Todays CT portion grossly demonstrates calcifications posterior to the spinal cord at level of the foramen magnum at the craniocervical junction which are of uncertain etiology. There are postsurgical changes of right nephrectomy with soft tissue within the surgical bed. Innumerable low and high density left renal cysts compatible with history of polycystic kidney disease. A moderate amount of ascites associated with peritoneal dialysis is present. IVC filter is unchanged. There is been interval removal of a right posterior exophytic thyroid nodule. There is diffuse osteopenia with multiple lytic regions throughout the axial spine appearing similar to prior CTs and likely related to renal osteodystrophy. Basilar linear atelectasis. Todays PET examination demonstrates a hypermetabolic right ninth rib with underlying deformity suggestive of fracture. There is a single hypermetabolic intertrochanteric right femoral osseous lesion with no definite CT correlate. In retrospect, this lesion had minimally increased activity in prior bone scan. Additional lytic lesions throughout the spine and pelvis associated with renal osteodystrophy are not hypermetabolic. Hypermetabolic nodular region along the anterior abdominal wall is likely related to peritoneal dialysis catheter. Soft tissue infiltration along the right thoracoabdominal wall which is mildly hypermetabolic is likely related to prior peritoneal dialysis catheter. There is a hypermetabolic focus along the anterior aspect of the spine at T11-T12 corresponding to a large anterior osteophyte. Of note, no increased activity is seen within the area of soft tissue thickening within the surgical bed. No hypermetabolic tumor is seen within the left kidney to suggest a second primary RCC. Hypermetabolic degenerative activity is seen within the hips and bilateral sacroiliac joints.
anatomical entity_fin: {'spinal cord': {}, 'foramen magnum': {}, 'craniocervical junction': {}}location descriptor_fin: ['posterior']clinical findings_fin: {'calcifications': {'clinical finding': 'calcifications', 'existence': 'pos_dx', 'observation': 'calcification'}}location descriptor_fin: ['right']procedure_fin: ['nephrectomy']clinical findings_fin: {'postsurgical changes': {'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'}, 'soft tissue': {'clinical finding': 'soft tissue', 'existence': 'pos_dx', 'descriptive_term': 'soft', 'observation': 'tissue'}}location descriptor_fin: ['left']clinical findings_fin: {'innumerable low and high density left renal cysts': {'clinical finding': 'innumerable low and high density left renal cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'innumerable low and high density left renal', 'observation': 'cyst'}, 'polycystic kidney disease': {'clinical finding': 'polycystic kidney disease', 'cf_snomed': {'kidney disease': 90708001}, 'existence': 'pos_dx', 'descriptive_term': 'polycystic kidney', 'observation': 'disease'}}clinical findings_fin: {'ascites': {'clinical finding': 'ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'observation': 'ascite'}, 'peritoneal dialysis': {'clinical finding': 'peritoneal dialysis', 'existence': 'pos_dx', 'descriptive_term': 'peritoneal', 'observation': 'dialysis'}}object_fin: ['filter']clinical findings_fin: {'ivc filter is unchanged': {'clinical finding': 'ivc filter is unchanged', 'change_term': 'unchanged'}}location descriptor_fin: ['right', 'posterior']clinical findings_fin: {'right posterior exophytic thyroid nodule': {'clinical finding': 'right posterior exophytic thyroid nodule', 'cf_snomed': {'thyroid nodule': 237495005}, 'existence': 'pos_dx', 'descriptive_term': 'right posterior exophytic thyroid', 'observation': 'nodule'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'diffuse osteopenia': {'clinical finding': 'diffuse osteopenia', 'cf_snomed': {'osteopenia': 312894000}, 'existence': 'pos_dx', 