This study is limited due to lack of intravenous contrast. Again noted bilateral numerous metastatic lung lesions. Index right lower lobe metastatic lesion is now slightly increased in size and measures 4.1 x 3.7 cm on image #56, series #5. Other bilateral. Index paratracheal lymph node measures 2 x 1.5 cm on image #30, series #3, not significantly changed compared to previous study. Severe. No significant abnormality noted. Stable index hypodensity near the dome measuring 1.6 x 2.2 cm on image #65, series #3. The lesion at the inferior tip of right hepatic lobe measures 2.7 x 1.9 cm on image #106, series #3, not significantly changed compared to previous study. No new lesions. However lack of intravenous contrast limits optimal evaluation of the liver. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Unchanged right sided hydronephroureter with dilated ureter up to the level of the pelvis where ill-defined soft tissue attenuation is noted. Borderline enlarged retroperitoneal nodes, unchanged. Severe. Ill-defined soft tissue density lesion in the right lower quadrant is unchanged measuring 2.5 x 1.9 cm on image #142, series #3. Again this is suspicious for peritoneal carcinomatosis. Borderline enlarged mesenteric lymph nodes are unchanged. Other peritoneal nodules are also stable. 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. No significant abnormality noted.
anatomical entity_fin: {'lung': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral numerous metastatic lung lesions': {'clinical finding': 'bilateral numerous metastatic lung lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral numerous metastatic lung', 'observation': 'lesion', 'quantity_term': 'numerous'}}size_fin: [{'size': '4.1 x 3.7 cm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'index right lower lobe metastatic lesion': {'clinical finding': 'index right lower lobe metastatic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'index right lower lobe metastatic', 'observation': 'lesion'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'other bilateral': {'clinical finding': 'other bilateral'}}size_fin: [{'size': '2 x 1.5 cm', 'size_descriptor': 'node'}]clinical findings_fin: {'index paratracheal lymph node': {'clinical finding': 'index paratracheal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'index paratracheal lymph', 'observation': 'node'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}size_fin: [{'size': '1.6 x 2.2 cm', 'size_descriptor': 'hypodensity'}]clinical findings_fin: {'stable index hypodensity': {'clinical finding': 'stable index hypodensity', 'existence': 'pos_dx', 'descriptive_term': 'stable index', 'observation': 'hypodensity', 'strength_term': 'stable', 'change_term': 'stable'}}size_fin: [{'size': '2.7 x 1.9 cm', 'size_descriptor': 'lesion'}]anatomical entity_fin: {'lobe': {}}location descriptor_fin: ['inferior', 'right']clinical findings_fin: {'lesion': {'clinical finding': 'lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'observation': 'lesion'}}clinical findings_fin: {'new lesions': {'clinical finding': 'new lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'new', 'observation': 'lesion', 'temporal_term': 'new'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'intravenous contrast': {'clinical finding': 'intravenous contrast', 'existence': 'neg_dx', 'descriptive_term': 'intravenous', 'observation': 'contrast'}}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'}}anatomical entity_fin: {'ureter': {}, 'pelvis': {}}location descriptor_fin: ['right']clinical findings_fin: {'unchanged right sided hydronephroureter': {'clinical finding': 'unchanged right sided hydronephroureter', 'existence': 'pos_dx', 'descriptive_term': 'unchanged right sided', 'observation': 'hydronephroureter', 'strength_term': 'unchanged', 'change_term': 'unchanged'}, 'dilated': {'clinical finding': 'dilated', 'existence': 'pos_dx', 'observation': 'dilated'}, 'ill-defined soft tissue attenuation': {'clinical finding': 'ill-defined soft tissue attenuation', 'existence': 'pos_dx', 'descriptive_term': 'ill-defined soft tissue', 'observation': 'attenuation', 'strength_term': 'ill-defined'}}clinical findings_fin: {'borderline enlarged retroperitoneal nodes': {'clinical finding': 'borderline enlarged retroperitoneal nodes', 'existence': 'pos_dx', 'descriptive_term': 'borderline enlarged retroperitoneal', 'observation': 'node', 'strength_term': 'borderline - enlarged', 'change_term': 'enlarged'}}size_fin: [{'size': '2.5 x 1.9 cm', 'size_descriptor': 'lesion'}]anatomical entity_fin: {'quadrant': {'location descriptor': 'right lower'}}imaging observation_fin: ['soft tissue density']location descriptor_fin: ['right', 'lower']clinical findings_fin: {'ill-defined soft tissue density lesion': {'clinical finding': 'ill-defined soft tissue density lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'ill-defined soft tissue density', 'observation': 'lesion', 'strength_term': 'ill-defined'}}clinical findings_fin: {'peritoneal carcinomatosis': {'clinical finding': 'peritoneal carcinomatosis', 'cf_snomed': {'carcinomatosis': 307593001}, 'existence': 'pos_dx', 'descriptive_term': 'peritoneal', 'observation': 'carcinomatosis'}}anatomical entity_fin: {'mesenteric lymph nodes': {}}clinical findings_fin: {'borderline enlarged mesenteric lymph nodes': {'clinical finding': 'borderline enlarged mesenteric lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'borderline enlarged mesenteric lymph', 'observation': 'node', 'strength_term': 'borderline - enlarged', 'change_term': 'enlarged'}}clinical findings_fin: {'other peritoneal nodules': {'clinical finding': 'other peritoneal nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'other peritoneal', 'observation': 'nodule'}}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'}}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: anatomical entity_fin: {'lung': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral numerous metastatic lung lesions': {'clinical finding': 'bilateral numerous metastatic lung lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral numerous metastatic lung', 'observation': 'lesion', 'quantity_term': 'numerous'}}size_fin: [{'size': '4.1 x 3.7 cm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'index right lower lobe metastatic lesion': {'clinical finding': 'index right lower lobe metastatic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'index right lower lobe metastatic', 'observation': 'lesion'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'other bilateral': {'clinical finding': 'other bilateral'}}size_fin: [{'size': '2 x 1.5 cm', 'size_descriptor': 'node'}]clinical findings_fin: {'index paratracheal lymph node': {'clinical finding': 'index paratracheal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'index paratracheal lymph', 'observation': 'node'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}size_fin: [{'size': '1.6 x 2.2 cm', 'size_descriptor': 'hypodensity'}]clinical findings_fin: {'stable index hypodensity': {'clinical finding': 'stable index hypodensity', 'existence': 'pos_dx', 'descriptive_term': 'stable index', 'observation': 'hypodensity', 'strength_term': 'stable', 'change_term': 'stable'}}size_fin: [{'size': '2.7 x 1.9 cm', 'size_descriptor': 'lesion'}]anatomical entity_fin: {'lobe': {}}location descriptor_fin: ['inferior', 'right']clinical findings_fin: {'lesion': {'clinical finding': 'lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'observation': 'lesion'}}clinical findings_fin: {'new lesions': {'clinical finding': 'new lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'new', 'observation': 'lesion', 'temporal_term': 'new'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'intravenous contrast': {'clinical finding': 'intravenous contrast', 'existence': 'neg_dx', 'descriptive_term': 'intravenous', 'observation': 'contrast'}}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'}}anatomical entity_fin: {'ureter': {}, 'pelvis': {}}location descriptor_fin: ['right']clinical findings_fin: {'unchanged right sided hydronephroureter': {'clinical finding': 'unchanged right sided hydronephroureter', 'existence': 'pos_dx', 'descriptive_term': 'unchanged right sided', 'observation': 'hydronephroureter', 'strength_term': 'unchanged', 'change_term': 'unchanged'}, 'dilated': {'clinical finding': 'dilated', 'existence': 'pos_dx', 'observation': 'dilated'}, 'ill-defined soft tissue attenuation': {'clinical finding': 'ill-defined soft tissue attenuation', 'existence': 'pos_dx', 'descriptive_term': 'ill-defined soft tissue', 'observation': 'attenuation', 'strength_term': 'ill-defined'}}clinical findings_fin: {'borderline enlarged retroperitoneal nodes': {'clinical finding': 'borderline enlarged retroperitoneal nodes', 'existence': 'pos_dx', 'descriptive_term': 'borderline enlarged retroperitoneal', 'observation': 'node', 'strength_term': 'borderline - enlarged', 'change_term': 'enlarged'}}size_fin: [{'size': '2.5 x 1.9 cm', 'size_descriptor': 'lesion'}]anatomical entity_fin: {'quadrant': {'location descriptor': 'right lower'}}imaging observation_fin: ['soft tissue density']location descriptor_fin: ['right', 'lower']clinical findings_fin: {'ill-defined soft tissue density lesion': {'clinical finding': 'ill-defined soft tissue density lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'ill-defined soft tissue density', 'observation': 'lesion', 'strength_term': 'ill-defined'}}clinical findings_fin: {'peritoneal carcinomatosis': {'clinical finding': 'peritoneal carcinomatosis', 'cf_snomed': {'carcinomatosis': 307593001}, 'existence': 'pos_dx', 'descriptive_term': 'peritoneal', 'observation': 'carcinomatosis'}}anatomical entity_fin: {'mesenteric lymph nodes': {}}clinical findings_fin: {'borderline enlarged mesenteric lymph nodes': {'clinical finding': 'borderline enlarged mesenteric lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'borderline enlarged mesenteric lymph', 'observation': 'node', 'strength_term': 'borderline - enlarged', 'change_term': 'enlarged'}}clinical findings_fin: {'other peritoneal nodules': {'clinical finding': 'other peritoneal nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'other peritoneal', 'observation': 'nodule'}}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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] This study is limited due to lack of intravenous contrast. Again noted bilateral numerous metastatic lung lesions. Index right lower lobe metastatic lesion is now slightly increased in size and measures 4.1 x 3.7 cm on image #56, series #5. Other bilateral. Index paratracheal lymph node measures 2 x 1.5 cm on image #30, series #3, not significantly changed compared to previous study. Severe. No significant abnormality noted. Stable index hypodensity near the dome measuring 1.6 x 2.2 cm on image #65, series #3. The lesion at the inferior tip of right hepatic lobe measures 2.7 x 1.9 cm on image #106, series #3, not significantly changed compared to previous study. No new lesions. However lack of intravenous contrast limits optimal evaluation of the liver. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Unchanged right sided hydronephroureter with dilated ureter up to the level of the pelvis where ill-defined soft tissue attenuation is noted. Borderline enlarged retroperitoneal nodes, unchanged. Severe. Ill-defined soft tissue density lesion in the right lower quadrant is unchanged measuring 2.5 x 1.9 cm on image #142, series #3. Again this is suspicious for peritoneal carcinomatosis. Borderline enlarged mesenteric lymph nodes are unchanged. Other peritoneal nodules are also stable. 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. No significant abnormality noted. </s>