Datasets:

Rewcifer

/

radio-llama2-5pct

like 0

. Multiple bilateral calcified and noncalcified pulmonary nodules. The largest is on the left in the lower lobe and measures 5 mm. No evidence of infection or edema. No pleural effusion or pneumothorax. The heart size is normal, there is no pericardial effusion. The aortic valve leaflets are heavily calcified and there is atherosclerotic calcification of the aorta and its branches. The aorta is normal in caliber. Severe. No supraclavicular or axillary lymphadenopathy. Degenerative changes affect the imaged spine. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. Cholelithiasis. Heavily calcified, tortuous splenic artery is aneurysmal measuring up to 10 mm. Fatty atrophy of the pancreas with sparing in the tail. Calcifications may be related to chronic pancreatitis.

location descriptor_fin: ['bilateral']clinical findings_fin: {'multiple bilateral calcified and noncalcified pulmonary nodules': {'clinical finding': 'multiple bilateral calcified and noncalcified pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'multiple bilateral calcified and noncalcified pulmonary', 'observation': 'nodule', 'quantity_term': 'multiple', 'change_term': 'calcified'}}size_fin: [{'size': '5 mm', 'size_descriptor': 'left'}]anatomical entity_fin: {'lobe': {'location descriptor': 'lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'infection': {'clinical finding': 'infection', 'existence': 'neg_dx', 'observation': 'infection'}, 'edema': {'clinical finding': 'edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'neg_dx', 'observation': 'edema'}}clinical findings_fin: {'pleural effusion': {'clinical finding': 'pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}, 'pneumothorax': {'clinical finding': 'pneumothorax', 'cf_snomed': {'pneumothorax': 36118008}, 'existence': 'neg_dx', 'observation': 'pneumothorax'}}anatomical entity_fin: {'heart': {}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}anatomical entity_fin: {'aortic valve': {}, 'aorta': {}}clinical findings_fin: {'calcified': {'clinical finding': 'calcified', 'existence': 'pos_dx', 'observation': 'calcified'}, 'atherosclerotic calcification': {'clinical finding': 'atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'}}anatomical entity_fin: {'aorta': {}}clinical findings_fin: {'aorta is normal in caliber': {'clinical finding': 'aorta is normal in caliber'}}clinical findings_fin: {'supraclavicular or axillary lymphadenopathy': {'clinical finding': 'supraclavicular or axillary lymphadenopathy', 'cf_snomed': {'axillary lymphadenopathy': 127189005}, 'existence': 'neg_dx', 'descriptive_term': 'supraclavicular or axillary', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'degenerative changes': {'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}size_fin: [{'size': '10 mm', 'size_descriptor': 'artery'}]anatomical entity_fin: {'splenic artery': {}}clinical findings_fin: {'calcified': {'clinical finding': 'calcified', 'existence': 'pos_dx', 'observation': 'calcified'}, 'tortuous': {'clinical finding': 'tortuous', 'existence': 'pos_dx', 'observation': 'tortuous'}, 'aneurysmal': {'clinical finding': 'aneurysmal', 'existence': 'pos_dx', 'observation': 'aneurysmal'}}anatomical entity_fin: {'pancreas': {}}clinical findings_fin: {'fatty atrophy': {'clinical finding': 'fatty atrophy', 'cf_snomed': {'fatty atrophy': 42335002}, 'existence': 'pos_dx', 'descriptive_term': 'fatty', 'observation': 'atrophy'}, 'tail': {'clinical finding': 'tail', 'existence': 'pos_dx', 'observation': 'tail'}}clinical findings_fin: {'calcifications': {'clinical finding': 'calcifications', 'existence': 'unc_dx', 'observation': 'calcification'}, 'chronic pancreatitis': {'clinical finding': 'chronic pancreatitis', 'cf_snomed': {'chronic pancreatitis': 235494005}, 'existence': 'unc_dx', 'descriptive_term': 'chronic', 'observation': 'pancreatitis', 'temporal_term': 'chronic'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['bilateral']clinical findings_fin: {'multiple bilateral calcified and noncalcified pulmonary nodules': {'clinical finding': 'multiple bilateral calcified and noncalcified pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'multiple bilateral calcified and noncalcified pulmonary', 'observation': 'nodule', 'quantity_term': 'multiple', 'change_term': 'calcified'}}size_fin: [{'size': '5 mm', 'size_descriptor': 'left'}]anatomical entity_fin: {'lobe': {'location descriptor': 'lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'infection': {'clinical finding': 'infection', 'existence': 'neg_dx', 'observation': 'infection'}, 'edema': {'clinical finding': 'edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'neg_dx', 'observation': 'edema'}}clinical findings_fin: {'pleural effusion': {'clinical finding': 'pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}, 'pneumothorax': {'clinical finding': 'pneumothorax', 'cf_snomed': {'pneumothorax': 36118008}, 'existence': 'neg_dx', 'observation': 'pneumothorax'}}anatomical entity_fin: {'heart': {}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}anatomical entity_fin: {'aortic valve': {}, 'aorta': {}}clinical findings_fin: {'calcified': {'clinical finding': 'calcified', 'existence': 'pos_dx', 'observation': 'calcified'}, 'atherosclerotic calcification': {'clinical finding': 'atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'}}anatomical entity_fin: {'aorta': {}}clinical findings_fin: {'aorta is normal in caliber': {'clinical finding': 'aorta is normal in caliber'}}clinical findings_fin: {'supraclavicular or axillary lymphadenopathy': {'clinical finding': 'supraclavicular or axillary lymphadenopathy', 'cf_snomed': {'axillary lymphadenopathy': 127189005}, 'existence': 'neg_dx', 'descriptive_term': 'supraclavicular or axillary', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'degenerative changes': {'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}size_fin: [{'size': '10 mm', 'size_descriptor': 'artery'}]anatomical entity_fin: {'splenic artery': {}}clinical findings_fin: {'calcified': {'clinical finding': 'calcified', 'existence': 'pos_dx', 'observation': 'calcified'}, 'tortuous': {'clinical finding': 'tortuous', 'existence': 'pos_dx', 'observation': 'tortuous'}, 'aneurysmal': {'clinical finding': 'aneurysmal', 'existence': 'pos_dx', 'observation': 'aneurysmal'}}anatomical entity_fin: {'pancreas': {}}clinical findings_fin: {'fatty atrophy': {'clinical finding': 'fatty atrophy', 'cf_snomed': {'fatty atrophy': 42335002}, 'existence': 'pos_dx', 'descriptive_term': 'fatty', 'observation': 'atrophy'}, 'tail': {'clinical finding': 'tail', 'existence': 'pos_dx', 'observation': 'tail'}}clinical findings_fin: {'calcifications': {'clinical finding': 'calcifications', 'existence': 'unc_dx', 'observation': 'calcification'}, 'chronic pancreatitis': {'clinical finding': 'chronic pancreatitis', 'cf_snomed': {'chronic pancreatitis': 235494005}, 'existence': 'unc_dx', 'descriptive_term': 'chronic', 'observation': 'pancreatitis', 'temporal_term': 'chronic'}} [/INST] . Multiple bilateral calcified and noncalcified pulmonary nodules. The largest is on the left in the lower lobe and measures 5 mm. No evidence of infection or edema. No pleural effusion or pneumothorax. The heart size is normal, there is no pericardial effusion. The aortic valve leaflets are heavily calcified and there is atherosclerotic calcification of the aorta and its branches. The aorta is normal in caliber. Severe. No supraclavicular or axillary lymphadenopathy. Degenerative changes affect the imaged spine. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. Cholelithiasis. Heavily calcified, tortuous splenic artery is aneurysmal measuring up to 10 mm. Fatty atrophy of the pancreas with sparing in the tail. Calcifications may be related to chronic pancreatitis. </s>

. No significant abnormality noted. Status post successful drainage of the left hepatic lobe fluid collection. No residual fluid collections. The hepatic and portal veins are patent. No biliary ductal dilatation. No new focal hepatic lesions. No significant biliary ductal dilatation. Status post cholecystectomy. Spleen is mildly enlarged. There is a trace perisplenic fluid. The head and uncinate process are normal. Pancreatic neck is atrophic with pancreatic ductal dilatation involving the tail measuring up to 6 mm. This is possibly due to a focal stricture. Hypodense mass in the pancreatic tail measures 2.4 cm as seen on image 49/series 3 and may represent the residual pseudocyst. No significant abnormality noted. Nonobstructive left renal calculi. No hydronephrosis in either kidney. Status post IVC filter placement. The tines of the IVC filter extend past the confines of the IVC. There are extensive venous collaterals possibly due to thrombosis of the IVC. Small bowel loops in the pelvis involving the distal jejunum have a thickened wall and fold pattern. There is some mesenteric edema. There is no bowel obstruction as contrast has reached the ascending colon. The large abdominal fluid collection has been successfully drained. Nonspecific changes in the anterior abdominal wall including umbilicus may represent some trapped ascites. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Please see above. Nonspecific sclerotic changes in the right inferior pubic ramus with associated pubic symphysis degenerative changes. Superior endplate compression of the L1 vertebral body. No significant abnormality noted.

clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'lobe': {}}location descriptor_fin: ['left']procedure_fin: ['drainage']clinical findings_fin: {'left hepatic lobe fluid collection': {'clinical finding': 'left hepatic lobe fluid collection', 'existence': 'pos_dx', 'descriptive_term': 'left hepatic lobe fluid', 'observation': 'collection'}}anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'residual': {'clinical finding': 'residual', 'existence': 'neg_dx', 'observation': 'residual'}}anatomical entity_fin: {'portal veins': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'pos_dx', 'observation': 'patent'}}clinical findings_fin: {'new focal hepatic lesions': {'clinical finding': 'new focal hepatic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'new focal hepatic', 'observation': 'lesion', 'temporal_term': 'new'}}clinical findings_fin: {'significant biliary ductal dilatation': {'clinical finding': 'significant biliary ductal dilatation', 'cf_snomed': {'dilatation': 25322007}}}procedure_fin: ['cholecystectomy']anatomical entity_fin: {'spleen': {}}clinical findings_fin: {'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}}anatomical entity_fin: {'fluid': {}}anatomical entity_fin: {'head': {}}clinical findings_fin: {'head and uncinate process are normal': {'clinical finding': 'head and uncinate process are normal', 'cf_snomed': {'uncinate process': 306373001}}}size_fin: [{'size': '6 mm', 'size_descriptor': 'neck'}]anatomical entity_fin: {'neck': {}}clinical findings_fin: {'atrophic': {'clinical finding': 'atrophic', 'existence': 'pos_dx', 'observation': 'atrophic'}, 'tail': {'clinical finding': 'tail', 'existence': 'pos_dx', 'observation': 'tail'}}clinical findings_fin: {'focal stricture': {'clinical finding': 'focal stricture', 'cf_snomed': {'stricture': 27551008}, 'existence': 'unc_dx', 'descriptive_term': 'focal', 'observation': 'stricture'}}size_fin: [{'size': '2.4 cm', 'size_descriptor': 'mass'}]clinical findings_fin: {'hypodense mass': {'clinical finding': 'hypodense mass', 'existence': 'pos_dx', 'descriptive_term': 'hypodense', 'observation': 'mass'}, 'pancreatic tail': {'clinical finding': 'pancreatic tail', 'existence': 'pos_dx', 'descriptive_term': 'pancreatic', 'observation': 'tail'}, 'residual pseudocyst': {'clinical finding': 'residual pseudocyst', 'cf_snomed': {'pseudocyst': 13467000}, 'existence': 'unc_dx', 'descriptive_term': 'residual', 'observation': 'pseudocyst', 'temporal_term': 'residual'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}location descriptor_fin: ['left']clinical findings_fin: {'nonobstructive left renal calculi': {'clinical finding': 'nonobstructive left renal calculi', 'existence': 'pos_dx', 'descriptive_term': 'nonobstructive left renal', 'observation': 'calculi'}}anatomical entity_fin: {'kidney': {}}clinical findings_fin: {'hydronephrosis': {'clinical finding': 'hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'neg_dx', 'observation': 'hydronephrosis'}}procedure_fin: ['filter placement']clinical findings_fin: {'post ivc filter': {'clinical finding': 'post ivc filter', 'existence': 'pos_dx', 'descriptive_term': 'post ivc', 'observation': 'filter'}}object_fin: ['filter']clinical findings_fin: {'extensive venous collaterals': {'clinical finding': 'extensive venous collaterals', 'existence': 'pos_dx', 'descriptive_term': 'extensive venous', 'observation': 'collateral', 'strength_term': 'extensive'}, 'thrombosis': {'clinical finding': 'thrombosis', 'cf_snomed': {'thrombosis': 439127006}, 'existence': 'unc_dx', 'observation': 'thrombosis'}}anatomical entity_fin: {'bowel': {}, 'pelvis': {}, 'jejunum': {'location descriptor': 'distal'}, 'wall': {}}location descriptor_fin: ['distal']clinical findings_fin: {'thickened wall and fold pattern': {'clinical finding': 'thickened wall and fold pattern', 'cf_snomed': {'fold': 26310004}, 'existence': 'pos_dx', 'descriptive_term': 'thickened wall and fold', 'observation': 'pattern', 'change_term': 'thickened'}}clinical findings_fin: {'some mesenteric edema': {'clinical finding': 'some mesenteric edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'descriptive_term': 'some mesenteric', 'observation': 'edema', 'quantity_term': 'some'}}anatomical entity_fin: {'bowel': {}, 'ascending colon': {}}clinical findings_fin: {'bowel obstruction': {'clinical finding': 'bowel obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'descriptive_term': 'bowel', 'observation': 'obstruction'}, 'contrast': {'clinical finding': 'contrast', 'existence': 'neg_dx', 'observation': 'contrast'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'large abdominal fluid collection': {'clinical finding': 'large abdominal fluid collection', 'existence': 'pos_dx', 'descriptive_term': 'large abdominal fluid', 'observation': 'collection', 'strength_term': 'large'}}anatomical entity_fin: {'anterior abdominal wall': {}, 'umbilicus': {}}clinical findings_fin: {'nonspecific changes': {'clinical finding': 'nonspecific changes', 'existence': 'pos_dx', 'descriptive_term': 'nonspecific', 'observation': 'change'}, 'some trapped ascites': {'clinical finding': 'some trapped ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'unc_dx', 'descriptive_term': 'some trapped', 'observation': 'ascite', 'quantity_term': 'some'}}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'}}anatomical entity_fin: {'inferior pubic ramus': {'location descriptor': 'right'}, 'symphysis': {}}location descriptor_fin: ['right']clinical findings_fin: {'nonspecific sclerotic changes': {'clinical finding': 'nonspecific sclerotic changes', 'existence': 'pos_dx', 'descriptive_term': 'nonspecific sclerotic', 'observation': 'change'}, 'associated pubic symphysis degenerative changes': {'clinical finding': 'associated pubic symphysis degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'associated pubic symphysis degenerative', 'observation': 'change'}}anatomical entity_fin: {'l1 vertebral body': {}}location descriptor_fin: ['superior']clinical findings_fin: {'superior endplate compression': {'clinical finding': 'superior endplate compression', 'cf_snomed': {'compression': 71173004}, 'existence': 'pos_dx', 'descriptive_term': 'superior endplate', 'observation': 'compression', 'strength_term': 'superior'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'lobe': {}}location descriptor_fin: ['left']procedure_fin: ['drainage']clinical findings_fin: {'left hepatic lobe fluid collection': {'clinical finding': 'left hepatic lobe fluid collection', 'existence': 'pos_dx', 'descriptive_term': 'left hepatic lobe fluid', 'observation': 'collection'}}anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'residual': {'clinical finding': 'residual', 'existence': 'neg_dx', 'observation': 'residual'}}anatomical entity_fin: {'portal veins': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'pos_dx', 'observation': 'patent'}}clinical findings_fin: {'new focal hepatic lesions': {'clinical finding': 'new focal hepatic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'new focal hepatic', 'observation': 'lesion', 'temporal_term': 'new'}}clinical findings_fin: {'significant biliary ductal dilatation': {'clinical finding': 'significant biliary ductal dilatation', 'cf_snomed': {'dilatation': 25322007}}}procedure_fin: ['cholecystectomy']anatomical entity_fin: {'spleen': {}}clinical findings_fin: {'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}}anatomical entity_fin: {'fluid': {}}anatomical entity_fin: {'head': {}}clinical findings_fin: {'head and uncinate process are normal': {'clinical finding': 'head and uncinate process are normal', 'cf_snomed': {'uncinate process': 306373001}}}size_fin: [{'size': '6 mm', 'size_descriptor': 'neck'}]anatomical entity_fin: {'neck': {}}clinical findings_fin: {'atrophic': {'clinical finding': 'atrophic', 'existence': 'pos_dx', 'observation': 'atrophic'}, 'tail': {'clinical finding': 'tail', 'existence': 'pos_dx', 'observation': 'tail'}}clinical findings_fin: {'focal stricture': {'clinical finding': 'focal stricture', 'cf_snomed': {'stricture': 27551008}, 'existence': 'unc_dx', 'descriptive_term': 'focal', 'observation': 'stricture'}}size_fin: [{'size': '2.4 cm', 'size_descriptor': 'mass'}]clinical findings_fin: {'hypodense mass': {'clinical finding': 'hypodense mass', 'existence': 'pos_dx', 'descriptive_term': 'hypodense', 'observation': 'mass'}, 'pancreatic tail': {'clinical finding': 'pancreatic tail', 'existence': 'pos_dx', 'descriptive_term': 'pancreatic', 'observation': 'tail'}, 'residual pseudocyst': {'clinical finding': 'residual pseudocyst', 'cf_snomed': {'pseudocyst': 13467000}, 'existence': 'unc_dx', 'descriptive_term': 'residual', 'observation': 'pseudocyst', 'temporal_term': 'residual'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}location descriptor_fin: ['left']clinical findings_fin: {'nonobstructive left renal calculi': {'clinical finding': 'nonobstructive left renal calculi', 'existence': 'pos_dx', 'descriptive_term': 'nonobstructive left renal', 'observation': 'calculi'}}anatomical entity_fin: {'kidney': {}}clinical findings_fin: {'hydronephrosis': {'clinical finding': 'hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'neg_dx', 'observation': 'hydronephrosis'}}procedure_fin: ['filter placement']clinical findings_fin: {'post ivc filter': {'clinical finding': 'post ivc filter', 'existence': 'pos_dx', 'descriptive_term': 'post ivc', 'observation': 'filter'}}object_fin: ['filter']clinical findings_fin: {'extensive venous collaterals': {'clinical finding': 'extensive venous collaterals', 'existence': 'pos_dx', 'descriptive_term': 'extensive venous', 'observation': 'collateral', 'strength_term': 'extensive'}, 'thrombosis': {'clinical finding': 'thrombosis', 'cf_snomed': {'thrombosis': 439127006}, 'existence': 'unc_dx', 'observation': 'thrombosis'}}anatomical entity_fin: {'bowel': {}, 'pelvis': {}, 'jejunum': {'location descriptor': 'distal'}, 'wall': {}}location descriptor_fin: ['distal']clinical findings_fin: {'thickened wall and fold pattern': {'clinical finding': 'thickened wall and fold pattern', 'cf_snomed': {'fold': 26310004}, 'existence': 'pos_dx', 'descriptive_term': 'thickened wall and fold', 'observation': 'pattern', 'change_term': 'thickened'}}clinical findings_fin: {'some mesenteric edema': {'clinical finding': 'some mesenteric edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'descriptive_term': 'some mesenteric', 'observation': 'edema', 'quantity_term': 'some'}}anatomical entity_fin: {'bowel': {}, 'ascending colon': {}}clinical findings_fin: {'bowel obstruction': {'clinical finding': 'bowel obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'descriptive_term': 'bowel', 'observation': 'obstruction'}, 'contrast': {'clinical finding': 'contrast', 'existence': 'neg_dx', 'observation': 'contrast'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'large abdominal fluid collection': {'clinical finding': 'large abdominal fluid collection', 'existence': 'pos_dx', 'descriptive_term': 'large abdominal fluid', 'observation': 'collection', 'strength_term': 'large'}}anatomical entity_fin: {'anterior abdominal wall': {}, 'umbilicus': {}}clinical findings_fin: {'nonspecific changes': {'clinical finding': 'nonspecific changes', 'existence': 'pos_dx', 'descriptive_term': 'nonspecific', 'observation': 'change'}, 'some trapped ascites': {'clinical finding': 'some trapped ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'unc_dx', 'descriptive_term': 'some trapped', 'observation': 'ascite', 'quantity_term': 'some'}}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'}}anatomical entity_fin: {'inferior pubic ramus': {'location descriptor': 'right'}, 'symphysis': {}}location descriptor_fin: ['right']clinical findings_fin: {'nonspecific sclerotic changes': {'clinical finding': 'nonspecific sclerotic changes', 'existence': 'pos_dx', 'descriptive_term': 'nonspecific sclerotic', 'observation': 'change'}, 'associated pubic symphysis degenerative changes': {'clinical finding': 'associated pubic symphysis degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'associated pubic symphysis degenerative', 'observation': 'change'}}anatomical entity_fin: {'l1 vertebral body': {}}location descriptor_fin: ['superior']clinical findings_fin: {'superior endplate compression': {'clinical finding': 'superior endplate compression', 'cf_snomed': {'compression': 71173004}, 'existence': 'pos_dx', 'descriptive_term': 'superior endplate', 'observation': 'compression', 'strength_term': 'superior'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . No significant abnormality noted. Status post successful drainage of the left hepatic lobe fluid collection. No residual fluid collections. The hepatic and portal veins are patent. No biliary ductal dilatation. No new focal hepatic lesions. No significant biliary ductal dilatation. Status post cholecystectomy. Spleen is mildly enlarged. There is a trace perisplenic fluid. The head and uncinate process are normal. Pancreatic neck is atrophic with pancreatic ductal dilatation involving the tail measuring up to 6 mm. This is possibly due to a focal stricture. Hypodense mass in the pancreatic tail measures 2.4 cm as seen on image 49/series 3 and may represent the residual pseudocyst. No significant abnormality noted. Nonobstructive left renal calculi. No hydronephrosis in either kidney. Status post IVC filter placement. The tines of the IVC filter extend past the confines of the IVC. There are extensive venous collaterals possibly due to thrombosis of the IVC. Small bowel loops in the pelvis involving the distal jejunum have a thickened wall and fold pattern. There is some mesenteric edema. There is no bowel obstruction as contrast has reached the ascending colon. The large abdominal fluid collection has been successfully drained. Nonspecific changes in the anterior abdominal wall including umbilicus may represent some trapped ascites. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Please see above. Nonspecific sclerotic changes in the right inferior pubic ramus with associated pubic symphysis degenerative changes. Superior endplate compression of the L1 vertebral body. No significant abnormality noted. </s>

The cervical vertebral bodies demonstrate straightening of the normal cervical lordosis, with otherwise normal alignment. The vertebral body and disk space heights are well-maintained. No fractures or subluxations are identified in the cervical spine. The axial images do not demonstrate any significant disk bulge, disk herniation, significant bony spinal canal or foraminal stenosis. The visualized paraspinal contents are unremarkable. The visualized intracranial structures and lung apices appear normal. See same day head CT for additional findings.

anatomical entity_fin: {'cervical vertebral bodies': {}}clinical findings_fin: {'normal cervical lordosis': {'clinical finding': 'normal cervical lordosis', 'existence': 'pos_dx', 'descriptive_term': 'normal cervical', 'observation': 'lordosis', 'strength_term': 'normal'}, 'otherwise normal alignment': {'clinical finding': 'otherwise normal alignment', 'existence': 'pos_dx', 'descriptive_term': 'otherwise normal', 'observation': 'alignment', 'strength_term': 'normal'}}anatomical entity_fin: {'vertebral body': {}}clinical findings_fin: {'vertebral body and disk space heights': {'clinical finding': 'vertebral body and disk space heights', 'existence': 'pos_dx', 'descriptive_term': 'vertebral body and disk space', 'observation': 'height'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'fractures': {'clinical finding': 'fractures', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'observation': 'fracture'}, 'subluxations': {'clinical finding': 'subluxations', 'cf_snomed': {'subluxation': 26396009}, 'existence': 'neg_dx', 'observation': 'subluxation'}}anatomical entity_fin: {'spinal canal': {}}clinical findings_fin: {'any significant disk bulge': {'clinical finding': 'any significant disk bulge', 'existence': 'neg_dx', 'descriptive_term': 'any significant disk', 'observation': 'bulge'}, 'disk herniation': {'clinical finding': 'disk herniation', 'existence': 'neg_dx', 'descriptive_term': 'disk', 'observation': 'herniation'}, 'significant bony spinal canal': {'clinical finding': 'significant bony spinal canal', 'existence': 'neg_dx', 'descriptive_term': 'significant bony spinal', 'observation': 'canal'}, 'foraminal stenosis': {'clinical finding': 'foraminal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'unc_dx', 'descriptive_term': 'foraminal', 'observation': 'stenosis'}}anatomical entity_fin: {'contents': {}}clinical findings_fin: {'visualized paraspinal contents are unremarkable': {'clinical finding': 'visualized paraspinal contents are unremarkable'}}anatomical entity_fin: {'lung': {}, 'apices': {}}clinical findings_fin: {'visualized intracranial structures and lung apices appear': {'clinical finding': 'visualized intracranial structures and lung apices appear'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'cervical vertebral bodies': {}}clinical findings_fin: {'normal cervical lordosis': {'clinical finding': 'normal cervical lordosis', 'existence': 'pos_dx', 'descriptive_term': 'normal cervical', 'observation': 'lordosis', 'strength_term': 'normal'}, 'otherwise normal alignment': {'clinical finding': 'otherwise normal alignment', 'existence': 'pos_dx', 'descriptive_term': 'otherwise normal', 'observation': 'alignment', 'strength_term': 'normal'}}anatomical entity_fin: {'vertebral body': {}}clinical findings_fin: {'vertebral body and disk space heights': {'clinical finding': 'vertebral body and disk space heights', 'existence': 'pos_dx', 'descriptive_term': 'vertebral body and disk space', 'observation': 'height'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'fractures': {'clinical finding': 'fractures', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'observation': 'fracture'}, 'subluxations': {'clinical finding': 'subluxations', 'cf_snomed': {'subluxation': 26396009}, 'existence': 'neg_dx', 'observation': 'subluxation'}}anatomical entity_fin: {'spinal canal': {}}clinical findings_fin: {'any significant disk bulge': {'clinical finding': 'any significant disk bulge', 'existence': 'neg_dx', 'descriptive_term': 'any significant disk', 'observation': 'bulge'}, 'disk herniation': {'clinical finding': 'disk herniation', 'existence': 'neg_dx', 'descriptive_term': 'disk', 'observation': 'herniation'}, 'significant bony spinal canal': {'clinical finding': 'significant bony spinal canal', 'existence': 'neg_dx', 'descriptive_term': 'significant bony spinal', 'observation': 'canal'}, 'foraminal stenosis': {'clinical finding': 'foraminal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'unc_dx', 'descriptive_term': 'foraminal', 'observation': 'stenosis'}}anatomical entity_fin: {'contents': {}}clinical findings_fin: {'visualized paraspinal contents are unremarkable': {'clinical finding': 'visualized paraspinal contents are unremarkable'}}anatomical entity_fin: {'lung': {}, 'apices': {}}clinical findings_fin: {'visualized intracranial structures and lung apices appear': {'clinical finding': 'visualized intracranial structures and lung apices appear'}} [/INST] The cervical vertebral bodies demonstrate straightening of the normal cervical lordosis, with otherwise normal alignment. The vertebral body and disk space heights are well-maintained. No fractures or subluxations are identified in the cervical spine. The axial images do not demonstrate any significant disk bulge, disk herniation, significant bony spinal canal or foraminal stenosis. The visualized paraspinal contents are unremarkable. The visualized intracranial structures and lung apices appear normal. See same day head CT for additional findings. </s>

. Previously seen micronodule in the left upper lobe is best seen on series 7 image 54 of the 1 mm cuts and is decreased in size. However there is a new lesion in the left upper lobe series 6 image 26 measuring 1.6 x 1.1 cm. Micronodule lingula series 6 image 53 might be new. Postsurgical changes left lower lobe. No other new lesions. Small left pleural effusion, new since the loculated in the left mid chest abutting the surgical scar. No significant abnormality noted. None. No significant abnormality noted. Multifocal hepatic lesions consistent with cysts unchanged. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Stable right renal cyst. No significant abnormality noted. None. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Surgically absent. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted.

size_fin: [{'size': '1 mm', 'size_descriptor': 'cuts'}]anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'previously seen micronodule': {'clinical finding': 'previously seen micronodule', 'existence': 'pos_dx', 'descriptive_term': 'previously seen', 'observation': 'micronodule'}}size_fin: [{'size': '1.6 x 1.1 cm', 'size_descriptor': 'lesion'}]anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'new lesion': {'clinical finding': 'new lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'new', 'observation': 'lesion', 'temporal_term': 'new'}}anatomical entity_fin: {'lingula': {}}clinical findings_fin: {'micronodule': {'clinical finding': 'micronodule', 'existence': 'pos_dx', 'observation': 'micronodule'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'postsurgical changes': {'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'}}clinical findings_fin: {'other new lesions': {'clinical finding': 'other new lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'other new', 'observation': 'lesion', 'temporal_term': 'new'}}anatomical entity_fin: {'chest': {}}location descriptor_fin: ['left']clinical findings_fin: {'small left pleural effusion': {'clinical finding': 'small left pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'small left pleural', 'observation': 'effusion', 'strength_term': 'small'}, 'surgical scar': {'clinical finding': 'surgical scar', 'cf_snomed': {'surgical scar': 422411000}, 'existence': 'pos_dx', 'descriptive_term': 'surgical', 'observation': 'scar'}}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: {'multifocal hepatic lesions': {'clinical finding': 'multifocal hepatic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'multifocal hepatic', 'observation': 'lesion'}, 'cysts': {'clinical finding': 'cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'observation': 'cyst'}}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: ['right']clinical findings_fin: {'stable right renal cyst': {'clinical finding': 'stable right renal cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'stable right renal', 'observation': 'cyst', 'strength_term': 'stable', 'change_term': 'stable'}}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'}}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'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: size_fin: [{'size': '1 mm', 'size_descriptor': 'cuts'}]anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'previously seen micronodule': {'clinical finding': 'previously seen micronodule', 'existence': 'pos_dx', 'descriptive_term': 'previously seen', 'observation': 'micronodule'}}size_fin: [{'size': '1.6 x 1.1 cm', 'size_descriptor': 'lesion'}]anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'new lesion': {'clinical finding': 'new lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'new', 'observation': 'lesion', 'temporal_term': 'new'}}anatomical entity_fin: {'lingula': {}}clinical findings_fin: {'micronodule': {'clinical finding': 'micronodule', 'existence': 'pos_dx', 'observation': 'micronodule'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'postsurgical changes': {'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'}}clinical findings_fin: {'other new lesions': {'clinical finding': 'other new lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'other new', 'observation': 'lesion', 'temporal_term': 'new'}}anatomical entity_fin: {'chest': {}}location descriptor_fin: ['left']clinical findings_fin: {'small left pleural effusion': {'clinical finding': 'small left pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'small left pleural', 'observation': 'effusion', 'strength_term': 'small'}, 'surgical scar': {'clinical finding': 'surgical scar', 'cf_snomed': {'surgical scar': 422411000}, 'existence': 'pos_dx', 'descriptive_term': 'surgical', 'observation': 'scar'}}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: {'multifocal hepatic lesions': {'clinical finding': 'multifocal hepatic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'multifocal hepatic', 'observation': 'lesion'}, 'cysts': {'clinical finding': 'cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'observation': 'cyst'}}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: ['right']clinical findings_fin: {'stable right renal cyst': {'clinical finding': 'stable right renal cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'stable right renal', 'observation': 'cyst', 'strength_term': 'stable', 'change_term': 'stable'}}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'}}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'}} [/INST] . Previously seen micronodule in the left upper lobe is best seen on series 7 image 54 of the 1 mm cuts and is decreased in size. However there is a new lesion in the left upper lobe series 6 image 26 measuring 1.6 x 1.1 cm. Micronodule lingula series 6 image 53 might be new. Postsurgical changes left lower lobe. No other new lesions. Small left pleural effusion, new since the loculated in the left mid chest abutting the surgical scar. No significant abnormality noted. None. No significant abnormality noted. Multifocal hepatic lesions consistent with cysts unchanged. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Stable right renal cyst. No significant abnormality noted. None. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Surgically absent. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. </s>

No intracranial hemorrhage is identified. No intracranial mass or evidence of mass-effect. No midline shift or herniation. Hypoattenuation in the left basal ganglia likely represents a chronic lacunar infarct. Subcortical and periventricular hypoattenuation is nonspecific for but likely secondary to age-indeterminate small vessel disease. Calcifications along the internal carotid arteries bilaterally. Volume loss likely secondary to advanced patient age. There is slight prominence of the left lateral ventricle greater than the right lateral ventricle. No extra-axial collections. The visualized portions of the paranasal sinuses are clear. Mastoid air cells are clear. Calvarium is intact.