'descriptive_term': 'diffuse', 'observation': 'osteopenia'}, 'renal osteodystrophy': {'clinical finding': 'renal osteodystrophy', 'cf_snomed': {'renal osteodystrophy': 16726004}, 'existence': 'unc_dx', 'descriptive_term': 'renal', 'observation': 'osteodystrophy'}}clinical findings_fin: {'basilar linear atelectasis': {'clinical finding': 'basilar linear atelectasis', 'cf_snomed': {'linear atelectasis': 11689004}, 'existence': 'pos_dx', 'descriptive_term': 'basilar linear', 'observation': 'atelectasis'}}anatomical entity_fin: {'rib': {}}location descriptor_fin: ['right']clinical findings_fin: {'hypermetabolic': {'clinical finding': 'hypermetabolic', 'existence': 'pos_dx', 'observation': 'hypermetabolic'}, 'underlying deformity': {'clinical finding': 'underlying deformity', 'cf_snomed': {'deformity': 417893002}, 'existence': 'pos_dx', 'descriptive_term': 'underlying', 'observation': 'deformity'}, 'fracture': {'clinical finding': 'fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'unc_dx', 'observation': 'fracture'}}location descriptor_fin: ['right']clinical findings_fin: {'single hypermetabolic intertrochanteric right femoral osseous lesion': {'clinical finding': 'single hypermetabolic intertrochanteric right femoral osseous lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'single hypermetabolic intertrochanteric right femoral osseous', 'observation': 'lesion', 'quantity_term': 'single'}}clinical findings_fin: {'this lesion': {'clinical finding': 'this lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'this', 'observation': 'lesion'}}anatomical entity_fin: {'spine': {}, 'pelvis': {}}clinical findings_fin: {'additional lytic lesions': {'clinical finding': 'additional lytic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'additional lytic', 'observation': 'lesion'}, 'renal osteodystrophy': {'clinical finding': 'renal osteodystrophy', 'cf_snomed': {'renal osteodystrophy': 16726004}, 'existence': 'unc_dx', 'descriptive_term': 'renal', 'observation': 'osteodystrophy'}}anatomical entity_fin: {'anterior abdominal wall': {}}object_fin: ['catheter']clinical findings_fin: {'hypermetabolic nodular': {'clinical finding': 'hypermetabolic nodular', 'existence': 'pos_dx', 'descriptive_term': 'hypermetabolic', 'observation': 'nodular'}}anatomical entity_fin: {'wall': {}}location descriptor_fin: ['right']object_fin: ['catheter']clinical findings_fin: {'soft': {'clinical finding': 'soft', 'existence': 'pos_dx', 'observation': 'soft'}, 'hypermetabolic': {'clinical finding': 'hypermetabolic', 'existence': 'unc_dx', 'observation': 'hypermetabolic'}}anatomical entity_fin: {'spine': {}}location descriptor_fin: ['anterior']clinical findings_fin: {'hypermetabolic focus': {'clinical finding': 'hypermetabolic focus', 'existence': 'pos_dx', 'descriptive_term': 'hypermetabolic', 'observation': 'focus'}, 'large anterior osteophyte': {'clinical finding': 'large anterior osteophyte', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'large anterior', 'observation': 'osteophyte', 'strength_term': 'large'}}clinical findings_fin: {'thickening': {'clinical finding': 'thickening', 'existence': 'neg_dx', 'observation': 'thickening'}}anatomical entity_fin: {'left kidney': {}}clinical findings_fin: {'hypermetabolic tumor': {'clinical finding': 'hypermetabolic tumor', 'existence': 'neg_dx', 'descriptive_term': 'hypermetabolic', 'observation': 'tumor'}, 'second primary rcc': {'clinical finding': 'second primary rcc', 'existence': 'unc_dx', 'descriptive_term': 'second primary', 'observation': 'rcc'}}anatomical entity_fin: {'hips': {}, 'sacroiliac joints': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'hypermetabolic degenerative activity': {'clinical finding': 'hypermetabolic degenerative activity', 'existence': 'pos_dx', 'descriptive_term': 'hypermetabolic degenerative', 'observation': 'activity'}}
