Todays CT portion of the neck is grossly unremarkable. Please note, incidental findings of bilateral filling defects in the femoral veins. Also, sclerotic sacral lesion is identified. Todays PET examination demonstrates increased size and activity of a hypermetabolic right paratracheal lymph node and a hypermetabolic paracarinal lymph node. Right lower lobe lateral basal segment hypermetabolic lesion has increased in size. Right lower lobe posterior basal segment is not significantly changed since prior examination. Left adrenal hypermetabolic lesion has not significantly changed. Previously noted hypermetabolic brain lesion is not clearly visualized on todays examination, although note there is limited evaluation of the brain due to motion artifact. There is interval increase in the size of the hypermetabolic sacral lesion. There is a new left paratracheal lymph node. New hypermetabolic focus in the anterior mediastinum appears to correlate with the pulmonary artery, but no significant abnormality is seen on the CT, and this may represent brown fat or atherosclerotic disease. An additional left lower quadrant hypermetabolic mesenteric lymph node is new. There is been interval resolution of the left upper quadrant hypermetabolic mesenteric lymph node. Nonspecific diffuse increased activity is noted in the right femur.
anatomical entity_fin: {'neck': {}}clinical findings_fin: {'todays ct portion of the neck is grossly unremarkable': {'clinical finding': 'todays ct portion of the neck is grossly unremarkable'}}anatomical entity_fin: {'femoral veins': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'incidental findings': {'clinical finding': 'incidental findings', 'existence': 'pos_dx', 'descriptive_term': 'incidental', 'observation': 'finding'}, 'bilateral filling defects': {'clinical finding': 'bilateral filling defects', 'cf_snomed': {'filling defect': 43468004}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral filling', 'observation': 'defect'}}clinical findings_fin: {'sclerotic sacral lesion': {'clinical finding': 'sclerotic sacral lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'sclerotic sacral', 'observation': 'lesion'}}location descriptor_fin: ['right']clinical findings_fin: {'hypermetabolic right paratracheal lymph node': {'clinical finding': 'hypermetabolic right paratracheal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'hypermetabolic right paratracheal lymph', 'observation': 'node'}, 'hypermetabolic paracarinal lymph node': {'clinical finding': 'hypermetabolic paracarinal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'hypermetabolic paracarinal lymph', 'observation': 'node'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower', 'lateral']clinical findings_fin: {'lower lobe lateral basal segment hypermetabolic lesion': {'clinical finding': 'lower lobe lateral basal segment hypermetabolic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'lower lobe lateral basal segment hypermetabolic', 'observation': 'lesion'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower', 'posterior']clinical findings_fin: {'changed': {'clinical finding': 'changed', 'existence': 'neg_dx', 'observation': 'change'}}location descriptor_fin: ['left']clinical findings_fin: {'left adrenal hypermetabolic lesion': {'clinical finding': 'left adrenal hypermetabolic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'left adrenal hypermetabolic', 'observation': 'lesion'}}anatomical entity_fin: {'brain': {}}artifact_fin: ['motion artifact']clinical findings_fin: {'previously noted hypermetabolic brain lesion': {'clinical finding': 'previously noted hypermetabolic brain lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'previously noted hypermetabolic brain', 'observation': 'lesion'}, 'motion artifact': {'clinical finding': 'motion artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'pos_dx', 'descriptive_term': 'motion', 'observation': 'artifact'}}clinical findings_fin: {'hypermetabolic sacral lesion': {'clinical finding': 'hypermetabolic sacral lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'hypermetabolic sacral', 'observation': 'lesion'}}location descriptor_fin: ['left']clinical findings_fin: {'new left paratracheal lymph node': {'clinical finding': 'new left paratracheal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'new