clinical findings_fin: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}}clinical findings_fin: {'intracranial mass': {'clinical finding': 'intracranial mass', 'cf_snomed': {'intracranial mass': 85974009}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'mass'}, 'mass-effect': {'clinical finding': 'mass-effect', 'existence': 'neg_dx', 'observation': 'mass'}}location descriptor_fin: ['midline']clinical findings_fin: {'herniation': {'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'}}anatomical entity_fin: {'basal ganglia': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'hypoattenuation': {'clinical finding': 'hypoattenuation', 'existence': 'pos_dx', 'observation': 'hypoattenuation'}, 'chronic lacunar infarct': {'clinical finding': 'chronic lacunar infarct', 'cf_snomed': {'lacunar infarct': 81037000}, 'existence': 'unc_dx', 'descriptive_term': 'chronic lacunar', 'observation': 'infarct', 'temporal_term': 'chronic'}}clinical findings_fin: {'subcortical and periventricular hypoattenuation': {'clinical finding': 'subcortical and periventricular hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'subcortical and periventricular', 'observation': 'hypoattenuation'}, 'age-indeterminate small vessel disease': {'clinical finding': 'age-indeterminate small vessel disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'unc_dx', 'descriptive_term': 'age-indeterminate small vessel', 'observation': 'disease', 'strength_term': 'small'}}anatomical entity_fin: {'internal carotid arteries': {}}clinical findings_fin: {'calcifications': {'clinical finding': 'calcifications', 'existence': 'pos_dx', 'observation': 'calcification'}}clinical findings_fin: {'volume loss likely secondary to advanced patient age': {'clinical finding': 'volume loss likely secondary to advanced patient age'}}anatomical entity_fin: {'left lateral ventricle': {}, 'right lateral ventricle': {}}clinical findings_fin: {'slight prominence of the left lateral ventricle greater than the right lateral ventricle': {'clinical finding': 'slight prominence of the left lateral ventricle greater than the right lateral ventricle', 'change_term': 'greater'}}anatomical entity_fin: {'paranasal sinuses': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}}clinical findings_fin: {'intracranial mass': {'clinical finding': 'intracranial mass', 'cf_snomed': {'intracranial mass': 85974009}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'mass'}, 'mass-effect': {'clinical finding': 'mass-effect', 'existence': 'neg_dx', 'observation': 'mass'}}location descriptor_fin: ['midline']clinical findings_fin: {'herniation': {'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'}}anatomical entity_fin: {'basal ganglia': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'hypoattenuation': {'clinical finding': 'hypoattenuation', 'existence': 'pos_dx', 'observation': 'hypoattenuation'}, 'chronic lacunar infarct': {'clinical finding': 'chronic lacunar infarct', 'cf_snomed': {'lacunar infarct': 81037000}, 'existence': 'unc_dx', 'descriptive_term': 'chronic lacunar', 'observation': 'infarct', 'temporal_term': 'chronic'}}clinical findings_fin: {'subcortical and periventricular hypoattenuation': {'clinical finding': 'subcortical and periventricular hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'subcortical and periventricular', 'observation': 'hypoattenuation'}, 'age-indeterminate small vessel disease': {'clinical finding': 'age-indeterminate small vessel disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'unc_dx', 'descriptive_term': 'age-indeterminate small vessel', 'observation': 'disease', 'strength_term': 'small'}}anatomical entity_fin: {'internal carotid arteries': {}}clinical findings_fin: {'calcifications': {'clinical finding': 'calcifications', 'existence': 'pos_dx', 'observation': 'calcification'}}clinical findings_fin: {'volume loss likely secondary to advanced patient age': {'clinical finding': 'volume loss likely secondary to advanced patient age'}}anatomical entity_fin: {'left lateral ventricle': {}, 'right lateral ventricle': {}}clinical findings_fin: {'slight prominence of the left lateral ventricle greater than the right lateral ventricle': {'clinical finding': 'slight prominence of the left lateral ventricle greater than the right lateral ventricle', 'change_term': 'greater'}}anatomical entity_fin: {'paranasal sinuses': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}} [/INST] No intracranial hemorrhage is identified. No intracranial mass or evidence of mass-effect. No midline shift or herniation. Hypoattenuation in the left basal ganglia likely represents a chronic lacunar infarct. Subcortical and periventricular hypoattenuation is nonspecific for but likely secondary to age-indeterminate small vessel disease. Calcifications along the internal carotid arteries bilaterally. Volume loss likely secondary to advanced patient age. There is slight prominence of the left lateral ventricle greater than the right lateral ventricle. No extra-axial collections. The visualized portions of the paranasal sinuses are clear. Mastoid air cells are clear. Calvarium is intact. </s>

. There is no evidence of acute intracranial hemorrhage. The gray white matter differentiation is maintained. There are no areas of abnormal attenuation. The ventricles and sulci are within normal limits. There is no midline shift or mass effect. There is no extraaxial fluid collection. The visualized portions of the paranasal sinuses and mastoids or middle ears are grossly clear. The calvarium is intact. Extracranial soft tissues are unremarkable. The scout lateral view and the sagittal reformatted images demonstrate mild straightening which may be positional. The vertebral body and disk space heights are well-maintained. There is no acute fracture or subluxation. At C1-C2, there is a normal relationship of the dens with the arch of C1. No significant bony spinal canal or foraminal stenosis. Prevertebral and paraspinous soft tissues are unremarkable. Lung apices appear normal.

clinical findings_fin: {'acute intracranial hemorrhage': {'clinical finding': 'acute intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'acute intracranial', 'observation': 'hemorrhage', 'strength_term': 'acute', 'temporal_term': 'acute'}}clinical findings_fin: {'gray white matter differentiation': {'clinical finding': 'gray white matter differentiation', 'existence': 'pos_dx', 'descriptive_term': 'gray white matter', 'observation': 'differentiation'}}clinical findings_fin: {'abnormal attenuation': {'clinical finding': 'abnormal attenuation', 'existence': 'neg_dx', 'descriptive_term': 'abnormal', 'observation': 'attenuation'}}clinical findings_fin: {'ventricles and sulci are within normal limits': {'clinical finding': 'ventricles and sulci are within normal limits'}}location descriptor_fin: ['midline']clinical findings_fin: {'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}}clinical findings_fin: {'extraaxial fluid collection': {'clinical finding': 'extraaxial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'extraaxial fluid', 'observation': 'collection'}}anatomical entity_fin: {'paranasal sinuses': {}, 'middle ears': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'pos_dx', 'observation': 'intact'}}clinical findings_fin: {'extracranial soft tissues are unremarkable': {'clinical finding': 'extracranial soft tissues are unremarkable'}}location descriptor_fin: ['lateral']clinical findings_fin: {'scout lateral view and the sagittal reformatted images demonstrate mild straightening which may be positional': {'clinical finding': 'scout lateral view and the sagittal reformatted images demonstrate mild straightening which may be positional'}}anatomical entity_fin: {'vertebral body': {}}clinical findings_fin: {'vertebral body and disk space heights': {'clinical finding': 'vertebral body and disk space heights', 'existence': 'pos_dx', 'descriptive_term': 'vertebral body and disk space', 'observation': 'height'}}clinical findings_fin: {'acute fracture': {'clinical finding': 'acute fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'fracture', 'strength_term': 'acute', 'temporal_term': 'acute'}, 'subluxation': {'clinical finding': 'subluxation', 'cf_snomed': {'subluxation': 26396009}, 'existence': 'neg_dx', 'observation': 'subluxation'}}anatomical entity_fin: {'dens': {}}clinical findings_fin: {'c1 -c2 , there is a normal relationship of the dens with the arch of c1': {'clinical finding': 'c1 -c2 , there is a normal relationship of the dens with the arch of c1'}}anatomical entity_fin: {'spinal canal': {}}clinical findings_fin: {'significant bony spinal canal': {'clinical finding': 'significant bony spinal canal', 'existence': 'neg_dx', 'descriptive_term': 'significant bony spinal', 'observation': 'canal'}, 'foraminal stenosis': {'clinical finding': 'foraminal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'neg_dx', 'descriptive_term': 'foraminal', 'observation': 'stenosis'}}clinical findings_fin: {'prevertebral and paraspinous soft tissues are unremarkable': {'clinical finding': 'prevertebral and paraspinous soft tissues are unremarkable'}}anatomical entity_fin: {'lung': {}, 'apices': {}}clinical findings_fin: {'lung apices appear normal': {'clinical finding': 'lung apices appear normal'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'acute intracranial hemorrhage': {'clinical finding': 'acute intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'acute intracranial', 'observation': 'hemorrhage', 'strength_term': 'acute', 'temporal_term': 'acute'}}clinical findings_fin: {'gray white matter differentiation': {'clinical finding': 'gray white matter differentiation', 'existence': 'pos_dx', 'descriptive_term': 'gray white matter', 'observation': 'differentiation'}}clinical findings_fin: {'abnormal attenuation': {'clinical finding': 'abnormal attenuation', 'existence': 'neg_dx', 'descriptive_term': 'abnormal', 'observation': 'attenuation'}}clinical findings_fin: {'ventricles and sulci are within normal limits': {'clinical finding': 'ventricles and sulci are within normal limits'}}location descriptor_fin: ['midline']clinical findings_fin: {'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}}clinical findings_fin: {'extraaxial fluid collection': {'clinical finding': 'extraaxial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'extraaxial fluid', 'observation': 'collection'}}anatomical entity_fin: {'paranasal sinuses': {}, 'middle ears': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'pos_dx', 'observation': 'intact'}}clinical findings_fin: {'extracranial soft tissues are unremarkable': {'clinical finding': 'extracranial soft tissues are unremarkable'}}location descriptor_fin: ['lateral']clinical findings_fin: {'scout lateral view and the sagittal reformatted images demonstrate mild straightening which may be positional': {'clinical finding': 'scout lateral view and the sagittal reformatted images demonstrate mild straightening which may be positional'}}anatomical entity_fin: {'vertebral body': {}}clinical findings_fin: {'vertebral body and disk space heights': {'clinical finding': 'vertebral body and disk space heights', 'existence': 'pos_dx', 'descriptive_term': 'vertebral body and disk space', 'observation': 'height'}}clinical findings_fin: {'acute fracture': {'clinical finding': 'acute fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'fracture', 'strength_term': 'acute', 'temporal_term': 'acute'}, 'subluxation': {'clinical finding': 'subluxation', 'cf_snomed': {'subluxation': 26396009}, 'existence': 'neg_dx', 'observation': 'subluxation'}}anatomical entity_fin: {'dens': {}}clinical findings_fin: {'c1 -c2 , there is a normal relationship of the dens with the arch of c1': {'clinical finding': 'c1 -c2 , there is a normal relationship of the dens with the arch of c1'}}anatomical entity_fin: {'spinal canal': {}}clinical findings_fin: {'significant bony spinal canal': {'clinical finding': 'significant bony spinal canal', 'existence': 'neg_dx', 'descriptive_term': 'significant bony spinal', 'observation': 'canal'}, 'foraminal stenosis': {'clinical finding': 'foraminal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'neg_dx', 'descriptive_term': 'foraminal', 'observation': 'stenosis'}}clinical findings_fin: {'prevertebral and paraspinous soft tissues are unremarkable': {'clinical finding': 'prevertebral and paraspinous soft tissues are unremarkable'}}anatomical entity_fin: {'lung': {}, 'apices': {}}clinical findings_fin: {'lung apices appear normal': {'clinical finding': 'lung apices appear normal'}} [/INST] . There is no evidence of acute intracranial hemorrhage. The gray white matter differentiation is maintained. There are no areas of abnormal attenuation. The ventricles and sulci are within normal limits. There is no midline shift or mass effect. There is no extraaxial fluid collection. The visualized portions of the paranasal sinuses and mastoids or middle ears are grossly clear. The calvarium is intact. Extracranial soft tissues are unremarkable. The scout lateral view and the sagittal reformatted images demonstrate mild straightening which may be positional. The vertebral body and disk space heights are well-maintained. There is no acute fracture or subluxation. At C1-C2, there is a normal relationship of the dens with the arch of C1. No significant bony spinal canal or foraminal stenosis. Prevertebral and paraspinous soft tissues are unremarkable. Lung apices appear normal. </s>

. Irregular left apical opacity measures 3.7 x 1.8 cm , previously 4.0 x 2.8 cm, now with central cavitation. Multiple new irregular airspace opacities are noted predominantly at the apices. Small left pleural effusion is largely unchanged. Basilar atelectasis appears slightly increased in the prior exam. Scattered calcified micronodules is compatible with previous granulomatous infection. Large prevascular lymph node measures 1.5 cm , previously 1.4 cm. Additional prominent mediastinal lymph nodes are noted. Moderate cardiomegaly with an moderate pericardial effusion is unchanged since prior exam. Right IJ pulmonary arterial catheter tip in the right descending pulmonary artery. Left chest wall ICD. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. No significant abnormality noted.

size_fin: [{'size': '3.7 x 1.8 cm'}, {'size': '4.0 x 2.8 cm'}]imaging observation_fin: ['apical']location descriptor_fin: ['left', 'central']clinical findings_fin: {'irregular left apical opacity': {'clinical finding': 'irregular left apical opacity', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'irregular left apical', 'observation': 'opacity'}, 'central cavitation': {'clinical finding': 'central cavitation', 'existence': 'pos_dx', 'descriptive_term': 'central', 'observation': 'cavitation'}}anatomical entity_fin: {'airspace': {}, 'apices': {}}clinical findings_fin: {'multiple new irregular airspace opacities': {'clinical finding': 'multiple new irregular airspace opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'multiple new irregular airspace', 'observation': 'opacity', 'quantity_term': 'multiple', 'temporal_term': 'new'}}location descriptor_fin: ['left']clinical findings_fin: {'small left pleural effusion': {'clinical finding': 'small left pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'small left pleural', 'observation': 'effusion', 'strength_term': 'small'}}clinical findings_fin: {'basilar atelectasis': {'clinical finding': 'basilar atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'basilar', 'observation': 'atelectasis'}}clinical findings_fin: {'scattered calcified micronodules': {'clinical finding': 'scattered calcified micronodules', 'existence': 'pos_dx', 'descriptive_term': 'scattered calcified', 'observation': 'micronodule', 'change_term': 'calcified'}, 'previous granulomatous infection': {'clinical finding': 'previous granulomatous infection', 'existence': 'pos_dx', 'descriptive_term': 'previous granulomatous', 'observation': 'infection', 'temporal_term': 'previous'}}size_fin: [{'size': '1.5 cm'}, {'size': '1.4 cm'}]clinical findings_fin: {'large prevascular lymph node': {'clinical finding': 'large prevascular lymph node', 'existence': 'pos_dx', 'descriptive_term': 'large prevascular lymph', 'observation': 'node', 'strength_term': 'large'}}anatomical entity_fin: {'mediastinal lymph nodes': {}}clinical findings_fin: {'additional prominent mediastinal lymph nodes': {'clinical finding': 'additional prominent mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'additional prominent mediastinal lymph', 'observation': 'node', 'strength_term': 'prominent'}}clinical findings_fin: {'moderate cardiomegaly': {'clinical finding': 'moderate cardiomegaly', 'cf_snomed': {'cardiomegaly': 8186001}, 'existence': 'pos_dx', 'descriptive_term': 'moderate', 'observation': 'cardiomegaly', 'strength_term': 'moderate'}, 'moderate pericardial effusion': {'clinical finding': 'moderate pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'pos_dx', 'descriptive_term': 'moderate pericardial', 'observation': 'effusion', 'strength_term': 'moderate'}}anatomical entity_fin: {'pulmonary artery': {}}location descriptor_fin: ['right']object_fin: ['catheter']clinical findings_fin: {'right ij pulmonary': {'clinical finding': 'right ij pulmonary', 'existence': 'pos_dx', 'descriptive_term': 'right ij', 'observation': 'pulmonary'}, 'right descending pulmonary': {'clinical finding': 'right descending pulmonary', 'existence': 'pos_dx', 'descriptive_term': 'right descending', 'observation': 'pulmonary'}}anatomical entity_fin: {'chest wall': {'location descriptor': 'left'}}location descriptor_fin: ['left']anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: size_fin: [{'size': '3.7 x 1.8 cm'}, {'size': '4.0 x 2.8 cm'}]imaging observation_fin: ['apical']location descriptor_fin: ['left', 'central']clinical findings_fin: {'irregular left apical opacity': {'clinical finding': 'irregular left apical opacity', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'irregular left apical', 'observation': 'opacity'}, 'central cavitation': {'clinical finding': 'central cavitation', 'existence': 'pos_dx', 'descriptive_term': 'central', 'observation': 'cavitation'}}anatomical entity_fin: {'airspace': {}, 'apices': {}}clinical findings_fin: {'multiple new irregular airspace opacities': {'clinical finding': 'multiple new irregular airspace opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'multiple new irregular airspace', 'observation': 'opacity', 'quantity_term': 'multiple', 'temporal_term': 'new'}}location descriptor_fin: ['left']clinical findings_fin: {'small left pleural effusion': {'clinical finding': 'small left pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'small left pleural', 'observation': 'effusion', 'strength_term': 'small'}}clinical findings_fin: {'basilar atelectasis': {'clinical finding': 'basilar atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'basilar', 'observation': 'atelectasis'}}clinical findings_fin: {'scattered calcified micronodules': {'clinical finding': 'scattered calcified micronodules', 'existence': 'pos_dx', 'descriptive_term': 'scattered calcified', 'observation': 'micronodule', 'change_term': 'calcified'}, 'previous granulomatous infection': {'clinical finding': 'previous granulomatous infection', 'existence': 'pos_dx', 'descriptive_term': 'previous granulomatous', 'observation': 'infection', 'temporal_term': 'previous'}}size_fin: [{'size': '1.5 cm'}, {'size': '1.4 cm'}]clinical findings_fin: {'large prevascular lymph node': {'clinical finding': 'large prevascular lymph node', 'existence': 'pos_dx', 'descriptive_term': 'large prevascular lymph', 'observation': 'node', 'strength_term': 'large'}}anatomical entity_fin: {'mediastinal lymph nodes': {}}clinical findings_fin: {'additional prominent mediastinal lymph nodes': {'clinical finding': 'additional prominent mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'additional prominent mediastinal lymph', 'observation': 'node', 'strength_term': 'prominent'}}clinical findings_fin: {'moderate cardiomegaly': {'clinical finding': 'moderate cardiomegaly', 'cf_snomed': {'cardiomegaly': 8186001}, 'existence': 'pos_dx', 'descriptive_term': 'moderate', 'observation': 'cardiomegaly', 'strength_term': 'moderate'}, 'moderate pericardial effusion': {'clinical finding': 'moderate pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'pos_dx', 'descriptive_term': 'moderate pericardial', 'observation': 'effusion', 'strength_term': 'moderate'}}anatomical entity_fin: {'pulmonary artery': {}}location descriptor_fin: ['right']object_fin: ['catheter']clinical findings_fin: {'right ij pulmonary': {'clinical finding': 'right ij pulmonary', 'existence': 'pos_dx', 'descriptive_term': 'right ij', 'observation': 'pulmonary'}, 'right descending pulmonary': {'clinical finding': 'right descending pulmonary', 'existence': 'pos_dx', 'descriptive_term': 'right descending', 'observation': 'pulmonary'}}anatomical entity_fin: {'chest wall': {'location descriptor': 'left'}}location descriptor_fin: ['left']anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . Irregular left apical opacity measures 3.7 x 1.8 cm , previously 4.0 x 2.8 cm, now with central cavitation. Multiple new irregular airspace opacities are noted predominantly at the apices. Small left pleural effusion is largely unchanged. Basilar atelectasis appears slightly increased in the prior exam. Scattered calcified micronodules is compatible with previous granulomatous infection. Large prevascular lymph node measures 1.5 cm , previously 1.4 cm. Additional prominent mediastinal lymph nodes are noted. Moderate cardiomegaly with an moderate pericardial effusion is unchanged since prior exam. Right IJ pulmonary arterial catheter tip in the right descending pulmonary artery. Left chest wall ICD. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. No significant abnormality noted. </s>

. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Interval removal of left nephrostomy catheter. There is a 2 mm calculus lodged in the left UVJ. Mild left hydronephrosis persists. Multiple small retroperitoneal lymph nodes remain. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No bladder calculi are evident. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality 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: {'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']object_fin: ['catheter']procedure_fin: ['nephrostomy']size_fin: [{'size': '2 mm', 'size_descriptor': 'calculus'}]location descriptor_fin: ['left']clinical findings_fin: {'2 mm calculus': {'clinical finding': '2 mm calculus', 'cf_snomed': {'calculus': 56381008}, 'existence': 'pos_dx', 'descriptive_term': '2 mm', 'observation': 'calculus'}}location descriptor_fin: ['left']clinical findings_fin: {'mild left hydronephrosis': {'clinical finding': 'mild left hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'pos_dx', 'descriptive_term': 'mild left', 'observation': 'hydronephrosis', 'strength_term': 'mild'}}clinical findings_fin: {'multiple small retroperitoneal lymph nodes': {'clinical finding': 'multiple small retroperitoneal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'multiple small retroperitoneal lymph', 'observation': 'node', 'strength_term': 'small', 'quantity_term': 'multiple'}}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'}}anatomical entity_fin: {'bladder': {}}clinical findings_fin: {'bladder calculi are evident': {'clinical finding': 'bladder calculi are evident'}}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'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: 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']object_fin: ['catheter']procedure_fin: ['nephrostomy']size_fin: [{'size': '2 mm', 'size_descriptor': 'calculus'}]location descriptor_fin: ['left']clinical findings_fin: {'2 mm calculus': {'clinical finding': '2 mm calculus', 'cf_snomed': {'calculus': 56381008}, 'existence': 'pos_dx', 'descriptive_term': '2 mm', 'observation': 'calculus'}}location descriptor_fin: ['left']clinical findings_fin: {'mild left hydronephrosis': {'clinical finding': 'mild left hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'pos_dx', 'descriptive_term': 'mild left', 'observation': 'hydronephrosis', 'strength_term': 'mild'}}clinical findings_fin: {'multiple small retroperitoneal lymph nodes': {'clinical finding': 'multiple small retroperitoneal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'multiple small retroperitoneal lymph', 'observation': 'node', 'strength_term': 'small', 'quantity_term': 'multiple'}}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'}}anatomical entity_fin: {'bladder': {}}clinical findings_fin: {'bladder calculi are evident': {'clinical finding': 'bladder calculi are evident'}}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'}} [/INST] . No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Interval removal of left nephrostomy catheter. There is a 2 mm calculus lodged in the left UVJ. Mild left hydronephrosis persists. Multiple small retroperitoneal lymph nodes remain. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No bladder calculi are evident. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. </s>

There are post-treatment findings in the left neck and oral cavity region. There is no evidence of measurable mass lesions or significant cervical lymphadenopathy based on size criteria. There appear to be secretions in the left piriform sinus and mild asymmetry of the false vocal cords, but no evidence of laryngeal tumor. There is persistent mild stranding surrounding the left submandibular gland, which may be related to treatment effects. The other salivary glands are unremarkable. The thyroid gland also appears unremarkable. The major cervical vessels are patent. There is multilevel degenerative cervical spondylosis. The airways are patent. There is a small left maxillary sinus retention cyst. The imaged intracranial structures are unremarkable. There is a left lens implant. The imaged portions of the lungs are clear.

anatomical entity_fin: {'neck': {'location descriptor': 'left'}, 'oral cavity': {}}location descriptor_fin: ['left']procedure_fin: ['treatment']clinical findings_fin: {'post-treatment': {'clinical finding': 'post-treatment', 'existence': 'pos_dx', 'observation': 'post'}}clinical findings_fin: {'measurable mass lesions': {'clinical finding': 'measurable mass lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'measurable mass', 'observation': 'lesion'}, 'significant cervical lymphadenopathy': {'clinical finding': 'significant cervical lymphadenopathy', 'cf_snomed': {'cervical lymphadenopathy': 127086001}, 'existence': 'neg_dx', 'descriptive_term': 'significant cervical', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'false vocal cords': {}}location descriptor_fin: ['left']clinical findings_fin: {'mild asymmetry': {'clinical finding': 'mild asymmetry', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'asymmetry', 'strength_term': 'mild'}, 'false': {'clinical finding': 'false', 'existence': 'pos_dx', 'observation': 'false'}, 'laryngeal tumor': {'clinical finding': 'laryngeal tumor', 'existence': 'neg_dx', 'descriptive_term': 'laryngeal', 'observation': 'tumor'}}anatomical entity_fin: {'left submandibular gland': {}}procedure_fin: ['treatment']clinical findings_fin: {'persistent mild stranding': {'clinical finding': 'persistent mild stranding', 'existence': 'pos_dx', 'descriptive_term': 'persistent mild', 'observation': 'strand', 'strength_term': 'mild', 'temporal_term': 'persistent'}}anatomical entity_fin: {'salivary glands': {}}clinical findings_fin: {'other salivary glands are unremarkable': {'clinical finding': 'other salivary glands are unremarkable'}}anatomical entity_fin: {'thyroid gland': {}}clinical findings_fin: {'also appears unremarkable': {'clinical finding': 'also appears unremarkable'}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}clinical findings_fin: {'multilevel degenerative cervical spondylosis': {'clinical finding': 'multilevel degenerative cervical spondylosis', 'cf_snomed': {'cervical spondylosis': 387800004}, 'existence': 'pos_dx', 'descriptive_term': 'multilevel degenerative cervical', 'observation': 'spondylosis'}}anatomical entity_fin: {'airways': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}anatomical entity_fin: {'maxillary sinus': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'small left maxillary sinus retention cyst': {'clinical finding': 'small left maxillary sinus retention cyst', 'cf_snomed': {'sinus': 419351001, 'retention': 36850000, 'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'small left maxillary sinus retention', 'observation': 'cyst', 'strength_term': 'small'}}clinical findings_fin: {'imaged intracranial structures are unremarkable': {'clinical finding': 'imaged intracranial structures are unremarkable'}}anatomical entity_fin: {'lens': {'location descriptor': 'left'}}location descriptor_fin: ['left']object_fin: ['implant']anatomical entity_fin: {'lungs': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'neck': {'location descriptor': 'left'}, 'oral cavity': {}}location descriptor_fin: ['left']procedure_fin: ['treatment']clinical findings_fin: {'post-treatment': {'clinical finding': 'post-treatment', 'existence': 'pos_dx', 'observation': 'post'}}clinical findings_fin: {'measurable mass lesions': {'clinical finding': 'measurable mass lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'measurable mass', 'observation': 'lesion'}, 'significant cervical lymphadenopathy': {'clinical finding': 'significant cervical lymphadenopathy', 'cf_snomed': {'cervical lymphadenopathy': 127086001}, 'existence': 'neg_dx', 'descriptive_term': 'significant cervical', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'false vocal cords': {}}location descriptor_fin: ['left']clinical findings_fin: {'mild asymmetry': {'clinical finding': 'mild asymmetry', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'asymmetry', 'strength_term': 'mild'}, 'false': {'clinical finding': 'false', 'existence': 'pos_dx', 'observation': 'false'}, 'laryngeal tumor': {'clinical finding': 'laryngeal tumor', 'existence': 'neg_dx', 'descriptive_term': 'laryngeal', 'observation': 'tumor'}}anatomical entity_fin: {'left submandibular gland': {}}procedure_fin: ['treatment']clinical findings_fin: {'persistent mild stranding': {'clinical finding': 'persistent mild stranding', 'existence': 'pos_dx', 'descriptive_term': 'persistent mild', 'observation': 'strand', 'strength_term': 'mild', 'temporal_term': 'persistent'}}anatomical entity_fin: {'salivary glands': {}}clinical findings_fin: {'other salivary glands are unremarkable': {'clinical finding': 'other salivary glands are unremarkable'}}anatomical entity_fin: {'thyroid gland': {}}clinical findings_fin: {'also appears unremarkable': {'clinical finding': 'also appears unremarkable'}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}clinical findings_fin: {'multilevel degenerative cervical spondylosis': {'clinical finding': 'multilevel degenerative cervical spondylosis', 'cf_snomed': {'cervical spondylosis': 387800004}, 'existence': 'pos_dx', 'descriptive_term': 'multilevel degenerative cervical', 'observation': 'spondylosis'}}anatomical entity_fin: {'airways': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}anatomical entity_fin: {'maxillary sinus': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'small left maxillary sinus retention cyst': {'clinical finding': 'small left maxillary sinus retention cyst', 'cf_snomed': {'sinus': 419351001, 'retention': 36850000, 'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'small left maxillary sinus retention', 'observation': 'cyst', 'strength_term': 'small'}}clinical findings_fin: {'imaged intracranial structures are unremarkable': {'clinical finding': 'imaged intracranial structures are unremarkable'}}anatomical entity_fin: {'lens': {'location descriptor': 'left'}}location descriptor_fin: ['left']object_fin: ['implant']anatomical entity_fin: {'lungs': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}} [/INST] There are post-treatment findings in the left neck and oral cavity region. There is no evidence of measurable mass lesions or significant cervical lymphadenopathy based on size criteria. There appear to be secretions in the left piriform sinus and mild asymmetry of the false vocal cords, but no evidence of laryngeal tumor. There is persistent mild stranding surrounding the left submandibular gland, which may be related to treatment effects. The other salivary glands are unremarkable. The thyroid gland also appears unremarkable. The major cervical vessels are patent. There is multilevel degenerative cervical spondylosis. The airways are patent. There is a small left maxillary sinus retention cyst. The imaged intracranial structures are unremarkable. There is a left lens implant. The imaged portions of the lungs are clear. </s>

. Mild basilar interstitial and ground glass opacity more likely due to edema or aspiration than infection. Upper normal heart size without pericardial effusion. Small scattered mediastinal lymph nodes. Calcified right hilar nodes. Mildly dilated ascending aorta measures 4.9 cm in diameter. Moderate aortic calcifications. Aspirated debris in central airways. Mild. Bilateral venous catheter tips in right atrium. Subacute rib fracture on the right. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. No significant abnormality noted.

clinical findings_fin: {'mild basilar interstitial and ground glass opacity': {'clinical finding': 'mild basilar interstitial and ground glass opacity', 'cf_snomed': {'ground glass opacity': 1217294009}, 'existence': 'pos_dx', 'descriptive_term': 'mild basilar interstitial and ground glass', 'observation': 'opacity', 'strength_term': 'mild'}, 'edema': {'clinical finding': 'edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'unc_dx', 'observation': 'edema'}, 'aspiration': {'clinical finding': 'aspiration', 'existence': 'unc_dx', 'observation': 'aspiration'}, 'infection': {'clinical finding': 'infection', 'existence': 'pos_dx', 'observation': 'infection'}}anatomical entity_fin: {'heart': {}}location descriptor_fin: ['upper']clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'pos_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}anatomical entity_fin: {'mediastinal lymph nodes': {}}clinical findings_fin: {'small scattered mediastinal lymph nodes': {'clinical finding': 'small scattered mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small scattered mediastinal lymph', 'observation': 'node', 'strength_term': 'small'}}location descriptor_fin: ['right']clinical findings_fin: {'calcified right hilar nodes': {'clinical finding': 'calcified right hilar nodes', 'existence': 'pos_dx', 'descriptive_term': 'calcified right hilar', 'observation': 'node', 'change_term': 'calcified'}}size_fin: [{'size': '4.9 cm', 'size_descriptor': 'aorta'}]anatomical entity_fin: {'ascending aorta': {}}clinical findings_fin: {'mildly dilated': {'clinical finding': 'mildly dilated', 'existence': 'pos_dx', 'descriptive_term': 'mildly', 'observation': 'dilated', 'strength_term': 'mildly'}}clinical findings_fin: {'moderate aortic calcifications': {'clinical finding': 'moderate aortic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'moderate aortic', 'observation': 'calcification', 'strength_term': 'moderate'}}anatomical entity_fin: {'airways': {'location descriptor': 'central'}}location descriptor_fin: ['central']clinical findings_fin: {'aspirated debris': {'clinical finding': 'aspirated debris', 'existence': 'pos_dx', 'descriptive_term': 'aspirated', 'observation': 'debris'}}anatomical entity_fin: {'right atrium': {}}location descriptor_fin: ['bilateral']object_fin: ['catheter']anatomical entity_fin: {'rib': {}}location descriptor_fin: ['right']clinical findings_fin: {'subacute rib fracture': {'clinical finding': 'subacute rib fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'subacute rib', 'observation': 'fracture'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'mild basilar interstitial and ground glass opacity': {'clinical finding': 'mild basilar interstitial and ground glass opacity', 'cf_snomed': {'ground glass opacity': 1217294009}, 'existence': 'pos_dx', 'descriptive_term': 'mild basilar interstitial and ground glass', 'observation': 'opacity', 'strength_term': 'mild'}, 'edema': {'clinical finding': 'edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'unc_dx', 'observation': 'edema'}, 'aspiration': {'clinical finding': 'aspiration', 'existence': 'unc_dx', 'observation': 'aspiration'}, 'infection': {'clinical finding': 'infection', 'existence': 'pos_dx', 'observation': 'infection'}}anatomical entity_fin: {'heart': {}}location descriptor_fin: ['upper']clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'pos_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}anatomical entity_fin: {'mediastinal lymph nodes': {}}clinical findings_fin: {'small scattered mediastinal lymph nodes': {'clinical finding': 'small scattered mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small scattered mediastinal lymph', 'observation': 'node', 'strength_term': 'small'}}location descriptor_fin: ['right']clinical findings_fin: {'calcified right hilar nodes': {'clinical finding': 'calcified right hilar nodes', 'existence': 'pos_dx', 'descriptive_term': 'calcified right hilar', 'observation': 'node', 'change_term': 'calcified'}}size_fin: [{'size': '4.9 cm', 'size_descriptor': 'aorta'}]anatomical entity_fin: {'ascending aorta': {}}clinical findings_fin: {'mildly dilated': {'clinical finding': 'mildly dilated', 'existence': 'pos_dx', 'descriptive_term': 'mildly', 'observation': 'dilated', 'strength_term': 'mildly'}}clinical findings_fin: {'moderate aortic calcifications': {'clinical finding': 'moderate aortic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'moderate aortic', 'observation': 'calcification', 'strength_term': 'moderate'}}anatomical entity_fin: {'airways': {'location descriptor': 'central'}}location descriptor_fin: ['central']clinical findings_fin: {'aspirated debris': {'clinical finding': 'aspirated debris', 'existence': 'pos_dx', 'descriptive_term': 'aspirated', 'observation': 'debris'}}anatomical entity_fin: {'right atrium': {}}location descriptor_fin: ['bilateral']object_fin: ['catheter']anatomical entity_fin: {'rib': {}}location descriptor_fin: ['right']clinical findings_fin: {'subacute rib fracture': {'clinical finding': 'subacute rib fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'subacute rib', 'observation': 'fracture'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . Mild basilar interstitial and ground glass opacity more likely due to edema or aspiration than infection. Upper normal heart size without pericardial effusion. Small scattered mediastinal lymph nodes. Calcified right hilar nodes. Mildly dilated ascending aorta measures 4.9 cm in diameter. Moderate aortic calcifications. Aspirated debris in central airways. Mild. Bilateral venous catheter tips in right atrium. Subacute rib fracture on the right. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. No significant abnormality noted. </s>