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'spinal cord': {}, 'foramen magnum': {}, 'craniocervical junction': {}}location descriptor_fin: ['posterior']clinical findings_fin: {'calcifications': {'clinical finding': 'calcifications', 'existence': 'pos_dx', 'observation': 'calcification'}}location descriptor_fin: ['right']procedure_fin: ['nephrectomy']clinical findings_fin: {'postsurgical changes': {'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'}, 'soft tissue': {'clinical finding': 'soft tissue', 'existence': 'pos_dx', 'descriptive_term': 'soft', 'observation': 'tissue'}}location descriptor_fin: ['left']clinical findings_fin: {'innumerable low and high density left renal cysts': {'clinical finding': 'innumerable low and high density left renal cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'innumerable low and high density left renal', 'observation': 'cyst'}, 'polycystic kidney disease': {'clinical finding': 'polycystic kidney disease', 'cf_snomed': {'kidney disease': 90708001}, 'existence': 'pos_dx', 'descriptive_term': 'polycystic kidney', 'observation': 'disease'}}clinical findings_fin: {'ascites': {'clinical finding': 'ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'observation': 'ascite'}, 'peritoneal dialysis': {'clinical finding': 'peritoneal dialysis', 'existence': 'pos_dx', 'descriptive_term': 'peritoneal', 'observation': 'dialysis'}}object_fin: ['filter']clinical findings_fin: {'ivc filter is unchanged': {'clinical finding': 'ivc filter is unchanged', 'change_term': 'unchanged'}}location descriptor_fin: ['right', 'posterior']clinical findings_fin: {'right posterior exophytic thyroid nodule': {'clinical finding': 'right posterior exophytic thyroid nodule', 'cf_snomed': {'thyroid nodule': 237495005}, 'existence': 'pos_dx', 'descriptive_term': 'right posterior exophytic thyroid', 'observation': 'nodule'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'diffuse osteopenia': {'clinical finding': 'diffuse osteopenia', 'cf_snomed': {'osteopenia': 312894000}, 'existence': 'pos_dx', 'descriptive_term': 'diffuse', 'observation': 'osteopenia'}, 'renal osteodystrophy': {'clinical finding': 'renal osteodystrophy', 'cf_snomed': {'renal osteodystrophy': 16726004}, 'existence': 'unc_dx', 'descriptive_term': 'renal', 'observation': 'osteodystrophy'}}clinical findings_fin: {'basilar linear atelectasis': {'clinical finding': 'basilar linear atelectasis', 'cf_snomed': {'linear atelectasis': 11689004}, 'existence': 'pos_dx', 'descriptive_term': 'basilar linear', 'observation': 'atelectasis'}}anatomical entity_fin: {'rib': {}}location descriptor_fin: ['right']clinical findings_fin: {'hypermetabolic': {'clinical finding': 'hypermetabolic', 'existence': 'pos_dx', 'observation': 'hypermetabolic'}, 'underlying deformity': {'clinical finding': 'underlying deformity', 'cf_snomed': {'deformity': 417893002}, 'existence': 'pos_dx', 'descriptive_term': 'underlying', 'observation': 'deformity'}, 'fracture': {'clinical finding': 'fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'unc_dx', 'observation': 'fracture'}}location descriptor_fin: ['right']clinical findings_fin: {'single hypermetabolic intertrochanteric right femoral osseous lesion': {'clinical finding': 'single hypermetabolic intertrochanteric right femoral osseous lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'single hypermetabolic intertrochanteric right femoral osseous', 'observation': 'lesion', 'quantity_term': 'single'}}clinical findings_fin: {'this lesion': {'clinical finding': 'this lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'this', 'observation': 'lesion'}}anatomical entity_fin: {'spine': {}, 'pelvis': {}}clinical findings_fin: {'additional lytic lesions': {'clinical finding': 'additional lytic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'additional lytic', 'observation': 'lesion'}, 'renal osteodystrophy': {'clinical