. Multiple pulmonary nodules and mediastinal or hilar lymphadenopathy are noted see separately dictated chest CT report for complete details. Liver enhances homogenously without focal lesion. Gallbladder wall calcifications are unchanged. No significant abnormality noted. Pancreas is unremarkable. Right adrenal lesion is increased slightly in size, measuring 3.5 x 2.9 cm , previously 3.6 x 2.4 cm. Status post right nephrectomy. Multiple soft tissue masses in the nephrectomy bed are redemonstrated. The previously measured soft tissue mass in the medial resection bed is stable in size, measuring 4.4 x 2.8 cm in coronal dimensions , previously 4.6 x 3.1 cm. Another soft tissue nodule anterior to the right psoas muscle has grown, measuring 3.6 x 2.5 cm , previously 2.4 x 1.7 cm. Smaller adjacent lesion posteriorly has also increased in size. The left kidney is unremarkable without evidence of suspicious mass lesion, hydronephrosis or ureteronephrosis. Bulky left retroperitoneal adenopathy again noted. Conglomerate left para-aortic nodal mass measures 8.2 x 3.6 cm coronally , previously 8.6 x 4.0 cm. Severe. The bowel is normal in caliber without evidence of obstruction or ileus. Diverticulosis again noted. Mesenteric haziness noted on series 7, image 97 is stable and remains nonspecific. Degenerative changes of the thoracolumbar spine without evidence of suspicious focal osseous lesion. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No inguinal, iliac chain, or pelvic lymphadenopathy. Diverticulosis. Degenerative changes of the spine. No significant abnormality noted.
anatomical entity_fin: {'chest': {}}clinical findings_fin: {'multiple pulmonary nodules': {'clinical finding': 'multiple pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'multiple pulmonary', 'observation': 'nodule', 'quantity_term': 'multiple'}, 'mediastinal or hilar lymphadenopathy': {'clinical finding': 'mediastinal or hilar lymphadenopathy', 'cf_snomed': {'hilar lymphadenopathy': 87500009}, 'existence': 'pos_dx', 'descriptive_term': 'mediastinal or hilar', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'focal lesion': {'clinical finding': 'focal lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'lesion'}}anatomical entity_fin: {'gallbladder': {}, 'wall': {}}clinical findings_fin: {'gallbladder wall calcifications': {'clinical finding': 'gallbladder wall calcifications', 'existence': 'pos_dx', 'descriptive_term': 'gallbladder wall', 'observation': 'calcification'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'pancreas': {}}clinical findings_fin: {'pancreas is unremarkable': {'clinical finding': 'pancreas is unremarkable'}}size_fin: [{'size': '3.5 x 2.9 cm'}, {'size': '3.6 x 2.4 cm'}]location descriptor_fin: ['right']clinical findings_fin: {'right adrenal lesion': {'clinical finding': 'right adrenal lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'right adrenal', 'observation': 'lesion'}}location descriptor_fin: ['right']procedure_fin: ['nephrectomy']procedure_fin: ['nephrectomy']clinical findings_fin: {'multiple soft tissue masses': {'clinical finding': 'multiple soft tissue masses', 'cf_snomed': {'soft tissue mass': 278002000}, 'existence': 'pos_dx', 'descriptive_term': 'multiple soft tissue', 'observation': 'mass', 'quantity_term': 'multiple'}}size_fin: [{'size': '4.4 x 2.8 cm'}, {'size': '4.6 x 3.1 cm'}]location descriptor_fin: ['medial']clinical findings_fin: {'previously measured soft tissue mass': {'clinical finding': 'previously measured soft tissue mass', 'cf_snomed': {'soft tissue mass': 278002000}, 'existence': 'pos_dx', 'descriptive_term': 'previously measured soft tissue', 'observation': 'mass'}}size_fin: [{'size': '3.6 x 2.5 cm'}, {'size': '2.4 x 1.7 cm'}]anatomical entity_fin: {'psoas muscle': {'location descriptor': 'right'}}location descriptor_fin: ['anterior', 'right']clinical findings_fin: {'another soft tissue nodule': {'clinical finding': 'another soft tissue nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'another soft tissue', 'observation': 'nodule'}}location descriptor_fin: ['adjacent']clinical findings_fin: {'smaller adjacent lesion': {'clinical finding': 'smaller adjacent lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'smaller adjacent', 'observation': 'lesion'}}anatomical entity_fin: {'left kidney': {}}clinical findings_fin: {'suspicious mass lesion': {'clinical finding': 'suspicious mass lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious mass', 'observation': 'lesion'}, 'hydronephrosis': {'clinical finding': 'hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'neg_dx', 'observation': 'hydronephrosis'}, 'ureteronephrosis': {'clinical finding': 'ureteronephrosis', 'existence': 'neg_dx', 'observation': 'ureteronephrosis'}}location descriptor_fin: ['left']clinical findings_fin: {'bulky left retroperitoneal adenopathy': {'clinical finding': 'bulky left retroperitoneal adenopathy', 'existence': 'pos_dx', 'descriptive_term': 'bulky left retroperitoneal', 'observation': 'adenopathy'}}size_fin: [{'size': '8.2 x 3.6 cm'}, {'size': '8.6 x 4.0 cm'}]location descriptor_fin: ['left']clinical findings_fin: {'conglomerate left para-aortic nodal mass': {'clinical finding': 'conglomerate left para-aortic nodal mass', 'existence': 'pos_dx', 'descriptive_term': 'conglomerate left para-aortic nodal', 'observation': 'mass'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'observation': 'obstruction'}, 'ileus': {'clinical finding': 'ileus', 'existence': 'neg_dx', 'observation': 'ileus'}}clinical findings_fin: {'diverticulosis': {'clinical finding': 'diverticulosis', 'existence': 'pos_dx', 'observation': 'diverticulosis'}}clinical findings_fin: {'mesenteric haziness': {'clinical finding': 'mesenteric haziness', 'existence': 'pos_dx', 'descriptive_term': 'mesenteric', 'observation': 'haziness'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'degenerative changes': {'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'}, 'suspicious focal osseous lesion': {'clinical finding': 'suspicious focal osseous lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious focal osseous', 'observation': 'lesion'}}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: {'pelvic lymphadenopathy': {'clinical finding': 'pelvic lymphadenopathy', 'cf_snomed': {'pelvic lymphadenopathy': 127158006}, 'existence': 'neg_dx', 'descriptive_term': 'pelvic', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'diverticulosis': {'clinical finding': 'diverticulosis', 'existence': 'pos_dx', 'observation': 'diverticulosis'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'degenerative changes': {'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'}}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: {'chest': {}}clinical findings_fin: {'multiple pulmonary nodules': {'clinical finding': 'multiple pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'multiple pulmonary', 'observation': 'nodule', 'quantity_term': 'multiple'}, 'mediastinal or hilar lymphadenopathy': {'clinical finding': 'mediastinal or hilar lymphadenopathy', 'cf_snomed': {'hilar lymphadenopathy': 87500009}, 'existence': 'pos_dx', 'descriptive_term': 'mediastinal or hilar', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'focal lesion': {'clinical finding': 'focal lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'lesion'}}anatomical entity_fin: {'gallbladder': {}, 'wall': {}}clinical findings_fin: {'gallbladder wall calcifications': {'clinical finding': 'gallbladder wall calcifications', 'existence': 'pos_dx', 'descriptive_term': 'gallbladder wall', 'observation': 'calcification'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'pancreas': {}}clinical findings_fin: {'pancreas is unremarkable': {'clinical finding': 'pancreas is unremarkable'}}size_fin: [{'size': '3.5 x 2.9 cm'}, {'size': '3.6 x 2.4 cm'}]location descriptor_fin: ['right']clinical findings_fin: {'right adrenal lesion': {'clinical finding': 'right adrenal lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'right adrenal', 'observation': 'lesion'}}location descriptor_fin: ['right']procedure_fin: ['nephrectomy']procedure_fin: ['nephrectomy']clinical findings_fin: {'multiple soft tissue masses': {'clinical finding': 'multiple soft tissue masses', 'cf_snomed': {'soft tissue mass': 278002000}, 'existence': 'pos_dx', 'descriptive_term': 'multiple soft tissue', 'observation': 'mass', 'quantity_term': 'multiple'}}size_fin: [{'size': '4.4 x 2.8 cm'}, {'size': '4.6 x 3.1 cm'}]location descriptor_fin: ['medial']clinical findings_fin: {'previously measured soft tissue mass': {'clinical finding': 'previously measured soft tissue mass', 'cf_snomed': {'soft tissue mass': 278002000}, 'existence': 'pos_dx', 'descriptive_term': 'previously measured soft tissue', 'observation': 'mass'}}size_fin: [{'size': '3.6 x 2.5 cm'}, {'size': '2.4 x 1.7 cm'}]anatomical entity_fin: {'psoas muscle': {'location descriptor': 'right'}}location