. The reference right upper lobe lesion measures 28 mm , previously 20 mm. However, this lesion is difficult to measure accurately due to surrounding atelectasis. Right lower lobe pulmonary nodules and micronodules are similar to prior. The right-sided nodular pleural thickening is increased diffusely. Slightly decreased size of the small loculated right apical hydropneumothorax. The previously seen subpulmonic loculated fluid is also decreased in size. The scattered groundglass and nodular opacities in the left lower lobe compatible with aspiration bronchiolitis are decreased. Moderate apical predominant paraseptal emphysema. The infiltrative confluent lymphadenopathy throughout the mediastinum is overall increased, with encasement and narrowing of the central airways. The left mainstem bronchus is narrowed to 2 to 3 mm in diameter. The reference right paramediastinal conglomerate lymphadenopathy measures 3.3 x 2.9 cm , previously 2.9 x 2.7 cm. The reference subcarinal lymph node measures 2.0 cm , previously 1.6 cm. There is a new small pericardial effusion, likely metastatic. The internal jugular or IVC stent is again noted. Mild. The referenced left axillary lymph node with fatty hilum is unchanged at 6 mm. The right anterior chest wall lesion is unchanged at 14 x 7 mm. The left brachiocephalic vein is diminutive, similar to prior. There is further enlargement of the supraclavicular and cardiophrenic lymph nodes. Absence of enteric contrast material limits sensitivity for abdominal pathology. Increased extensive findings in the upper abdomen compatible with worsening metastatic disease. Please see the separate CT abdomen report from the same day for further evaluation. Partially imaged catheter in the IVC, terminating at the inferior cavoatrial junction.
size_fin: [{'size': '28 mm'}, {'size': '20 mm'}]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'}}clinical findings_fin: {'this lesion': {'clinical finding': 'this lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'unc_dx', 'descriptive_term': 'this', 'observation': 'lesion'}, 'surrounding atelectasis': {'clinical finding': 'surrounding atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'surrounding', 'observation': 'atelectasis'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'lower lobe pulmonary nodules': {'clinical finding': 'lower lobe pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'lower lobe pulmonary', 'observation': 'nodule'}, 'micronodules': {'clinical finding': 'micronodules', 'existence': 'pos_dx', 'observation': 'micronodule'}}location descriptor_fin: ['right']clinical findings_fin: {'right-sided nodular pleural thickening': {'clinical finding': 'right-sided nodular pleural thickening', 'existence': 'pos_dx', 'descriptive_term': 'right-sided nodular pleural', 'observation': 'thickening'}}imaging observation_fin: ['apical']location descriptor_fin: ['right']clinical findings_fin: {'small loculated right apical hydropneumothorax': {'clinical finding': 'small loculated right apical hydropneumothorax', 'cf_snomed': {'hydropneumothorax': 65933003}, 'existence': 'pos_dx', 'descriptive_term': 'small loculated right apical', 'observation': 'hydropneumothorax', 'strength_term': 'small'}}anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'seen subpulmonic loculated fluid is also decreased in size': {'clinical finding': 'seen subpulmonic loculated fluid is also decreased in size', 'change_term': 'decreased'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'scattered groundglass and nodular opacities': {'clinical finding': 'scattered groundglass and nodular opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'scattered groundglass and nodular', 'observation': 'opacity'}, 'aspiration bronchiolitis': {'clinical finding': 'aspiration bronchiolitis', 'cf_snomed': {'bronchiolitis': 4120002}, 'existence': 'pos_dx', 'descriptive_term': 'aspiration', 'observation': 'bronchiolitis'}}imaging observation_fin: ['apical']clinical findings_fin: {'moderate apical predominant paraseptal emphysema': {'clinical finding': 'moderate apical predominant paraseptal