. 2 x 1.5 cm irregular nodule in the right lower lobe costophrenic angle region. No cavitation or visible necrosis. Focal groundglass opacity left upper lobe. Sub-5 mm micronodule in the right upper lobe too small to accurately characterize however could reflect an intrapulmonary lymph node. Punctate micronodules is elsewhere most likely reflect granulomas. Mild cardiomegaly. Severe mitral calcification. Papillary muscle calcification the left ventricle also noted, suspicious for prior MI. No visible lymphadenopathy on this unenhanced technique scan. Severe. No significant abnormality noted. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. Limited scanning range. Splenomegaly.

size_fin: [{'size': '2 x 1.5 cm', 'size_descriptor': 'nodule'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}imaging observation_fin: ['angle']location descriptor_fin: ['right', 'lower']clinical findings_fin: {'2 x 1.5 cm irregular nodule': {'clinical finding': '2 x 1.5 cm irregular nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': '2 x 1 5 cm irregular', 'observation': 'nodule'}}clinical findings_fin: {'cavitation': {'clinical finding': 'cavitation', 'existence': 'neg_dx', 'observation': 'cavitation'}, 'visible necrosis': {'clinical finding': 'visible necrosis', 'cf_snomed': {'necrosis': 6574001}, 'existence': 'neg_dx', 'descriptive_term': 'visible', 'observation': 'necrosis'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'focal groundglass opacity': {'clinical finding': 'focal groundglass opacity', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'focal groundglass', 'observation': 'opacity'}}size_fin: [{'size': '5 mm', 'size_descriptor': 'micronodule'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right upper'}}location descriptor_fin: ['right', 'upper']clinical findings_fin: {'sub-5 mm micronodule': {'clinical finding': 'sub-5 mm micronodule', 'existence': 'pos_dx', 'descriptive_term': 'sub-5 mm', 'observation': 'micronodule'}, 'intrapulmonary lymph node': {'clinical finding': 'intrapulmonary lymph node', 'existence': 'unc_dx', 'descriptive_term': 'intrapulmonary lymph', 'observation': 'node'}}clinical findings_fin: {'punctate micronodules': {'clinical finding': 'punctate micronodules', 'existence': 'unc_dx', 'descriptive_term': 'punctate', 'observation': 'micronodule'}, 'granulomas': {'clinical finding': 'granulomas', 'cf_snomed': {'granuloma': 45647009}, 'existence': 'unc_dx', 'observation': 'granuloma'}}clinical findings_fin: {'mild cardiomegaly': {'clinical finding': 'mild cardiomegaly', 'cf_snomed': {'cardiomegaly': 8186001}, 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'cardiomegaly', 'strength_term': 'mild'}}clinical findings_fin: {'severe mitral calcification': {'clinical finding': 'severe mitral calcification', 'existence': 'pos_dx', 'descriptive_term': 'severe mitral', 'observation': 'calcification', 'strength_term': 'severe'}}anatomical entity_fin: {'papillary muscle': {}, 'left ventricle': {}}clinical findings_fin: {'papillary muscle calcification': {'clinical finding': 'papillary muscle calcification', 'existence': 'pos_dx', 'descriptive_term': 'papillary muscle', 'observation': 'calcification'}, 'prior mi': {'clinical finding': 'prior mi', 'existence': 'unc_dx', 'descriptive_term': 'prior', 'observation': 'mi'}}clinical findings_fin: {'visible lymphadenopathy': {'clinical finding': 'visible lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'descriptive_term': 'visible', 'observation': 'lymphadenopathy'}}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': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'splenomegaly': {'clinical finding': 'splenomegaly', 'cf_snomed': {'splenomegaly': 16294009}, 'existence': 'pos_dx', 'observation': 'splenomegaly'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: size_fin: [{'size': '2 x 1.5 cm', 'size_descriptor': 'nodule'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}imaging observation_fin: ['angle']location descriptor_fin: ['right', 'lower']clinical findings_fin: {'2 x 1.5 cm irregular nodule': {'clinical finding': '2 x 1.5 cm irregular nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': '2 x 1 5 cm irregular', 'observation': 'nodule'}}clinical findings_fin: {'cavitation': {'clinical finding': 'cavitation', 'existence': 'neg_dx', 'observation': 'cavitation'}, 'visible necrosis': {'clinical finding': 'visible necrosis', 'cf_snomed': {'necrosis': 6574001}, 'existence': 'neg_dx', 'descriptive_term': 'visible', 'observation': 'necrosis'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'focal groundglass opacity': {'clinical finding': 'focal groundglass opacity', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'focal groundglass', 'observation': 'opacity'}}size_fin: [{'size': '5 mm', 'size_descriptor': 'micronodule'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right upper'}}location descriptor_fin: ['right', 'upper']clinical findings_fin: {'sub-5 mm micronodule': {'clinical finding': 'sub-5 mm micronodule', 'existence': 'pos_dx', 'descriptive_term': 'sub-5 mm', 'observation': 'micronodule'}, 'intrapulmonary lymph node': {'clinical finding': 'intrapulmonary lymph node', 'existence': 'unc_dx', 'descriptive_term': 'intrapulmonary lymph', 'observation': 'node'}}clinical findings_fin: {'punctate micronodules': {'clinical finding': 'punctate micronodules', 'existence': 'unc_dx', 'descriptive_term': 'punctate', 'observation': 'micronodule'}, 'granulomas': {'clinical finding': 'granulomas', 'cf_snomed': {'granuloma': 45647009}, 'existence': 'unc_dx', 'observation': 'granuloma'}}clinical findings_fin: {'mild cardiomegaly': {'clinical finding': 'mild cardiomegaly', 'cf_snomed': {'cardiomegaly': 8186001}, 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'cardiomegaly', 'strength_term': 'mild'}}clinical findings_fin: {'severe mitral calcification': {'clinical finding': 'severe mitral calcification', 'existence': 'pos_dx', 'descriptive_term': 'severe mitral', 'observation': 'calcification', 'strength_term': 'severe'}}anatomical entity_fin: {'papillary muscle': {}, 'left ventricle': {}}clinical findings_fin: {'papillary muscle calcification': {'clinical finding': 'papillary muscle calcification', 'existence': 'pos_dx', 'descriptive_term': 'papillary muscle', 'observation': 'calcification'}, 'prior mi': {'clinical finding': 'prior mi', 'existence': 'unc_dx', 'descriptive_term': 'prior', 'observation': 'mi'}}clinical findings_fin: {'visible lymphadenopathy': {'clinical finding': 'visible lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'descriptive_term': 'visible', 'observation': 'lymphadenopathy'}}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': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'splenomegaly': {'clinical finding': 'splenomegaly', 'cf_snomed': {'splenomegaly': 16294009}, 'existence': 'pos_dx', 'observation': 'splenomegaly'}} [/INST] . 2 x 1.5 cm irregular nodule in the right lower lobe costophrenic angle region. No cavitation or visible necrosis. Focal groundglass opacity left upper lobe. Sub-5 mm micronodule in the right upper lobe too small to accurately characterize however could reflect an intrapulmonary lymph node. Punctate micronodules is elsewhere most likely reflect granulomas. Mild cardiomegaly. Severe mitral calcification. Papillary muscle calcification the left ventricle also noted, suspicious for prior MI. No visible lymphadenopathy on this unenhanced technique scan. Severe. No significant abnormality noted. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. Limited scanning range. Splenomegaly. </s>

. Lungs appear clear. No pleural effusions. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No evidence of hydronephrosis or perinephric fat stranding. No calculi present. No significant abnormality noted. None. 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. No significant abnormality noted. No significant abnormality noted

anatomical entity_fin: {'lungs': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}clinical findings_fin: {'pleural effusions': {'clinical finding': 'pleural effusions', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}}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'}}imaging observation_fin: ['fat']clinical findings_fin: {'hydronephrosis': {'clinical finding': 'hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'neg_dx', 'observation': 'hydronephrosis'}, 'perinephric fat stranding': {'clinical finding': 'perinephric fat stranding', 'existence': 'neg_dx', 'descriptive_term': 'perinephric fat', 'observation': 'strand'}}clinical findings_fin: {'calculi present': {'clinical finding': 'calculi present'}}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'}}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'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'lungs': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}clinical findings_fin: {'pleural effusions': {'clinical finding': 'pleural effusions', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}}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'}}imaging observation_fin: ['fat']clinical findings_fin: {'hydronephrosis': {'clinical finding': 'hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'neg_dx', 'observation': 'hydronephrosis'}, 'perinephric fat stranding': {'clinical finding': 'perinephric fat stranding', 'existence': 'neg_dx', 'descriptive_term': 'perinephric fat', 'observation': 'strand'}}clinical findings_fin: {'calculi present': {'clinical finding': 'calculi present'}}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'}}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'}} [/INST] . Lungs appear clear. No pleural effusions. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No evidence of hydronephrosis or perinephric fat stranding. No calculi present. No significant abnormality noted. None. 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. No significant abnormality noted. No significant abnormality noted </s>

The paranasal sinuses are clear. The nasal cavity is also clear. The nasal septum is deviated to the left with an associated spur that contacts the left inferior turbinate. The nasal turbinate mucosal is diffusely thinned. The lamina papyracea and ethmoid roofs are intact. The carotid grooves and optic canals are covered by bone. The nasopharynx, facial soft tissues, orbits, and imaged intracranial structures appear to be unremarkable.

anatomical entity_fin: {'paranasal sinuses': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'}}anatomical entity_fin: {'nasal cavity': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'}}location descriptor_fin: ['deviated', 'left', 'inferior']clinical findings_fin: {'nasal septum': {'clinical finding': 'nasal septum', 'existence': 'pos_dx', 'descriptive_term': 'nasal', 'observation': 'septum'}, 'deviated': {'clinical finding': 'deviated', 'existence': 'pos_dx', 'observation': 'deviated'}, 'associated spur': {'clinical finding': 'associated spur', 'existence': 'pos_dx', 'descriptive_term': 'associated', 'observation': 'spur'}}anatomical entity_fin: {'nasal turbinate': {}}clinical findings_fin: {'thinned': {'clinical finding': 'thinned', 'existence': 'pos_dx', 'observation': 'thin'}}anatomical entity_fin: {'roofs': {}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'pos_dx', 'observation': 'intact'}}anatomical entity_fin: {'optic canals': {}}clinical findings_fin: {'carotid grooves and optic canals are covered by bone': {'clinical finding': 'carotid grooves and optic canals are covered by bone'}}anatomical entity_fin: {'nasopharynx': {}, 'orbits': {}}clinical findings_fin: {'nasopharynx , facial soft tissues , orbits , and imaged intracranial structures appear': {'clinical finding': 'nasopharynx , facial soft tissues , orbits , and imaged intracranial structures appear'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'paranasal sinuses': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'}}anatomical entity_fin: {'nasal cavity': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'}}location descriptor_fin: ['deviated', 'left', 'inferior']clinical findings_fin: {'nasal septum': {'clinical finding': 'nasal septum', 'existence': 'pos_dx', 'descriptive_term': 'nasal', 'observation': 'septum'}, 'deviated': {'clinical finding': 'deviated', 'existence': 'pos_dx', 'observation': 'deviated'}, 'associated spur': {'clinical finding': 'associated spur', 'existence': 'pos_dx', 'descriptive_term': 'associated', 'observation': 'spur'}}anatomical entity_fin: {'nasal turbinate': {}}clinical findings_fin: {'thinned': {'clinical finding': 'thinned', 'existence': 'pos_dx', 'observation': 'thin'}}anatomical entity_fin: {'roofs': {}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'pos_dx', 'observation': 'intact'}}anatomical entity_fin: {'optic canals': {}}clinical findings_fin: {'carotid grooves and optic canals are covered by bone': {'clinical finding': 'carotid grooves and optic canals are covered by bone'}}anatomical entity_fin: {'nasopharynx': {}, 'orbits': {}}clinical findings_fin: {'nasopharynx , facial soft tissues , orbits , and imaged intracranial structures appear': {'clinical finding': 'nasopharynx , facial soft tissues , orbits , and imaged intracranial structures appear'}} [/INST] The paranasal sinuses are clear. The nasal cavity is also clear. The nasal septum is deviated to the left with an associated spur that contacts the left inferior turbinate. The nasal turbinate mucosal is diffusely thinned. The lamina papyracea and ethmoid roofs are intact. The carotid grooves and optic canals are covered by bone. The nasopharynx, facial soft tissues, orbits, and imaged intracranial structures appear to be unremarkable. </s>

. Demonstration of the new multifocal groundglass nodular opacities. Several are peripheral in location and a few demonstrate a more solid internal structure with a surrounding halo of groundglass. These are suggestive of atypical infection including aspergillosis as well as fungal etiologies. Small loculated right pleural effusion unchanged from the prior exam. Bronchial wall thickening redemonstrated. Left central venous catheter with its tip in the SVC. Cardiac size is normal. Small pericardial effusion slightly increased from the prior exam. Hypoattenuating blood pool compatible with anemia. Mildly prominent mediastinal lymph nodes. However, evaluation is limited without the use of IV contrast. None. Degenerative changes in the thoracic spine. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. No significant abnormality noted.

clinical findings_fin: {'new multifocal groundglass nodular opacities': {'clinical finding': 'new multifocal groundglass nodular opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'new multifocal groundglass nodular', 'observation': 'opacity', 'temporal_term': 'new'}}imaging observation_fin: ['halo']location descriptor_fin: ['peripheral']clinical findings_fin: {'more solid internal structure': {'clinical finding': 'more solid internal structure', 'existence': 'unc_dx', 'descriptive_term': 'more solid internal', 'observation': 'structure', 'quantity_term': 'more'}}clinical findings_fin: {'atypical infection': {'clinical finding': 'atypical infection', 'existence': 'unc_dx', 'descriptive_term': 'atypical', 'observation': 'infection'}, 'aspergillosis': {'clinical finding': 'aspergillosis', 'cf_snomed': {'aspergillosis': 65553006}, 'existence': 'unc_dx', 'observation': 'aspergillosis'}}location descriptor_fin: ['right']clinical findings_fin: {'small loculated right pleural effusion': {'clinical finding': 'small loculated right pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'small loculated right pleural', 'observation': 'effusion', 'strength_term': 'small'}}clinical findings_fin: {'wall thickening': {'clinical finding': 'wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'wall', 'observation': 'thickening'}}location descriptor_fin: ['left']object_fin: ['central venous catheter']clinical findings_fin: {'left central venous catheter': {'clinical finding': 'left central venous catheter', 'existence': 'pos_dx', 'descriptive_term': 'left central venous', 'observation': 'catheter'}}clinical findings_fin: {'cardiac size is normal': {'clinical finding': 'cardiac size is normal'}}clinical findings_fin: {'small pericardial effusion': {'clinical finding': 'small pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'pos_dx', 'descriptive_term': 'small pericardial', 'observation': 'effusion', 'strength_term': 'small'}}imaging observation_fin: ['blood']clinical findings_fin: {'hypoattenuating blood pool': {'clinical finding': 'hypoattenuating blood pool', 'existence': 'pos_dx', 'descriptive_term': 'hypoattenuating blood', 'observation': 'pool'}, 'anemia': {'clinical finding': 'anemia', 'cf_snomed': {'anemia': 271737000}, 'existence': 'pos_dx', 'observation': 'anemia'}}anatomical entity_fin: {'mediastinal lymph nodes': {}}clinical findings_fin: {'mildly prominent mediastinal lymph nodes': {'clinical finding': 'mildly prominent mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'mildly prominent mediastinal lymph', 'observation': 'node', 'strength_term': 'mildly - prominent'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'degenerative changes': {'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'new multifocal groundglass nodular opacities': {'clinical finding': 'new multifocal groundglass nodular opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'new multifocal groundglass nodular', 'observation': 'opacity', 'temporal_term': 'new'}}imaging observation_fin: ['halo']location descriptor_fin: ['peripheral']clinical findings_fin: {'more solid internal structure': {'clinical finding': 'more solid internal structure', 'existence': 'unc_dx', 'descriptive_term': 'more solid internal', 'observation': 'structure', 'quantity_term': 'more'}}clinical findings_fin: {'atypical infection': {'clinical finding': 'atypical infection', 'existence': 'unc_dx', 'descriptive_term': 'atypical', 'observation': 'infection'}, 'aspergillosis': {'clinical finding': 'aspergillosis', 'cf_snomed': {'aspergillosis': 65553006}, 'existence': 'unc_dx', 'observation': 'aspergillosis'}}location descriptor_fin: ['right']clinical findings_fin: {'small loculated right pleural effusion': {'clinical finding': 'small loculated right pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'small loculated right pleural', 'observation': 'effusion', 'strength_term': 'small'}}clinical findings_fin: {'wall thickening': {'clinical finding': 'wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'wall', 'observation': 'thickening'}}location descriptor_fin: ['left']object_fin: ['central venous catheter']clinical findings_fin: {'left central venous catheter': {'clinical finding': 'left central venous catheter', 'existence': 'pos_dx', 'descriptive_term': 'left central venous', 'observation': 'catheter'}}clinical findings_fin: {'cardiac size is normal': {'clinical finding': 'cardiac size is normal'}}clinical findings_fin: {'small pericardial effusion': {'clinical finding': 'small pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'pos_dx', 'descriptive_term': 'small pericardial', 'observation': 'effusion', 'strength_term': 'small'}}imaging observation_fin: ['blood']clinical findings_fin: {'hypoattenuating blood pool': {'clinical finding': 'hypoattenuating blood pool', 'existence': 'pos_dx', 'descriptive_term': 'hypoattenuating blood', 'observation': 'pool'}, 'anemia': {'clinical finding': 'anemia', 'cf_snomed': {'anemia': 271737000}, 'existence': 'pos_dx', 'observation': 'anemia'}}anatomical entity_fin: {'mediastinal lymph nodes': {}}clinical findings_fin: {'mildly prominent mediastinal lymph nodes': {'clinical finding': 'mildly prominent mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'mildly prominent mediastinal lymph', 'observation': 'node', 'strength_term': 'mildly - prominent'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'degenerative changes': {'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . Demonstration of the new multifocal groundglass nodular opacities. Several are peripheral in location and a few demonstrate a more solid internal structure with a surrounding halo of groundglass. These are suggestive of atypical infection including aspergillosis as well as fungal etiologies. Small loculated right pleural effusion unchanged from the prior exam. Bronchial wall thickening redemonstrated. Left central venous catheter with its tip in the SVC. Cardiac size is normal. Small pericardial effusion slightly increased from the prior exam. Hypoattenuating blood pool compatible with anemia. Mildly prominent mediastinal lymph nodes. However, evaluation is limited without the use of IV contrast. None. Degenerative changes in the thoracic spine. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. No significant abnormality noted. </s>

There is no significant change in the extent of the hypoattenuation and mild swelling involving portions of the left temporal, frontal, and parietal lobes. There are also unchanged punctate foci of hypoattenuation in the bilateral thalami. There is no evidence of acute intracranial hemorrhage or mass. The ventricles and basal cisterns are unchanged in size and configuration. There is no midline shift. There is scattered paranasal sinus opacification with fluid levels. The right temporoparietal scalp swelling has essentially resolved. There are bilateral lens implants.

anatomical entity_fin: {'parietal lobes': {}}location descriptor_fin: ['left']clinical findings_fin: {'significant change': {'clinical finding': 'significant change', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'change'}, 'hypoattenuation': {'clinical finding': 'hypoattenuation', 'existence': 'neg_dx', 'observation': 'hypoattenuation'}, 'mild swelling': {'clinical finding': 'mild swelling', 'cf_snomed': {'swelling': 65124004}, 'existence': 'neg_dx', 'descriptive_term': 'mild', 'observation': 'swell', 'strength_term': 'mild'}}imaging observation_fin: ['foci']location descriptor_fin: ['bilateral']clinical findings_fin: {'unchanged punctate foci': {'clinical finding': 'unchanged punctate foci', 'existence': 'pos_dx', 'descriptive_term': 'unchanged punctate', 'observation': 'foci', 'strength_term': 'unchanged', 'change_term': 'unchanged'}, 'hypoattenuation': {'clinical finding': 'hypoattenuation', 'existence': 'pos_dx', 'observation': 'hypoattenuation'}}clinical findings_fin: {'acute intracranial hemorrhage': {'clinical finding': 'acute intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'acute intracranial', 'observation': 'hemorrhage', 'strength_term': 'acute', 'temporal_term': 'acute'}, 'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}}clinical findings_fin: {'ventricles and basal cisterns are unchanged in size and configuration': {'clinical finding': 'ventricles and basal cisterns are unchanged in size and configuration', 'change_term': 'unchanged'}}location descriptor_fin: ['midline']clinical findings_fin: {'midline shift': {'clinical finding': 'midline shift', 'cf_snomed': {'shift': 9546005}, 'existence': 'neg_dx', 'descriptive_term': 'midline', 'observation': 'shift'}}anatomical entity_fin: {'paranasal sinus': {}, 'fluid': {}}clinical findings_fin: {'scattered paranasal sinus opacification': {'clinical finding': 'scattered paranasal sinus opacification', 'cf_snomed': {'sinus': 419351001}, 'existence': 'pos_dx', 'descriptive_term': 'scattered paranasal sinus', 'observation': 'opacification'}}anatomical entity_fin: {'scalp': {}}location descriptor_fin: ['right']clinical findings_fin: {'right temporoparietal scalp swelling': {'clinical finding': 'right temporoparietal scalp swelling', 'cf_snomed': {'swelling': 65124004}, 'existence': 'neg_dx', 'descriptive_term': 'right temporoparietal scalp', 'observation': 'swell'}}anatomical entity_fin: {'lens': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'parietal lobes': {}}location descriptor_fin: ['left']clinical findings_fin: {'significant change': {'clinical finding': 'significant change', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'change'}, 'hypoattenuation': {'clinical finding': 'hypoattenuation', 'existence': 'neg_dx', 'observation': 'hypoattenuation'}, 'mild swelling': {'clinical finding': 'mild swelling', 'cf_snomed': {'swelling': 65124004}, 'existence': 'neg_dx', 'descriptive_term': 'mild', 'observation': 'swell', 'strength_term': 'mild'}}imaging observation_fin: ['foci']location descriptor_fin: ['bilateral']clinical findings_fin: {'unchanged punctate foci': {'clinical finding': 'unchanged punctate foci', 'existence': 'pos_dx', 'descriptive_term': 'unchanged punctate', 'observation': 'foci', 'strength_term': 'unchanged', 'change_term': 'unchanged'}, 'hypoattenuation': {'clinical finding': 'hypoattenuation', 'existence': 'pos_dx', 'observation': 'hypoattenuation'}}clinical findings_fin: {'acute intracranial hemorrhage': {'clinical finding': 'acute intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'acute intracranial', 'observation': 'hemorrhage', 'strength_term': 'acute', 'temporal_term': 'acute'}, 'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}}clinical findings_fin: {'ventricles and basal cisterns are unchanged in size and configuration': {'clinical finding': 'ventricles and basal cisterns are unchanged in size and configuration', 'change_term': 'unchanged'}}location descriptor_fin: ['midline']clinical findings_fin: {'midline shift': {'clinical finding': 'midline shift', 'cf_snomed': {'shift': 9546005}, 'existence': 'neg_dx', 'descriptive_term': 'midline', 'observation': 'shift'}}anatomical entity_fin: {'paranasal sinus': {}, 'fluid': {}}clinical findings_fin: {'scattered paranasal sinus opacification': {'clinical finding': 'scattered paranasal sinus opacification', 'cf_snomed': {'sinus': 419351001}, 'existence': 'pos_dx', 'descriptive_term': 'scattered paranasal sinus', 'observation': 'opacification'}}anatomical entity_fin: {'scalp': {}}location descriptor_fin: ['right']clinical findings_fin: {'right temporoparietal scalp swelling': {'clinical finding': 'right temporoparietal scalp swelling', 'cf_snomed': {'swelling': 65124004}, 'existence': 'neg_dx', 'descriptive_term': 'right temporoparietal scalp', 'observation': 'swell'}}anatomical entity_fin: {'lens': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral'] [/INST] There is no significant change in the extent of the hypoattenuation and mild swelling involving portions of the left temporal, frontal, and parietal lobes. There are also unchanged punctate foci of hypoattenuation in the bilateral thalami. There is no evidence of acute intracranial hemorrhage or mass. The ventricles and basal cisterns are unchanged in size and configuration. There is no midline shift. There is scattered paranasal sinus opacification with fluid levels. The right temporoparietal scalp swelling has essentially resolved. There are bilateral lens implants. </s>

. Multiple pulmonary metastases not significantly changed. The reference right lower lobe pulmonary nodule measures 8 mm on image 80/115. Reference right paratracheal lymph node unchanged at 20 mm. Reference right hilar lymph node measures 23 mm on image 52/143. Right thyroid bed soft tissue densities incompletely evaluated. Please see dedicated neck CT report for further details. Coronary calcification. Atherosclerotic calcification of the aorta and its branches. Diffuse skeletal metastases, most notably a destructive lesion in the left glenoid, not significantly changed. Absence of enteric contrast material limits sensitivity for abdominal pathology. Presumed hemangioma in dome of liver. Calcified granulomas unchanged. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. 9-mm upper abdominal lymph node unchanged. Absence of enteric contrast material limits sensitivity for GI pathology. No gross abnormalities noted. Diffuse skeletal metastases unchanged. No significant abnormality noted.

clinical findings_fin: {'multiple pulmonary metastases': {'clinical finding': 'multiple pulmonary metastases', 'existence': 'neg_dx', 'descriptive_term': 'multiple pulmonary', 'observation': 'metastase', 'quantity_term': 'multiple'}}size_fin: [{'size': '8 mm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'reference right lower lobe pulmonary nodule': {'clinical finding': 'reference right lower lobe pulmonary nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'reference right lower lobe pulmonary', 'observation': 'nodule'}}size_fin: [{'size': '20 mm'}]location descriptor_fin: ['right']clinical findings_fin: {'reference right paratracheal lymph node': {'clinical finding': 'reference right paratracheal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference right paratracheal lymph', 'observation': 'node'}}size_fin: [{'size': '23 mm'}]location descriptor_fin: ['right']clinical findings_fin: {'hilar lymph node': {'clinical finding': 'hilar lymph node', 'existence': 'pos_dx', 'descriptive_term': 'hilar lymph', 'observation': 'node'}}imaging observation_fin: ['soft tissue densities']location descriptor_fin: ['right']clinical findings_fin: {'right thyroid bed soft tissue densities': {'clinical finding': 'right thyroid bed soft tissue densities', 'existence': 'pos_dx', 'descriptive_term': 'right thyroid bed soft tissue', 'observation': 'density'}}anatomical entity_fin: {'neck': {}}clinical findings_fin: {'coronary calcification': {'clinical finding': 'coronary calcification', 'existence': 'pos_dx', 'descriptive_term': 'coronary', 'observation': 'calcification'}}anatomical entity_fin: {'aorta': {}}clinical findings_fin: {'atherosclerotic calcification': {'clinical finding': 'atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'}}location descriptor_fin: ['left']clinical findings_fin: {'diffuse skeletal metastases': {'clinical finding': 'diffuse skeletal metastases', 'existence': 'pos_dx', 'descriptive_term': 'diffuse skeletal', 'observation': 'metastase'}, 'most notably a destructive lesion': {'clinical finding': 'most notably a destructive lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'most notably a destructive', 'observation': 'lesion', 'quantity_term': 'most'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}anatomical entity_fin: {'dome of liver': {}}clinical findings_fin: {'presumed hemangioma': {'clinical finding': 'presumed hemangioma', 'cf_snomed': {'hemangioma': 400210000}, 'existence': 'pos_dx', 'descriptive_term': 'presumed', 'observation': 'hemangioma'}}clinical findings_fin: {'calcified granulomas': {'clinical finding': 'calcified granulomas', 'cf_snomed': {'calcified granuloma': 48391002}, 'existence': 'pos_dx', 'descriptive_term': 'calcified', 'observation': 'granuloma', 'change_term': 'calcified'}}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'}}size_fin: [{'size': '9-mm', 'size_descriptor': 'node'}]anatomical entity_fin: {'abdominal': {'location descriptor': 'upper'}}location descriptor_fin: ['upper']clinical findings_fin: {'upper abdominal lymph node': {'clinical finding': 'upper abdominal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'upper abdominal lymph', 'observation': 'node'}}clinical findings_fin: {'gross abnormalities': {'clinical finding': 'gross abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'gross', 'observation': 'abnormality'}}clinical findings_fin: {'diffuse skeletal metastases': {'clinical finding': 'diffuse skeletal metastases', 'existence': 'pos_dx', 'descriptive_term': 'diffuse skeletal', 'observation': 'metastase'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'multiple pulmonary metastases': {'clinical finding': 'multiple pulmonary metastases', 'existence': 'neg_dx', 'descriptive_term': 'multiple pulmonary', 'observation': 'metastase', 'quantity_term': 'multiple'}}size_fin: [{'size': '8 mm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'reference right lower lobe pulmonary nodule': {'clinical finding': 'reference right lower lobe pulmonary nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'reference right lower lobe pulmonary', 'observation': 'nodule'}}size_fin: [{'size': '20 mm'}]location descriptor_fin: ['right']clinical findings_fin: {'reference right paratracheal lymph node': {'clinical finding': 'reference right paratracheal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference right paratracheal lymph', 'observation': 'node'}}size_fin: [{'size': '23 mm'}]location descriptor_fin: ['right']clinical findings_fin: {'hilar lymph node': {'clinical finding': 'hilar lymph node', 'existence': 'pos_dx', 'descriptive_term': 'hilar lymph', 'observation': 'node'}}imaging observation_fin: ['soft tissue densities']location descriptor_fin: ['right']clinical findings_fin: {'right thyroid bed soft tissue densities': {'clinical finding': 'right thyroid bed soft tissue densities', 'existence': 'pos_dx', 'descriptive_term': 'right thyroid bed soft tissue', 'observation': 'density'}}anatomical entity_fin: {'neck': {}}clinical findings_fin: {'coronary calcification': {'clinical finding': 'coronary calcification', 'existence': 'pos_dx', 'descriptive_term': 'coronary', 'observation': 'calcification'}}anatomical entity_fin: {'aorta': {}}clinical findings_fin: {'atherosclerotic calcification': {'clinical finding': 'atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'}}location descriptor_fin: ['left']clinical findings_fin: {'diffuse skeletal metastases': {'clinical finding': 'diffuse skeletal metastases', 'existence': 'pos_dx', 'descriptive_term': 'diffuse skeletal', 'observation': 'metastase'}, 'most notably a destructive lesion': {'clinical finding': 'most notably a destructive lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'most notably a destructive', 'observation': 'lesion', 'quantity_term': 'most'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}anatomical entity_fin: {'dome of liver': {}}clinical findings_fin: {'presumed hemangioma': {'clinical finding': 'presumed hemangioma', 'cf_snomed': {'hemangioma': 400210000}, 'existence': 'pos_dx', 'descriptive_term': 'presumed', 'observation': 'hemangioma'}}clinical findings_fin: {'calcified granulomas': {'clinical finding': 'calcified granulomas', 'cf_snomed': {'calcified granuloma': 48391002}, 'existence': 'pos_dx', 'descriptive_term': 'calcified', 'observation': 'granuloma', 'change_term': 'calcified'}}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'}}size_fin: [{'size': '9-mm', 'size_descriptor': 'node'}]anatomical entity_fin: {'abdominal': {'location descriptor': 'upper'}}location descriptor_fin: ['upper']clinical findings_fin: {'upper abdominal lymph node': {'clinical finding': 'upper abdominal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'upper abdominal lymph', 'observation': 'node'}}clinical findings_fin: {'gross abnormalities': {'clinical finding': 'gross abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'gross', 'observation': 'abnormality'}}clinical findings_fin: {'diffuse skeletal metastases': {'clinical finding': 'diffuse skeletal metastases', 'existence': 'pos_dx', 'descriptive_term': 'diffuse skeletal', 'observation': 'metastase'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . Multiple pulmonary metastases not significantly changed. The reference right lower lobe pulmonary nodule measures 8 mm on image 80/115. Reference right paratracheal lymph node unchanged at 20 mm. Reference right hilar lymph node measures 23 mm on image 52/143. Right thyroid bed soft tissue densities incompletely evaluated. Please see dedicated neck CT report for further details. Coronary calcification. Atherosclerotic calcification of the aorta and its branches. Diffuse skeletal metastases, most notably a destructive lesion in the left glenoid, not significantly changed. Absence of enteric contrast material limits sensitivity for abdominal pathology. Presumed hemangioma in dome of liver. Calcified granulomas unchanged. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. 9-mm upper abdominal lymph node unchanged. Absence of enteric contrast material limits sensitivity for GI pathology. No gross abnormalities noted. Diffuse skeletal metastases unchanged. No significant abnormality noted. </s>

The absence of intravenous contrast limits evaluation of the solid organs and vasculature. Absence of oral contrast limits evaluation of bowel. 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. None. No bowel obstruction or free air. Focal density within the appendix likely an appendicolith, otherwise the appendix is normal with no surrounding inflammatory changes. 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. Small amount of free pelvic fluid likely physiologic.

