. 6 mm nodular lesion within the right lower lobe on image 72 of series 4 is not substantially different compared to 10/2012 long-term stability is highly reassuring. 7 mm left basilar nodule on image 72 of series 4 appears slightly larger than previous study and may represent a reactive lymph node within the lung parenchyma. This can be reevaluated on close imaging follow-up. Upper lung preponderant smoking related lung disease as well as mild basilar pulmonary fibrosis again noted this study was not optimized for their evaluation. Patent central airways. Slight interval increase in size of mediastinal and hilar lymph nodes. For example, a level 3P lymph node on image 16 of series 3 currently measures 7 mm compared to 6 mm in short axis. A left hilar lymph node on image 35 of series 3 currently measures 9 mm in short axis compared to 5 mm on previous study. Decreased enhancement of the LV apex in a subendocardial pattern, again noted. Mild diffuse esophageal dilation and thickening, as before. Tiny thyroid nodule again noted within the left thyroid lobe. Moderate. No significant abnormality noted. Absence of enteric contrast material limits sensitivity for abdominal pathology. Unchanged hepatic hypodensities. Unchanged. No significant abnormality noted. No significant abnormality noted. Unchanged renal hypodensities. Left extrarenal pelvis again noted. No significant abnormality noted. No significant abnormality noted. Absence of enteric contrast material limits sensitivity for GI pathology. No gross abnormalities noted. No suspicious lytic or blastic lesion. Unchanged abdominal aortic dilation measuring up to 3.9 cm.
size_fin: [{'size': '6 mm', 'size_descriptor': 'lesion'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'6 mm nodular lesion': {'clinical finding': '6 mm nodular lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': '6 mm nodular', 'observation': 'lesion'}}size_fin: [{'size': '7 mm', 'size_descriptor': 'nodule'}]anatomical entity_fin: {'lung parenchyma': {}}location descriptor_fin: ['left']clinical findings_fin: {'7 mm left basilar nodule': {'clinical finding': '7 mm left basilar nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': '7 mm left basilar', 'observation': 'nodule'}, 'reactive lymph node': {'clinical finding': 'reactive lymph node', 'existence': 'unc_dx', 'descriptive_term': 'reactive lymph', 'observation': 'node'}}follow-up_fin: follow-up recommendedanatomical entity_fin: {'lung': {}}location descriptor_fin: ['upper']clinical findings_fin: {'upper lung preponderant smoking related lung disease': {'clinical finding': 'upper lung preponderant smoking related lung disease', 'cf_snomed': {'related': 262094002, 'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'upper lung preponderant smoking related lung', 'observation': 'disease'}, 'mild basilar pulmonary fibrosis': {'clinical finding': 'mild basilar pulmonary fibrosis', 'existence': 'pos_dx', 'descriptive_term': 'mild basilar pulmonary', 'observation': 'fibrosis', 'strength_term': 'mild'}}anatomical entity_fin: {'airways': {'location descriptor': 'central'}}location descriptor_fin: ['central']clinical findings_fin: {'patent central airways': {'clinical finding': 'patent central airways', 'change_term': 'patent'}}clinical findings_fin: {'mediastinal and hilar lymph nodes': {'clinical finding': 'mediastinal and hilar lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'mediastinal and hilar lymph', 'observation': 'node'}}size_fin: [{'size': '7 mm'}, {'size': '6 mm'}]anatomical entity_fin: {'axis': {}}clinical findings_fin: {'level 3p lymph node': {'clinical finding': 'level 3p lymph node', 'existence': 'pos_dx', 'descriptive_term': 'level 3p lymph', 'observation': 'node'}}size_fin: [{'size': '9 mm'}, {'size': '5 mm'}]anatomical entity_fin: {'axis': {}}location descriptor_fin: ['left']clinical findings_fin: {'left hilar lymph node': {'clinical finding': 'left hilar lymph node', 'existence': 'pos_dx', 'descriptive_term': 'left hilar lymph', 'observation': 'node'}}anatomical entity_fin: {'apex': {}}clinical findings_fin: {'decreased enhancement': {'clinical finding': 'decreased enhancement', 'existence': 'pos_dx', 'descriptive_term': 'decreased', 'observation': 'enhancement', 'strength_term': 'decreased', 'change_term': 'decreased'}, 'subendocardial pattern': {'clinical finding': 'subendocardial pattern', 'existence': 'pos_dx', 'descriptive_term': 'subendocardial', 'observation': 'pattern'}}clinical findings_fin: {'mild diffuse esophageal dilation': {'clinical finding': 'mild