. Progression of radiation changes and scarring of the right perihilar region. Increased small right pleural effusion. The reference right upper lobe nodule is partially obscured by the adjacent pleural effusion but measures approximately 1.9 x 1.4 cm , compared to 1.2 x 1.0 cm previously. Additional right lung nodules are increased in size. Stable left lower lobe interstitial opacity. The dominant right peritracheal mass measures 10.3 x 5.3 cm , compared to 8.5 x 4.9 cm previously. The mass encases the left brachiocephalic vein and narrows the SVC which is reconstituted distally. There is also mass effect and mild narrowing of the trachea. Right-sided chest port catheter tip terminates at the cavoatrial junction. The reference right cardiophrenic angle hypoattenuating mass measures 5.8 x 4.3 cm , compared to 6.0 x 4.9 cm previously. Right internal mammary lymphadenopathy. Scattered mediastinal lymphadenopathy is stable to increased in size. Severe. No axillary lymphadenopathy. Degenerative changes of the spine. Reference right hepatic lobe hypodense lesion measures 1.0 cm , compared to 1.6 cm previously. Additional hepatic hypodensities are again noted. The vessels are patent. Normally distended gallbladder. No biliary ductal dilatation. No significant abnormality noted. No significant abnormality noted. The reference peripancreatic lymph node measures 3.6 x 3.1 cm compared to 3.7 x 3.1 cm previously. Right adrenal multilobulated mass measures 2.5 x 2.2 cm compared to 2.3 x 1.6 cm previously. Nonobstructive right renal collecting system calculi. Stable perinephric fluid. Left pararenal space soft tissue nodule. Periduodenal mass measuring 2.1 x 2.0 cm , increased in size. Abdominal aortic aneurysm status post aortobiiliac stent placement. The excluded aneurysmal sac measures approximately 5.8 x 6.6 cm , compared to 5.9 x 6.8 cm previously. Severe. 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. Left common iliac aneurysm, similar to prior. No significant abnormality noted
location descriptor_fin: ['right']clinical findings_fin: {'progression': {'clinical finding': 'progression', 'existence': 'pos_dx', 'observation': 'progression'}, 'radiation changes': {'clinical finding': 'radiation changes', 'existence': 'pos_dx', 'descriptive_term': 'radiation', 'observation': 'change'}, 'scarring': {'clinical finding': 'scarring', 'existence': 'pos_dx', 'observation': 'scarr'}}location descriptor_fin: ['right']clinical findings_fin: {'increased small right pleural effusion': {'clinical finding': 'increased small right pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'increased small right pleural', 'observation': 'effusion', 'strength_term': 'increased - small', 'change_term': 'increased'}}size_fin: [{'size': '1.9 x 1.4 cm'}, {'size': '1.2 x 1.0 cm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right upper'}}location descriptor_fin: ['right', 'upper', 'adjacent']clinical findings_fin: {'reference right upper lobe nodule': {'clinical finding': 'reference right upper lobe nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'unc_dx', 'descriptive_term': 'reference right upper lobe', 'observation': 'nodule'}, 'adjacent pleural effusion': {'clinical finding': 'adjacent pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'adjacent pleural', 'observation': 'effusion'}}anatomical entity_fin: {'right lung': {}}clinical findings_fin: {'additional right lung nodules': {'clinical finding': 'additional right lung nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'additional right lung', 'observation': 'nodule'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'stable left lower lobe interstitial opacity': {'clinical finding': 'stable left lower lobe interstitial opacity', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'stable left lower lobe interstitial', 'observation': 'opacity', 'strength_term': 'stable', 'change_term': 'stable'}}size_fin: [{'size': '10.3 x 5.3 cm'}, {'size': '8.5 x 4.9 cm'}]location descriptor_fin: ['right']clinical findings_fin: {'dominant right peritracheal mass': {'clinical finding': 'dominant right peritracheal mass', 'existence': 'pos_dx', 'descriptive_term': 'dominant right peritracheal', 'observation': 'mass'}}anatomical entity_fin: {'brachiocephalic vein': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'mass': {'clinical finding': 'mass', 'existence': 'pos_dx', 'observation': 'mass'}}anatomical entity_fin: {'trachea': {}}clinical findings_fin: {'mass effect': {'clinical finding': 'mass effect', 'existence': 'pos_dx', 'descriptive_term': 'mass', 'observation': 'effect'}, 'mild narrowing': {'clinical finding': 'mild narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'narrowing', 'strength_term': 'mild'}}anatomical entity_fin: {'chest': {}}location descriptor_fin: ['right']object_fin: ['port', 'catheter']size_fin: [{'size': '5.8 x 4.3 cm', 'size_descriptor': 'reference'}, {'size': '6.0 x 4.9 