anatomical entity_fin: {'solid organs': {}, 'vasculature': {}}clinical findings_fin: {'intravenous contrast': {'clinical finding': 'intravenous contrast', 'existence': 'neg_dx', 'descriptive_term': 'intravenous', 'observation': 'contrast'}}anatomical entity_fin: {'bowel': {}}non-anatomical substance_fin: ['oral contrast']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'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'bowel obstruction': {'clinical finding': 'bowel obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'descriptive_term': 'bowel', 'observation': 'obstruction'}, 'free air': {'clinical finding': 'free air', 'existence': 'neg_dx', 'descriptive_term': 'free', 'observation': 'air'}}anatomical entity_fin: {'appendix': {}}clinical findings_fin: {'focal density': {'clinical finding': 'focal density', 'existence': 'pos_dx', 'descriptive_term': 'focal', 'observation': 'density'}, 'appendicolith': {'clinical finding': 'appendicolith', 'existence': 'unc_dx', 'observation': 'appendicolith'}, 'surrounding inflammatory changes': {'clinical finding': 'surrounding inflammatory changes', 'existence': 'pos_dx', 'descriptive_term': 'surrounding inflammatory', 'observation': 'change'}}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'}}anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'small amount of free pelvic fluid': {'clinical finding': 'small amount of free pelvic fluid'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'solid organs': {}, 'vasculature': {}}clinical findings_fin: {'intravenous contrast': {'clinical finding': 'intravenous contrast', 'existence': 'neg_dx', 'descriptive_term': 'intravenous', 'observation': 'contrast'}}anatomical entity_fin: {'bowel': {}}non-anatomical substance_fin: ['oral contrast']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'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'bowel obstruction': {'clinical finding': 'bowel obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'descriptive_term': 'bowel', 'observation': 'obstruction'}, 'free air': {'clinical finding': 'free air', 'existence': 'neg_dx', 'descriptive_term': 'free', 'observation': 'air'}}anatomical entity_fin: {'appendix': {}}clinical findings_fin: {'focal density': {'clinical finding': 'focal density', 'existence': 'pos_dx', 'descriptive_term': 'focal', 'observation': 'density'}, 'appendicolith': {'clinical finding': 'appendicolith', 'existence': 'unc_dx', 'observation': 'appendicolith'}, 'surrounding inflammatory changes': {'clinical finding': 'surrounding inflammatory changes', 'existence': 'pos_dx', 'descriptive_term': 'surrounding inflammatory', 'observation': 'change'}}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'}}anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'small amount of free pelvic fluid': {'clinical finding': 'small amount of free pelvic fluid'}} [/INST] The absence of intravenous contrast limits evaluation of the solid organs and vasculature. Absence of oral contrast limits evaluation of bowel. 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. None. No bowel obstruction or free air. Focal density within the appendix likely an appendicolith, otherwise the appendix is normal with no surrounding inflammatory changes. 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. Small amount of free pelvic fluid likely physiologic. </s>

. Right greater than left pleural and pulmonary nodules and masses are mostly not substantially different compared to previous study based on quantitative measurement though the reference lesion in the right middle lobe on image 48 of series 5 measures slightly smaller now measuring 0.9 cm compared to 1.1 cm on previous study and the chest wall mass on the right lateral chest wall has increased in size on image 43 of series 5 currently measures 4.1 x 3.7 cm compared to 4.2 x 3.2 cm previous study. A pleural mass in the right posterior medial costophrenic angle on image 90 of series 3 currently measures 3.6 x 5.5 cm compared to 3.6 x 5.8 cm on previous study. Focal nodular lesion in the left lower lobe centrally on image 75 of series 3 measures 11 x 11 mm compared to 12 x 13 mm on previous study. Decrease in right pleural effusion, moderate in size. Borderline enlarged prevascular lymph node on image 46 of series 3 is not substantially changed measuring 8 mm in short axis compared to 9 mm on previous study. None. No significant abnormality noted. Absence of enteric contrast material limits sensitivity for abdominal pathology. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Absence of enteric contrast material limits sensitivity for GI pathology. No gross abnormalities noted. No significant abnormality noted. No significant abnormality noted.

size_fin: [{'size': '0.9 cm'}, {'size': '1.1 cm'}, {'size': '4.1 x 3.7 cm'}, {'size': '4.2 x 3.2 cm'}]anatomical entity_fin: {'middle': {'location descriptor': 'right'}, 'lobe': {}, 'chest wall': {}, 'right lateral chest wall': {}}location descriptor_fin: ['right', 'left']clinical findings_fin: {'right greater than left pleural and pulmonary nodules': {'clinical finding': 'right greater than left pleural and pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'right greater than left pleural and pulmonary', 'observation': 'nodule', 'change_term': 'greater'}, 'masses': {'clinical finding': 'masses', 'existence': 'pos_dx', 'observation': 'mass'}, 'reference lesion': {'clinical finding': 'reference lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'reference', 'observation': 'lesion'}, 'chest wall mass': {'clinical finding': 'chest wall mass', 'existence': 'pos_dx', 'descriptive_term': 'chest wall', 'observation': 'mass'}}size_fin: [{'size': '3.6 x 5.5 cm'}, {'size': '3.6 x 5.8 cm'}]imaging observation_fin: ['angle']location descriptor_fin: ['right', 'posterior', 'medial']clinical findings_fin: {'pleural mass': {'clinical finding': 'pleural mass', 'existence': 'pos_dx', 'descriptive_term': 'pleural', 'observation': 'mass'}}size_fin: [{'size': '11 x 11 mm'}, {'size': '12 x 13 mm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'focal nodular lesion': {'clinical finding': 'focal nodular lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'focal nodular', 'observation': 'lesion'}}location descriptor_fin: ['right']clinical findings_fin: {'right pleural effusion': {'clinical finding': 'right pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'right pleural', 'observation': 'effusion'}}size_fin: [{'size': '8 mm'}, {'size': '9 mm'}]anatomical entity_fin: {'axis': {}}clinical findings_fin: {'borderline enlarged prevascular lymph node': {'clinical finding': 'borderline enlarged prevascular lymph node', 'existence': 'pos_dx', 'descriptive_term': 'borderline enlarged prevascular lymph', 'observation': 'node', 'strength_term': 'borderline - enlarged', 'change_term': 'enlarged'}}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: {'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: {'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: {'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'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: size_fin: [{'size': '0.9 cm'}, {'size': '1.1 cm'}, {'size': '4.1 x 3.7 cm'}, {'size': '4.2 x 3.2 cm'}]anatomical entity_fin: {'middle': {'location descriptor': 'right'}, 'lobe': {}, 'chest wall': {}, 'right lateral chest wall': {}}location descriptor_fin: ['right', 'left']clinical findings_fin: {'right greater than left pleural and pulmonary nodules': {'clinical finding': 'right greater than left pleural and pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'right greater than left pleural and pulmonary', 'observation': 'nodule', 'change_term': 'greater'}, 'masses': {'clinical finding': 'masses', 'existence': 'pos_dx', 'observation': 'mass'}, 'reference lesion': {'clinical finding': 'reference lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'reference', 'observation': 'lesion'}, 'chest wall mass': {'clinical finding': 'chest wall mass', 'existence': 'pos_dx', 'descriptive_term': 'chest wall', 'observation': 'mass'}}size_fin: [{'size': '3.6 x 5.5 cm'}, {'size': '3.6 x 5.8 cm'}]imaging observation_fin: ['angle']location descriptor_fin: ['right', 'posterior', 'medial']clinical findings_fin: {'pleural mass': {'clinical finding': 'pleural mass', 'existence': 'pos_dx', 'descriptive_term': 'pleural', 'observation': 'mass'}}size_fin: [{'size': '11 x 11 mm'}, {'size': '12 x 13 mm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'focal nodular lesion': {'clinical finding': 'focal nodular lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'focal nodular', 'observation': 'lesion'}}location descriptor_fin: ['right']clinical findings_fin: {'right pleural effusion': {'clinical finding': 'right pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'right pleural', 'observation': 'effusion'}}size_fin: [{'size': '8 mm'}, {'size': '9 mm'}]anatomical entity_fin: {'axis': {}}clinical findings_fin: {'borderline enlarged prevascular lymph node': {'clinical finding': 'borderline enlarged prevascular lymph node', 'existence': 'pos_dx', 'descriptive_term': 'borderline enlarged prevascular lymph', 'observation': 'node', 'strength_term': 'borderline - enlarged', 'change_term': 'enlarged'}}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: {'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: {'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: {'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'}} [/INST] . Right greater than left pleural and pulmonary nodules and masses are mostly not substantially different compared to previous study based on quantitative measurement though the reference lesion in the right middle lobe on image 48 of series 5 measures slightly smaller now measuring 0.9 cm compared to 1.1 cm on previous study and the chest wall mass on the right lateral chest wall has increased in size on image 43 of series 5 currently measures 4.1 x 3.7 cm compared to 4.2 x 3.2 cm previous study. A pleural mass in the right posterior medial costophrenic angle on image 90 of series 3 currently measures 3.6 x 5.5 cm compared to 3.6 x 5.8 cm on previous study. Focal nodular lesion in the left lower lobe centrally on image 75 of series 3 measures 11 x 11 mm compared to 12 x 13 mm on previous study. Decrease in right pleural effusion, moderate in size. Borderline enlarged prevascular lymph node on image 46 of series 3 is not substantially changed measuring 8 mm in short axis compared to 9 mm on previous study. None. No significant abnormality noted. Absence of enteric contrast material limits sensitivity for abdominal pathology. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Absence of enteric contrast material limits sensitivity for GI pathology. No gross abnormalities noted. No significant abnormality noted. No significant abnormality noted. </s>

. 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. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. PROSTATE/. No significant abnormality noted. No significant abnormality noted. Stable prominent periaortic lymph nodes are redemonstrated. A reference left para-aortic lymph node measures 1.0 x 1.2 cm, stable. Small grossly stable amount of nonspecific free fluid. No significant abnormality noted. Right testicular prosthesis.

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'}}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: {'stable prominent periaortic lymph nodes': {'clinical finding': 'stable prominent periaortic lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'stable prominent periaortic lymph', 'observation': 'node', 'strength_term': 'stable - prominent', 'change_term': 'stable'}}size_fin: [{'size': '1.0 x 1.2 cm'}]location descriptor_fin: ['left']clinical findings_fin: {'reference left para-aortic lymph node': {'clinical finding': 'reference left para-aortic lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference left para-aortic lymph', 'observation': 'node'}}clinical findings_fin: {'nonspecific free fluid': {'clinical finding': 'nonspecific free fluid', 'existence': 'pos_dx', 'descriptive_term': 'nonspecific free', 'observation': 'fluid'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}location descriptor_fin: ['right']procedure_fin: ['testicular prosthesis']clinical findings_fin: {'right testicular prosthesis': {'clinical finding': 'right testicular prosthesis', 'existence': 'pos_dx', 'descriptive_term': 'right testicular', 'observation': 'prosthesis'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: 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'}}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: {'stable prominent periaortic lymph nodes': {'clinical finding': 'stable prominent periaortic lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'stable prominent periaortic lymph', 'observation': 'node', 'strength_term': 'stable - prominent', 'change_term': 'stable'}}size_fin: [{'size': '1.0 x 1.2 cm'}]location descriptor_fin: ['left']clinical findings_fin: {'reference left para-aortic lymph node': {'clinical finding': 'reference left para-aortic lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference left para-aortic lymph', 'observation': 'node'}}clinical findings_fin: {'nonspecific free fluid': {'clinical finding': 'nonspecific free fluid', 'existence': 'pos_dx', 'descriptive_term': 'nonspecific free', 'observation': 'fluid'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}location descriptor_fin: ['right']procedure_fin: ['testicular prosthesis']clinical findings_fin: {'right testicular prosthesis': {'clinical finding': 'right testicular prosthesis', 'existence': 'pos_dx', 'descriptive_term': 'right testicular', 'observation': 'prosthesis'}} [/INST] . 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. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. PROSTATE/. No significant abnormality noted. No significant abnormality noted. Stable prominent periaortic lymph nodes are redemonstrated. A reference left para-aortic lymph node measures 1.0 x 1.2 cm, stable. Small grossly stable amount of nonspecific free fluid. No significant abnormality noted. Right testicular prosthesis. </s>

. Stable size and number of pulmonary metastases. Reference lesion in the right lower lobe measures 3.7 x 2.6 cm , previously 3.8 x 2.6 cm. No pleural effusions. Mediastinal lymphadenopathy not significantly changed since previous. Reference paratracheal node measures 2.2 x 1.6 cm previously 2.1 x 1.7 cm. Right chest port with tip in the cavoatrial junction. Severe coronary arterial calcifications. No pericardial effusion. Thoracic spine degenerative changes. No suspicious osseous lesions. Reference hypoattenuating lesion in the hepatic dome unchanged measuring 2.3 x 1.8 cm previously 2.3 x 1.8 cm. Hypoattenuating lesion in the tip of the right inferior hepatic lobe also unchanged, as are smaller subcentimeter hypoattenuating foci too small to characterize. Focally dilated bile duct or possibly focal thrombus in the right portal vein unchanged. Status post cholecystectomy. No significant abnormality noted. Small round focus of tissue inferior to the spleen may represent a splenule is unchanged over multiple exams. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Subcentimeter focus of soft tissue adjacent to the right kidney unchanged. Scattered small lymph nodes unchanged. Severe atherosclerotic calcifications of the aorta and branches. The bowel is normal in caliber without obstruction. Metastatic implant in the right lower quadrant is perhaps mildly increased in size since the prior study measuring 2.9 x 2.6 cm previously 2.5 x 2.0 cm, this may partially reflect differences in angulation. However, this implant remains decreased in size compared with July 25, 2014 in retrospect. No suspicious osseous lesions. No significant abnormality noted. Status post hysterectomy. No significant abnormality noted. Mildly prominent pelvic and inguinal lymph nodes are unchanged. As above. No significant abnormality noted. No significant abnormality noted.

clinical findings_fin: {'pulmonary metastases': {'clinical finding': 'pulmonary metastases', 'existence': 'pos_dx', 'descriptive_term': 'pulmonary', 'observation': 'metastase'}}size_fin: [{'size': '3.7 x 2.6 cm'}, {'size': '3.8 x 2.6 cm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'reference lesion': {'clinical finding': 'reference lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'reference', 'observation': 'lesion'}}clinical findings_fin: {'pleural effusions': {'clinical finding': 'pleural effusions', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}}clinical findings_fin: {'mediastinal lymphadenopathy': {'clinical finding': 'mediastinal lymphadenopathy', 'cf_snomed': {'mediastinal lymphadenopathy': 52324001}, 'existence': 'neg_dx', 'descriptive_term': 'mediastinal', 'observation': 'lymphadenopathy'}}size_fin: [{'size': '2.2 x 1.6 cm'}, {'size': '2.1 x 1.7 cm'}]clinical findings_fin: {'reference paratracheal node': {'clinical finding': 'reference paratracheal node', 'existence': 'pos_dx', 'descriptive_term': 'reference paratracheal', 'observation': 'node'}}anatomical entity_fin: {'chest': {'location descriptor': 'right'}}location descriptor_fin: ['right']object_fin: ['port']clinical findings_fin: {'severe coronary arterial calcifications': {'clinical finding': 'severe coronary arterial calcifications', 'existence': 'pos_dx', 'descriptive_term': 'severe coronary arterial', 'observation': 'calcification', 'strength_term': 'severe'}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'thoracic spine degenerative changes': {'clinical finding': 'thoracic spine degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'thoracic spine degenerative', 'observation': 'change'}}clinical findings_fin: {'suspicious osseous lesions': {'clinical finding': 'suspicious osseous lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious osseous', 'observation': 'lesion'}}size_fin: [{'size': '2.3 x 1.8 cm'}, {'size': '2.3 x 1.8 cm'}]clinical findings_fin: {'reference hypoattenuating lesion': {'clinical finding': 'reference hypoattenuating lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'reference hypoattenuating', 'observation': 'lesion'}}anatomical entity_fin: {'lobe': {}}imaging observation_fin: ['foci']location descriptor_fin: ['right', 'inferior']clinical findings_fin: {'hypoattenuating lesion': {'clinical finding': 'hypoattenuating lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'hypoattenuating', 'observation': 'lesion'}, 'smaller subcentimeter hypoattenuating foci': {'clinical finding': 'smaller subcentimeter hypoattenuating foci', 'existence': 'pos_dx', 'descriptive_term': 'smaller subcentimeter hypoattenuating', 'observation': 'foci'}}anatomical entity_fin: {'right portal vein': {}}clinical findings_fin: {'focally dilated bile duct': {'clinical finding': 'focally dilated bile duct', 'existence': 'unc_dx', 'descriptive_term': 'focally dilated bile', 'observation': 'duct', 'change_term': 'dilated'}, 'possibly focal thrombus': {'clinical finding': 'possibly focal thrombus', 'cf_snomed': {'thrombus': 396339007}, 'existence': 'unc_dx', 'descriptive_term': 'possibly focal', 'observation': 'thrombus'}}procedure_fin: ['cholecystectomy']clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'spleen': {}}location descriptor_fin: ['inferior']clinical findings_fin: {'small round focus': {'clinical finding': 'small round focus', 'existence': 'pos_dx', 'descriptive_term': 'small round', 'observation': 'focus', 'strength_term': 'small'}, 'tissue': {'clinical finding': 'tissue', 'existence': 'pos_dx', 'observation': 'tissue'}}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'}}anatomical entity_fin: {'right kidney': {}}location descriptor_fin: ['adjacent']clinical findings_fin: {'soft tissue': {'clinical finding': 'soft tissue', 'existence': 'pos_dx', 'descriptive_term': 'soft', 'observation': 'tissue'}, 'unchanged': {'clinical finding': 'unchanged', 'existence': 'pos_dx', 'observation': 'unchanged'}}clinical findings_fin: {'scattered small lymph nodes': {'clinical finding': 'scattered small lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'scattered small lymph', 'observation': 'node', 'strength_term': 'small'}}anatomical entity_fin: {'aorta': {}}clinical findings_fin: {'severe atherosclerotic calcifications': {'clinical finding': 'severe atherosclerotic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'severe atherosclerotic', 'observation': 'calcification', 'strength_term': 'severe'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'pos_dx', 'observation': 'obstruction'}}size_fin: [{'size': '2.9 x 2.6 cm'}, {'size': '2.5 x 2.0 cm'}]anatomical entity_fin: {'quadrant': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']object_fin: ['implant']clinical findings_fin: {'metastatic': {'clinical finding': 'metastatic', 'existence': 'pos_dx', 'observation': 'metastatic'}}object_fin: ['implant']clinical findings_fin: {'however , this implant remains decreased in size compared with july 25 , 2014 in retrospect': {'clinical finding': 'however , this implant remains decreased in size compared with july 25 , 2014 in retrospect', 'change_term': 'decreased'}}clinical findings_fin: {'suspicious osseous lesions': {'clinical finding': 'suspicious osseous lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious osseous', 'observation': 'lesion'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}procedure_fin: ['hysterectomy']clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'inguinal lymph nodes': {}}clinical findings_fin: {'mildly prominent pelvic and inguinal lymph nodes': {'clinical finding': 'mildly prominent pelvic and inguinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'mildly prominent pelvic and inguinal lymph', 'observation': 'node', 'strength_term': 'mildly - prominent'}}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'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'pulmonary metastases': {'clinical finding': 'pulmonary metastases', 'existence': 'pos_dx', 'descriptive_term': 'pulmonary', 'observation': 'metastase'}}size_fin: [{'size': '3.7 x 2.6 cm'}, {'size': '3.8 x 2.6 cm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'reference lesion': {'clinical finding': 'reference lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'reference', 'observation': 'lesion'}}clinical findings_fin: {'pleural effusions': {'clinical finding': 'pleural effusions', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}}clinical findings_fin: {'mediastinal lymphadenopathy': {'clinical finding': 'mediastinal lymphadenopathy', 'cf_snomed': {'mediastinal lymphadenopathy': 52324001}, 'existence': 'neg_dx', 'descriptive_term': 'mediastinal', 'observation': 'lymphadenopathy'}}size_fin: [{'size': '2.2 x 1.6 cm'}, {'size': '2.1 x 1.7 cm'}]clinical findings_fin: {'reference paratracheal node': {'clinical finding': 'reference paratracheal node', 'existence': 'pos_dx', 'descriptive_term': 'reference paratracheal', 'observation': 'node'}}anatomical entity_fin: {'chest': {'location descriptor': 'right'}}location descriptor_fin: ['right']object_fin: ['port']clinical findings_fin: {'severe coronary arterial calcifications': {'clinical finding': 'severe coronary arterial calcifications', 'existence': 'pos_dx', 'descriptive_term': 'severe coronary arterial', 'observation': 'calcification', 'strength_term': 'severe'}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'thoracic spine degenerative changes': {'clinical finding': 'thoracic spine degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'thoracic spine degenerative', 'observation': 'change'}}clinical findings_fin: {'suspicious osseous lesions': {'clinical finding': 'suspicious osseous lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious osseous', 'observation': 'lesion'}}size_fin: [{'size': '2.3 x 1.8 cm'}, {'size': '2.3 x 1.8 cm'}]clinical findings_fin: {'reference hypoattenuating lesion': {'clinical finding': 'reference hypoattenuating lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'reference hypoattenuating', 'observation': 'lesion'}}anatomical entity_fin: {'lobe': {}}imaging observation_fin: ['foci']location descriptor_fin: ['right', 'inferior']clinical findings_fin: {'hypoattenuating lesion': {'clinical finding': 'hypoattenuating lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'hypoattenuating', 'observation': 'lesion'}, 'smaller subcentimeter hypoattenuating foci': {'clinical finding': 'smaller subcentimeter hypoattenuating foci', 'existence': 'pos_dx', 'descriptive_term': 'smaller subcentimeter hypoattenuating', 'observation': 'foci'}}anatomical entity_fin: {'right portal vein': {}}clinical findings_fin: {'focally dilated bile duct': {'clinical finding': 'focally dilated bile duct', 'existence': 'unc_dx', 'descriptive_term': 'focally dilated bile', 'observation': 'duct', 'change_term': 'dilated'}, 'possibly focal thrombus': {'clinical finding': 'possibly focal thrombus', 'cf_snomed': {'thrombus': 396339007}, 'existence': 'unc_dx', 'descriptive_term': 'possibly focal', 'observation': 'thrombus'}}procedure_fin: ['cholecystectomy']clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'spleen': {}}location descriptor_fin: ['inferior']clinical findings_fin: {'small round focus': {'clinical finding': 'small round focus', 'existence': 'pos_dx', 'descriptive_term': 'small round', 'observation': 'focus', 'strength_term': 'small'}, 'tissue': {'clinical finding': 'tissue', 'existence': 'pos_dx', 'observation': 'tissue'}}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'}}anatomical entity_fin: {'right kidney': {}}location descriptor_fin: ['adjacent']clinical findings_fin: {'soft tissue': {'clinical finding': 'soft tissue', 'existence': 'pos_dx', 'descriptive_term': 'soft', 'observation': 'tissue'}, 'unchanged': {'clinical finding': 'unchanged', 'existence': 'pos_dx', 'observation': 'unchanged'}}clinical findings_fin: {'scattered small lymph nodes': {'clinical finding': 'scattered small lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'scattered small lymph', 'observation': 'node', 'strength_term': 'small'}}anatomical entity_fin: {'aorta': {}}clinical findings_fin: {'severe atherosclerotic calcifications': {'clinical finding': 'severe atherosclerotic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'severe atherosclerotic', 'observation': 'calcification', 'strength_term': 'severe'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'pos_dx', 'observation': 'obstruction'}}size_fin: [{'size': '2.9 x 2.6 cm'}, {'size': '2.5 x 2.0 cm'}]anatomical entity_fin: {'quadrant': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']object_fin: ['implant']clinical findings_fin: {'metastatic': {'clinical finding': 'metastatic', 'existence': 'pos_dx', 'observation': 'metastatic'}}object_fin: ['implant']clinical findings_fin: {'however , this implant remains decreased in size compared with july 25 , 2014 in retrospect': {'clinical finding': 'however , this implant remains decreased in size compared with july 25 , 2014 in retrospect', 'change_term': 'decreased'}}clinical findings_fin: {'suspicious osseous lesions': {'clinical finding': 'suspicious osseous lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious osseous', 'observation': 'lesion'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}procedure_fin: ['hysterectomy']clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'inguinal lymph nodes': {}}clinical findings_fin: {'mildly prominent pelvic and inguinal lymph nodes': {'clinical finding': 'mildly prominent pelvic and inguinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'mildly prominent pelvic and inguinal lymph', 'observation': 'node', 'strength_term': 'mildly - prominent'}}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'}} [/INST] . Stable size and number of pulmonary metastases. Reference lesion in the right lower lobe measures 3.7 x 2.6 cm , previously 3.8 x 2.6 cm. No pleural effusions. Mediastinal lymphadenopathy not significantly changed since previous. Reference paratracheal node measures 2.2 x 1.6 cm previously 2.1 x 1.7 cm. Right chest port with tip in the cavoatrial junction. Severe coronary arterial calcifications. No pericardial effusion. Thoracic spine degenerative changes. No suspicious osseous lesions. Reference hypoattenuating lesion in the hepatic dome unchanged measuring 2.3 x 1.8 cm previously 2.3 x 1.8 cm. Hypoattenuating lesion in the tip of the right inferior hepatic lobe also unchanged, as are smaller subcentimeter hypoattenuating foci too small to characterize. Focally dilated bile duct or possibly focal thrombus in the right portal vein unchanged. Status post cholecystectomy. No significant abnormality noted. Small round focus of tissue inferior to the spleen may represent a splenule is unchanged over multiple exams. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Subcentimeter focus of soft tissue adjacent to the right kidney unchanged. Scattered small lymph nodes unchanged. Severe atherosclerotic calcifications of the aorta and branches. The bowel is normal in caliber without obstruction. Metastatic implant in the right lower quadrant is perhaps mildly increased in size since the prior study measuring 2.9 x 2.6 cm previously 2.5 x 2.0 cm, this may partially reflect differences in angulation. However, this implant remains decreased in size compared with July 25, 2014 in retrospect. No suspicious osseous lesions. No significant abnormality noted. Status post hysterectomy. No significant abnormality noted. Mildly prominent pelvic and inguinal lymph nodes are unchanged. As above. No significant abnormality noted. No significant abnormality noted. </s>

There is metal artifact from the patients surgical hardware-related to prior mandibulectomy limiting the evaluation of the surrounding structures. Patient is status post right hemiglossectomy and neck dissection with flap reconstruction. Ill-defined infiltrative appearing enhancement along the margin of the flap and along the left tongue base region is similar to previous exam. No measurable mass lesions could be separately identified. There is frothy fluid accumulation in the nasopharynx. There is stranding of the subcutaneous tissues in the right anterior neck, unchanged. There is no significant lymphadenopathy. There is a tracheostomy tube with patent airways. The parotid and the submandibular glands are unremarkable. The thyroid gland is grossly normal. The major cervical vessels are patent. The imaged intracranial structures are unremarkable. The imaged portions of the lungs are clear. There is ossification of posterior longitudinal ligament extending from C4 to C6. There is moderate spinal canal stenosis at C5-C6 level.

clinical findings_fin: {'metal artifact': {'clinical finding': 'metal artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'pos_dx', 'descriptive_term': 'metal', 'observation': 'artifact'}, 'patients surgical hardware': {'clinical finding': 'patients surgical hardware', 'existence': 'pos_dx', 'descriptive_term': 'patients surgical', 'observation': 'hardware'}, 'prior mandibulectomy': {'clinical finding': 'prior mandibulectomy', 'existence': 'pos_dx', 'descriptive_term': 'prior', 'observation': 'mandibulectomy'}}anatomical entity_fin: {'neck': {}}location descriptor_fin: ['right']clinical findings_fin: {'neck dissection': {'clinical finding': 'neck dissection', 'existence': 'pos_dx', 'descriptive_term': 'neck', 'observation': 'dissection'}, 'flap reconstruction': {'clinical finding': 'flap reconstruction', 'existence': 'pos_dx', 'descriptive_term': 'flap', 'observation': 'reconstruction'}}anatomical entity_fin: {'tongue': {'location descriptor': 'left'}, 'base': {}}imaging observation_fin: ['margin']location descriptor_fin: ['left']clinical findings_fin: {'ill-defined infiltrative appearing enhancement': {'clinical finding': 'ill-defined infiltrative appearing enhancement', 'existence': 'pos_dx', 'descriptive_term': 'ill-defined infiltrative appearing', 'observation': 'enhancement', 'strength_term': 'ill-defined'}, 'flap': {'clinical finding': 'flap', 'existence': 'pos_dx', 'observation': 'flap'}}clinical findings_fin: {'measurable mass lesions': {'clinical finding': 'measurable mass lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'measurable mass', 'observation': 'lesion'}}anatomical entity_fin: {'fluid': {}, 'nasopharynx': {}}clinical findings_fin: {'frothy': {'clinical finding': 'frothy', 'existence': 'pos_dx', 'observation': 'frothy'}}anatomical entity_fin: {'neck': {'location descriptor': 'right anterior'}}location descriptor_fin: ['right', 'anterior']clinical findings_fin: {'stranding': {'clinical finding': 'stranding', 'existence': 'pos_dx', 'observation': 'strand'}}clinical findings_fin: {'significant lymphadenopathy': {'clinical finding': 'significant lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'airways': {}}object_fin: ['tracheostomy tube']clinical findings_fin: {'tracheostomy tube': {'clinical finding': 'tracheostomy tube', 'existence': 'pos_dx', 'descriptive_term': 'tracheostomy', 'observation': 'tube'}, 'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}anatomical entity_fin: {'submandibular glands': {}}clinical findings_fin: {'parotid and the submandibular glands are unremarkable': {'clinical finding': 'parotid and the submandibular glands are unremarkable'}}anatomical entity_fin: {'thyroid gland': {}}clinical findings_fin: {'thyroid gland is grossly normal': {'clinical finding': 'thyroid gland is grossly normal'}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}clinical findings_fin: {'imaged intracranial structures are unremarkable': {'clinical finding': 'imaged intracranial structures are unremarkable'}}anatomical entity_fin: {'lungs': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'ligament': {}}clinical findings_fin: {'ossification of posterior longitudinal ligament': {'clinical finding': 'ossification of posterior longitudinal ligament', 'cf_snomed': {'ossification of posterior longitudinal ligament': 90448008}, 'existence': 'pos_dx', 'descriptive_term': 'ossification of posterior longitudinal', 'observation': 'ligament'}}anatomical entity_fin: {'spinal canal': {}}clinical findings_fin: {'moderate spinal canal stenosis': {'clinical finding': 'moderate spinal canal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'moderate spinal canal', 'observation': 'stenosis', 'strength_term': 'moderate'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'metal artifact': {'clinical finding': 'metal artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'pos_dx', 'descriptive_term': 'metal', 'observation': 'artifact'}, 'patients surgical hardware': {'clinical finding': 'patients surgical hardware', 'existence': 'pos_dx', 'descriptive_term': 'patients surgical', 'observation': 'hardware'}, 'prior mandibulectomy': {'clinical finding': 'prior mandibulectomy', 'existence': 'pos_dx', 'descriptive_term': 'prior', 'observation': 'mandibulectomy'}}anatomical entity_fin: {'neck': {}}location descriptor_fin: ['right']clinical findings_fin: {'neck dissection': {'clinical finding': 'neck dissection', 'existence': 'pos_dx', 'descriptive_term': 'neck', 'observation': 'dissection'}, 'flap reconstruction': {'clinical finding': 'flap reconstruction', 'existence': 'pos_dx', 'descriptive_term': 'flap', 'observation': 'reconstruction'}}anatomical entity_fin: {'tongue': {'location descriptor': 'left'}, 'base': {}}imaging observation_fin: ['margin']location descriptor_fin: ['left']clinical findings_fin: {'ill-defined infiltrative appearing enhancement': {'clinical finding': 'ill-defined infiltrative appearing enhancement', 'existence': 'pos_dx', 'descriptive_term': 'ill-defined infiltrative appearing', 'observation': 'enhancement', 'strength_term': 'ill-defined'}, 'flap': {'clinical finding': 'flap', 'existence': 'pos_dx', 'observation': 'flap'}}clinical findings_fin: {'measurable mass lesions': {'clinical finding': 'measurable mass lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'measurable mass', 'observation': 'lesion'}}anatomical entity_fin: {'fluid': {}, 'nasopharynx': {}}clinical findings_fin: {'frothy': {'clinical finding': 'frothy', 'existence': 'pos_dx', 'observation': 'frothy'}}anatomical entity_fin: {'neck': {'location descriptor': 'right anterior'}}location descriptor_fin: ['right', 'anterior']clinical findings_fin: {'stranding': {'clinical finding': 'stranding', 'existence': 'pos_dx', 'observation': 'strand'}}clinical findings_fin: {'significant lymphadenopathy': {'clinical finding': 'significant lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'airways': {}}object_fin: ['tracheostomy tube']clinical findings_fin: {'tracheostomy tube': {'clinical finding': 'tracheostomy tube', 'existence': 'pos_dx', 'descriptive_term': 'tracheostomy', 'observation': 'tube'}, 'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}anatomical entity_fin: {'submandibular glands': {}}clinical findings_fin: {'parotid and the submandibular glands are unremarkable': {'clinical finding': 'parotid and the submandibular glands are unremarkable'}}anatomical entity_fin: {'thyroid gland': {}}clinical findings_fin: {'thyroid gland is grossly normal': {'clinical finding': 'thyroid gland is grossly normal'}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}clinical findings_fin: {'imaged intracranial structures are unremarkable': {'clinical finding': 'imaged intracranial structures are unremarkable'}}anatomical entity_fin: {'lungs': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'ligament': {}}clinical findings_fin: {'ossification of posterior longitudinal ligament': {'clinical finding': 'ossification of posterior longitudinal ligament', 'cf_snomed': {'ossification of posterior longitudinal ligament': 90448008}, 'existence': 'pos_dx', 'descriptive_term': 'ossification of posterior longitudinal', 'observation': 'ligament'}}anatomical entity_fin: {'spinal canal': {}}clinical findings_fin: {'moderate spinal canal stenosis': {'clinical finding': 'moderate spinal canal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'moderate spinal canal', 'observation': 'stenosis', 'strength_term': 'moderate'}} [/INST] There is metal artifact from the patients surgical hardware-related to prior mandibulectomy limiting the evaluation of the surrounding structures. Patient is status post right hemiglossectomy and neck dissection with flap reconstruction. Ill-defined infiltrative appearing enhancement along the margin of the flap and along the left tongue base region is similar to previous exam. No measurable mass lesions could be separately identified. There is frothy fluid accumulation in the nasopharynx. There is stranding of the subcutaneous tissues in the right anterior neck, unchanged. There is no significant lymphadenopathy. There is a tracheostomy tube with patent airways. The parotid and the submandibular glands are unremarkable. The thyroid gland is grossly normal. The major cervical vessels are patent. The imaged intracranial structures are unremarkable. The imaged portions of the lungs are clear. There is ossification of posterior longitudinal ligament extending from C4 to C6. There is moderate spinal canal stenosis at C5-C6 level. </s>