diffuse esophageal dilation', 'existence': 'pos_dx', 'descriptive_term': 'mild diffuse esophageal', 'observation': 'dilation', 'strength_term': 'mild'}, 'thickening': {'clinical finding': 'thickening', 'existence': 'pos_dx', 'observation': 'thickening'}}anatomical entity_fin: {'lobe': {}}location descriptor_fin: ['left']clinical findings_fin: {'tiny thyroid nodule': {'clinical finding': 'tiny thyroid nodule', 'cf_snomed': {'thyroid nodule': 237495005}, 'existence': 'pos_dx', 'descriptive_term': 'tiny thyroid', 'observation': 'nodule', 'strength_term': 'tiny'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'unchanged hepatic hypodensities': {'clinical finding': 'unchanged hepatic hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'unchanged hepatic', 'observation': 'hypodensity', 'strength_term': 'unchanged', 'change_term': 'unchanged'}}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: {'unchanged renal hypodensities': {'clinical finding': 'unchanged renal hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'unchanged renal', 'observation': 'hypodensity', 'strength_term': 'unchanged', 'change_term': 'unchanged'}}anatomical entity_fin: {'pelvis': {}}location descriptor_fin: ['left']clinical findings_fin: {'left extrarenal pelvis again noted': {'clinical finding': 'left extrarenal pelvis again noted'}}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: {'gi': {'clinical finding': 'gi', 'existence': 'unc_dx', 'observation': 'gi'}}clinical findings_fin: {'gross abnormalities': {'clinical finding': 'gross abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'gross', 'observation': 'abnormality'}}clinical findings_fin: {'suspicious lytic or blastic lesion': {'clinical finding': 'suspicious lytic or blastic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious lytic or blastic', 'observation': 'lesion'}}size_fin: [{'size': '3.9 cm', 'size_descriptor': 'dilation'}]anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'unchanged abdominal aortic dilation': {'clinical finding': 'unchanged abdominal aortic dilation', 'existence': 'pos_dx', 'descriptive_term': 'unchanged abdominal aortic', 'observation': 'dilation', 'strength_term': 'unchanged', 'change_term': 'unchanged'}}
<s>[INST] Write the finding section for a radiology report based on the following information: size_fin: [{'size': '6 mm', 'size_descriptor': 'lesion'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'6 mm nodular lesion': {'clinical finding': '6 mm nodular lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': '6 mm nodular', 'observation': 'lesion'}}size_fin: [{'size': '7 mm', 'size_descriptor': 'nodule'}]anatomical entity_fin: {'lung parenchyma': {}}location descriptor_fin: ['left']clinical findings_fin: {'7 mm left basilar nodule': {'clinical finding': '7 mm left basilar nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': '7 mm left basilar', 'observation': 'nodule'}, 'reactive lymph node': {'clinical finding': 'reactive lymph node', 'existence': 'unc_dx', 'descriptive_term': 'reactive lymph', 'observation': 'node'}}follow-up_fin: follow-up recommendedanatomical entity_fin: {'lung': {}}location descriptor_fin: ['upper']clinical findings_fin: {'upper lung preponderant smoking related lung disease': {'clinical finding': 'upper lung preponderant smoking related lung disease', 'cf_snomed': {'related': 262094002, 'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'upper lung preponderant smoking related lung', 'observation': 'disease'}, 'mild basilar pulmonary fibrosis': {'clinical finding': 'mild basilar pulmonary fibrosis', 'existence': 'pos_dx', 'descriptive_term': 'mild basilar pulmonary', 'observation': 'fibrosis', 'strength_term': 'mild'}}anatomical entity_fin: {'airways': {'location descriptor': 'central'}}location descriptor_fin: ['central']clinical findings_fin: {'patent central airways': {'clinical finding': 'patent central airways', 'change_term': 'patent'}}clinical findings_fin: {'mediastinal and hilar lymph nodes': {'clinical finding': 'mediastinal and hilar lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'mediastinal and hilar lymph', 'observation': 'node'}}size_fin: [{'size': '7 mm'}, {'size': '6 mm'}]anatomical entity_fin: {'axis': {}}clinical findings_fin: {'level 3p lymph node': {'clinical finding': 'level 3p lymph node', 'existence': 'pos_dx', 'descriptive_term': 'level 3p lymph', 'observation': 'node'}}size_fin: [{'size': '9 mm'}, {'size': '5 mm'}]anatomical entity_fin: {'axis': {}}location descriptor_fin: ['left']clinical findings_fin: {'left hilar