emphysema', 'cf_snomed': {'paraseptal emphysema': 31898008}, 'existence': 'pos_dx', 'descriptive_term': 'moderate apical predominant paraseptal', 'observation': 'emphysema', 'strength_term': 'moderate'}}anatomical entity_fin: {'mediastinum': {}, 'airways': {'location descriptor': 'central'}}location descriptor_fin: ['central']clinical findings_fin: {'infiltrative confluent lymphadenopathy': {'clinical finding': 'infiltrative confluent lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'pos_dx', 'descriptive_term': 'infiltrative confluent', 'observation': 'lymphadenopathy'}, 'narrowing': {'clinical finding': 'narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'observation': 'narrowing'}}size_fin: [{'size': '3 mm'}]anatomical entity_fin: {'bronchus': {}}location descriptor_fin: ['left']clinical findings_fin: {'narrowed': {'clinical finding': 'narrowed', 'existence': 'pos_dx', 'observation': 'narrow'}}size_fin: [{'size': '3.3 x 2.9 cm'}, {'size': '2.9 x 2.7 cm'}]location descriptor_fin: ['right']clinical findings_fin: {'reference right paramediastinal conglomerate lymphadenopathy': {'clinical finding': 'reference right paramediastinal conglomerate lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'pos_dx', 'descriptive_term': 'reference right paramediastinal conglomerate', 'observation': 'lymphadenopathy'}}size_fin: [{'size': '2.0 cm'}, {'size': '1.6 cm'}]anatomical entity_fin: {'subcarinal lymph node': {}}clinical findings_fin: {'reference subcarinal lymph node': {'clinical finding': 'reference subcarinal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference subcarinal lymph', 'observation': 'node'}}clinical findings_fin: {'new small pericardial effusion': {'clinical finding': 'new small pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'pos_dx', 'descriptive_term': 'new small pericardial', 'observation': 'effusion', 'strength_term': 'small', 'temporal_term': 'new'}, 'metastatic': {'clinical finding': 'metastatic', 'existence': 'unc_dx', 'observation': 'metastatic'}}clinical findings_fin: {'internal jugular or ivc stent': {'clinical finding': 'internal jugular or ivc stent', 'existence': 'pos_dx', 'descriptive_term': 'internal jugular or ivc', 'observation': 'stent'}}size_fin: [{'size': '6 mm', 'size_descriptor': 'node'}]anatomical entity_fin: {'axillary lymph node': {'location descriptor': 'left'}, 'hilum': {}}location descriptor_fin: ['left']clinical findings_fin: {'referenced left axillary lymph node': {'clinical finding': 'referenced left axillary lymph node', 'existence': 'pos_dx', 'descriptive_term': 'referenced left axillary lymph', 'observation': 'node'}}size_fin: [{'size': '14 x 7 mm', 'size_descriptor': 'lesion'}]anatomical entity_fin: {'anterior chest wall': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'right anterior chest wall lesion': {'clinical finding': 'right anterior chest wall lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'right anterior chest wall', 'observation': 'lesion'}}anatomical entity_fin: {'brachiocephalic vein': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'left brachiocephalic vein is diminutive , similar to prior': {'clinical finding': 'left brachiocephalic vein is diminutive , similar to prior'}}clinical findings_fin: {'supraclavicular and cardiophrenic lymph nodes': {'clinical finding': 'supraclavicular and cardiophrenic lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'supraclavicular and cardiophrenic lymph', 'observation': 'node'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}anatomical entity_fin: {'upper abdomen': {}}clinical findings_fin: {'worsening metastatic disease': {'clinical finding': 'worsening metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'worsening metastatic', 'observation': 'disease', 'strength_term': 'worsening', 'change_term': 'worsening'}}anatomical entity_fin: {'abdomen': {}}location descriptor_fin: ['inferior']object_fin: ['catheter']clinical findings_fin: {'partially imaged catheter in the ivc': {'clinical finding': 'partially imaged catheter in the ivc'}}