The absence of intravenous contrast limits evaluation of the solid organs and vasculature. Absence of oral contrast limits evaluation of bowel. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No evidence of nephrolithiasis, perinephric fat stranding, hydronephrosis or hydroureter. Calcifications described by resident on-call is concerning for ureteral calcifications on the right ischial are likely phleboliths in the gonadal vein. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. IUD in place. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted.

anatomical entity_fin: {'solid organs': {}, 'vasculature': {}}clinical findings_fin: {'intravenous contrast': {'clinical finding': 'intravenous contrast', 'existence': 'neg_dx', 'descriptive_term': 'intravenous', 'observation': 'contrast'}}anatomical entity_fin: {'bowel': {}}non-anatomical substance_fin: ['oral contrast']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'}}imaging observation_fin: ['fat']clinical findings_fin: {'nephrolithiasis': {'clinical finding': 'nephrolithiasis', 'existence': 'neg_dx', 'observation': 'nephrolithiasis'}, 'perinephric fat stranding': {'clinical finding': 'perinephric fat stranding', 'existence': 'neg_dx', 'descriptive_term': 'perinephric fat', 'observation': 'strand'}, 'hydronephrosis': {'clinical finding': 'hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'neg_dx', 'observation': 'hydronephrosis'}, 'hydroureter': {'clinical finding': 'hydroureter', 'cf_snomed': {'hydroureter': 69758005}, 'existence': 'neg_dx', 'observation': 'hydroureter'}}anatomical entity_fin: {'vein': {}}location descriptor_fin: ['right']clinical findings_fin: {'calcifications': {'clinical finding': 'calcifications', 'existence': 'pos_dx', 'observation': 'calcification'}, 'ureteral calcifications': {'clinical finding': 'ureteral calcifications', 'existence': 'unc_dx', 'descriptive_term': 'ureteral', 'observation': 'calcification'}, 'phleboliths': {'clinical finding': 'phleboliths', 'existence': 'unc_dx', 'observation': 'phlebolith'}}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'}}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'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'solid organs': {}, 'vasculature': {}}clinical findings_fin: {'intravenous contrast': {'clinical finding': 'intravenous contrast', 'existence': 'neg_dx', 'descriptive_term': 'intravenous', 'observation': 'contrast'}}anatomical entity_fin: {'bowel': {}}non-anatomical substance_fin: ['oral contrast']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'}}imaging observation_fin: ['fat']clinical findings_fin: {'nephrolithiasis': {'clinical finding': 'nephrolithiasis', 'existence': 'neg_dx', 'observation': 'nephrolithiasis'}, 'perinephric fat stranding': {'clinical finding': 'perinephric fat stranding', 'existence': 'neg_dx', 'descriptive_term': 'perinephric fat', 'observation': 'strand'}, 'hydronephrosis': {'clinical finding': 'hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'neg_dx', 'observation': 'hydronephrosis'}, 'hydroureter': {'clinical finding': 'hydroureter', 'cf_snomed': {'hydroureter': 69758005}, 'existence': 'neg_dx', 'observation': 'hydroureter'}}anatomical entity_fin: {'vein': {}}location descriptor_fin: ['right']clinical findings_fin: {'calcifications': {'clinical finding': 'calcifications', 'existence': 'pos_dx', 'observation': 'calcification'}, 'ureteral calcifications': {'clinical finding': 'ureteral calcifications', 'existence': 'unc_dx', 'descriptive_term': 'ureteral', 'observation': 'calcification'}, 'phleboliths': {'clinical finding': 'phleboliths', 'existence': 'unc_dx', 'observation': 'phlebolith'}}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'}}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'}} [/INST] The absence of intravenous contrast limits evaluation of the solid organs and vasculature. Absence of oral contrast limits evaluation of bowel. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No evidence of nephrolithiasis, perinephric fat stranding, hydronephrosis or hydroureter. Calcifications described by resident on-call is concerning for ureteral calcifications on the right ischial are likely phleboliths in the gonadal vein. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. IUD in place. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. </s>

Streak artifact emanating from dental amalgam obscures surrounding structures. Within this limitation, there is no residual or recurrent measurable oropharyngeal tumor. Treatment-related findings are seen including mild infiltration of the fascial planes and a thin retropharyngeal effusion. Salivary glands and thyroid are unremarkable. The cervical vessels are patent. Scattered subcentimeter lymph nodes are seen. No pathologic adenopathy is detected in the neck by size criteria. Emphysema is seen in the lung apices. No destructive osseous lesions are evident. Moderate multilevel degenerative changes again seen in the cervical spine. Visualized brain parenchyma is unremarkable. Paranasal sinuses and mastoid air cells are clear.

clinical findings_fin: {'streak artifact': {'clinical finding': 'streak artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'pos_dx', 'descriptive_term': 'streak', 'observation': 'artifact'}, 'dental amalgam': {'clinical finding': 'dental amalgam', 'existence': 'pos_dx', 'descriptive_term': 'dental', 'observation': 'amalgam'}}clinical findings_fin: {'residual or recurrent measurable oropharyngeal tumor': {'clinical finding': 'residual or recurrent measurable oropharyngeal tumor', 'existence': 'neg_dx', 'descriptive_term': 'residual or recurrent measurable oropharyngeal', 'observation': 'tumor', 'temporal_term': 'residual'}}procedure_fin: ['treatment']clinical findings_fin: {'thin retropharyngeal effusion': {'clinical finding': 'thin retropharyngeal effusion', 'cf_snomed': {'effusion': 41699000}, 'existence': 'pos_dx', 'descriptive_term': 'thin retropharyngeal', 'observation': 'effusion'}}anatomical entity_fin: {'salivary glands': {}}clinical findings_fin: {'salivary glands and thyroid are unremarkable': {'clinical finding': 'salivary glands and thyroid are unremarkable'}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}clinical findings_fin: {'scattered subcentimeter lymph nodes': {'clinical finding': 'scattered subcentimeter lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'scattered subcentimeter lymph', 'observation': 'node'}}anatomical entity_fin: {'neck': {}}clinical findings_fin: {'pathologic adenopathy': {'clinical finding': 'pathologic adenopathy', 'existence': 'neg_dx', 'descriptive_term': 'pathologic', 'observation': 'adenopathy'}}anatomical entity_fin: {'lung': {}, 'apices': {}}clinical findings_fin: {'emphysema': {'clinical finding': 'emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'observation': 'emphysema'}}clinical findings_fin: {'destructive osseous lesions': {'clinical finding': 'destructive osseous lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'destructive osseous', 'observation': 'lesion'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'moderate multilevel degenerative changes': {'clinical finding': 'moderate multilevel degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'moderate multilevel degenerative', 'observation': 'change', 'strength_term': 'moderate'}}anatomical entity_fin: {'brain': {}, 'parenchyma': {}}clinical findings_fin: {'visualized brain parenchyma is unremarkable': {'clinical finding': 'visualized brain parenchyma is unremarkable'}}anatomical entity_fin: {'paranasal sinuses': {}, 'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'streak artifact': {'clinical finding': 'streak artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'pos_dx', 'descriptive_term': 'streak', 'observation': 'artifact'}, 'dental amalgam': {'clinical finding': 'dental amalgam', 'existence': 'pos_dx', 'descriptive_term': 'dental', 'observation': 'amalgam'}}clinical findings_fin: {'residual or recurrent measurable oropharyngeal tumor': {'clinical finding': 'residual or recurrent measurable oropharyngeal tumor', 'existence': 'neg_dx', 'descriptive_term': 'residual or recurrent measurable oropharyngeal', 'observation': 'tumor', 'temporal_term': 'residual'}}procedure_fin: ['treatment']clinical findings_fin: {'thin retropharyngeal effusion': {'clinical finding': 'thin retropharyngeal effusion', 'cf_snomed': {'effusion': 41699000}, 'existence': 'pos_dx', 'descriptive_term': 'thin retropharyngeal', 'observation': 'effusion'}}anatomical entity_fin: {'salivary glands': {}}clinical findings_fin: {'salivary glands and thyroid are unremarkable': {'clinical finding': 'salivary glands and thyroid are unremarkable'}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}clinical findings_fin: {'scattered subcentimeter lymph nodes': {'clinical finding': 'scattered subcentimeter lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'scattered subcentimeter lymph', 'observation': 'node'}}anatomical entity_fin: {'neck': {}}clinical findings_fin: {'pathologic adenopathy': {'clinical finding': 'pathologic adenopathy', 'existence': 'neg_dx', 'descriptive_term': 'pathologic', 'observation': 'adenopathy'}}anatomical entity_fin: {'lung': {}, 'apices': {}}clinical findings_fin: {'emphysema': {'clinical finding': 'emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'observation': 'emphysema'}}clinical findings_fin: {'destructive osseous lesions': {'clinical finding': 'destructive osseous lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'destructive osseous', 'observation': 'lesion'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'moderate multilevel degenerative changes': {'clinical finding': 'moderate multilevel degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'moderate multilevel degenerative', 'observation': 'change', 'strength_term': 'moderate'}}anatomical entity_fin: {'brain': {}, 'parenchyma': {}}clinical findings_fin: {'visualized brain parenchyma is unremarkable': {'clinical finding': 'visualized brain parenchyma is unremarkable'}}anatomical entity_fin: {'paranasal sinuses': {}, 'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}} [/INST] Streak artifact emanating from dental amalgam obscures surrounding structures. Within this limitation, there is no residual or recurrent measurable oropharyngeal tumor. Treatment-related findings are seen including mild infiltration of the fascial planes and a thin retropharyngeal effusion. Salivary glands and thyroid are unremarkable. The cervical vessels are patent. Scattered subcentimeter lymph nodes are seen. No pathologic adenopathy is detected in the neck by size criteria. Emphysema is seen in the lung apices. No destructive osseous lesions are evident. Moderate multilevel degenerative changes again seen in the cervical spine. Visualized brain parenchyma is unremarkable. Paranasal sinuses and mastoid air cells are clear. </s>

Evaluation is limited by streak artifact related to bilateral total hip arthroplasty devices. Components of a left total hip arthroplasty device are situated in near-anatomic alignment. There are findings indicating chronic bone infarction of the proximal femoral diaphysis, but no findings to suggest loosening of the femoral component. There is cement adjacent to the superomedial aspect of the acetabular component, as seen on prior radiographs. Lucency between the bone and acetabular component or cement also appears similar to that seen on prior radiographs. However, there is marked thinning of the medial wall of the left acetabulum, as well as a defect spanning approximately 1.5 x 1.0 cm. Furthermore, there is a hemispherical soft tissue mass or collection within the pelvis along the medial acetabular wall, measuring 5 x 2.5 x 5 cm. Differential diagnosis includes acetabular fracture with adjacent hematoma, and also prosthesis loosening or particle disease with adjacent sterile fluid collection. The possibility of an abscess is also considered, for which evaluation is suboptimal given the aforementioned artifact and lack of intravenous contrast however, the adjacent pelvic fat planes appear preserved, which would be unusual for an inflammatory process. Thin lucency surrounds the posterior of the two left acetabular screws, which may reflect loosening. Small foci of heterotopic ossification are seen lateral to the left hip joint. Given the aforementioned limitations, we see no findings to suggest a large hip joint effusion. There are two collections within the subcutaneous fat of the lateral aspect of the proximal left thigh, subjacent to the greater trochanter. The larger is inferior and measures 4.5 x 3.5 cm in transverse dimensions and 5 cm in craniocaudal dimension. The smaller superior collection measures approximately 2 x 3 cm in transverse dimensions and 3.5 cm in craniocaudal dimension. Small foci of high density are seen within the periphery of these collections, and while abscess cannot be excluded, these may simply represent postoperative hematomas or seromas. Components of a right total hip arthroplasty device are situated in near-anatomic alignment. There is thin lucency at the bone-cement interface of the proximal femoral component, which could represent loosening, although the true clinical significance of this is uncertain and we see no findings to suggest loosening of the distal femoral stem. Cement along the medial aspect of the acetabular component is seen protruding slightly into the pelvis through a defect in the medial acetabular wall. We see no mass or findings to suggest a large joint effusion, given the aforementioned limitations. There are small foci of heterotopic ossification along the medial aspect of the proximal right femur. There are also findings to suggest chronic bone infarction of the visualized right femoral diaphysis. Sclerotic foci in the remaining pelvic bones and visualized lower lumbosacral spine are seen indicating chronic bone infarction, with loss of height of the visualized lower lumbar vertebral bodies.

anatomical entity_fin: {'hip': {}}location descriptor_fin: ['bilateral']procedure_fin: ['arthroplasty']clinical findings_fin: {'streak artifact': {'clinical finding': 'streak artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'pos_dx', 'descriptive_term': 'streak', 'observation': 'artifact'}}anatomical entity_fin: {'hip': {}}location descriptor_fin: ['left']object_fin: ['arthroplasty device']clinical findings_fin: {'left total hip arthroplasty device': {'clinical finding': 'left total hip arthroplasty device', 'existence': 'pos_dx', 'descriptive_term': 'left total hip arthroplasty', 'observation': 'device'}, 'near-anatomic alignment': {'clinical finding': 'near-anatomic alignment', 'existence': 'pos_dx', 'descriptive_term': 'near-anatomic', 'observation': 'alignment'}}anatomical entity_fin: {'diaphysis': {}}location descriptor_fin: ['proximal']clinical findings_fin: {'chronic bone infarction': {'clinical finding': 'chronic bone infarction', 'existence': 'unc_dx', 'descriptive_term': 'chronic bone', 'observation': 'infarction', 'temporal_term': 'chronic'}}location descriptor_fin: ['adjacent']clinical findings_fin: {'is cement adjacent to the superomedial aspect of the acetabular component': {'clinical finding': 'is cement adjacent to the superomedial aspect of the acetabular component'}}clinical findings_fin: {'also appears similar to that': {'clinical finding': 'also appears similar to that'}}size_fin: [{'size': '1.5 x 1.0 cm', 'size_descriptor': 'thinning'}]anatomical entity_fin: {'wall': {'location descriptor': 'medial'}, 'acetabulum': {'location descriptor': 'left'}}location descriptor_fin: ['medial', 'left']clinical findings_fin: {'marked thinning': {'clinical finding': 'marked thinning', 'existence': 'pos_dx', 'descriptive_term': 'marked', 'observation': 'thinning'}, 'defect': {'clinical finding': 'defect', 'cf_snomed': {'defect': 6920004}, 'existence': 'pos_dx', 'observation': 'defect'}}size_fin: [{'size': '5 x 2.5 x 5 cm', 'size_descriptor': 'mass'}]anatomical entity_fin: {'pelvis': {}, 'wall': {}}location descriptor_fin: ['medial']clinical findings_fin: {'hemispherical soft tissue mass': {'clinical finding': 'hemispherical soft tissue mass', 'cf_snomed': {'soft tissue mass': 278002000}, 'existence': 'pos_dx', 'descriptive_term': 'hemispherical soft tissue', 'observation': 'mass'}}imaging observation_fin: ['hematoma']location descriptor_fin: ['adjacent']object_fin: ['prosthesis']clinical findings_fin: {'acetabular fracture': {'clinical finding': 'acetabular fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'acetabular', 'observation': 'fracture'}, 'adjacent hematoma': {'clinical finding': 'adjacent hematoma', 'cf_snomed': {'hematoma': 385494008}, 'existence': 'pos_dx', 'descriptive_term': 'adjacent', 'observation': 'hematoma'}, 'particle disease': {'clinical finding': 'particle disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'unc_dx', 'descriptive_term': 'particle', 'observation': 'disease'}, 'adjacent sterile fluid collection': {'clinical finding': 'adjacent sterile fluid collection', 'existence': 'pos_dx', 'descriptive_term': 'adjacent sterile fluid', 'observation': 'collection'}}imaging observation_fin: ['fat']location descriptor_fin: ['adjacent']clinical findings_fin: {'abscess': {'clinical finding': 'abscess', 'cf_snomed': {'abscess': 128477000}, 'existence': 'unc_dx', 'observation': 'abscess'}, 'aforementioned artifact': {'clinical finding': 'aforementioned artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'unc_dx', 'descriptive_term': 'aforementioned', 'observation': 'artifact'}, 'intravenous contrast': {'clinical finding': 'intravenous contrast', 'existence': 'neg_dx', 'descriptive_term': 'intravenous', 'observation': 'contrast'}}location descriptor_fin: ['posterior', 'left']clinical findings_fin: {'thin lucency surrounds': {'clinical finding': 'thin lucency surrounds'}}anatomical entity_fin: {'hip joint': {'location descriptor': 'left'}}imaging observation_fin: ['foci']location descriptor_fin: ['lateral', 'left']clinical findings_fin: {'heterotopic ossification': {'clinical finding': 'heterotopic ossification', 'cf_snomed': {'heterotopic ossification': 128491006}, 'existence': 'pos_dx', 'descriptive_term': 'heterotopic', 'observation': 'ossification'}}anatomical entity_fin: {'hip joint': {}}clinical findings_fin: {'large hip joint effusion': {'clinical finding': 'large hip joint effusion', 'cf_snomed': {'hip joint effusion': 202379000}, 'existence': 'neg_dx', 'descriptive_term': 'large hip joint', 'observation': 'effusion', 'strength_term': 'large'}}anatomical entity_fin: {'subcutaneous fat': {}, 'thigh': {'location descriptor': 'proximal left'}}location descriptor_fin: ['lateral', 'proximal', 'left']clinical findings_fin: {'are two collections within the subcutaneous fat of the lateral aspect of the proximal left thigh': {'clinical finding': 'are two collections within the subcutaneous fat of the lateral aspect of the proximal left thigh'}}size_fin: [{'size': '4.5 x 3.5 cm'}, {'size': '5 cm'}]location descriptor_fin: ['inferior']clinical findings_fin: {'larger is inferior': {'clinical finding': 'larger is inferior'}}size_fin: [{'size': '2 x 3 cm'}, {'size': '3.5 cm'}]location descriptor_fin: ['superior']clinical findings_fin: {'smaller superior collection measures': {'clinical finding': 'smaller superior collection measures'}}imaging observation_fin: ['foci', 'hematomas']clinical findings_fin: {'high density': {'clinical finding': 'high density', 'existence': 'pos_dx', 'descriptive_term': 'high', 'observation': 'density'}, 'abscess': {'clinical finding': 'abscess', 'cf_snomed': {'abscess': 128477000}, 'existence': 'unc_dx', 'observation': 'abscess'}, 'postoperative hematomas': {'clinical finding': 'postoperative hematomas', 'cf_snomed': {'hematoma': 385494008}, 'existence': 'unc_dx', 'descriptive_term': 'postoperative', 'observation': 'hematoma'}, 'seromas': {'clinical finding': 'seromas', 'existence': 'unc_dx', 'observation': 'seromas'}}anatomical entity_fin: {'hip': {}}location descriptor_fin: ['right']object_fin: ['arthroplasty device']clinical findings_fin: {'right total hip arthroplasty device': {'clinical finding': 'right total hip arthroplasty device', 'existence': 'pos_dx', 'descriptive_term': 'right total hip arthroplasty', 'observation': 'device'}, 'near-anatomic alignment': {'clinical finding': 'near-anatomic alignment', 'existence': 'pos_dx', 'descriptive_term': 'near-anatomic', 'observation': 'alignment'}}imaging observation_fin: ['interface']location descriptor_fin: ['proximal', 'distal']clinical findings_fin: {'bone-cement interface': {'clinical finding': 'bone-cement interface', 'existence': 'pos_dx', 'descriptive_term': 'bone-cement', 'observation': 'interface'}}anatomical entity_fin: {'pelvis': {}, 'wall': {}}location descriptor_fin: ['medial']clinical findings_fin: {'defect': {'clinical finding': 'defect', 'cf_snomed': {'defect': 6920004}, 'existence': 'pos_dx', 'observation': 'defect'}}clinical findings_fin: {'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}, 'large joint effusion': {'clinical finding': 'large joint effusion', 'cf_snomed': {'effusion': 41699000}, 'existence': 'neg_dx', 'descriptive_term': 'large joint', 'observation': 'effusion', 'strength_term': 'large'}}anatomical entity_fin: {'right femur': {'location descriptor': 'proximal'}}imaging observation_fin: ['foci']location descriptor_fin: ['medial', 'proximal']clinical findings_fin: {'heterotopic ossification': {'clinical finding': 'heterotopic ossification', 'cf_snomed': {'heterotopic ossification': 128491006}, 'existence': 'pos_dx', 'descriptive_term': 'heterotopic', 'observation': 'ossification'}}anatomical entity_fin: {'diaphysis': {}}location descriptor_fin: ['right']clinical findings_fin: {'chronic bone infarction': {'clinical finding': 'chronic bone infarction', 'existence': 'unc_dx', 'descriptive_term': 'chronic bone', 'observation': 'infarction', 'temporal_term': 'chronic'}}anatomical entity_fin: {'pelvic bones': {}, 'lumbosacral spine': {'location descriptor': 'lower'}, 'lumbar vertebral bodies': {'location descriptor': 'lower'}}imaging observation_fin: ['foci']location descriptor_fin: ['lower']clinical findings_fin: {'sclerotic foci': {'clinical finding': 'sclerotic foci', 'existence': 'pos_dx', 'descriptive_term': 'sclerotic', 'observation': 'foci'}, 'chronic bone infarction': {'clinical finding': 'chronic bone infarction', 'existence': 'unc_dx', 'descriptive_term': 'chronic bone', 'observation': 'infarction', 'temporal_term': 'chronic'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'hip': {}}location descriptor_fin: ['bilateral']procedure_fin: ['arthroplasty']clinical findings_fin: {'streak artifact': {'clinical finding': 'streak artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'pos_dx', 'descriptive_term': 'streak', 'observation': 'artifact'}}anatomical entity_fin: {'hip': {}}location descriptor_fin: ['left']object_fin: ['arthroplasty device']clinical findings_fin: {'left total hip arthroplasty device': {'clinical finding': 'left total hip arthroplasty device', 'existence': 'pos_dx', 'descriptive_term': 'left total hip arthroplasty', 'observation': 'device'}, 'near-anatomic alignment': {'clinical finding': 'near-anatomic alignment', 'existence': 'pos_dx', 'descriptive_term': 'near-anatomic', 'observation': 'alignment'}}anatomical entity_fin: {'diaphysis': {}}location descriptor_fin: ['proximal']clinical findings_fin: {'chronic bone infarction': {'clinical finding': 'chronic bone infarction', 'existence': 'unc_dx', 'descriptive_term': 'chronic bone', 'observation': 'infarction', 'temporal_term': 'chronic'}}location descriptor_fin: ['adjacent']clinical findings_fin: {'is cement adjacent to the superomedial aspect of the acetabular component': {'clinical finding': 'is cement adjacent to the superomedial aspect of the acetabular component'}}clinical findings_fin: {'also appears similar to that': {'clinical finding': 'also appears similar to that'}}size_fin: [{'size': '1.5 x 1.0 cm', 'size_descriptor': 'thinning'}]anatomical entity_fin: {'wall': {'location descriptor': 'medial'}, 'acetabulum': {'location descriptor': 'left'}}location descriptor_fin: ['medial', 'left']clinical findings_fin: {'marked thinning': {'clinical finding': 'marked thinning', 'existence': 'pos_dx', 'descriptive_term': 'marked', 'observation': 'thinning'}, 'defect': {'clinical finding': 'defect', 'cf_snomed': {'defect': 6920004}, 'existence': 'pos_dx', 'observation': 'defect'}}size_fin: [{'size': '5 x 2.5 x 5 cm', 'size_descriptor': 'mass'}]anatomical entity_fin: {'pelvis': {}, 'wall': {}}location descriptor_fin: ['medial']clinical findings_fin: {'hemispherical soft tissue mass': {'clinical finding': 'hemispherical soft tissue mass', 'cf_snomed': {'soft tissue mass': 278002000}, 'existence': 'pos_dx', 'descriptive_term': 'hemispherical soft tissue', 'observation': 'mass'}}imaging observation_fin: ['hematoma']location descriptor_fin: ['adjacent']object_fin: ['prosthesis']clinical findings_fin: {'acetabular fracture': {'clinical finding': 'acetabular fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'acetabular', 'observation': 'fracture'}, 'adjacent hematoma': {'clinical finding': 'adjacent hematoma', 'cf_snomed': {'hematoma': 385494008}, 'existence': 'pos_dx', 'descriptive_term': 'adjacent', 'observation': 'hematoma'}, 'particle disease': {'clinical finding': 'particle disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'unc_dx', 'descriptive_term': 'particle', 'observation': 'disease'}, 'adjacent sterile fluid collection': {'clinical finding': 'adjacent sterile fluid collection', 'existence': 'pos_dx', 'descriptive_term': 'adjacent sterile fluid', 'observation': 'collection'}}imaging observation_fin: ['fat']location descriptor_fin: ['adjacent']clinical findings_fin: {'abscess': {'clinical finding': 'abscess', 'cf_snomed': {'abscess': 128477000}, 'existence': 'unc_dx', 'observation': 'abscess'}, 'aforementioned artifact': {'clinical finding': 'aforementioned artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'unc_dx', 'descriptive_term': 'aforementioned', 'observation': 'artifact'}, 'intravenous contrast': {'clinical finding': 'intravenous contrast', 'existence': 'neg_dx', 'descriptive_term': 'intravenous', 'observation': 'contrast'}}location descriptor_fin: ['posterior', 'left']clinical findings_fin: {'thin lucency surrounds': {'clinical finding': 'thin lucency surrounds'}}anatomical entity_fin: {'hip joint': {'location descriptor': 'left'}}imaging observation_fin: ['foci']location descriptor_fin: ['lateral', 'left']clinical findings_fin: {'heterotopic ossification': {'clinical finding': 'heterotopic ossification', 'cf_snomed': {'heterotopic ossification': 128491006}, 'existence': 'pos_dx', 'descriptive_term': 'heterotopic', 'observation': 'ossification'}}anatomical entity_fin: {'hip joint': {}}clinical findings_fin: {'large hip joint effusion': {'clinical finding': 'large hip joint effusion', 'cf_snomed': {'hip joint effusion': 202379000}, 'existence': 'neg_dx', 'descriptive_term': 'large hip joint', 'observation': 'effusion', 'strength_term': 'large'}}anatomical entity_fin: {'subcutaneous fat': {}, 'thigh': {'location descriptor': 'proximal left'}}location descriptor_fin: ['lateral', 'proximal', 'left']clinical findings_fin: {'are two collections within the subcutaneous fat of the lateral aspect of the proximal left thigh': {'clinical finding': 'are two collections within the subcutaneous fat of the lateral aspect of the proximal left thigh'}}size_fin: [{'size': '4.5 x 3.5 cm'}, {'size': '5 cm'}]location descriptor_fin: ['inferior']clinical findings_fin: {'larger is inferior': {'clinical finding': 'larger is inferior'}}size_fin: [{'size': '2 x 3 cm'}, {'size': '3.5 cm'}]location descriptor_fin: ['superior']clinical findings_fin: {'smaller superior collection measures': {'clinical finding': 'smaller superior collection measures'}}imaging observation_fin: ['foci', 'hematomas']clinical findings_fin: {'high density': {'clinical finding': 'high density', 'existence': 'pos_dx', 'descriptive_term': 'high', 'observation': 'density'}, 'abscess': {'clinical finding': 'abscess', 'cf_snomed': {'abscess': 128477000}, 'existence': 'unc_dx', 'observation': 'abscess'}, 'postoperative hematomas': {'clinical finding': 'postoperative hematomas', 'cf_snomed': {'hematoma': 385494008}, 'existence': 'unc_dx', 'descriptive_term': 'postoperative', 'observation': 'hematoma'}, 'seromas': {'clinical finding': 'seromas', 'existence': 'unc_dx', 'observation': 'seromas'}}anatomical entity_fin: {'hip': {}}location descriptor_fin: ['right']object_fin: ['arthroplasty device']clinical findings_fin: {'right total hip arthroplasty device': {'clinical finding': 'right total hip arthroplasty device', 'existence': 'pos_dx', 'descriptive_term': 'right total hip arthroplasty', 'observation': 'device'}, 'near-anatomic alignment': {'clinical finding': 'near-anatomic alignment', 'existence': 'pos_dx', 'descriptive_term': 'near-anatomic', 'observation': 'alignment'}}imaging observation_fin: ['interface']location descriptor_fin: ['proximal', 'distal']clinical findings_fin: {'bone-cement interface': {'clinical finding': 'bone-cement interface', 'existence': 'pos_dx', 'descriptive_term': 'bone-cement', 'observation': 'interface'}}anatomical entity_fin: {'pelvis': {}, 'wall': {}}location descriptor_fin: ['medial']clinical findings_fin: {'defect': {'clinical finding': 'defect', 'cf_snomed': {'defect': 6920004}, 'existence': 'pos_dx', 'observation': 'defect'}}clinical findings_fin: {'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}, 'large joint effusion': {'clinical finding': 'large joint effusion', 'cf_snomed': {'effusion': 41699000}, 'existence': 'neg_dx', 'descriptive_term': 'large joint', 'observation': 'effusion', 'strength_term': 'large'}}anatomical entity_fin: {'right femur': {'location descriptor': 'proximal'}}imaging observation_fin: ['foci']location descriptor_fin: ['medial', 'proximal']clinical findings_fin: {'heterotopic ossification': {'clinical finding': 'heterotopic ossification', 'cf_snomed': {'heterotopic ossification': 128491006}, 'existence': 'pos_dx', 'descriptive_term': 'heterotopic', 'observation': 'ossification'}}anatomical entity_fin: {'diaphysis': {}}location descriptor_fin: ['right']clinical findings_fin: {'chronic bone infarction': {'clinical finding': 'chronic bone infarction', 'existence': 'unc_dx', 'descriptive_term': 'chronic bone', 'observation': 'infarction', 'temporal_term': 'chronic'}}anatomical entity_fin: {'pelvic bones': {}, 'lumbosacral spine': {'location descriptor': 'lower'}, 'lumbar vertebral bodies': {'location descriptor': 'lower'}}imaging observation_fin: ['foci']location descriptor_fin: ['lower']clinical findings_fin: {'sclerotic foci': {'clinical finding': 'sclerotic foci', 'existence': 'pos_dx', 'descriptive_term': 'sclerotic', 'observation': 'foci'}, 'chronic bone infarction': {'clinical finding': 'chronic bone infarction', 'existence': 'unc_dx', 'descriptive_term': 'chronic bone', 'observation': 'infarction', 'temporal_term': 'chronic'}} [/INST] Evaluation is limited by streak artifact related to bilateral total hip arthroplasty devices. Components of a left total hip arthroplasty device are situated in near-anatomic alignment. There are findings indicating chronic bone infarction of the proximal femoral diaphysis, but no findings to suggest loosening of the femoral component. There is cement adjacent to the superomedial aspect of the acetabular component, as seen on prior radiographs. Lucency between the bone and acetabular component or cement also appears similar to that seen on prior radiographs. However, there is marked thinning of the medial wall of the left acetabulum, as well as a defect spanning approximately 1.5 x 1.0 cm. Furthermore, there is a hemispherical soft tissue mass or collection within the pelvis along the medial acetabular wall, measuring 5 x 2.5 x 5 cm. Differential diagnosis includes acetabular fracture with adjacent hematoma, and also prosthesis loosening or particle disease with adjacent sterile fluid collection. The possibility of an abscess is also considered, for which evaluation is suboptimal given the aforementioned artifact and lack of intravenous contrast however, the adjacent pelvic fat planes appear preserved, which would be unusual for an inflammatory process. Thin lucency surrounds the posterior of the two left acetabular screws, which may reflect loosening. Small foci of heterotopic ossification are seen lateral to the left hip joint. Given the aforementioned limitations, we see no findings to suggest a large hip joint effusion. There are two collections within the subcutaneous fat of the lateral aspect of the proximal left thigh, subjacent to the greater trochanter. The larger is inferior and measures 4.5 x 3.5 cm in transverse dimensions and 5 cm in craniocaudal dimension. The smaller superior collection measures approximately 2 x 3 cm in transverse dimensions and 3.5 cm in craniocaudal dimension. Small foci of high density are seen within the periphery of these collections, and while abscess cannot be excluded, these may simply represent postoperative hematomas or seromas. Components of a right total hip arthroplasty device are situated in near-anatomic alignment. There is thin lucency at the bone-cement interface of the proximal femoral component, which could represent loosening, although the true clinical significance of this is uncertain and we see no findings to suggest loosening of the distal femoral stem. Cement along the medial aspect of the acetabular component is seen protruding slightly into the pelvis through a defect in the medial acetabular wall. We see no mass or findings to suggest a large joint effusion, given the aforementioned limitations. There are small foci of heterotopic ossification along the medial aspect of the proximal right femur. There are also findings to suggest chronic bone infarction of the visualized right femoral diaphysis. Sclerotic foci in the remaining pelvic bones and visualized lower lumbosacral spine are seen indicating chronic bone infarction, with loss of height of the visualized lower lumbar vertebral bodies. </s>