lymph node': {'clinical finding': 'left hilar lymph node', 'existence': 'pos_dx', 'descriptive_term': 'left hilar lymph', 'observation': 'node'}}anatomical entity_fin: {'apex': {}}clinical findings_fin: {'decreased enhancement': {'clinical finding': 'decreased enhancement', 'existence': 'pos_dx', 'descriptive_term': 'decreased', 'observation': 'enhancement', 'strength_term': 'decreased', 'change_term': 'decreased'}, 'subendocardial pattern': {'clinical finding': 'subendocardial pattern', 'existence': 'pos_dx', 'descriptive_term': 'subendocardial', 'observation': 'pattern'}}clinical findings_fin: {'mild diffuse esophageal dilation': {'clinical finding': 'mild diffuse esophageal dilation', 'existence': 'pos_dx', 'descriptive_term': 'mild diffuse esophageal', 'observation': 'dilation', 'strength_term': 'mild'}, 'thickening': {'clinical finding': 'thickening', 'existence': 'pos_dx', 'observation': 'thickening'}}anatomical entity_fin: {'lobe': {}}location descriptor_fin: ['left']clinical findings_fin: {'tiny thyroid nodule': {'clinical finding': 'tiny thyroid nodule', 'cf_snomed': {'thyroid nodule': 237495005}, 'existence': 'pos_dx', 'descriptive_term': 'tiny thyroid', 'observation': 'nodule', 'strength_term': 'tiny'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'unchanged hepatic hypodensities': {'clinical finding': 'unchanged hepatic hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'unchanged hepatic', 'observation': 'hypodensity', 'strength_term': 'unchanged', 'change_term': 'unchanged'}}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: {'unchanged renal hypodensities': {'clinical finding': 'unchanged renal hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'unchanged renal', 'observation': 'hypodensity', 'strength_term': 'unchanged', 'change_term': 'unchanged'}}anatomical entity_fin: {'pelvis': {}}location descriptor_fin: ['left']clinical findings_fin: {'left extrarenal pelvis again noted': {'clinical finding': 'left extrarenal pelvis again noted'}}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: {'gi': {'clinical finding': 'gi', 'existence': 'unc_dx', 'observation': 'gi'}}clinical findings_fin: {'gross abnormalities': {'clinical finding': 'gross abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'gross', 'observation': 'abnormality'}}clinical findings_fin: {'suspicious lytic or blastic lesion': {'clinical finding': 'suspicious lytic or blastic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious lytic or blastic', 'observation': 'lesion'}}size_fin: [{'size': '3.9 cm', 'size_descriptor': 'dilation'}]anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'unchanged abdominal aortic dilation': {'clinical finding': 'unchanged abdominal aortic dilation', 'existence': 'pos_dx', 'descriptive_term': 'unchanged abdominal aortic', 'observation': 'dilation', 'strength_term': 'unchanged', 'change_term': 'unchanged'}} [/INST] . 6 mm nodular lesion within the right lower lobe on image 72 of series 4 is not substantially different compared to 10/2012 long-term stability is highly reassuring. 7 mm left basilar nodule on image 72 of series 4 appears slightly larger than previous study and may represent a reactive lymph node within the lung parenchyma. This can be reevaluated on close imaging follow-up. Upper lung preponderant smoking related lung disease as well as mild basilar pulmonary fibrosis again noted this study was not optimized for their evaluation. Patent central airways. Slight interval increase in size of mediastinal and hilar lymph nodes. For example, a level 3P lymph node on image 16 of series 3 currently measures 7 mm compared to 6 mm in short axis. A left hilar lymph node on image 35 of series 3 currently measures 9 mm in short axis compared to 5 mm on previous study. Decreased enhancement of the LV apex in a subendocardial pattern, again noted. Mild diffuse esophageal dilation and thickening, as before. Tiny thyroid nodule again noted within the left thyroid lobe. Moderate. No significant abnormality noted. Absence of enteric contrast material limits sensitivity for abdominal pathology. Unchanged hepatic hypodensities. Unchanged. No significant abnormality noted. No significant abnormality noted. Unchanged renal hypodensities. Left extrarenal pelvis again noted. No significant abnormality noted. No significant abnormality noted. Absence of enteric contrast material limits sensitivity for GI pathology. No gross abnormalities noted. No suspicious lytic or blastic lesion. Unchanged abdominal aortic dilation measuring up to 3.9 cm. </s>