left paratracheal lymph', 'observation': 'node', 'temporal_term': 'new'}}anatomical entity_fin: {'anterior mediastinum': {}, 'pulmonary artery': {}}imaging observation_fin: ['fat']clinical findings_fin: {'new hypermetabolic focus': {'clinical finding': 'new hypermetabolic focus', 'existence': 'pos_dx', 'descriptive_term': 'new hypermetabolic', 'observation': 'focus', 'temporal_term': 'new'}, 'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}, 'brown fat': {'clinical finding': 'brown fat', 'cf_snomed': {'brown fat': 15965003}, 'existence': 'unc_dx', 'descriptive_term': 'brown', 'observation': 'fat'}, 'atherosclerotic disease': {'clinical finding': 'atherosclerotic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'unc_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'disease'}}anatomical entity_fin: {'quadrant': {'location descriptor': 'left lower'}, 'mesenteric lymph node': {}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'additional left lower quadrant hypermetabolic mesenteric lymph node': {'clinical finding': 'additional left lower quadrant hypermetabolic mesenteric lymph node', 'existence': 'pos_dx', 'descriptive_term': 'additional left lower quadrant hypermetabolic mesenteric lymph', 'observation': 'node'}}anatomical entity_fin: {'quadrant': {'location descriptor': 'left upper'}, 'mesenteric lymph node': {}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'interval resolution': {'clinical finding': 'interval resolution', 'existence': 'pos_dx', 'descriptive_term': 'interval', 'observation': 'resolution'}, 'left upper quadrant hypermetabolic mesenteric lymph node': {'clinical finding': 'left upper quadrant hypermetabolic mesenteric lymph node', 'existence': 'pos_dx', 'descriptive_term': 'left upper quadrant hypermetabolic mesenteric lymph', 'observation': 'node'}}anatomical entity_fin: {'right femur': {}}clinical findings_fin: {'nonspecific diffuse increased activity': {'clinical finding': 'nonspecific diffuse increased activity', 'existence': 'pos_dx', 'descriptive_term': 'nonspecific diffuse increased', 'observation': 'activity', 'strength_term': 'increased', 'change_term': 'increased'}}
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'neck': {}}clinical findings_fin: {'todays ct portion of the neck is grossly unremarkable': {'clinical finding': 'todays ct portion of the neck is grossly unremarkable'}}anatomical entity_fin: {'femoral veins': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'incidental findings': {'clinical finding': 'incidental findings', 'existence': 'pos_dx', 'descriptive_term': 'incidental', 'observation': 'finding'}, 'bilateral filling defects': {'clinical finding': 'bilateral filling defects', 'cf_snomed': {'filling defect': 43468004}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral filling', 'observation': 'defect'}}clinical findings_fin: {'sclerotic sacral lesion': {'clinical finding': 'sclerotic sacral lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'sclerotic sacral', 'observation': 'lesion'}}location descriptor_fin: ['right']clinical findings_fin: {'hypermetabolic right paratracheal lymph node': {'clinical finding': 'hypermetabolic right paratracheal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'hypermetabolic right paratracheal lymph', 'observation': 'node'}, 'hypermetabolic paracarinal lymph node': {'clinical finding': 'hypermetabolic paracarinal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'hypermetabolic paracarinal lymph', 'observation': 'node'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower', 'lateral']clinical findings_fin: {'lower lobe lateral basal segment hypermetabolic lesion': {'clinical finding': 'lower lobe lateral basal segment hypermetabolic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'lower lobe lateral basal segment hypermetabolic', 'observation': 'lesion'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower', 'posterior']clinical findings_fin: {'changed': {'clinical finding': 'changed', 'existence': 'neg_dx', 'observation': 'change'}}location descriptor_fin: ['left']clinical findings_fin: {'left adrenal hypermetabolic lesion': {'clinical finding': 'left adrenal hypermetabolic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'left adrenal hypermetabolic', 'observation': 'lesion'}}anatomical entity_fin: {'brain': {}}artifact_fin: ['motion artifact']clinical findings_fin: {'previously noted hypermetabolic brain lesion': {'clinical finding': 'previously noted hypermetabolic brain lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'previously noted hypermetabolic brain', 'observation': 'lesion'}, 'motion artifact': {'clinical finding': 'motion artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'pos_dx', 'descriptive_term': 'motion', 'observation': 'artifact'}}clinical findings_fin: {'hypermetabolic sacral lesion': {'clinical finding': 'hypermetabolic sacral lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'hypermetabolic sacral', 'observation': 'lesion'}}location descriptor_fin: ['left']clinical findings_fin: {'new left paratracheal lymph node': {'clinical finding': 'new left paratracheal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'new left paratracheal lymph', 'observation': 'node', 'temporal_term': 'new'}}anatomical entity_fin: {'anterior mediastinum': {}, 'pulmonary artery': {}}imaging observation_fin: ['fat']clinical findings_fin: {'new hypermetabolic focus': {'clinical finding': 'new hypermetabolic focus', 'existence': 'pos_dx', 'descriptive_term': 'new hypermetabolic', 'observation': 'focus', 'temporal_term': 'new'}, 'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}, 'brown fat': {'clinical finding': 'brown fat', 'cf_snomed': {'brown fat': 15965003}, 'existence': 'unc_dx', 'descriptive_term': 'brown', 'observation': 'fat'}, 'atherosclerotic disease': {'clinical finding': 'atherosclerotic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'unc_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'disease'}}anatomical entity_fin: {'quadrant': {'location descriptor': 'left lower'}, 'mesenteric lymph node': {}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'additional left lower quadrant hypermetabolic mesenteric lymph node': {'clinical finding': 'additional left lower quadrant hypermetabolic mesenteric lymph node', 'existence': 'pos_dx', 'descriptive_term': 'additional left lower quadrant hypermetabolic mesenteric lymph', 'observation': 'node'}}anatomical entity_fin: {'quadrant': {'location descriptor': 'left upper'}, 'mesenteric lymph node': {}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'interval resolution': {'clinical finding': 'interval resolution', 'existence': 'pos_dx', 'descriptive_term': 'interval', 'observation': 'resolution'}, 'left upper quadrant hypermetabolic mesenteric lymph node': {'clinical finding': 'left upper quadrant hypermetabolic mesenteric lymph node', 'existence': 'pos_dx', 'descriptive_term': 'left upper quadrant hypermetabolic mesenteric lymph', 'observation': 'node'}}anatomical entity_fin: {'right femur': {}}clinical findings_fin: {'nonspecific diffuse increased activity': {'clinical finding': 'nonspecific diffuse increased activity', 'existence': 'pos_dx', 'descriptive_term': 'nonspecific diffuse increased', 'observation': 'activity', 'strength_term': 'increased', 'change_term': 'increased'}} [/INST] Todays CT portion of the neck is grossly unremarkable. Please note, incidental findings of bilateral filling defects in the femoral veins. Also, sclerotic sacral lesion is identified. Todays PET examination demonstrates increased size and activity of a hypermetabolic right paratracheal lymph node and a hypermetabolic paracarinal lymph node. Right lower lobe lateral basal segment hypermetabolic lesion has increased in size. Right lower lobe posterior basal segment is not significantly changed since prior examination. Left adrenal hypermetabolic lesion has not significantly changed. Previously noted hypermetabolic brain lesion is not clearly visualized on todays examination, although note there is limited evaluation of the brain due to motion artifact. There is interval increase in the size of the hypermetabolic sacral lesion. There is a new left paratracheal lymph node. New hypermetabolic focus in the anterior mediastinum appears to correlate with the pulmonary artery, but no significant abnormality is seen on the CT, and this may represent brown fat or atherosclerotic disease. An additional left lower quadrant hypermetabolic mesenteric lymph node is new. There is been interval resolution of the left upper quadrant hypermetabolic mesenteric lymph node. Nonspecific diffuse increased activity is noted in the right femur. </s>