cm', 'size_descriptor': 'mass'}]imaging observation_fin: ['angle']location descriptor_fin: ['right']clinical findings_fin: {'reference right cardiophrenic angle hypoattenuating mass': {'clinical finding': 'reference right cardiophrenic angle hypoattenuating mass', 'existence': 'pos_dx', 'descriptive_term': 'reference right cardiophrenic angle hypoattenuating', 'observation': 'mass'}}location descriptor_fin: ['right']clinical findings_fin: {'right internal mammary lymphadenopathy': {'clinical finding': 'right internal mammary lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'pos_dx', 'descriptive_term': 'right internal mammary', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'scattered mediastinal lymphadenopathy': {'clinical finding': 'scattered mediastinal lymphadenopathy', 'cf_snomed': {'mediastinal lymphadenopathy': 52324001}, 'existence': 'pos_dx', 'descriptive_term': 'scattered mediastinal', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'axillary lymphadenopathy': {'clinical finding': 'axillary lymphadenopathy', 'cf_snomed': {'axillary lymphadenopathy': 127189005}, 'existence': 'neg_dx', 'descriptive_term': 'axillary', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'degenerative changes': {'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'}}size_fin: [{'size': '1.0 cm'}, {'size': '1.6 cm'}]anatomical entity_fin: {'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'reference right hepatic lobe hypodense lesion': {'clinical finding': 'reference right hepatic lobe hypodense lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'reference right hepatic lobe hypodense', 'observation': 'lesion'}}clinical findings_fin: {'additional hepatic hypodensities': {'clinical finding': 'additional hepatic hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'additional hepatic', 'observation': 'hypodensity'}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'pos_dx', 'observation': 'patent'}}anatomical entity_fin: {'gallbladder': {}}clinical findings_fin: {'normally distended': {'clinical finding': 'normally distended', 'existence': 'pos_dx', 'descriptive_term': 'normally', 'observation': 'distended'}}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'}}size_fin: [{'size': '3.6 x 3.1 cm'}, {'size': '3.7 x 3.1 cm'}]clinical findings_fin: {'reference peripancreatic lymph node': {'clinical finding': 'reference peripancreatic lymph node', 'cf_snomed': {'peripancreatic lymph node': 245346008}, 'existence': 'pos_dx', 'descriptive_term': 'reference peripancreatic lymph', 'observation': 'node'}}size_fin: [{'size': '2.5 x 2.2 cm'}, {'size': '2.3 x 1.6 cm'}]location descriptor_fin: ['right']clinical findings_fin: {'right adrenal multilobulated mass': {'clinical finding': 'right adrenal multilobulated mass', 'existence': 'pos_dx', 'descriptive_term': 'right adrenal multilobulated', 'observation': 'mass'}}anatomical entity_fin: {'renal collecting system': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'nonobstructive right renal collecting system calculi': {'clinical finding': 'nonobstructive right renal collecting system calculi'}}anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'stable perinephric fluid': {'clinical finding': 'stable perinephric fluid', 'change_term': 'stable'}}location descriptor_fin: ['left']clinical findings_fin: {'left pararenal space soft tissue nodule': {'clinical finding': 'left pararenal space soft tissue nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'left pararenal space soft tissue', 'observation': 'nodule'}}size_fin: [{'size': '2.1 x 2.0 cm', 'size_descriptor': 'mass'}]clinical findings_fin: {'periduodenal mass': {'clinical finding': 'periduodenal mass', 'existence': 'pos_dx', 'descriptive_term': 'periduodenal', 'observation': 'mass'}}anatomical entity_fin: {'abdominal': {}}procedure_fin: ['stent placement']clinical findings_fin: {'abdominal aortic aneurysm': {'clinical finding': 'abdominal aortic aneurysm', 'cf_snomed': {'abdominal aortic aneurysm': 233985008}, 'existence': 'pos_dx', 'descriptive_term': 'abdominal aortic', 'observation': 'aneurysm'}, 'post aortobiiliac stent': {'clinical finding': 'post aortobiiliac stent', 'existence': 'pos_dx', 'descriptive_term': 'post aortobiiliac', 'observation': 'stent'}}size_fin: [{'size': '5.8 x 6.6 cm'}, {'size': '5.9 x 6.8 cm'}]clinical findings_fin: {'excluded aneurysmal sac measures approximately 5.8 x 6.6 cm , compared to 5.9 x 6.8 cm': {'clinical finding': 'excluded aneurysmal sac measures approximately 5.8 x 6.6 cm , compared to 5.9 x 6.8 cm'}}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'}}location descriptor_fin: ['left']clinical findings_fin: {'left common iliac aneurysm': {'clinical finding': 'left common iliac aneurysm', 'cf_snomed': {'common iliac aneurysm': 195275000}, 'existence': 'pos_dx', 'descriptive_term': 'left common iliac', 'observation': 'aneurysm'}}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: location descriptor_fin: ['right']clinical findings_fin: {'progression': {'clinical finding': 'progression', 'existence': 'pos_dx', 'observation': 'progression'}, 'radiation changes': {'clinical finding': 'radiation changes', 'existence': 'pos_dx', 'descriptive_term': 'radiation', 'observation': 'change'}, 'scarring': {'clinical finding': 'scarring', 'existence': 'pos_dx', 'observation': 'scarr'}}location descriptor_fin: ['right']clinical findings_fin: {'increased small right pleural effusion': {'clinical finding': 'increased small right pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'increased small right pleural', 'observation': 'effusion', 'strength_term': 'increased - small', 'change_term': 'increased'}}size_fin: [{'size': '1.9 x 1.4 cm'}, {'size': '1.2 x 1.0 cm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right upper'}}location descriptor_fin: ['right', 'upper', 'adjacent']clinical findings_fin: {'reference right upper lobe nodule': {'clinical finding': 'reference right upper lobe nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'unc_dx', 'descriptive_term': 'reference right upper lobe', 'observation': 'nodule'}, 'adjacent pleural effusion': {'clinical finding': 'adjacent pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'adjacent pleural', 'observation': 'effusion'}}anatomical entity_fin: {'right lung': {}}clinical findings_fin: {'additional right lung nodules': {'clinical finding': 'additional right lung nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'additional right lung', 'observation': 'nodule'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'stable left lower lobe interstitial opacity': {'clinical finding': 'stable left lower lobe interstitial opacity', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'stable left lower lobe interstitial', 'observation': 'opacity', 'strength_term': 'stable', 'change_term': 'stable'}}size_fin: [{'size': '10.3 x 5.3 cm'}, {'size': '8.5 x 4.9 cm'}]location descriptor_fin: ['right']clinical findings_fin: {'dominant right peritracheal mass': {'clinical finding': 'dominant right peritracheal mass', 'existence': 'pos_dx', 'descriptive_term': 'dominant right peritracheal', 'observation': 'mass'}}anatomical entity_fin: {'brachiocephalic vein': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'mass': {'clinical finding': 'mass', 'existence': 'pos_dx', 'observation': 'mass'}}anatomical entity_fin: {'trachea': {}}clinical findings_fin: {'mass effect': {'clinical finding': 'mass effect', 'existence': 'pos_dx', 'descriptive_term': 'mass', 'observation': 'effect'}, 'mild narrowing': {'clinical finding': 'mild narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'narrowing', 'strength_term': 'mild'}}anatomical entity_fin: {'chest': {}}location descriptor_fin: ['right']object_fin: ['port', 'catheter']size_fin: [{'size': '5.8 x 4.3 cm', 'size_descriptor': 'reference'}, {'size': '6.0 x 4.9 cm', 'size_descriptor': 'mass'}]imaging observation_fin: ['angle']location descriptor_fin: ['right']clinical findings_fin: {'reference right cardiophrenic angle hypoattenuating mass': {'clinical finding': 'reference right cardiophrenic angle hypoattenuating mass', 'existence': 'pos_dx', 'descriptive_term': 'reference right cardiophrenic angle hypoattenuating', 'observation': 'mass'}}location descriptor_fin: ['right']clinical findings_fin: {'right internal mammary lymphadenopathy': {'clinical finding': 'right internal mammary lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'pos_dx', 'descriptive_term': 'right internal mammary', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'scattered mediastinal lymphadenopathy': {'clinical finding': 'scattered mediastinal lymphadenopathy', 'cf_snomed': {'mediastinal lymphadenopathy': 52324001}, 'existence': 'pos_dx', 'descriptive_term': 'scattered mediastinal', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'axillary lymphadenopathy': {'clinical finding': 'axillary lymphadenopathy', 'cf_snomed': {'axillary lymphadenopathy': 127189005}, 'existence': 'neg_dx', 'descriptive_term': 'axillary', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'degenerative changes': {'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'}}size_fin: [{'size': '1.0 cm'}, {'size': '1.6 cm'}]anatomical entity_fin: {'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'reference right hepatic lobe hypodense lesion': {'clinical finding': 'reference right hepatic lobe hypodense lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'reference right hepatic lobe hypodense', 'observation': 'lesion'}}clinical findings_fin: {'additional hepatic hypodensities': {'clinical finding': 'additional hepatic hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'additional hepatic', 'observation': 'hypodensity'}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'pos_dx', 'observation': 'patent'}}anatomical entity_fin: {'gallbladder': {}}clinical findings_fin: {'normally distended': {'clinical finding': 'normally distended', 'existence': 'pos_dx', 'descriptive_term': 'normally', 'observation': 'distended'}}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'}}size_fin: [{'size': '3.6 x 3.1 cm'}, {'size': '3.7 x 3.1 cm'}]clinical findings_fin: {'reference peripancreatic lymph node': {'clinical finding': 'reference peripancreatic lymph node', 'cf_snomed': {'peripancreatic lymph node': 245346008}, 'existence': 'pos_dx', 'descriptive_term': 'reference peripancreatic lymph', 'observation': 'node'}}size_fin: [{'size': '2.5 x 2.2 cm'}, {'size': '2.3 x 1.6 cm'}]location descriptor_fin: ['right']clinical findings_fin: {'right adrenal multilobulated mass': {'clinical finding': 'right adrenal multilobulated mass', 'existence': 'pos_dx', 'descriptive_term': 'right adrenal multilobulated', 'observation': 'mass'}}anatomical entity_fin: {'renal collecting system': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'nonobstructive right renal collecting system calculi': {'clinical finding': 'nonobstructive right renal collecting system calculi'}}anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'stable perinephric fluid': {'clinical finding': 'stable perinephric fluid', 'change_term': 'stable'}}location descriptor_fin: ['left']clinical findings_fin: {'left pararenal space soft tissue nodule': {'clinical finding': 'left pararenal space soft tissue nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'left pararenal space soft tissue', 'observation': 'nodule'}}size_fin: [{'size': '2.1 x 2.0 cm', 'size_descriptor': 'mass'}]clinical findings_fin: {'periduodenal mass': {'clinical finding': 'periduodenal mass', 'existence': 'pos_dx', 'descriptive_term': 'periduodenal', 'observation': 'mass'}}anatomical entity_fin: {'abdominal': {}}procedure_fin: ['stent placement']clinical findings_fin: {'abdominal aortic aneurysm': {'clinical finding': 'abdominal aortic aneurysm', 'cf_snomed': {'abdominal aortic aneurysm': 233985008}, 'existence': 'pos_dx', 'descriptive_term': 'abdominal aortic', 'observation': 'aneurysm'}, 'post aortobiiliac stent': {'clinical finding': 'post aortobiiliac stent', 'existence': 'pos_dx', 'descriptive_term': 'post aortobiiliac', 'observation': 'stent'}}size_fin: [{'size': '5.8 x 6.6 cm'}, {'size': '5.9 x 6.8 cm'}]clinical findings_fin: {'excluded aneurysmal sac measures approximately 5.8 x 6.6 cm , compared to 5.9 x 6.8 cm': {'clinical finding': 'excluded aneurysmal sac measures approximately 5.8 x 6.6 cm , compared to 5.9 x 6.8 cm'}}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'}}location descriptor_fin: ['left']clinical findings_fin: {'left common iliac aneurysm': {'clinical finding': 'left common iliac aneurysm', 'cf_snomed': {'common iliac aneurysm': 195275000}, 'existence': 'pos_dx', 'descriptive_term': 'left common iliac', 'observation': 'aneurysm'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . Progression of radiation changes and scarring of the right perihilar region. Increased small right pleural effusion. The reference right upper lobe nodule is partially obscured by the adjacent pleural effusion but measures approximately 1.9 x 1.4 cm , compared to 1.2 x 1.0 cm previously. Additional right lung nodules are increased in size. Stable left lower lobe interstitial opacity. The dominant right peritracheal mass measures 10.3 x 5.3 cm , compared to 8.5 x 4.9 cm previously. The mass encases the left brachiocephalic vein and narrows the SVC which is reconstituted distally. There is also mass effect and mild narrowing of the trachea. Right-sided chest port catheter tip terminates at the cavoatrial junction. The reference right cardiophrenic angle hypoattenuating mass measures 5.8 x 4.3 cm , compared to 6.0 x 4.9 cm previously. Right internal mammary lymphadenopathy. Scattered mediastinal lymphadenopathy is stable to increased in size. Severe. No axillary lymphadenopathy. Degenerative changes of the spine. Reference right hepatic lobe hypodense lesion measures 1.0 cm , compared to 1.6 cm previously. Additional hepatic hypodensities are again noted. The vessels are patent. Normally distended gallbladder. No biliary ductal dilatation. No significant abnormality noted. No significant abnormality noted. The reference peripancreatic lymph node measures 3.6 x 3.1 cm compared to 3.7 x 3.1 cm previously. Right adrenal multilobulated mass measures 2.5 x 2.2 cm compared to 2.3 x 1.6 cm previously. Nonobstructive right renal collecting system calculi. Stable perinephric fluid. Left pararenal space soft tissue nodule. Periduodenal mass measuring 2.1 x 2.0 cm , increased in size. Abdominal aortic aneurysm status post aortobiiliac stent placement. The excluded aneurysmal sac measures approximately 5.8 x 6.6 cm , compared to 5.9 x 6.8 cm previously. Severe. 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. Left common iliac aneurysm, similar to prior. No significant abnormality noted </s>