. No evidence of acute pulmonary emboli. Normal caliber to the main pulmonary artery. No evidence of right heart strain. Moderate bilateral pleural effusions with adjacent atelectasis. Apical predominant severe centrilobular emphysema. Mild bibasilar mucous plugging. Patulous debris filled esophagus. Tortuous and dilated descending thoracic aorta with mural thrombus appearing similar to the prior exam. The right heart is enlarged. Severe atherosclerotic calcifications. No significant abnormality noted. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. Heterogeneous lesion in the superior pole of the left kidney is unchanged and contains macroscopic fat compatible with an angiomyolipoma. Additional hypoattenuating lesion in the left kidney is likely benign.

clinical findings_fin: {'acute pulmonary emboli': {'clinical finding': 'acute pulmonary emboli', 'existence': 'neg_dx', 'descriptive_term': 'acute pulmonary', 'observation': 'emboli', 'strength_term': 'acute', 'temporal_term': 'acute'}}anatomical entity_fin: {'main pulmonary artery': {}}clinical findings_fin: {'normal caliber to the main pulmonary artery': {'clinical finding': 'normal caliber to the main pulmonary artery'}}anatomical entity_fin: {'heart': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'right heart strain': {'clinical finding': 'right heart strain', 'existence': 'neg_dx', 'descriptive_term': 'right heart', 'observation': 'strain'}}location descriptor_fin: ['bilateral', 'adjacent']clinical findings_fin: {'moderate bilateral pleural effusions': {'clinical finding': 'moderate bilateral pleural effusions', 'cf_snomed': {'bilateral pleural effusion': 425802001}, 'existence': 'pos_dx', 'descriptive_term': 'moderate bilateral pleural', 'observation': 'effusion', 'strength_term': 'moderate'}, 'adjacent atelectasis': {'clinical finding': 'adjacent atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'adjacent', 'observation': 'atelectasis'}}imaging observation_fin: ['apical']clinical findings_fin: {'apical predominant severe centrilobular emphysema': {'clinical finding': 'apical predominant severe centrilobular emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'descriptive_term': 'apical predominant severe centrilobular', 'observation': 'emphysema', 'strength_term': 'severe'}}clinical findings_fin: {'mild bibasilar mucous plugging': {'clinical finding': 'mild bibasilar mucous plugging', 'existence': 'pos_dx', 'descriptive_term': 'mild bibasilar mucous', 'observation': 'plugging', 'strength_term': 'mild'}}anatomical entity_fin: {'esophagus': {}}clinical findings_fin: {'patulous debris': {'clinical finding': 'patulous debris', 'existence': 'pos_dx', 'descriptive_term': 'patulous', 'observation': 'debris'}}anatomical entity_fin: {'descending thoracic aorta': {}}clinical findings_fin: {'tortuous and dilated descending thoracic aorta': {'clinical finding': 'tortuous and dilated descending thoracic aorta', 'existence': 'pos_dx', 'descriptive_term': 'tortuous and dilated descending thoracic', 'observation': 'aorta', 'change_term': 'dilated'}, 'mural thrombus': {'clinical finding': 'mural thrombus', 'cf_snomed': {'mural thrombus': 51670003}, 'existence': 'pos_dx', 'descriptive_term': 'mural', 'observation': 'thrombus'}}anatomical entity_fin: {'heart': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}}clinical findings_fin: {'severe atherosclerotic calcifications': {'clinical finding': 'severe atherosclerotic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'severe atherosclerotic', 'observation': 'calcification', 'strength_term': 'severe'}}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'}}anatomical entity_fin: {'pole': {'location descriptor': 'superior'}, 'left kidney': {}}imaging observation_fin: ['fat']location descriptor_fin: ['superior']clinical findings_fin: {'heterogeneous lesion': {'clinical finding': 'heterogeneous lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'heterogeneous', 'observation': 'lesion'}, 'macroscopic fat': {'clinical finding': 'macroscopic fat', 'existence': 'pos_dx', 'descriptive_term': 'macroscopic', 'observation': 'fat'}, 'angiomyolipoma': {'clinical finding': 'angiomyolipoma', 'cf_snomed': {'angiomyolipoma': 19929002}, 'existence': 'pos_dx', 'observation': 'angiomyolipoma'}}anatomical entity_fin: {'left kidney': {}}clinical findings_fin: {'additional hypoattenuating lesion': {'clinical finding': 'additional hypoattenuating lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'unc_dx', 'descriptive_term': 'additional hypoattenuating', 'observation': 'lesion'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'acute pulmonary emboli': {'clinical finding': 'acute pulmonary emboli', 'existence': 'neg_dx', 'descriptive_term': 'acute pulmonary', 'observation': 'emboli', 'strength_term': 'acute', 'temporal_term': 'acute'}}anatomical entity_fin: {'main pulmonary artery': {}}clinical findings_fin: {'normal caliber to the main pulmonary artery': {'clinical finding': 'normal caliber to the main pulmonary artery'}}anatomical entity_fin: {'heart': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'right heart strain': {'clinical finding': 'right heart strain', 'existence': 'neg_dx', 'descriptive_term': 'right heart', 'observation': 'strain'}}location descriptor_fin: ['bilateral', 'adjacent']clinical findings_fin: {'moderate bilateral pleural effusions': {'clinical finding': 'moderate bilateral pleural effusions', 'cf_snomed': {'bilateral pleural effusion': 425802001}, 'existence': 'pos_dx', 'descriptive_term': 'moderate bilateral pleural', 'observation': 'effusion', 'strength_term': 'moderate'}, 'adjacent atelectasis': {'clinical finding': 'adjacent atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'adjacent', 'observation': 'atelectasis'}}imaging observation_fin: ['apical']clinical findings_fin: {'apical predominant severe centrilobular emphysema': {'clinical finding': 'apical predominant severe centrilobular emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'descriptive_term': 'apical predominant severe centrilobular', 'observation': 'emphysema', 'strength_term': 'severe'}}clinical findings_fin: {'mild bibasilar mucous plugging': {'clinical finding': 'mild bibasilar mucous plugging', 'existence': 'pos_dx', 'descriptive_term': 'mild bibasilar mucous', 'observation': 'plugging', 'strength_term': 'mild'}}anatomical entity_fin: {'esophagus': {}}clinical findings_fin: {'patulous debris': {'clinical finding': 'patulous debris', 'existence': 'pos_dx', 'descriptive_term': 'patulous', 'observation': 'debris'}}anatomical entity_fin: {'descending thoracic aorta': {}}clinical findings_fin: {'tortuous and dilated descending thoracic aorta': {'clinical finding': 'tortuous and dilated descending thoracic aorta', 'existence': 'pos_dx', 'descriptive_term': 'tortuous and dilated descending thoracic', 'observation': 'aorta', 'change_term': 'dilated'}, 'mural thrombus': {'clinical finding': 'mural thrombus', 'cf_snomed': {'mural thrombus': 51670003}, 'existence': 'pos_dx', 'descriptive_term': 'mural', 'observation': 'thrombus'}}anatomical entity_fin: {'heart': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}}clinical findings_fin: {'severe atherosclerotic calcifications': {'clinical finding': 'severe atherosclerotic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'severe atherosclerotic', 'observation': 'calcification', 'strength_term': 'severe'}}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'}}anatomical entity_fin: {'pole': {'location descriptor': 'superior'}, 'left kidney': {}}imaging observation_fin: ['fat']location descriptor_fin: ['superior']clinical findings_fin: {'heterogeneous lesion': {'clinical finding': 'heterogeneous lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'heterogeneous', 'observation': 'lesion'}, 'macroscopic fat': {'clinical finding': 'macroscopic fat', 'existence': 'pos_dx', 'descriptive_term': 'macroscopic', 'observation': 'fat'}, 'angiomyolipoma': {'clinical finding': 'angiomyolipoma', 'cf_snomed': {'angiomyolipoma': 19929002}, 'existence': 'pos_dx', 'observation': 'angiomyolipoma'}}anatomical entity_fin: {'left kidney': {}}clinical findings_fin: {'additional hypoattenuating lesion': {'clinical finding': 'additional hypoattenuating lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'unc_dx', 'descriptive_term': 'additional hypoattenuating', 'observation': 'lesion'}} [/INST] . No evidence of acute pulmonary emboli. Normal caliber to the main pulmonary artery. No evidence of right heart strain. Moderate bilateral pleural effusions with adjacent atelectasis. Apical predominant severe centrilobular emphysema. Mild bibasilar mucous plugging. Patulous debris filled esophagus. Tortuous and dilated descending thoracic aorta with mural thrombus appearing similar to the prior exam. The right heart is enlarged. Severe atherosclerotic calcifications. No significant abnormality noted. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. Heterogeneous lesion in the superior pole of the left kidney is unchanged and contains macroscopic fat compatible with an angiomyolipoma. Additional hypoattenuating lesion in the left kidney is likely benign. </s>

. Subsegmental vessel occlusion in the right lower lobe, subacute chronic and new since the prior PET CT of 4/2015. Multiple chronic emboli are seen in segmental and subsegmental arteries of the lower lobes bilaterally. The pulmonary arteries are moderately enlarged. No evidence of right heart strain. Bilateral lower lobe scarring which could relate to previous infarct. Mild centrilobular emphysema in the upper lungs. No pleural effusions noted. Scattered pulmonary micronodules. The previously measured right middle lobe nodule currently measures 5 mm on image 102 of series 8, and is unchanged in size. This is likely benign. Reactive mediastinal and right hilar adenopathy which is unchanged. Mediastinal lipomatosis is noted. Mild. Left ninth rib tip expansile bony remodeling which appears stable as compared to the previous exam. Please note that the cartilaginous components of these lesions cannot be accurately assessed by CT. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. Status post cholecystectomy. Left splenic hypoattenuating lesion appears unchanged compared to 8/30/2015. Left renal cystic lesion appears unchanged.

anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['subsegmental', 'right', 'lower']clinical findings_fin: {'subsegmental vessel occlusion': {'clinical finding': 'subsegmental vessel occlusion', 'existence': 'pos_dx', 'descriptive_term': 'subsegmental vessel', 'observation': 'occlusion'}}anatomical entity_fin: {'arteries': {'location descriptor': 'subsegmental'}, 'lobes': {'location descriptor': 'lower'}}location descriptor_fin: ['subsegmental', 'lower']clinical findings_fin: {'multiple chronic emboli': {'clinical finding': 'multiple chronic emboli', 'existence': 'pos_dx', 'descriptive_term': 'multiple chronic', 'observation': 'emboli', 'quantity_term': 'multiple', 'temporal_term': 'chronic'}}anatomical entity_fin: {'pulmonary arteries': {}}clinical findings_fin: {'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}}anatomical entity_fin: {'heart': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'right heart strain': {'clinical finding': 'right heart strain', 'existence': 'neg_dx', 'descriptive_term': 'right heart', 'observation': 'strain'}}anatomical entity_fin: {'lobe': {'location descriptor': 'bilateral lower'}}location descriptor_fin: ['bilateral', 'lower']clinical findings_fin: {'bilateral lower lobe scarring': {'clinical finding': 'bilateral lower lobe scarring', 'existence': 'pos_dx', 'descriptive_term': 'bilateral lower lobe', 'observation': 'scarr'}, 'previous infarct': {'clinical finding': 'previous infarct', 'cf_snomed': {'infarct': 55641003}, 'existence': 'pos_dx', 'descriptive_term': 'previous', 'observation': 'infarct', 'temporal_term': 'previous'}}anatomical entity_fin: {'lungs': {'location descriptor': 'upper'}}location descriptor_fin: ['upper']clinical findings_fin: {'mild centrilobular emphysema': {'clinical finding': 'mild centrilobular emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'descriptive_term': 'mild centrilobular', 'observation': 'emphysema', 'strength_term': 'mild'}}clinical findings_fin: {'pleural effusions': {'clinical finding': 'pleural effusions', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}}clinical findings_fin: {'scattered pulmonary micronodules': {'clinical finding': 'scattered pulmonary micronodules', 'existence': 'pos_dx', 'descriptive_term': 'scattered pulmonary', 'observation': 'micronodule'}}size_fin: [{'size': '5 mm', 'size_descriptor': 'nodule'}]anatomical entity_fin: {'middle': {'location descriptor': 'right'}, 'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'previously measured right middle lobe nodule': {'clinical finding': 'previously measured right middle lobe nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'previously measured right middle lobe', 'observation': 'nodule'}}clinical findings_fin: {'this is likely benign': {'clinical finding': 'this is likely benign'}}location descriptor_fin: ['right']clinical findings_fin: {'reactive mediastinal and right hilar adenopathy': {'clinical finding': 'reactive mediastinal and right hilar adenopathy', 'existence': 'pos_dx', 'descriptive_term': 'reactive mediastinal and right hilar', 'observation': 'adenopathy'}}clinical findings_fin: {'mediastinal lipomatosis': {'clinical finding': 'mediastinal lipomatosis', 'cf_snomed': {'lipomatosis': 402693001}, 'existence': 'pos_dx', 'descriptive_term': 'mediastinal', 'observation': 'lipomatosis'}}anatomical entity_fin: {'rib': {}}location descriptor_fin: ['left']clinical findings_fin: {'left ninth rib tip expansile bony remodeling': {'clinical finding': 'left ninth rib tip expansile bony remodeling', 'existence': 'pos_dx', 'descriptive_term': 'left ninth rib tip expansile bony', 'observation': 'remodeling'}}clinical findings_fin: {'these lesions': {'clinical finding': 'these lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'unc_dx', 'descriptive_term': 'these', 'observation': 'lesion'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}procedure_fin: ['cholecystectomy']location descriptor_fin: ['left']clinical findings_fin: {'left splenic hypoattenuating lesion': {'clinical finding': 'left splenic hypoattenuating lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'left splenic hypoattenuating', 'observation': 'lesion'}}location descriptor_fin: ['left']clinical findings_fin: {'left renal cystic lesion': {'clinical finding': 'left renal cystic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'left renal cystic', 'observation': 'lesion'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['subsegmental', 'right', 'lower']clinical findings_fin: {'subsegmental vessel occlusion': {'clinical finding': 'subsegmental vessel occlusion', 'existence': 'pos_dx', 'descriptive_term': 'subsegmental vessel', 'observation': 'occlusion'}}anatomical entity_fin: {'arteries': {'location descriptor': 'subsegmental'}, 'lobes': {'location descriptor': 'lower'}}location descriptor_fin: ['subsegmental', 'lower']clinical findings_fin: {'multiple chronic emboli': {'clinical finding': 'multiple chronic emboli', 'existence': 'pos_dx', 'descriptive_term': 'multiple chronic', 'observation': 'emboli', 'quantity_term': 'multiple', 'temporal_term': 'chronic'}}anatomical entity_fin: {'pulmonary arteries': {}}clinical findings_fin: {'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}}anatomical entity_fin: {'heart': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'right heart strain': {'clinical finding': 'right heart strain', 'existence': 'neg_dx', 'descriptive_term': 'right heart', 'observation': 'strain'}}anatomical entity_fin: {'lobe': {'location descriptor': 'bilateral lower'}}location descriptor_fin: ['bilateral', 'lower']clinical findings_fin: {'bilateral lower lobe scarring': {'clinical finding': 'bilateral lower lobe scarring', 'existence': 'pos_dx', 'descriptive_term': 'bilateral lower lobe', 'observation': 'scarr'}, 'previous infarct': {'clinical finding': 'previous infarct', 'cf_snomed': {'infarct': 55641003}, 'existence': 'pos_dx', 'descriptive_term': 'previous', 'observation': 'infarct', 'temporal_term': 'previous'}}anatomical entity_fin: {'lungs': {'location descriptor': 'upper'}}location descriptor_fin: ['upper']clinical findings_fin: {'mild centrilobular emphysema': {'clinical finding': 'mild centrilobular emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'descriptive_term': 'mild centrilobular', 'observation': 'emphysema', 'strength_term': 'mild'}}clinical findings_fin: {'pleural effusions': {'clinical finding': 'pleural effusions', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}}clinical findings_fin: {'scattered pulmonary micronodules': {'clinical finding': 'scattered pulmonary micronodules', 'existence': 'pos_dx', 'descriptive_term': 'scattered pulmonary', 'observation': 'micronodule'}}size_fin: [{'size': '5 mm', 'size_descriptor': 'nodule'}]anatomical entity_fin: {'middle': {'location descriptor': 'right'}, 'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'previously measured right middle lobe nodule': {'clinical finding': 'previously measured right middle lobe nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'previously measured right middle lobe', 'observation': 'nodule'}}clinical findings_fin: {'this is likely benign': {'clinical finding': 'this is likely benign'}}location descriptor_fin: ['right']clinical findings_fin: {'reactive mediastinal and right hilar adenopathy': {'clinical finding': 'reactive mediastinal and right hilar adenopathy', 'existence': 'pos_dx', 'descriptive_term': 'reactive mediastinal and right hilar', 'observation': 'adenopathy'}}clinical findings_fin: {'mediastinal lipomatosis': {'clinical finding': 'mediastinal lipomatosis', 'cf_snomed': {'lipomatosis': 402693001}, 'existence': 'pos_dx', 'descriptive_term': 'mediastinal', 'observation': 'lipomatosis'}}anatomical entity_fin: {'rib': {}}location descriptor_fin: ['left']clinical findings_fin: {'left ninth rib tip expansile bony remodeling': {'clinical finding': 'left ninth rib tip expansile bony remodeling', 'existence': 'pos_dx', 'descriptive_term': 'left ninth rib tip expansile bony', 'observation': 'remodeling'}}clinical findings_fin: {'these lesions': {'clinical finding': 'these lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'unc_dx', 'descriptive_term': 'these', 'observation': 'lesion'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}procedure_fin: ['cholecystectomy']location descriptor_fin: ['left']clinical findings_fin: {'left splenic hypoattenuating lesion': {'clinical finding': 'left splenic hypoattenuating lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'left splenic hypoattenuating', 'observation': 'lesion'}}location descriptor_fin: ['left']clinical findings_fin: {'left renal cystic lesion': {'clinical finding': 'left renal cystic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'left renal cystic', 'observation': 'lesion'}} [/INST] . Subsegmental vessel occlusion in the right lower lobe, subacute chronic and new since the prior PET CT of 4/2015. Multiple chronic emboli are seen in segmental and subsegmental arteries of the lower lobes bilaterally. The pulmonary arteries are moderately enlarged. No evidence of right heart strain. Bilateral lower lobe scarring which could relate to previous infarct. Mild centrilobular emphysema in the upper lungs. No pleural effusions noted. Scattered pulmonary micronodules. The previously measured right middle lobe nodule currently measures 5 mm on image 102 of series 8, and is unchanged in size. This is likely benign. Reactive mediastinal and right hilar adenopathy which is unchanged. Mediastinal lipomatosis is noted. Mild. Left ninth rib tip expansile bony remodeling which appears stable as compared to the previous exam. Please note that the cartilaginous components of these lesions cannot be accurately assessed by CT. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. Status post cholecystectomy. Left splenic hypoattenuating lesion appears unchanged compared to 8/30/2015. Left renal cystic lesion appears unchanged. </s>

. Flat scarlike right upper lobe nodule is unchanged, likely benign. Left upper lobe subsolid nodule remains 9 x 9 mm and continues to contain a punctate internal sub-solid component. Suspicious appearing nodule in the posterior medial right lower lobe increased in density and now with irregularity of the borders, 10 x 10 mm, previously 9 x 8 mm. This remains compatible with a primary pulmonary neoplasm. Well-circumscribed solid left lower lobe 6 mm nodule is stable and benign in appearance. 5 mm nodular opacity in the right lower lobe abutting the cardiac border increased in density, though not in size and should continue to be monitored. Paramediastinal scarring on the right, mild and unchanged. Very mild subpleural fibrosis in the anterior left lung consistent with prior chest wall radiation therapy. Mild emphysema. Small right greater than left pleural fluid collections. Neoesophagus remains dilated and contains a moderate volume of fluid. No signs of localized recurrence. No significant lymphadenopathy. Cardiomegaly with left atrial enlargement. Heavily calcified mitral annulus. Moderate. Left mastectomy and axillary dissection. Multiple dissection clips in the region of the thyroid bed. Severe kyphosis. Absence of enteric contrast material limits sensitivity for abdominal pathology. Cholecystectomy. Cirrhotic appearing liver. No significant abnormality noted. No significant abnormality noted. Bilateral cortical thinning, numerous cysts and a left interpolar 9 x 10 mm collecting system calculus noted. No hydronephrosis. No significant abnormality noted. Severe atherosclerotic calcification of the aorta and its branches. Small left splenic artery aneurysm, partially calcified and unchanged measuring around 9 mm. Absence of enteric contrast material limits sensitivity for GI pathology. No gross abnormalities noted. No significant abnormality noted. No significant abnormality noted.

anatomical entity_fin: {'lobe': {'location descriptor': 'right upper'}}location descriptor_fin: ['right', 'upper']clinical findings_fin: {'flat scarlike right upper lobe nodule': {'clinical finding': 'flat scarlike right upper lobe nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'flat scarlike right upper lobe', 'observation': 'nodule'}}size_fin: [{'size': '9 x 9 mm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'left upper lobe subsolid nodule': {'clinical finding': 'left upper lobe subsolid nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'left upper lobe subsolid', 'observation': 'nodule'}}size_fin: [{'size': '10 x 10 mm'}, {'size': '9 x 8 mm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}imaging observation_fin: ['borders']location descriptor_fin: ['posterior', 'medial', 'right', 'lower']clinical findings_fin: {'suspicious appearing nodule': {'clinical finding': 'suspicious appearing nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'suspicious appearing', 'observation': 'nodule'}, 'density': {'clinical finding': 'density', 'existence': 'pos_dx', 'observation': 'density'}}clinical findings_fin: {'primary pulmonary neoplasm': {'clinical finding': 'primary pulmonary neoplasm', 'cf_snomed': {'neoplasm': 108369006}, 'existence': 'pos_dx', 'descriptive_term': 'primary pulmonary', 'observation': 'neoplasm'}}size_fin: [{'size': '6 mm', 'size_descriptor': 'nodule'}]anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'well-circumscribed solid left lower lobe 6 mm nodule': {'clinical finding': 'well-circumscribed solid left lower lobe 6 mm nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'well-circumscribed solid left lower lobe 6 mm', 'observation': 'nodule'}}size_fin: [{'size': '5 mm', 'size_descriptor': 'opacity'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}imaging observation_fin: ['border']location descriptor_fin: ['right', 'lower']clinical findings_fin: {'5 mm nodular opacity': {'clinical finding': '5 mm nodular opacity', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': '5 mm nodular', 'observation': 'opacity'}, 'density': {'clinical finding': 'density', 'existence': 'pos_dx', 'observation': 'density'}}location descriptor_fin: ['right']clinical findings_fin: {'paramediastinal scarring': {'clinical finding': 'paramediastinal scarring', 'existence': 'pos_dx', 'descriptive_term': 'paramediastinal', 'observation': 'scarr'}}anatomical entity_fin: {'left lung': {'location descriptor': 'anterior'}, 'chest wall': {}}location descriptor_fin: ['anterior']clinical findings_fin: {'very mild subpleural fibrosis': {'clinical finding': 'very mild subpleural fibrosis', 'existence': 'pos_dx', 'descriptive_term': 'very mild subpleural', 'observation': 'fibrosis', 'strength_term': 'mild'}}clinical findings_fin: {'mild emphysema': {'clinical finding': 'mild emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'emphysema', 'strength_term': 'mild'}}location descriptor_fin: ['right', 'left']clinical findings_fin: {'small right greater than left pleural fluid collections': {'clinical finding': 'small right greater than left pleural fluid collections', 'existence': 'pos_dx', 'descriptive_term': 'small right greater than left pleural fluid', 'observation': 'collection', 'strength_term': 'small', 'change_term': 'greater'}}anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'dilated': {'clinical finding': 'dilated', 'existence': 'pos_dx', 'observation': 'dilated'}}clinical findings_fin: {'localized recurrence': {'clinical finding': 'localized recurrence', 'existence': 'neg_dx', 'descriptive_term': 'localized', 'observation': 'recurrence'}}clinical findings_fin: {'significant lymphadenopathy': {'clinical finding': 'significant lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'lymphadenopathy'}}location descriptor_fin: ['left']clinical findings_fin: {'cardiomegaly': {'clinical finding': 'cardiomegaly', 'cf_snomed': {'cardiomegaly': 8186001}, 'existence': 'pos_dx', 'observation': 'cardiomegaly'}, 'left atrial enlargement': {'clinical finding': 'left atrial enlargement', 'cf_snomed': {'left atrial enlargement': 67741000119109}, 'existence': 'pos_dx', 'descriptive_term': 'left atrial', 'observation': 'enlargement'}}clinical findings_fin: {'heavily calcified': {'clinical finding': 'heavily calcified', 'existence': 'pos_dx', 'descriptive_term': 'heavily', 'observation': 'calcified', 'strength_term': 'heavily'}}location descriptor_fin: ['left']procedure_fin: ['mastectomy']clinical findings_fin: {'axillary dissection': {'clinical finding': 'axillary dissection', 'existence': 'pos_dx', 'descriptive_term': 'axillary', 'observation': 'dissection'}}object_fin: ['clips']clinical findings_fin: {'multiple dissection': {'clinical finding': 'multiple dissection', 'existence': 'pos_dx', 'descriptive_term': 'multiple', 'observation': 'dissection', 'quantity_term': 'multiple'}}clinical findings_fin: {'severe kyphosis': {'clinical finding': 'severe kyphosis', 'existence': 'pos_dx', 'descriptive_term': 'severe', 'observation': 'kyphosis', 'strength_term': 'severe'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'cirrhotic': {'clinical finding': 'cirrhotic', 'existence': 'pos_dx', 'observation': 'cirrhotic'}}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': '9 x 10 mm', 'size_descriptor': 'calculus'}]location descriptor_fin: ['bilateral', 'left']clinical findings_fin: {'bilateral cortical thinning': {'clinical finding': 'bilateral cortical thinning', 'existence': 'pos_dx', 'descriptive_term': 'bilateral cortical', 'observation': 'thinning'}, 'numerous cysts': {'clinical finding': 'numerous cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'numerous', 'observation': 'cyst', 'quantity_term': 'numerous'}, 'left interpolar 9 x 10 mm collecting system calculus': {'clinical finding': 'left interpolar 9 x 10 mm collecting system calculus', 'cf_snomed': {'calculus': 56381008}, 'existence': 'pos_dx', 'descriptive_term': 'left interpolar 9 x 10 mm collecting system', 'observation': 'calculus'}}clinical findings_fin: {'hydronephrosis': {'clinical finding': 'hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'neg_dx', 'observation': 'hydronephrosis'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'aorta': {}}clinical findings_fin: {'severe atherosclerotic calcification': {'clinical finding': 'severe atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'severe atherosclerotic', 'observation': 'calcification', 'strength_term': 'severe'}}size_fin: [{'size': '9 mm', 'size_descriptor': 'aneurysm'}]anatomical entity_fin: {'splenic artery': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'small left splenic artery aneurysm': {'clinical finding': 'small left splenic artery aneurysm', 'cf_snomed': {'aneurysm': 432119003}, 'existence': 'pos_dx', 'descriptive_term': 'small left splenic artery', 'observation': 'aneurysm', 'strength_term': 'small'}, 'calcified': {'clinical finding': 'calcified', 'existence': 'pos_dx', 'observation': 'calcified'}}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: {'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'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'lobe': {'location descriptor': 'right upper'}}location descriptor_fin: ['right', 'upper']clinical findings_fin: {'flat scarlike right upper lobe nodule': {'clinical finding': 'flat scarlike right upper lobe nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'flat scarlike right upper lobe', 'observation': 'nodule'}}size_fin: [{'size': '9 x 9 mm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'left upper lobe subsolid nodule': {'clinical finding': 'left upper lobe subsolid nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'left upper lobe subsolid', 'observation': 'nodule'}}size_fin: [{'size': '10 x 10 mm'}, {'size': '9 x 8 mm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}imaging observation_fin: ['borders']location descriptor_fin: ['posterior', 'medial', 'right', 'lower']clinical findings_fin: {'suspicious appearing nodule': {'clinical finding': 'suspicious appearing nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'suspicious appearing', 'observation': 'nodule'}, 'density': {'clinical finding': 'density', 'existence': 'pos_dx', 'observation': 'density'}}clinical findings_fin: {'primary pulmonary neoplasm': {'clinical finding': 'primary pulmonary neoplasm', 'cf_snomed': {'neoplasm': 108369006}, 'existence': 'pos_dx', 'descriptive_term': 'primary pulmonary', 'observation': 'neoplasm'}}size_fin: [{'size': '6 mm', 'size_descriptor': 'nodule'}]anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'well-circumscribed solid left lower lobe 6 mm nodule': {'clinical finding': 'well-circumscribed solid left lower lobe 6 mm nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'well-circumscribed solid left lower lobe 6 mm', 'observation': 'nodule'}}size_fin: [{'size': '5 mm', 'size_descriptor': 'opacity'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}imaging observation_fin: ['border']location descriptor_fin: ['right', 'lower']clinical findings_fin: {'5 mm nodular opacity': {'clinical finding': '5 mm nodular opacity', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': '5 mm nodular', 'observation': 'opacity'}, 'density': {'clinical finding': 'density', 'existence': 'pos_dx', 'observation': 'density'}}location descriptor_fin: ['right']clinical findings_fin: {'paramediastinal scarring': {'clinical finding': 'paramediastinal scarring', 'existence': 'pos_dx', 'descriptive_term': 'paramediastinal', 'observation': 'scarr'}}anatomical entity_fin: {'left lung': {'location descriptor': 'anterior'}, 'chest wall': {}}location descriptor_fin: ['anterior']clinical findings_fin: {'very mild subpleural fibrosis': {'clinical finding': 'very mild subpleural fibrosis', 'existence': 'pos_dx', 'descriptive_term': 'very mild subpleural', 'observation': 'fibrosis', 'strength_term': 'mild'}}clinical findings_fin: {'mild emphysema': {'clinical finding': 'mild emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'emphysema', 'strength_term': 'mild'}}location descriptor_fin: ['right', 'left']clinical findings_fin: {'small right greater than left pleural fluid collections': {'clinical finding': 'small right greater than left pleural fluid collections', 'existence': 'pos_dx', 'descriptive_term': 'small right greater than left pleural fluid', 'observation': 'collection', 'strength_term': 'small', 'change_term': 'greater'}}anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'dilated': {'clinical finding': 'dilated', 'existence': 'pos_dx', 'observation': 'dilated'}}clinical findings_fin: {'localized recurrence': {'clinical finding': 'localized recurrence', 'existence': 'neg_dx', 'descriptive_term': 'localized', 'observation': 'recurrence'}}clinical findings_fin: {'significant lymphadenopathy': {'clinical finding': 'significant lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'lymphadenopathy'}}location descriptor_fin: ['left']clinical findings_fin: {'cardiomegaly': {'clinical finding': 'cardiomegaly', 'cf_snomed': {'cardiomegaly': 8186001}, 'existence': 'pos_dx', 'observation': 'cardiomegaly'}, 'left atrial enlargement': {'clinical finding': 'left atrial enlargement', 'cf_snomed': {'left atrial enlargement': 67741000119109}, 'existence': 'pos_dx', 'descriptive_term': 'left atrial', 'observation': 'enlargement'}}clinical findings_fin: {'heavily calcified': {'clinical finding': 'heavily calcified', 'existence': 'pos_dx', 'descriptive_term': 'heavily', 'observation': 'calcified', 'strength_term': 'heavily'}}location descriptor_fin: ['left']procedure_fin: ['mastectomy']clinical findings_fin: {'axillary dissection': {'clinical finding': 'axillary dissection', 'existence': 'pos_dx', 'descriptive_term': 'axillary', 'observation': 'dissection'}}object_fin: ['clips']clinical findings_fin: {'multiple dissection': {'clinical finding': 'multiple dissection', 'existence': 'pos_dx', 'descriptive_term': 'multiple', 'observation': 'dissection', 'quantity_term': 'multiple'}}clinical findings_fin: {'severe kyphosis': {'clinical finding': 'severe kyphosis', 'existence': 'pos_dx', 'descriptive_term': 'severe', 'observation': 'kyphosis', 'strength_term': 'severe'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'cirrhotic': {'clinical finding': 'cirrhotic', 'existence': 'pos_dx', 'observation': 'cirrhotic'}}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': '9 x 10 mm', 'size_descriptor': 'calculus'}]location descriptor_fin: ['bilateral', 'left']clinical findings_fin: {'bilateral cortical thinning': {'clinical finding': 'bilateral cortical thinning', 'existence': 'pos_dx', 'descriptive_term': 'bilateral cortical', 'observation': 'thinning'}, 'numerous cysts': {'clinical finding': 'numerous cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'numerous', 'observation': 'cyst', 'quantity_term': 'numerous'}, 'left interpolar 9 x 10 mm collecting system calculus': {'clinical finding': 'left interpolar 9 x 10 mm collecting system calculus', 'cf_snomed': {'calculus': 56381008}, 'existence': 'pos_dx', 'descriptive_term': 'left interpolar 9 x 10 mm collecting system', 'observation': 'calculus'}}clinical findings_fin: {'hydronephrosis': {'clinical finding': 'hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'neg_dx', 'observation': 'hydronephrosis'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'aorta': {}}clinical findings_fin: {'severe atherosclerotic calcification': {'clinical finding': 'severe atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'severe atherosclerotic', 'observation': 'calcification', 'strength_term': 'severe'}}size_fin: [{'size': '9 mm', 'size_descriptor': 'aneurysm'}]anatomical entity_fin: {'splenic artery': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'small left splenic artery aneurysm': {'clinical finding': 'small left splenic artery aneurysm', 'cf_snomed': {'aneurysm': 432119003}, 'existence': 'pos_dx', 'descriptive_term': 'small left splenic artery', 'observation': 'aneurysm', 'strength_term': 'small'}, 'calcified': {'clinical finding': 'calcified', 'existence': 'pos_dx', 'observation': 'calcified'}}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: {'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'}} [/INST] . Flat scarlike right upper lobe nodule is unchanged, likely benign. Left upper lobe subsolid nodule remains 9 x 9 mm and continues to contain a punctate internal sub-solid component. Suspicious appearing nodule in the posterior medial right lower lobe increased in density and now with irregularity of the borders, 10 x 10 mm, previously 9 x 8 mm. This remains compatible with a primary pulmonary neoplasm. Well-circumscribed solid left lower lobe 6 mm nodule is stable and benign in appearance. 5 mm nodular opacity in the right lower lobe abutting the cardiac border increased in density, though not in size and should continue to be monitored. Paramediastinal scarring on the right, mild and unchanged. Very mild subpleural fibrosis in the anterior left lung consistent with prior chest wall radiation therapy. Mild emphysema. Small right greater than left pleural fluid collections. Neoesophagus remains dilated and contains a moderate volume of fluid. No signs of localized recurrence. No significant lymphadenopathy. Cardiomegaly with left atrial enlargement. Heavily calcified mitral annulus. Moderate. Left mastectomy and axillary dissection. Multiple dissection clips in the region of the thyroid bed. Severe kyphosis. Absence of enteric contrast material limits sensitivity for abdominal pathology. Cholecystectomy. Cirrhotic appearing liver. No significant abnormality noted. No significant abnormality noted. Bilateral cortical thinning, numerous cysts and a left interpolar 9 x 10 mm collecting system calculus noted. No hydronephrosis. No significant abnormality noted. Severe atherosclerotic calcification of the aorta and its branches. Small left splenic artery aneurysm, partially calcified and unchanged measuring around 9 mm. Absence of enteric contrast material limits sensitivity for GI pathology. No gross abnormalities noted. No significant abnormality noted. No significant abnormality noted. </s>

