term': 'large'}, 'liver metastatic disease': {'clinical finding': 'liver metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'liver metastatic', 'observation': 'disease'}}anatomical entity_fin: {'abdominal': {}, 'axis': {}, 'retroperitoneum': {}}clinical findings_fin: {'multiple hypermetabolic abdominal lymph nodes': {'clinical finding': 'multiple hypermetabolic abdominal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'multiple hypermetabolic abdominal lymph', 'observation': 'node', 'quantity_term': 'multiple'}, 'additional metastatic disease': {'clinical finding': 'additional metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'additional metastatic', 'observation': 'disease'}}anatomical entity_fin: {'bowel': {}, 'mesentery': {}}imaging observation_fin: ['foci']clinical findings_fin: {'multiple hypermetabolic soft tissue foci': {'clinical finding': 'multiple hypermetabolic soft tissue foci', 'existence': 'pos_dx', 'descriptive_term': 'multiple hypermetabolic soft tissue', 'observation': 'foci', 'quantity_term': 'multiple'}, 'carcinomatosis': {'clinical finding': 'carcinomatosis', 'cf_snomed': {'carcinomatosis': 307593001}, 'existence': 'pos_dx', 'observation': 'carcinomatosis'}}anatomical entity_fin: {'rectum': {}}clinical findings_fin: {'small hypermetabolic lesion': {'clinical finding': 'small hypermetabolic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'small hypermetabolic', 'observation': 'lesion', 'strength_term': 'small'}, 'additional tumor': {'clinical finding': 'additional tumor', 'existence': 'unc_dx', 'descriptive_term': 'additional', 'observation': 'tumor'}} [/INST] Todays CT portion of the neck demonstrates no significant pathology. Please see diagnostic CT reports for details of the chest, abdomen, and pelvis. Todays PET examination demonstrates a large destructive hypermetabolic manubrial lesion , consistent with an osseous metastasis. A small left upper paratracheal hypermetabolic lymph node , consistent with additional metastatic disease. Abnormal FDG accumulation involving right pleural effusion , very suspicious for pleural tumor seeding. Large left hepatic hypermetabolic mass , indicates liver metastatic disease. Multiple hypermetabolic abdominal lymph nodes seen in the celiac axis and retroperitoneum , indicate additional metastatic disease. Multiple hypermetabolic soft tissue foci involving bowel and mesentery , indicates carcinomatosis. A small hypermetabolic lesion at the level of the rectum , very suspicious for additional tumor activity. </s>