finding': 'renal osteodystrophy', 'cf_snomed': {'renal osteodystrophy': 16726004}, 'existence': 'unc_dx', 'descriptive_term': 'renal', 'observation': 'osteodystrophy'}}anatomical entity_fin: {'anterior abdominal wall': {}}object_fin: ['catheter']clinical findings_fin: {'hypermetabolic nodular': {'clinical finding': 'hypermetabolic nodular', 'existence': 'pos_dx', 'descriptive_term': 'hypermetabolic', 'observation': 'nodular'}}anatomical entity_fin: {'wall': {}}location descriptor_fin: ['right']object_fin: ['catheter']clinical findings_fin: {'soft': {'clinical finding': 'soft', 'existence': 'pos_dx', 'observation': 'soft'}, 'hypermetabolic': {'clinical finding': 'hypermetabolic', 'existence': 'unc_dx', 'observation': 'hypermetabolic'}}anatomical entity_fin: {'spine': {}}location descriptor_fin: ['anterior']clinical findings_fin: {'hypermetabolic focus': {'clinical finding': 'hypermetabolic focus', 'existence': 'pos_dx', 'descriptive_term': 'hypermetabolic', 'observation': 'focus'}, 'large anterior osteophyte': {'clinical finding': 'large anterior osteophyte', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'large anterior', 'observation': 'osteophyte', 'strength_term': 'large'}}clinical findings_fin: {'thickening': {'clinical finding': 'thickening', 'existence': 'neg_dx', 'observation': 'thickening'}}anatomical entity_fin: {'left kidney': {}}clinical findings_fin: {'hypermetabolic tumor': {'clinical finding': 'hypermetabolic tumor', 'existence': 'neg_dx', 'descriptive_term': 'hypermetabolic', 'observation': 'tumor'}, 'second primary rcc': {'clinical finding': 'second primary rcc', 'existence': 'unc_dx', 'descriptive_term': 'second primary', 'observation': 'rcc'}}anatomical entity_fin: {'hips': {}, 'sacroiliac joints': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'hypermetabolic degenerative activity': {'clinical finding': 'hypermetabolic degenerative activity', 'existence': 'pos_dx', 'descriptive_term': 'hypermetabolic degenerative', 'observation': 'activity'}} [/INST] Todays CT portion grossly demonstrates calcifications posterior to the spinal cord at level of the foramen magnum at the craniocervical junction which are of uncertain etiology. There are postsurgical changes of right nephrectomy with soft tissue within the surgical bed. Innumerable low and high density left renal cysts compatible with history of polycystic kidney disease. A moderate amount of ascites associated with peritoneal dialysis is present. IVC filter is unchanged. There is been interval removal of a right posterior exophytic thyroid nodule. There is diffuse osteopenia with multiple lytic regions throughout the axial spine appearing similar to prior CTs and likely related to renal osteodystrophy. Basilar linear atelectasis. Todays PET examination demonstrates a hypermetabolic right ninth rib with underlying deformity suggestive of fracture. There is a single hypermetabolic intertrochanteric right femoral osseous lesion with no definite CT correlate. In retrospect, this lesion had minimally increased activity in prior bone scan. Additional lytic lesions throughout the spine and pelvis associated with renal osteodystrophy are not hypermetabolic. Hypermetabolic nodular region along the anterior abdominal wall is likely related to peritoneal dialysis catheter. Soft tissue infiltration along the right thoracoabdominal wall which is mildly hypermetabolic is likely related to prior peritoneal dialysis catheter. There is a hypermetabolic focus along the anterior aspect of the spine at T11-T12 corresponding to a large anterior osteophyte. Of note, no increased activity is seen within the area of soft tissue thickening within the surgical bed. No hypermetabolic tumor is seen within the left kidney to suggest a second primary RCC. Hypermetabolic degenerative activity is seen within the hips and bilateral sacroiliac joints. </s>