descriptor_fin: ['anterior', 'right']clinical findings_fin: {'another soft tissue nodule': {'clinical finding': 'another soft tissue nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'another soft tissue', 'observation': 'nodule'}}location descriptor_fin: ['adjacent']clinical findings_fin: {'smaller adjacent lesion': {'clinical finding': 'smaller adjacent lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'smaller adjacent', 'observation': 'lesion'}}anatomical entity_fin: {'left kidney': {}}clinical findings_fin: {'suspicious mass lesion': {'clinical finding': 'suspicious mass lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious mass', 'observation': 'lesion'}, 'hydronephrosis': {'clinical finding': 'hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'neg_dx', 'observation': 'hydronephrosis'}, 'ureteronephrosis': {'clinical finding': 'ureteronephrosis', 'existence': 'neg_dx', 'observation': 'ureteronephrosis'}}location descriptor_fin: ['left']clinical findings_fin: {'bulky left retroperitoneal adenopathy': {'clinical finding': 'bulky left retroperitoneal adenopathy', 'existence': 'pos_dx', 'descriptive_term': 'bulky left retroperitoneal', 'observation': 'adenopathy'}}size_fin: [{'size': '8.2 x 3.6 cm'}, {'size': '8.6 x 4.0 cm'}]location descriptor_fin: ['left']clinical findings_fin: {'conglomerate left para-aortic nodal mass': {'clinical finding': 'conglomerate left para-aortic nodal mass', 'existence': 'pos_dx', 'descriptive_term': 'conglomerate left para-aortic nodal', 'observation': 'mass'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'observation': 'obstruction'}, 'ileus': {'clinical finding': 'ileus', 'existence': 'neg_dx', 'observation': 'ileus'}}clinical findings_fin: {'diverticulosis': {'clinical finding': 'diverticulosis', 'existence': 'pos_dx', 'observation': 'diverticulosis'}}clinical findings_fin: {'mesenteric haziness': {'clinical finding': 'mesenteric haziness', 'existence': 'pos_dx', 'descriptive_term': 'mesenteric', 'observation': 'haziness'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'degenerative changes': {'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'}, 'suspicious focal osseous lesion': {'clinical finding': 'suspicious focal osseous lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious focal osseous', 'observation': 'lesion'}}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: {'pelvic lymphadenopathy': {'clinical finding': 'pelvic lymphadenopathy', 'cf_snomed': {'pelvic lymphadenopathy': 127158006}, 'existence': 'neg_dx', 'descriptive_term': 'pelvic', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'diverticulosis': {'clinical finding': 'diverticulosis', 'existence': 'pos_dx', 'observation': 'diverticulosis'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'degenerative changes': {'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . Multiple pulmonary nodules and mediastinal or hilar lymphadenopathy are noted see separately dictated chest CT report for complete details. Liver enhances homogenously without focal lesion. Gallbladder wall calcifications are unchanged. No significant abnormality noted. Pancreas is unremarkable. Right adrenal lesion is increased slightly in size, measuring 3.5 x 2.9 cm , previously 3.6 x 2.4 cm. Status post right nephrectomy. Multiple soft tissue masses in the nephrectomy bed are redemonstrated. The previously measured soft tissue mass in the medial resection bed is stable in size, measuring 4.4 x 2.8 cm in coronal dimensions , previously 4.6 x 3.1 cm. Another soft tissue nodule anterior to the right psoas muscle has grown, measuring 3.6 x 2.5 cm , previously 2.4 x 1.7 cm. Smaller adjacent lesion posteriorly has also increased in size. The left kidney is unremarkable without evidence of suspicious mass lesion, hydronephrosis or ureteronephrosis. Bulky left retroperitoneal adenopathy again noted. Conglomerate left para-aortic nodal mass measures 8.2 x 3.6 cm coronally , previously 8.6 x 4.0 cm. Severe. The bowel is normal in caliber without evidence of obstruction or ileus. Diverticulosis again noted. Mesenteric haziness noted on series 7, image 97 is stable and remains nonspecific. Degenerative changes of the thoracolumbar spine without evidence of suspicious focal osseous lesion. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No inguinal, iliac chain, or pelvic lymphadenopathy. Diverticulosis. Degenerative changes of the spine. No significant abnormality noted. </s>