<s>[INST] Write the finding section for a radiology report based on the following information: size_fin: [{'size': '28 mm'}, {'size': '20 mm'}]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'}}clinical findings_fin: {'this lesion': {'clinical finding': 'this lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'unc_dx', 'descriptive_term': 'this', 'observation': 'lesion'}, 'surrounding atelectasis': {'clinical finding': 'surrounding atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'surrounding', 'observation': 'atelectasis'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'lower lobe pulmonary nodules': {'clinical finding': 'lower lobe pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'lower lobe pulmonary', 'observation': 'nodule'}, 'micronodules': {'clinical finding': 'micronodules', 'existence': 'pos_dx', 'observation': 'micronodule'}}location descriptor_fin: ['right']clinical findings_fin: {'right-sided nodular pleural thickening': {'clinical finding': 'right-sided nodular pleural thickening', 'existence': 'pos_dx', 'descriptive_term': 'right-sided nodular pleural', 'observation': 'thickening'}}imaging observation_fin: ['apical']location descriptor_fin: ['right']clinical findings_fin: {'small loculated right apical hydropneumothorax': {'clinical finding': 'small loculated right apical hydropneumothorax', 'cf_snomed': {'hydropneumothorax': 65933003}, 'existence': 'pos_dx', 'descriptive_term': 'small loculated right apical', 'observation': 'hydropneumothorax', 'strength_term': 'small'}}anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'seen subpulmonic loculated fluid is also decreased in size': {'clinical finding': 'seen subpulmonic loculated fluid is also decreased in size', 'change_term': 'decreased'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'scattered groundglass and nodular opacities': {'clinical finding': 'scattered groundglass and nodular opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'scattered groundglass and nodular', 'observation': 'opacity'}, 'aspiration bronchiolitis': {'clinical finding': 'aspiration bronchiolitis', 'cf_snomed': {'bronchiolitis': 4120002}, 'existence': 'pos_dx', 'descriptive_term': 'aspiration', 'observation': 'bronchiolitis'}}imaging observation_fin: ['apical']clinical findings_fin: {'moderate apical predominant paraseptal emphysema': {'clinical finding': 'moderate apical predominant paraseptal emphysema', 'cf_snomed': {'paraseptal emphysema': 31898008}, 'existence': 'pos_dx', 'descriptive_term': 'moderate apical predominant paraseptal', 'observation': 'emphysema', 'strength_term': 'moderate'}}anatomical entity_fin: {'mediastinum': {}, 'airways': {'location descriptor': 'central'}}location descriptor_fin: ['central']clinical findings_fin: {'infiltrative confluent lymphadenopathy': {'clinical finding': 'infiltrative confluent lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'pos_dx', 'descriptive_term': 'infiltrative confluent', 'observation': 'lymphadenopathy'}, 'narrowing': {'clinical finding': 'narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'observation': 'narrowing'}}size_fin: [{'size': '3 mm'}]anatomical entity_fin: {'bronchus': {}}location descriptor_fin: ['left']clinical findings_fin: {'narrowed': {'clinical finding': 'narrowed', 'existence': 'pos_dx', 'observation': 'narrow'}}size_fin: [{'size': '3.3 x 2.9 cm'}, {'size': '2.9 x 2.7 cm'}]location descriptor_fin: ['right']clinical findings_fin: {'reference right paramediastinal conglomerate lymphadenopathy': {'clinical finding': 'reference right paramediastinal conglomerate lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'pos_dx', 'descriptive_term': 'reference right paramediastinal conglomerate', 'observation': 'lymphadenopathy'}}size_fin: [{'size': '2.0 cm'}, {'size': '1.6 cm'}]anatomical entity_fin: {'subcarinal lymph node': {}}clinical findings_fin: {'reference subcarinal lymph node': {'clinical finding': 'reference subcarinal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference subcarinal lymph', 'observation': 'node'}}clinical findings_fin: {'new small pericardial effusion': {'clinical finding': 'new small pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'pos_dx', 'descriptive_term': 'new small pericardial', 'observation': 'effusion', 'strength_term': 'small', 'temporal_term': 'new'}, 'metastatic': {'clinical finding': 'metastatic', 'existence': 'unc_dx', 'observation': 'metastatic'}}clinical findings_fin: {'internal jugular or ivc stent': {'clinical finding': 'internal jugular or ivc stent', 'existence': 'pos_dx', 'descriptive_term': 'internal jugular or ivc', 'observation': 'stent'}}size_fin: [{'size': '6 mm', 'size_descriptor': 'node'}]anatomical entity_fin: {'axillary lymph node': {'location descriptor': 'left'}, 'hilum': {}}location descriptor_fin: ['left']clinical findings_fin: {'referenced left axillary lymph node': {'clinical finding': 'referenced left axillary lymph node', 'existence': 'pos_dx', 'descriptive_term': 'referenced left axillary lymph', 'observation': 'node'}}size_fin: [{'size': '14 x 7 mm', 'size_descriptor': 'lesion'}]anatomical entity_fin: {'anterior chest wall': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'right anterior chest wall lesion': {'clinical finding': 'right anterior chest wall lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'right anterior chest wall', 'observation': 'lesion'}}anatomical entity_fin: {'brachiocephalic vein': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'left brachiocephalic vein is diminutive , similar to prior': {'clinical finding': 'left brachiocephalic vein is diminutive , similar to prior'}}clinical findings_fin: {'supraclavicular and cardiophrenic lymph nodes': {'clinical finding': 'supraclavicular and cardiophrenic lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'supraclavicular and cardiophrenic lymph', 'observation': 'node'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}anatomical entity_fin: {'upper abdomen': {}}clinical findings_fin: {'worsening metastatic disease': {'clinical finding': 'worsening metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'worsening metastatic', 'observation': 'disease', 'strength_term': 'worsening', 'change_term': 'worsening'}}anatomical entity_fin: {'abdomen': {}}location descriptor_fin: ['inferior']object_fin: ['catheter']clinical findings_fin: {'partially imaged catheter in the ivc': {'clinical finding': 'partially imaged catheter in the ivc'}} [/INST] . The reference right upper lobe lesion measures 28 mm , previously 20 mm. However, this lesion is difficult to measure accurately due to surrounding atelectasis. Right lower lobe pulmonary nodules and micronodules are similar to prior. The right-sided nodular pleural thickening is increased diffusely. Slightly decreased size of the small loculated right apical hydropneumothorax. The previously seen subpulmonic loculated fluid is also decreased in size. The scattered groundglass and nodular opacities in the left lower lobe compatible with aspiration bronchiolitis are decreased. Moderate apical predominant paraseptal emphysema. The infiltrative confluent lymphadenopathy throughout the mediastinum is overall increased, with encasement and narrowing of the central airways. The left mainstem bronchus is narrowed to 2 to 3 mm in diameter. The reference right paramediastinal conglomerate lymphadenopathy measures 3.3 x 2.9 cm , previously 2.9 x 2.7 cm. The reference subcarinal lymph node measures 2.0 cm , previously 1.6 cm. There is a new small pericardial effusion, likely metastatic. The internal jugular or IVC stent is again noted. Mild. The referenced left axillary lymph node with fatty hilum is unchanged at 6 mm. The right anterior chest wall lesion is unchanged at 14 x 7 mm. The left brachiocephalic vein is diminutive, similar to prior. There is further enlargement of the supraclavicular and cardiophrenic lymph nodes. Absence of enteric contrast material limits sensitivity for abdominal pathology. Increased extensive findings in the upper abdomen compatible with worsening metastatic disease. Please see the separate CT abdomen report from the same day for further evaluation. Partially imaged catheter in the IVC, terminating at the inferior cavoatrial junction. </s>