. Moderate to large right and trace left pleural effusion and underlying atelectasis. Partially visualized cardiomegaly without significant pericardial effusion. The hepatic veins and intrahepatic IVC are engorged, which may be secondary to heart failure. Subcapsular right hepatic lobe hypodensity likely represents a cyst. No specific evidence of acute cholecystitis. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. The kidneys are atrophic, consistent with chronic end-stage renal disease. No hydronephrosis or nephrolithiasis. No discrete renal lesions are identified. Prominent retroperitoneal lymph nodes are seen. A left para-aortic node measures 17 x 22 mm. Mild. No evidence of bowel obstruction. Contrast reaches the rectum. Mild, nonspecific bowel wall thickening involving the proximal jejunum, which can be seen in the setting of enteritis. No pneumatosis intestinalis, pneumoperitoneum, or portal venous gas is identified. Fluid is present in the right scrotum or inguinal canal. Moderate abdominopelvic ascites, measuring simple fluid density. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted

location descriptor_fin: ['right', 'left']clinical findings_fin: {'trace left pleural effusion': {'clinical finding': 'trace left pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'trace left pleural', 'observation': 'effusion'}, 'underlying atelectasis': {'clinical finding': 'underlying atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'underlying', 'observation': 'atelectasis'}}clinical findings_fin: {'partially visualized cardiomegaly': {'clinical finding': 'partially visualized cardiomegaly', 'cf_snomed': {'cardiomegaly': 8186001}, 'existence': 'pos_dx', 'descriptive_term': 'partially visualized', 'observation': 'cardiomegaly', 'strength_term': 'partially'}, 'significant pericardial effusion': {'clinical finding': 'significant pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'pos_dx', 'descriptive_term': 'significant pericardial', 'observation': 'effusion'}}anatomical entity_fin: {'hepatic veins': {}}clinical findings_fin: {'engorged': {'clinical finding': 'engorged', 'existence': 'pos_dx', 'observation': 'engorge'}, 'heart failure': {'clinical finding': 'heart failure', 'cf_snomed': {'heart failure': 84114007}, 'existence': 'unc_dx', 'descriptive_term': 'heart', 'observation': 'failure'}}anatomical entity_fin: {'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'subcapsular right hepatic lobe hypodensity': {'clinical finding': 'subcapsular right hepatic lobe hypodensity', 'existence': 'unc_dx', 'descriptive_term': 'subcapsular right hepatic lobe', 'observation': 'hypodensity'}, 'cyst': {'clinical finding': 'cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'unc_dx', 'observation': 'cyst'}}clinical findings_fin: {'acute cholecystitis': {'clinical finding': 'acute cholecystitis', 'cf_snomed': {'acute cholecystitis': 65275009}, 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'cholecystitis', 'strength_term': 'acute', 'temporal_term': 'acute'}}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'}}anatomical entity_fin: {'kidneys': {}}clinical findings_fin: {'atrophic': {'clinical finding': 'atrophic', 'existence': 'pos_dx', 'observation': 'atrophic'}, 'chronic end-stage renal disease': {'clinical finding': 'chronic end-stage renal disease', 'cf_snomed': {'end-stage renal disease': 46177005}, 'existence': 'pos_dx', 'descriptive_term': 'chronic end-stage renal', 'observation': 'disease', 'temporal_term': 'chronic'}}clinical findings_fin: {'hydronephrosis': {'clinical finding': 'hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'neg_dx', 'observation': 'hydronephrosis'}, 'nephrolithiasis': {'clinical finding': 'nephrolithiasis', 'existence': 'neg_dx', 'observation': 'nephrolithiasis'}}clinical findings_fin: {'discrete renal lesions': {'clinical finding': 'discrete renal lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'discrete renal', 'observation': 'lesion'}}clinical findings_fin: {'prominent retroperitoneal lymph nodes': {'clinical finding': 'prominent retroperitoneal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'prominent retroperitoneal lymph', 'observation': 'node', 'strength_term': 'prominent'}}size_fin: [{'size': '17 x 22 mm', 'size_descriptor': 'node'}]location descriptor_fin: ['left']clinical findings_fin: {'left para-aortic node': {'clinical finding': 'left para-aortic node', 'existence': 'pos_dx', 'descriptive_term': 'left para-aortic', 'observation': 'node'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'bowel obstruction': {'clinical finding': 'bowel obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'descriptive_term': 'bowel', 'observation': 'obstruction'}}anatomical entity_fin: {'rectum': {}}clinical findings_fin: {'contrast': {'clinical finding': 'contrast', 'existence': 'pos_dx', 'observation': 'contrast'}}anatomical entity_fin: {'bowel': {}, 'jejunum': {'location descriptor': 'proximal'}}location descriptor_fin: ['proximal']clinical findings_fin: {'nonspecific bowel wall thickening': {'clinical finding': 'nonspecific bowel wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'nonspecific bowel wall', 'observation': 'thickening'}, 'enteritis': {'clinical finding': 'enteritis', 'existence': 'unc_dx', 'observation': 'enteritis'}}clinical findings_fin: {'pneumatosis intestinalis': {'clinical finding': 'pneumatosis intestinalis', 'existence': 'neg_dx', 'descriptive_term': 'pneumatosis', 'observation': 'intestinalis'}, 'pneumoperitoneum': {'clinical finding': 'pneumoperitoneum', 'cf_snomed': {'pneumoperitoneum': 17204006}, 'existence': 'neg_dx', 'observation': 'pneumoperitoneum'}, 'portal venous gas': {'clinical finding': 'portal venous gas', 'existence': 'neg_dx', 'descriptive_term': 'portal venous', 'observation': 'gas'}}anatomical entity_fin: {'fluid': {}, 'scrotum': {'location descriptor': 'right'}, 'inguinal canal': {}}location descriptor_fin: ['right']clinical findings_fin: {'fluid is present in the right scrotum or inguinal canal': {'clinical finding': 'fluid is present in the right scrotum or inguinal canal'}}anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'moderate abdominopelvic ascites': {'clinical finding': 'moderate abdominopelvic ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'moderate abdominopelvic', 'observation': 'ascite', 'strength_term': 'moderate'}}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'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['right', 'left']clinical findings_fin: {'trace left pleural effusion': {'clinical finding': 'trace left pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'trace left pleural', 'observation': 'effusion'}, 'underlying atelectasis': {'clinical finding': 'underlying atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'underlying', 'observation': 'atelectasis'}}clinical findings_fin: {'partially visualized cardiomegaly': {'clinical finding': 'partially visualized cardiomegaly', 'cf_snomed': {'cardiomegaly': 8186001}, 'existence': 'pos_dx', 'descriptive_term': 'partially visualized', 'observation': 'cardiomegaly', 'strength_term': 'partially'}, 'significant pericardial effusion': {'clinical finding': 'significant pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'pos_dx', 'descriptive_term': 'significant pericardial', 'observation': 'effusion'}}anatomical entity_fin: {'hepatic veins': {}}clinical findings_fin: {'engorged': {'clinical finding': 'engorged', 'existence': 'pos_dx', 'observation': 'engorge'}, 'heart failure': {'clinical finding': 'heart failure', 'cf_snomed': {'heart failure': 84114007}, 'existence': 'unc_dx', 'descriptive_term': 'heart', 'observation': 'failure'}}anatomical entity_fin: {'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'subcapsular right hepatic lobe hypodensity': {'clinical finding': 'subcapsular right hepatic lobe hypodensity', 'existence': 'unc_dx', 'descriptive_term': 'subcapsular right hepatic lobe', 'observation': 'hypodensity'}, 'cyst': {'clinical finding': 'cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'unc_dx', 'observation': 'cyst'}}clinical findings_fin: {'acute cholecystitis': {'clinical finding': 'acute cholecystitis', 'cf_snomed': {'acute cholecystitis': 65275009}, 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'cholecystitis', 'strength_term': 'acute', 'temporal_term': 'acute'}}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'}}anatomical entity_fin: {'kidneys': {}}clinical findings_fin: {'atrophic': {'clinical finding': 'atrophic', 'existence': 'pos_dx', 'observation': 'atrophic'}, 'chronic end-stage renal disease': {'clinical finding': 'chronic end-stage renal disease', 'cf_snomed': {'end-stage renal disease': 46177005}, 'existence': 'pos_dx', 'descriptive_term': 'chronic end-stage renal', 'observation': 'disease', 'temporal_term': 'chronic'}}clinical findings_fin: {'hydronephrosis': {'clinical finding': 'hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'neg_dx', 'observation': 'hydronephrosis'}, 'nephrolithiasis': {'clinical finding': 'nephrolithiasis', 'existence': 'neg_dx', 'observation': 'nephrolithiasis'}}clinical findings_fin: {'discrete renal lesions': {'clinical finding': 'discrete renal lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'discrete renal', 'observation': 'lesion'}}clinical findings_fin: {'prominent retroperitoneal lymph nodes': {'clinical finding': 'prominent retroperitoneal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'prominent retroperitoneal lymph', 'observation': 'node', 'strength_term': 'prominent'}}size_fin: [{'size': '17 x 22 mm', 'size_descriptor': 'node'}]location descriptor_fin: ['left']clinical findings_fin: {'left para-aortic node': {'clinical finding': 'left para-aortic node', 'existence': 'pos_dx', 'descriptive_term': 'left para-aortic', 'observation': 'node'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'bowel obstruction': {'clinical finding': 'bowel obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'descriptive_term': 'bowel', 'observation': 'obstruction'}}anatomical entity_fin: {'rectum': {}}clinical findings_fin: {'contrast': {'clinical finding': 'contrast', 'existence': 'pos_dx', 'observation': 'contrast'}}anatomical entity_fin: {'bowel': {}, 'jejunum': {'location descriptor': 'proximal'}}location descriptor_fin: ['proximal']clinical findings_fin: {'nonspecific bowel wall thickening': {'clinical finding': 'nonspecific bowel wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'nonspecific bowel wall', 'observation': 'thickening'}, 'enteritis': {'clinical finding': 'enteritis', 'existence': 'unc_dx', 'observation': 'enteritis'}}clinical findings_fin: {'pneumatosis intestinalis': {'clinical finding': 'pneumatosis intestinalis', 'existence': 'neg_dx', 'descriptive_term': 'pneumatosis', 'observation': 'intestinalis'}, 'pneumoperitoneum': {'clinical finding': 'pneumoperitoneum', 'cf_snomed': {'pneumoperitoneum': 17204006}, 'existence': 'neg_dx', 'observation': 'pneumoperitoneum'}, 'portal venous gas': {'clinical finding': 'portal venous gas', 'existence': 'neg_dx', 'descriptive_term': 'portal venous', 'observation': 'gas'}}anatomical entity_fin: {'fluid': {}, 'scrotum': {'location descriptor': 'right'}, 'inguinal canal': {}}location descriptor_fin: ['right']clinical findings_fin: {'fluid is present in the right scrotum or inguinal canal': {'clinical finding': 'fluid is present in the right scrotum or inguinal canal'}}anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'moderate abdominopelvic ascites': {'clinical finding': 'moderate abdominopelvic ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'moderate abdominopelvic', 'observation': 'ascite', 'strength_term': 'moderate'}}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'}} [/INST] . Moderate to large right and trace left pleural effusion and underlying atelectasis. Partially visualized cardiomegaly without significant pericardial effusion. The hepatic veins and intrahepatic IVC are engorged, which may be secondary to heart failure. Subcapsular right hepatic lobe hypodensity likely represents a cyst. No specific evidence of acute cholecystitis. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. The kidneys are atrophic, consistent with chronic end-stage renal disease. No hydronephrosis or nephrolithiasis. No discrete renal lesions are identified. Prominent retroperitoneal lymph nodes are seen. A left para-aortic node measures 17 x 22 mm. Mild. No evidence of bowel obstruction. Contrast reaches the rectum. Mild, nonspecific bowel wall thickening involving the proximal jejunum, which can be seen in the setting of enteritis. No pneumatosis intestinalis, pneumoperitoneum, or portal venous gas is identified. Fluid is present in the right scrotum or inguinal canal. Moderate abdominopelvic ascites, measuring simple fluid density. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted </s>

Soft tissue density material is noted involving bilateral mastoid air cells, middle ear cavities, and petrous apical air cells. There is also thickening of the soft tissues of bilateral external auditory canals, especially noted medially. This includes material within bilateral oval and round window niches, as well as sinus tympani, bilaterally. This is not associated with osseous erosion. There are no drainable fluid collections. Sinus fluid is present throughout all paranasal sinuses, excluding the sphenoid sinuses. This includes bilateral maxillary sinus air-fluid levels. There is no evidence for congenital atresia of the external auditory canals or middle ear cavities. The scuta and ossicles are intact bilaterally. No erosive changes are identified. The roofs of the attic are intact on both sides. The course of the seventh nerves are well defined bilaterally without positional anomalies identified on either side. The inner ear structures are normal in appearance and symmetric bilaterally without congenital inner ear anomalies identified on either side. The cochlea and vestibules are patent bilaterally. There are no dehiscences or fenestrations of the semicircular canals on either side. The cochlear and vestibular aqueducts and internal auditory canals are symmetric bilaterally.

anatomical entity_fin: {'mastoid air cells': {'location descriptor': 'bilateral'}, 'middle ear cavities': {}, 'cells': {}}imaging observation_fin: ['soft tissue density', 'apical']location descriptor_fin: ['bilateral']clinical findings_fin: {'soft tissue density': {'clinical finding': 'soft tissue density', 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'density'}}anatomical entity_fin: {'external auditory canals': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'thickening': {'clinical finding': 'thickening', 'existence': 'pos_dx', 'observation': 'thickening'}}anatomical entity_fin: {'round window': {}, 'sinus tympani': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral oval and round window niches': {'clinical finding': 'bilateral oval and round window niches', 'existence': 'pos_dx', 'descriptive_term': 'bilateral oval and round window', 'observation': 'niche'}}clinical findings_fin: {'osseous erosion': {'clinical finding': 'osseous erosion', 'existence': 'neg_dx', 'descriptive_term': 'osseous', 'observation': 'erosion'}}anatomical entity_fin: {'fluid': {}}anatomical entity_fin: {'fluid': {}, 'paranasal sinuses': {}}clinical findings_fin: {'sinus': {'clinical finding': 'sinus', 'cf_snomed': {'sinus': 419351001}, 'existence': 'pos_dx', 'observation': 'sinus'}}anatomical entity_fin: {'maxillary sinus': {'location descriptor': 'bilateral'}, 'fluid': {}}location descriptor_fin: ['bilateral']anatomical entity_fin: {'external auditory canals': {}, 'middle ear cavities': {}}clinical findings_fin: {'congenital atresia': {'clinical finding': 'congenital atresia', 'cf_snomed': {'congenital atresia': 56457002}, 'existence': 'neg_dx', 'descriptive_term': 'congenital', 'observation': 'atresia'}, 'middle ear cavities': {'clinical finding': 'middle ear cavities', 'cf_snomed': {'cavity': 2483006}, 'existence': 'neg_dx', 'descriptive_term': 'middle ear', 'observation': 'cavity'}}clinical findings_fin: {'ossicles': {'clinical finding': 'ossicles', 'existence': 'pos_dx', 'observation': 'ossicle'}, 'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}clinical findings_fin: {'erosive changes': {'clinical finding': 'erosive changes', 'existence': 'neg_dx', 'descriptive_term': 'erosive', 'observation': 'change'}}anatomical entity_fin: {'roofs': {}}clinical findings_fin: {'attic': {'clinical finding': 'attic', 'existence': 'pos_dx', 'observation': 'attic'}, 'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}anatomical entity_fin: {'nerves': {}}clinical findings_fin: {'positional anomalies': {'clinical finding': 'positional anomalies', 'existence': 'neg_dx', 'descriptive_term': 'positional', 'observation': 'anomaly'}}anatomical entity_fin: {'inner ear': {}}clinical findings_fin: {'congenital inner ear anomalies': {'clinical finding': 'congenital inner ear anomalies', 'existence': 'neg_dx', 'descriptive_term': 'congenital inner ear', 'observation': 'anomaly'}}anatomical entity_fin: {'cochlea': {}, 'vestibules': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}anatomical entity_fin: {'semicircular canals': {}}clinical findings_fin: {'dehiscences': {'clinical finding': 'dehiscences', 'cf_snomed': {'dehiscence': 11108009}, 'existence': 'neg_dx', 'observation': 'dehiscence'}, 'fenestrations': {'clinical finding': 'fenestrations', 'cf_snomed': {'fenestration': 16255008}, 'existence': 'neg_dx', 'observation': 'fenestration'}}anatomical entity_fin: {'vestibular aqueducts': {}, 'internal auditory canals': {}}clinical findings_fin: {'symmetric': {'clinical finding': 'symmetric', 'existence': 'pos_dx', 'observation': 'symmetric'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'mastoid air cells': {'location descriptor': 'bilateral'}, 'middle ear cavities': {}, 'cells': {}}imaging observation_fin: ['soft tissue density', 'apical']location descriptor_fin: ['bilateral']clinical findings_fin: {'soft tissue density': {'clinical finding': 'soft tissue density', 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'density'}}anatomical entity_fin: {'external auditory canals': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'thickening': {'clinical finding': 'thickening', 'existence': 'pos_dx', 'observation': 'thickening'}}anatomical entity_fin: {'round window': {}, 'sinus tympani': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral oval and round window niches': {'clinical finding': 'bilateral oval and round window niches', 'existence': 'pos_dx', 'descriptive_term': 'bilateral oval and round window', 'observation': 'niche'}}clinical findings_fin: {'osseous erosion': {'clinical finding': 'osseous erosion', 'existence': 'neg_dx', 'descriptive_term': 'osseous', 'observation': 'erosion'}}anatomical entity_fin: {'fluid': {}}anatomical entity_fin: {'fluid': {}, 'paranasal sinuses': {}}clinical findings_fin: {'sinus': {'clinical finding': 'sinus', 'cf_snomed': {'sinus': 419351001}, 'existence': 'pos_dx', 'observation': 'sinus'}}anatomical entity_fin: {'maxillary sinus': {'location descriptor': 'bilateral'}, 'fluid': {}}location descriptor_fin: ['bilateral']anatomical entity_fin: {'external auditory canals': {}, 'middle ear cavities': {}}clinical findings_fin: {'congenital atresia': {'clinical finding': 'congenital atresia', 'cf_snomed': {'congenital atresia': 56457002}, 'existence': 'neg_dx', 'descriptive_term': 'congenital', 'observation': 'atresia'}, 'middle ear cavities': {'clinical finding': 'middle ear cavities', 'cf_snomed': {'cavity': 2483006}, 'existence': 'neg_dx', 'descriptive_term': 'middle ear', 'observation': 'cavity'}}clinical findings_fin: {'ossicles': {'clinical finding': 'ossicles', 'existence': 'pos_dx', 'observation': 'ossicle'}, 'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}clinical findings_fin: {'erosive changes': {'clinical finding': 'erosive changes', 'existence': 'neg_dx', 'descriptive_term': 'erosive', 'observation': 'change'}}anatomical entity_fin: {'roofs': {}}clinical findings_fin: {'attic': {'clinical finding': 'attic', 'existence': 'pos_dx', 'observation': 'attic'}, 'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}anatomical entity_fin: {'nerves': {}}clinical findings_fin: {'positional anomalies': {'clinical finding': 'positional anomalies', 'existence': 'neg_dx', 'descriptive_term': 'positional', 'observation': 'anomaly'}}anatomical entity_fin: {'inner ear': {}}clinical findings_fin: {'congenital inner ear anomalies': {'clinical finding': 'congenital inner ear anomalies', 'existence': 'neg_dx', 'descriptive_term': 'congenital inner ear', 'observation': 'anomaly'}}anatomical entity_fin: {'cochlea': {}, 'vestibules': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}anatomical entity_fin: {'semicircular canals': {}}clinical findings_fin: {'dehiscences': {'clinical finding': 'dehiscences', 'cf_snomed': {'dehiscence': 11108009}, 'existence': 'neg_dx', 'observation': 'dehiscence'}, 'fenestrations': {'clinical finding': 'fenestrations', 'cf_snomed': {'fenestration': 16255008}, 'existence': 'neg_dx', 'observation': 'fenestration'}}anatomical entity_fin: {'vestibular aqueducts': {}, 'internal auditory canals': {}}clinical findings_fin: {'symmetric': {'clinical finding': 'symmetric', 'existence': 'pos_dx', 'observation': 'symmetric'}} [/INST] Soft tissue density material is noted involving bilateral mastoid air cells, middle ear cavities, and petrous apical air cells. There is also thickening of the soft tissues of bilateral external auditory canals, especially noted medially. This includes material within bilateral oval and round window niches, as well as sinus tympani, bilaterally. This is not associated with osseous erosion. There are no drainable fluid collections. Sinus fluid is present throughout all paranasal sinuses, excluding the sphenoid sinuses. This includes bilateral maxillary sinus air-fluid levels. There is no evidence for congenital atresia of the external auditory canals or middle ear cavities. The scuta and ossicles are intact bilaterally. No erosive changes are identified. The roofs of the attic are intact on both sides. The course of the seventh nerves are well defined bilaterally without positional anomalies identified on either side. The inner ear structures are normal in appearance and symmetric bilaterally without congenital inner ear anomalies identified on either side. The cochlea and vestibules are patent bilaterally. There are no dehiscences or fenestrations of the semicircular canals on either side. The cochlear and vestibular aqueducts and internal auditory canals are symmetric bilaterally. </s>

Fairly extensive patchy white matter hypoattenuation is seen, a nonspecific finding but one which likely reflects age indeterminate microvascular ischemic disease. No evidence of parenchymal edema, mass effect or any large intracranial mass is seen. No acute intracranial hemorrhage or abnormal extra axial fluid collections are detected. The size and morphology of the ventricles are within normal limits. The osseous structures of the skull are intact allowing for numerous pacchionian granulations. The paranasal sinuses as partially visualized are clear.

clinical findings_fin: {'fairly extensive patchy white matter hypoattenuation': {'clinical finding': 'fairly extensive patchy white matter hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'fairly extensive patchy white matter', 'observation': 'hypoattenuation', 'strength_term': 'extensive'}, 'age indeterminate microvascular ischemic disease': {'clinical finding': 'age indeterminate microvascular ischemic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'unc_dx', 'descriptive_term': 'age indeterminate microvascular ischemic', 'observation': 'disease'}}clinical findings_fin: {'parenchymal edema': {'clinical finding': 'parenchymal edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'neg_dx', 'descriptive_term': 'parenchymal', 'observation': 'edema'}, 'mass effect': {'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect'}, 'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}}anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'acute intracranial hemorrhage': {'clinical finding': 'acute intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'acute intracranial', 'observation': 'hemorrhage', 'strength_term': 'acute', 'temporal_term': 'acute'}}clinical findings_fin: {'size and morphology of the ventricles are within normal limits': {'clinical finding': 'size and morphology of the ventricles are within normal limits'}}anatomical entity_fin: {'skull': {}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'pos_dx', 'observation': 'intact'}, 'numerous pacchionian granulations': {'clinical finding': 'numerous pacchionian granulations', 'cf_snomed': {'pacchionian granulation': 20682003}, 'existence': 'pos_dx', 'descriptive_term': 'numerous pacchionian', 'observation': 'granulation', 'quantity_term': 'numerous'}}anatomical entity_fin: {'paranasal sinuses': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'fairly extensive patchy white matter hypoattenuation': {'clinical finding': 'fairly extensive patchy white matter hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'fairly extensive patchy white matter', 'observation': 'hypoattenuation', 'strength_term': 'extensive'}, 'age indeterminate microvascular ischemic disease': {'clinical finding': 'age indeterminate microvascular ischemic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'unc_dx', 'descriptive_term': 'age indeterminate microvascular ischemic', 'observation': 'disease'}}clinical findings_fin: {'parenchymal edema': {'clinical finding': 'parenchymal edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'neg_dx', 'descriptive_term': 'parenchymal', 'observation': 'edema'}, 'mass effect': {'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect'}, 'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}}anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'acute intracranial hemorrhage': {'clinical finding': 'acute intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'acute intracranial', 'observation': 'hemorrhage', 'strength_term': 'acute', 'temporal_term': 'acute'}}clinical findings_fin: {'size and morphology of the ventricles are within normal limits': {'clinical finding': 'size and morphology of the ventricles are within normal limits'}}anatomical entity_fin: {'skull': {}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'pos_dx', 'observation': 'intact'}, 'numerous pacchionian granulations': {'clinical finding': 'numerous pacchionian granulations', 'cf_snomed': {'pacchionian granulation': 20682003}, 'existence': 'pos_dx', 'descriptive_term': 'numerous pacchionian', 'observation': 'granulation', 'quantity_term': 'numerous'}}anatomical entity_fin: {'paranasal sinuses': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'}} [/INST] Fairly extensive patchy white matter hypoattenuation is seen, a nonspecific finding but one which likely reflects age indeterminate microvascular ischemic disease. No evidence of parenchymal edema, mass effect or any large intracranial mass is seen. No acute intracranial hemorrhage or abnormal extra axial fluid collections are detected. The size and morphology of the ventricles are within normal limits. The osseous structures of the skull are intact allowing for numerous pacchionian granulations. The paranasal sinuses as partially visualized are clear. </s>

Todays CT portion grossly demonstrates focus of soft tissue density in the distal left aspect of the esophagus with calcification or contrast media from prior swallow study. There is additional soft tissue density in the region of the gastric cardia. There is a subcentimeter nodular density in the left lower lobe. There is a sclerotic focus in the proximal left femur at the intertrochanteric region. There is atherosclerotic calcification of the aorta and peripheral branches. Todays PET examination demonstrates marked hypermetabolic activity in the gastric cardia with an SUV value of 9.2 corresponding to the soft tissue density on CT consistent with tumor. There is increased activity in the distal esophagus which is nonspecific and could represent tumor or esophagitis. There is mild activity in the region of the paraesophageal soft tissue density noted on CT. There is increased activity in the sclerotic focus in the left proximal femur at the intertrochanteric region noted on CT with SUV value of 4.1. There are two foci of hypermetabolic activity in the retroperitoneum at the level of the left renal vasculature is nonspecific.

anatomical entity_fin: {'esophagus': {}}imaging observation_fin: ['soft tissue density']location descriptor_fin: ['distal', 'left']clinical findings_fin: {'soft tissue density': {'clinical finding': 'soft tissue density', 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'density'}, 'calcification': {'clinical finding': 'calcification', 'existence': 'unc_dx', 'observation': 'calcification'}, 'contrast media': {'clinical finding': 'contrast media', 'existence': 'unc_dx', 'descriptive_term': 'contrast', 'observation': 'media'}}anatomical entity_fin: {'gastric cardia': {}}imaging observation_fin: ['soft tissue density']clinical findings_fin: {'additional soft tissue density': {'clinical finding': 'additional soft tissue density', 'existence': 'pos_dx', 'descriptive_term': 'additional soft tissue', 'observation': 'density'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'subcentimeter nodular density': {'clinical finding': 'subcentimeter nodular density', 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter nodular', 'observation': 'density'}}anatomical entity_fin: {'left femur': {'location descriptor': 'proximal'}}location descriptor_fin: ['proximal']clinical findings_fin: {'sclerotic': {'clinical finding': 'sclerotic', 'existence': 'pos_dx', 'observation': 'sclerotic'}}anatomical entity_fin: {'aorta': {}}location descriptor_fin: ['peripheral']clinical findings_fin: {'atherosclerotic calcification': {'clinical finding': 'atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'}}anatomical entity_fin: {'gastric cardia': {}}imaging observation_fin: ['soft tissue density']clinical findings_fin: {'marked hypermetabolic activity': {'clinical finding': 'marked hypermetabolic activity', 'existence': 'pos_dx', 'descriptive_term': 'marked hypermetabolic', 'observation': 'activity'}, 'suv': {'clinical finding': 'suv', 'existence': 'pos_dx', 'observation': 'suv'}, 'soft tissue density': {'clinical finding': 'soft tissue density', 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'density'}, 'tumor': {'clinical finding': 'tumor', 'existence': 'pos_dx', 'observation': 'tumor'}}anatomical entity_fin: {'esophagus': {'location descriptor': 'distal'}}location descriptor_fin: ['distal']clinical findings_fin: {'tumor': {'clinical finding': 'tumor', 'existence': 'unc_dx', 'observation': 'tumor'}, 'esophagitis': {'clinical finding': 'esophagitis', 'cf_snomed': {'esophagitis': 16761005}, 'existence': 'unc_dx', 'observation': 'esophagitis'}}imaging observation_fin: ['soft tissue density']clinical findings_fin: {'paraesophageal soft tissue density': {'clinical finding': 'paraesophageal soft tissue density', 'existence': 'pos_dx', 'descriptive_term': 'paraesophageal soft tissue', 'observation': 'density'}}anatomical entity_fin: {'femur': {'location descriptor': 'left proximal'}}location descriptor_fin: ['left', 'proximal']clinical findings_fin: {'sclerotic focus': {'clinical finding': 'sclerotic focus', 'existence': 'pos_dx', 'descriptive_term': 'sclerotic', 'observation': 'focus'}}anatomical entity_fin: {'retroperitoneum': {}, 'vasculature': {}}imaging observation_fin: ['foci']location descriptor_fin: ['left']clinical findings_fin: {'hypermetabolic activity': {'clinical finding': 'hypermetabolic activity', 'existence': 'pos_dx', 'descriptive_term': 'hypermetabolic', 'observation': 'activity'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'esophagus': {}}imaging observation_fin: ['soft tissue density']location descriptor_fin: ['distal', 'left']clinical findings_fin: {'soft tissue density': {'clinical finding': 'soft tissue density', 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'density'}, 'calcification': {'clinical finding': 'calcification', 'existence': 'unc_dx', 'observation': 'calcification'}, 'contrast media': {'clinical finding': 'contrast media', 'existence': 'unc_dx', 'descriptive_term': 'contrast', 'observation': 'media'}}anatomical entity_fin: {'gastric cardia': {}}imaging observation_fin: ['soft tissue density']clinical findings_fin: {'additional soft tissue density': {'clinical finding': 'additional soft tissue density', 'existence': 'pos_dx', 'descriptive_term': 'additional soft tissue', 'observation': 'density'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'subcentimeter nodular density': {'clinical finding': 'subcentimeter nodular density', 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter nodular', 'observation': 'density'}}anatomical entity_fin: {'left femur': {'location descriptor': 'proximal'}}location descriptor_fin: ['proximal']clinical findings_fin: {'sclerotic': {'clinical finding': 'sclerotic', 'existence': 'pos_dx', 'observation': 'sclerotic'}}anatomical entity_fin: {'aorta': {}}location descriptor_fin: ['peripheral']clinical findings_fin: {'atherosclerotic calcification': {'clinical finding': 'atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'}}anatomical entity_fin: {'gastric cardia': {}}imaging observation_fin: ['soft tissue density']clinical findings_fin: {'marked hypermetabolic activity': {'clinical finding': 'marked hypermetabolic activity', 'existence': 'pos_dx', 'descriptive_term': 'marked hypermetabolic', 'observation': 'activity'}, 'suv': {'clinical finding': 'suv', 'existence': 'pos_dx', 'observation': 'suv'}, 'soft tissue density': {'clinical finding': 'soft tissue density', 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'density'}, 'tumor': {'clinical finding': 'tumor', 'existence': 'pos_dx', 'observation': 'tumor'}}anatomical entity_fin: {'esophagus': {'location descriptor': 'distal'}}location descriptor_fin: ['distal']clinical findings_fin: {'tumor': {'clinical finding': 'tumor', 'existence': 'unc_dx', 'observation': 'tumor'}, 'esophagitis': {'clinical finding': 'esophagitis', 'cf_snomed': {'esophagitis': 16761005}, 'existence': 'unc_dx', 'observation': 'esophagitis'}}imaging observation_fin: ['soft tissue density']clinical findings_fin: {'paraesophageal soft tissue density': {'clinical finding': 'paraesophageal soft tissue density', 'existence': 'pos_dx', 'descriptive_term': 'paraesophageal soft tissue', 'observation': 'density'}}anatomical entity_fin: {'femur': {'location descriptor': 'left proximal'}}location descriptor_fin: ['left', 'proximal']clinical findings_fin: {'sclerotic focus': {'clinical finding': 'sclerotic focus', 'existence': 'pos_dx', 'descriptive_term': 'sclerotic', 'observation': 'focus'}}anatomical entity_fin: {'retroperitoneum': {}, 'vasculature': {}}imaging observation_fin: ['foci']location descriptor_fin: ['left']clinical findings_fin: {'hypermetabolic activity': {'clinical finding': 'hypermetabolic activity', 'existence': 'pos_dx', 'descriptive_term': 'hypermetabolic', 'observation': 'activity'}} [/INST] Todays CT portion grossly demonstrates focus of soft tissue density in the distal left aspect of the esophagus with calcification or contrast media from prior swallow study. There is additional soft tissue density in the region of the gastric cardia. There is a subcentimeter nodular density in the left lower lobe. There is a sclerotic focus in the proximal left femur at the intertrochanteric region. There is atherosclerotic calcification of the aorta and peripheral branches. Todays PET examination demonstrates marked hypermetabolic activity in the gastric cardia with an SUV value of 9.2 corresponding to the soft tissue density on CT consistent with tumor. There is increased activity in the distal esophagus which is nonspecific and could represent tumor or esophagitis. There is mild activity in the region of the paraesophageal soft tissue density noted on CT. There is increased activity in the sclerotic focus in the left proximal femur at the intertrochanteric region noted on CT with SUV value of 4.1. There are two foci of hypermetabolic activity in the retroperitoneum at the level of the left renal vasculature is nonspecific. </s>

. Nonspecific 2 mm left lower lobe lung nodule, image 3 series No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Small subcentimeter retroperitoneal and external iliac lymph nodes. None. Normal appendix. Right adnexal complex cystic lesion measuring 2.8 x 2.6 cm, image 100 series 3, may be a hemorrhagic ovarian cyst but indeterminate on this nondedicated study. Trace ascites. Additional small ovarian follicles. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted.

size_fin: [{'size': '2 mm', 'size_descriptor': 'series'}]anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}, 'lung': {}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'left lower lobe lung nodule': {'clinical finding': 'left lower lobe lung nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'left lower lobe lung', 'observation': 'nodule'}, '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'}}anatomical entity_fin: {'external iliac lymph nodes': {}}clinical findings_fin: {'small subcentimeter retroperitoneal and external iliac lymph nodes': {'clinical finding': 'small subcentimeter retroperitoneal and external iliac lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small subcentimeter retroperitoneal and external iliac lymph', 'observation': 'node', 'strength_term': 'small'}}anatomical entity_fin: {'appendix': {}}clinical findings_fin: {'normal appendix': {'clinical finding': 'normal appendix'}}size_fin: [{'size': '2.8 x 2.6 cm', 'size_descriptor': 'lesion'}]location descriptor_fin: ['right']clinical findings_fin: {'right adnexal complex cystic lesion': {'clinical finding': 'right adnexal complex cystic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'right adnexal complex cystic', 'observation': 'lesion'}, 'hemorrhagic ovarian cyst': {'clinical finding': 'hemorrhagic ovarian cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'unc_dx', 'descriptive_term': 'hemorrhagic ovarian', 'observation': 'cyst'}}clinical findings_fin: {'trace ascites': {'clinical finding': 'trace ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'trace', 'observation': 'ascite'}}clinical findings_fin: {'additional small ovarian follicles': {'clinical finding': 'additional small ovarian follicles', 'existence': 'pos_dx', 'descriptive_term': 'additional small ovarian', 'observation': 'follicle', 'strength_term': 'small'}}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'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: size_fin: [{'size': '2 mm', 'size_descriptor': 'series'}]anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}, 'lung': {}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'left lower lobe lung nodule': {'clinical finding': 'left lower lobe lung nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'left lower lobe lung', 'observation': 'nodule'}, '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'}}anatomical entity_fin: {'external iliac lymph nodes': {}}clinical findings_fin: {'small subcentimeter retroperitoneal and external iliac lymph nodes': {'clinical finding': 'small subcentimeter retroperitoneal and external iliac lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small subcentimeter retroperitoneal and external iliac lymph', 'observation': 'node', 'strength_term': 'small'}}anatomical entity_fin: {'appendix': {}}clinical findings_fin: {'normal appendix': {'clinical finding': 'normal appendix'}}size_fin: [{'size': '2.8 x 2.6 cm', 'size_descriptor': 'lesion'}]location descriptor_fin: ['right']clinical findings_fin: {'right adnexal complex cystic lesion': {'clinical finding': 'right adnexal complex cystic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'right adnexal complex cystic', 'observation': 'lesion'}, 'hemorrhagic ovarian cyst': {'clinical finding': 'hemorrhagic ovarian cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'unc_dx', 'descriptive_term': 'hemorrhagic ovarian', 'observation': 'cyst'}}clinical findings_fin: {'trace ascites': {'clinical finding': 'trace ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'trace', 'observation': 'ascite'}}clinical findings_fin: {'additional small ovarian follicles': {'clinical finding': 'additional small ovarian follicles', 'existence': 'pos_dx', 'descriptive_term': 'additional small ovarian', 'observation': 'follicle', 'strength_term': 'small'}}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'}} [/INST] . Nonspecific 2 mm left lower lobe lung nodule, image 3 series No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Small subcentimeter retroperitoneal and external iliac lymph nodes. None. Normal appendix. Right adnexal complex cystic lesion measuring 2.8 x 2.6 cm, image 100 series 3, may be a hemorrhagic ovarian cyst but indeterminate on this nondedicated study. Trace ascites. Additional small ovarian follicles. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. </s>

Hypodense foci are present within the white matter without associated mass effect. The ventricles and sulci are normal in size. There are no masses, mass effect or midline shift. There is no evidence for intracranial hemorrhage or acute cerebral or cerebellar cortical infarction. There are no extraaxial fluid collections or subdural hematomas. The visualized portions of the paranasal sinuses and mastoid air cells are clear.

imaging observation_fin: ['foci']clinical findings_fin: {'hypodense foci': {'clinical finding': 'hypodense foci', 'existence': 'pos_dx', 'descriptive_term': 'hypodense', 'observation': 'foci'}, 'associated mass effect': {'clinical finding': 'associated mass effect', 'existence': 'neg_dx', 'descriptive_term': 'associated mass', 'observation': 'effect'}}clinical findings_fin: {'ventricles and sulci are normal in size': {'clinical finding': 'ventricles and sulci are normal in size'}}location descriptor_fin: ['midline']clinical findings_fin: {'masses': {'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass'}, 'mass effect': {'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect'}, 'midline shift': {'clinical finding': 'midline shift', 'cf_snomed': {'shift': 9546005}, 'existence': 'neg_dx', 'descriptive_term': 'midline', 'observation': 'shift'}}clinical findings_fin: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}, 'acute cerebral or cerebellar cortical infarction': {'clinical finding': 'acute cerebral or cerebellar cortical infarction', 'existence': 'neg_dx', 'descriptive_term': 'acute cerebral or cerebellar cortical', 'observation': 'infarction', 'strength_term': 'acute', 'temporal_term': 'acute'}}anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'subdural hematomas': {'clinical finding': 'subdural hematomas', 'cf_snomed': {'subdural hematoma': 95453001}, 'existence': 'neg_dx', 'descriptive_term': 'subdural', 'observation': 'hematoma'}}anatomical entity_fin: {'paranasal sinuses': {}, 'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: imaging observation_fin: ['foci']clinical findings_fin: {'hypodense foci': {'clinical finding': 'hypodense foci', 'existence': 'pos_dx', 'descriptive_term': 'hypodense', 'observation': 'foci'}, 'associated mass effect': {'clinical finding': 'associated mass effect', 'existence': 'neg_dx', 'descriptive_term': 'associated mass', 'observation': 'effect'}}clinical findings_fin: {'ventricles and sulci are normal in size': {'clinical finding': 'ventricles and sulci are normal in size'}}location descriptor_fin: ['midline']clinical findings_fin: {'masses': {'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass'}, 'mass effect': {'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect'}, 'midline shift': {'clinical finding': 'midline shift', 'cf_snomed': {'shift': 9546005}, 'existence': 'neg_dx', 'descriptive_term': 'midline', 'observation': 'shift'}}clinical findings_fin: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}, 'acute cerebral or cerebellar cortical infarction': {'clinical finding': 'acute cerebral or cerebellar cortical infarction', 'existence': 'neg_dx', 'descriptive_term': 'acute cerebral or cerebellar cortical', 'observation': 'infarction', 'strength_term': 'acute', 'temporal_term': 'acute'}}anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'subdural hematomas': {'clinical finding': 'subdural hematomas', 'cf_snomed': {'subdural hematoma': 95453001}, 'existence': 'neg_dx', 'descriptive_term': 'subdural', 'observation': 'hematoma'}}anatomical entity_fin: {'paranasal sinuses': {}, 'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}} [/INST] Hypodense foci are present within the white matter without associated mass effect. The ventricles and sulci are normal in size. There are no masses, mass effect or midline shift. There is no evidence for intracranial hemorrhage or acute cerebral or cerebellar cortical infarction. There are no extraaxial fluid collections or subdural hematomas. The visualized portions of the paranasal sinuses and mastoid air cells are clear. </s>

There is physiologic distribution of the radiopharmaceutical within the neck which washes out on delayed imaging. There is abnormal increased activity in the mid chest on planar imaging which washes out on delayed imaging. Using SPECT-CT this focus of increased activity in the mid chest localizes to the anterior mediastinum just posterior to the manubrium at the level of the aortic arch. This focus of increased activity which washes out. May represent an atypical parathyroid adenoma, inflammatory change, or other tumor. There is no abnormal retention of radiotracer. The right thyroid lobe appears to measure 4.4 cm and the left lobe 4.2 cm in length.

anatomical entity_fin: {'neck': {}}non-anatomical substance_fin: ['radiopharmaceutical']anatomical entity_fin: {'chest': {}}clinical findings_fin: {'is abnormal increased activity in the mid chest on planar imaging which washes': {'clinical finding': 'is abnormal increased activity in the mid chest on planar imaging which washes', 'change_term': 'increased'}}anatomical entity_fin: {'chest': {}, 'anterior mediastinum': {}, 'manubrium': {}, 'aortic arch': {}}imaging modality_fin: ['spect-ct']location descriptor_fin: ['posterior']clinical findings_fin: {'increased activity': {'clinical finding': 'increased activity', 'existence': 'pos_dx', 'descriptive_term': 'increased', 'observation': 'activity', 'strength_term': 'increased', 'change_term': 'increased'}}clinical findings_fin: {'focus of increased activity which washes': {'clinical finding': 'focus of increased activity which washes', 'change_term': 'increased'}}clinical findings_fin: {'atypical parathyroid adenoma': {'clinical finding': 'atypical parathyroid adenoma', 'cf_snomed': {'parathyroid adenoma': 128474007}, 'existence': 'unc_dx', 'descriptive_term': 'atypical parathyroid', 'observation': 'adenoma'}, 'inflammatory change': {'clinical finding': 'inflammatory change', 'existence': 'unc_dx', 'descriptive_term': 'inflammatory', 'observation': 'change'}, 'other tumor': {'clinical finding': 'other tumor', 'existence': 'unc_dx', 'descriptive_term': 'other', 'observation': 'tumor'}}clinical findings_fin: {'abnormal retention': {'clinical finding': 'abnormal retention', 'cf_snomed': {'retention': 36850000}, 'existence': 'neg_dx', 'descriptive_term': 'abnormal', 'observation': 'retention'}}size_fin: [{'size': '4.4 cm'}, {'size': '4.2 cm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'left'}}location descriptor_fin: ['right', 'left']

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'neck': {}}non-anatomical substance_fin: ['radiopharmaceutical']anatomical entity_fin: {'chest': {}}clinical findings_fin: {'is abnormal increased activity in the mid chest on planar imaging which washes': {'clinical finding': 'is abnormal increased activity in the mid chest on planar imaging which washes', 'change_term': 'increased'}}anatomical entity_fin: {'chest': {}, 'anterior mediastinum': {}, 'manubrium': {}, 'aortic arch': {}}imaging modality_fin: ['spect-ct']location descriptor_fin: ['posterior']clinical findings_fin: {'increased activity': {'clinical finding': 'increased activity', 'existence': 'pos_dx', 'descriptive_term': 'increased', 'observation': 'activity', 'strength_term': 'increased', 'change_term': 'increased'}}clinical findings_fin: {'focus of increased activity which washes': {'clinical finding': 'focus of increased activity which washes', 'change_term': 'increased'}}clinical findings_fin: {'atypical parathyroid adenoma': {'clinical finding': 'atypical parathyroid adenoma', 'cf_snomed': {'parathyroid adenoma': 128474007}, 'existence': 'unc_dx', 'descriptive_term': 'atypical parathyroid', 'observation': 'adenoma'}, 'inflammatory change': {'clinical finding': 'inflammatory change', 'existence': 'unc_dx', 'descriptive_term': 'inflammatory', 'observation': 'change'}, 'other tumor': {'clinical finding': 'other tumor', 'existence': 'unc_dx', 'descriptive_term': 'other', 'observation': 'tumor'}}clinical findings_fin: {'abnormal retention': {'clinical finding': 'abnormal retention', 'cf_snomed': {'retention': 36850000}, 'existence': 'neg_dx', 'descriptive_term': 'abnormal', 'observation': 'retention'}}size_fin: [{'size': '4.4 cm'}, {'size': '4.2 cm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'left'}}location descriptor_fin: ['right', 'left'] [/INST] There is physiologic distribution of the radiopharmaceutical within the neck which washes out on delayed imaging. There is abnormal increased activity in the mid chest on planar imaging which washes out on delayed imaging. Using SPECT-CT this focus of increased activity in the mid chest localizes to the anterior mediastinum just posterior to the manubrium at the level of the aortic arch. This focus of increased activity which washes out. May represent an atypical parathyroid adenoma, inflammatory change, or other tumor. There is no abnormal retention of radiotracer. The right thyroid lobe appears to measure 4.4 cm and the left lobe 4.2 cm in length. </s>

There is no evidence of intracranial hemorrhage or mass. There is encephalomalacia in the right basal ganglia, corona radiata, and frontal lobe. There is slight ex vacuo dilatation of the right lateral ventricle. There are also punctate foci of hypoattenuation in the pons bilaterally. There is a possible dense vessel sign involving the left middle cerebral artery. There is no midline shift or herniation. The orbits, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable.

clinical findings_fin: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}, 'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}}anatomical entity_fin: {'basal ganglia': {'location descriptor': 'right'}, 'corona radiata': {}, 'frontal lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'encephalomalacia': {'clinical finding': 'encephalomalacia', 'cf_snomed': {'encephalomalacia': 58762006}, 'existence': 'pos_dx', 'observation': 'encephalomalacia'}}anatomical entity_fin: {'right lateral ventricle': {}}anatomical entity_fin: {'pons': {}}imaging observation_fin: ['foci']clinical findings_fin: {'punctate foci': {'clinical finding': 'punctate foci', 'existence': 'pos_dx', 'descriptive_term': 'punctate', 'observation': 'foci'}, 'hypoattenuation': {'clinical finding': 'hypoattenuation', 'existence': 'pos_dx', 'observation': 'hypoattenuation'}}anatomical entity_fin: {'left middle cerebral artery': {}}imaging observation_fin: ['dense vessel']clinical findings_fin: {'is a possible dense vessel sign involving': {'clinical finding': 'is a possible dense vessel sign involving', 'cf_snomed': {'sign': 72670004}}}location descriptor_fin: ['midline']clinical findings_fin: {'herniation': {'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'}}anatomical entity_fin: {'orbits': {}, 'skull': {}, 'paranasal sinuses': {}, 'scalp': {}}clinical findings_fin: {'orbits , skull , paranasal sinuses , and scalp soft tissues are grossly unremarkable': {'clinical finding': 'orbits , skull , paranasal sinuses , and scalp soft tissues are grossly unremarkable'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}, 'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}}anatomical entity_fin: {'basal ganglia': {'location descriptor': 'right'}, 'corona radiata': {}, 'frontal lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'encephalomalacia': {'clinical finding': 'encephalomalacia', 'cf_snomed': {'encephalomalacia': 58762006}, 'existence': 'pos_dx', 'observation': 'encephalomalacia'}}anatomical entity_fin: {'right lateral ventricle': {}}anatomical entity_fin: {'pons': {}}imaging observation_fin: ['foci']clinical findings_fin: {'punctate foci': {'clinical finding': 'punctate foci', 'existence': 'pos_dx', 'descriptive_term': 'punctate', 'observation': 'foci'}, 'hypoattenuation': {'clinical finding': 'hypoattenuation', 'existence': 'pos_dx', 'observation': 'hypoattenuation'}}anatomical entity_fin: {'left middle cerebral artery': {}}imaging observation_fin: ['dense vessel']clinical findings_fin: {'is a possible dense vessel sign involving': {'clinical finding': 'is a possible dense vessel sign involving', 'cf_snomed': {'sign': 72670004}}}location descriptor_fin: ['midline']clinical findings_fin: {'herniation': {'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'}}anatomical entity_fin: {'orbits': {}, 'skull': {}, 'paranasal sinuses': {}, 'scalp': {}}clinical findings_fin: {'orbits , skull , paranasal sinuses , and scalp soft tissues are grossly unremarkable': {'clinical finding': 'orbits , skull , paranasal sinuses , and scalp soft tissues are grossly unremarkable'}} [/INST] There is no evidence of intracranial hemorrhage or mass. There is encephalomalacia in the right basal ganglia, corona radiata, and frontal lobe. There is slight ex vacuo dilatation of the right lateral ventricle. There are also punctate foci of hypoattenuation in the pons bilaterally. There is a possible dense vessel sign involving the left middle cerebral artery. There is no midline shift or herniation. The orbits, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable. </s>

. The quality of this examination is diagnostic for the evaluation for pulmonary embolism to the subsegmental level. There is no pulmonary embolus. Mild mid to upper zone centrilobular emphysema. Irregular shaped focus of consolidation within the inferior right middle lobe, abutting the right inferior mediastinum and. This measures 10 x 14 mm. Subpleural groundglass is noted more superiorly in the anterior right middle lobe. The findings may be postinflammatory in nature however, follow-up to ensure stability is recommended. No pleural effusion. Heart size is upper limits of normal. No pericardial effusion. No mediastinal or hilar lymphadenopathy. There is a 4 vessel arch with the left vertebral artery arising from the transverse aorta. None. No significant abnormality noted. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. No significant abnormality noted.

location descriptor_fin: ['subsegmental']clinical findings_fin: {'pulmonary embolism': {'clinical finding': 'pulmonary embolism', 'cf_snomed': {'pulmonary embolism': 59282003}, 'existence': 'unc_dx', 'descriptive_term': 'pulmonary', 'observation': 'embolism'}}clinical findings_fin: {'pulmonary embolus': {'clinical finding': 'pulmonary embolus', 'cf_snomed': {'embolus': 55584005}, 'existence': 'neg_dx', 'descriptive_term': 'pulmonary', 'observation': 'embolus'}}location descriptor_fin: ['upper']clinical findings_fin: {'mild mid to upper zone centrilobular emphysema': {'clinical finding': 'mild mid to upper zone centrilobular emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'descriptive_term': 'mild mid to upper zone centrilobular', 'observation': 'emphysema', 'strength_term': 'mild'}}anatomical entity_fin: {'middle': {'location descriptor': 'inferior right'}, 'lobe': {}, 'mediastinum': {'location descriptor': 'right inferior'}}location descriptor_fin: ['inferior', 'right']clinical findings_fin: {'consolidation': {'clinical finding': 'consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'pos_dx', 'observation': 'consolidation'}}size_fin: [{'size': '10 x 14 mm'}]anatomical entity_fin: {'middle': {'location descriptor': 'anterior right'}, 'lobe': {}}location descriptor_fin: ['anterior', 'right']clinical findings_fin: {'subpleural groundglass': {'clinical finding': 'subpleural groundglass', 'existence': 'pos_dx', 'descriptive_term': 'subpleural', 'observation': 'groundglass'}}clinical findings_fin: {'ensure stability is recommended': {'clinical finding': 'ensure stability is recommended'}}follow-up_fin: follow-up recommendedclinical findings_fin: {'pleural effusion': {'clinical finding': 'pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}}anatomical entity_fin: {'heart': {}}location descriptor_fin: ['upper']clinical findings_fin: {'upper limits of normal': {'clinical finding': 'upper limits of normal'}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}clinical findings_fin: {'mediastinal or hilar lymphadenopathy': {'clinical finding': 'mediastinal or hilar lymphadenopathy', 'cf_snomed': {'hilar lymphadenopathy': 87500009}, 'existence': 'neg_dx', 'descriptive_term': 'mediastinal or hilar', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'left vertebral artery': {}, 'aorta': {}}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: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['subsegmental']clinical findings_fin: {'pulmonary embolism': {'clinical finding': 'pulmonary embolism', 'cf_snomed': {'pulmonary embolism': 59282003}, 'existence': 'unc_dx', 'descriptive_term': 'pulmonary', 'observation': 'embolism'}}clinical findings_fin: {'pulmonary embolus': {'clinical finding': 'pulmonary embolus', 'cf_snomed': {'embolus': 55584005}, 'existence': 'neg_dx', 'descriptive_term': 'pulmonary', 'observation': 'embolus'}}location descriptor_fin: ['upper']clinical findings_fin: {'mild mid to upper zone centrilobular emphysema': {'clinical finding': 'mild mid to upper zone centrilobular emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'descriptive_term': 'mild mid to upper zone centrilobular', 'observation': 'emphysema', 'strength_term': 'mild'}}anatomical entity_fin: {'middle': {'location descriptor': 'inferior right'}, 'lobe': {}, 'mediastinum': {'location descriptor': 'right inferior'}}location descriptor_fin: ['inferior', 'right']clinical findings_fin: {'consolidation': {'clinical finding': 'consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'pos_dx', 'observation': 'consolidation'}}size_fin: [{'size': '10 x 14 mm'}]anatomical entity_fin: {'middle': {'location descriptor': 'anterior right'}, 'lobe': {}}location descriptor_fin: ['anterior', 'right']clinical findings_fin: {'subpleural groundglass': {'clinical finding': 'subpleural groundglass', 'existence': 'pos_dx', 'descriptive_term': 'subpleural', 'observation': 'groundglass'}}clinical findings_fin: {'ensure stability is recommended': {'clinical finding': 'ensure stability is recommended'}}follow-up_fin: follow-up recommendedclinical findings_fin: {'pleural effusion': {'clinical finding': 'pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}}anatomical entity_fin: {'heart': {}}location descriptor_fin: ['upper']clinical findings_fin: {'upper limits of normal': {'clinical finding': 'upper limits of normal'}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}clinical findings_fin: {'mediastinal or hilar lymphadenopathy': {'clinical finding': 'mediastinal or hilar lymphadenopathy', 'cf_snomed': {'hilar lymphadenopathy': 87500009}, 'existence': 'neg_dx', 'descriptive_term': 'mediastinal or hilar', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'left vertebral artery': {}, 'aorta': {}}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: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . The quality of this examination is diagnostic for the evaluation for pulmonary embolism to the subsegmental level. There is no pulmonary embolus. Mild mid to upper zone centrilobular emphysema. Irregular shaped focus of consolidation within the inferior right middle lobe, abutting the right inferior mediastinum and. This measures 10 x 14 mm. Subpleural groundglass is noted more superiorly in the anterior right middle lobe. The findings may be postinflammatory in nature however, follow-up to ensure stability is recommended. No pleural effusion. Heart size is upper limits of normal. No pericardial effusion. No mediastinal or hilar lymphadenopathy. There is a 4 vessel arch with the left vertebral artery arising from the transverse aorta. None. No significant abnormality noted. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. No significant abnormality noted. </s>

This study is limited due to lack of intravenous contrast. New bilateral pleural effusions and dependent atelectasis. Cholelithiasis. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. New right-sided hydronephrosis and hydroureter. Etiology is unknown but may be secondary to compression by the large right-sided retroperitoneal hematoma. New large right-sided retroperitoneal hematoma predominantly involving the iliac is muscle measuring 10 x 8.7 cm on image #64, series #3. The hematoma extends into the right thigh. 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. Unchanged benign-appearing sclerotic focus in the superior left acetabulum. No significant abnormality noted

location descriptor_fin: ['bilateral']clinical findings_fin: {'new bilateral pleural effusions': {'clinical finding': 'new bilateral pleural effusions', 'cf_snomed': {'bilateral pleural effusion': 425802001}, 'existence': 'pos_dx', 'descriptive_term': 'new bilateral pleural', 'observation': 'effusion', 'temporal_term': 'new'}, 'dependent atelectasis': {'clinical finding': 'dependent atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'dependent', 'observation': 'atelectasis'}}clinical findings_fin: {'cholelithiasis': {'clinical finding': 'cholelithiasis', 'existence': 'pos_dx', 'observation': 'cholelithiasis'}}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: ['right']clinical findings_fin: {'new right-sided hydronephrosis': {'clinical finding': 'new right-sided hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'pos_dx', 'descriptive_term': 'new right-sided', 'observation': 'hydronephrosis', 'temporal_term': 'new'}, 'hydroureter': {'clinical finding': 'hydroureter', 'cf_snomed': {'hydroureter': 69758005}, 'existence': 'pos_dx', 'observation': 'hydroureter'}}imaging observation_fin: ['hematoma']location descriptor_fin: ['right']clinical findings_fin: {'compression': {'clinical finding': 'compression', 'cf_snomed': {'compression': 71173004}, 'existence': 'unc_dx', 'observation': 'compression'}, 'large right-sided retroperitoneal hematoma': {'clinical finding': 'large right-sided retroperitoneal hematoma', 'cf_snomed': {'retroperitoneal hematoma': 236002003}, 'existence': 'unc_dx', 'descriptive_term': 'large right-sided retroperitoneal', 'observation': 'hematoma', 'strength_term': 'large'}}size_fin: [{'size': '10 x 8.7 cm', 'size_descriptor': 'hematoma'}]imaging observation_fin: ['hematoma']location descriptor_fin: ['right']clinical findings_fin: {'new large right-sided retroperitoneal hematoma': {'clinical finding': 'new large right-sided retroperitoneal hematoma', 'cf_snomed': {'retroperitoneal hematoma': 236002003}, 'existence': 'pos_dx', 'descriptive_term': 'new large right-sided retroperitoneal', 'observation': 'hematoma', 'strength_term': 'large', 'temporal_term': 'new'}}anatomical entity_fin: {'thigh': {'location descriptor': 'right'}}imaging observation_fin: ['hematoma']location descriptor_fin: ['right']clinical findings_fin: {'hematoma': {'clinical finding': 'hematoma', 'cf_snomed': {'hematoma': 385494008}, 'existence': 'pos_dx', 'observation': 'hematoma'}}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'}}anatomical entity_fin: {'acetabulum': {'location descriptor': 'superior left'}}location descriptor_fin: ['superior', 'left']clinical findings_fin: {'unchanged benign-appearing sclerotic focus': {'clinical finding': 'unchanged benign-appearing sclerotic focus', 'existence': 'pos_dx', 'descriptive_term': 'unchanged benign-appearing sclerotic', 'observation': 'focus', 'strength_term': 'unchanged - benign', 'change_term': 'unchanged'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['bilateral']clinical findings_fin: {'new bilateral pleural effusions': {'clinical finding': 'new bilateral pleural effusions', 'cf_snomed': {'bilateral pleural effusion': 425802001}, 'existence': 'pos_dx', 'descriptive_term': 'new bilateral pleural', 'observation': 'effusion', 'temporal_term': 'new'}, 'dependent atelectasis': {'clinical finding': 'dependent atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'dependent', 'observation': 'atelectasis'}}clinical findings_fin: {'cholelithiasis': {'clinical finding': 'cholelithiasis', 'existence': 'pos_dx', 'observation': 'cholelithiasis'}}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: ['right']clinical findings_fin: {'new right-sided hydronephrosis': {'clinical finding': 'new right-sided hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'pos_dx', 'descriptive_term': 'new right-sided', 'observation': 'hydronephrosis', 'temporal_term': 'new'}, 'hydroureter': {'clinical finding': 'hydroureter', 'cf_snomed': {'hydroureter': 69758005}, 'existence': 'pos_dx', 'observation': 'hydroureter'}}imaging observation_fin: ['hematoma']location descriptor_fin: ['right']clinical findings_fin: {'compression': {'clinical finding': 'compression', 'cf_snomed': {'compression': 71173004}, 'existence': 'unc_dx', 'observation': 'compression'}, 'large right-sided retroperitoneal hematoma': {'clinical finding': 'large right-sided retroperitoneal hematoma', 'cf_snomed': {'retroperitoneal hematoma': 236002003}, 'existence': 'unc_dx', 'descriptive_term': 'large right-sided retroperitoneal', 'observation': 'hematoma', 'strength_term': 'large'}}size_fin: [{'size': '10 x 8.7 cm', 'size_descriptor': 'hematoma'}]imaging observation_fin: ['hematoma']location descriptor_fin: ['right']clinical findings_fin: {'new large right-sided retroperitoneal hematoma': {'clinical finding': 'new large right-sided retroperitoneal hematoma', 'cf_snomed': {'retroperitoneal hematoma': 236002003}, 'existence': 'pos_dx', 'descriptive_term': 'new large right-sided retroperitoneal', 'observation': 'hematoma', 'strength_term': 'large', 'temporal_term': 'new'}}anatomical entity_fin: {'thigh': {'location descriptor': 'right'}}imaging observation_fin: ['hematoma']location descriptor_fin: ['right']clinical findings_fin: {'hematoma': {'clinical finding': 'hematoma', 'cf_snomed': {'hematoma': 385494008}, 'existence': 'pos_dx', 'observation': 'hematoma'}}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'}}anatomical entity_fin: {'acetabulum': {'location descriptor': 'superior left'}}location descriptor_fin: ['superior', 'left']clinical findings_fin: {'unchanged benign-appearing sclerotic focus': {'clinical finding': 'unchanged benign-appearing sclerotic focus', 'existence': 'pos_dx', 'descriptive_term': 'unchanged benign-appearing sclerotic', 'observation': 'focus', 'strength_term': 'unchanged - benign', 'change_term': 'unchanged'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] This study is limited due to lack of intravenous contrast. New bilateral pleural effusions and dependent atelectasis. Cholelithiasis. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. New right-sided hydronephrosis and hydroureter. Etiology is unknown but may be secondary to compression by the large right-sided retroperitoneal hematoma. New large right-sided retroperitoneal hematoma predominantly involving the iliac is muscle measuring 10 x 8.7 cm on image #64, series #3. The hematoma extends into the right thigh. 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. Unchanged benign-appearing sclerotic focus in the superior left acetabulum. No significant abnormality noted </s>

There is redemonstration of an irregular, peripherally enhancing mass within the subcutaneous tissues of the posterior right neck which measures approximately 13 x 28 x 19 mm, previously 12 x 22 x 18 mm. Slightly more superiorly, there is additional soft tissue enhancement and stranding within the midline subcutaneous fat extending to the left toward the skin surface which appears slightly more prominent than prior. Inflammatory changes appear to be limited to the subcutaneous tissues without specific evidence of deeper extension. Small cervical and supraclavicular lymph nodes are present without lymphadenopathy by size criteria. The thyroid and major salivary glands are unremarkable. The major cervical vessels are patent. Incidental note is made of a small benign osteoma within the inferior left frontal sinus. The airways are patent. The imaged intracranial structures are unremarkable. The imaged portions of the lungs are clear.

size_fin: [{'size': '13 x 28 x 19 mm'}, {'size': '12 x 22 x 18 mm'}]anatomical entity_fin: {'neck': {'location descriptor': 'posterior right'}}imaging observation_fin: ['enhancing']location descriptor_fin: ['posterior', 'right']clinical findings_fin: {'irregular, peripherally enhancing mass': {'clinical finding': 'irregular, peripherally enhancing mass', 'existence': 'pos_dx', 'descriptive_term': 'irregular peripherally enhancing', 'observation': 'mass'}}anatomical entity_fin: {'subcutaneous fat': {'location descriptor': 'midline'}, 'skin': {}}location descriptor_fin: ['midline', 'left']clinical findings_fin: {'additional soft tissue enhancement': {'clinical finding': 'additional soft tissue enhancement', 'existence': 'pos_dx', 'descriptive_term': 'additional soft tissue', 'observation': 'enhancement'}, 'stranding': {'clinical finding': 'stranding', 'existence': 'pos_dx', 'observation': 'strand'}}clinical findings_fin: {'inflammatory changes': {'clinical finding': 'inflammatory changes', 'existence': 'pos_dx', 'descriptive_term': 'inflammatory', 'observation': 'change'}}anatomical entity_fin: {'supraclavicular lymph nodes': {}}clinical findings_fin: {'small cervical and supraclavicular lymph nodes': {'clinical finding': 'small cervical and supraclavicular lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small cervical and supraclavicular lymph', 'observation': 'node', 'strength_term': 'small'}, 'lymphadenopathy': {'clinical finding': 'lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'major salivary glands': {}}clinical findings_fin: {'thyroid and major salivary glands are unremarkable': {'clinical finding': 'thyroid and major salivary glands are unremarkable'}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'pos_dx', 'observation': 'patent'}}anatomical entity_fin: {'frontal sinus': {'location descriptor': 'inferior left'}}location descriptor_fin: ['inferior', 'left']clinical findings_fin: {'small benign osteoma': {'clinical finding': 'small benign osteoma', 'cf_snomed': {'benign osteoma': 1156874003}, 'existence': 'pos_dx', 'descriptive_term': 'small benign', 'observation': 'osteoma', 'strength_term': 'small - benign'}}anatomical entity_fin: {'airways': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'pos_dx', 'observation': 'patent'}}clinical findings_fin: {'imaged intracranial structures are unremarkable': {'clinical finding': 'imaged intracranial structures are unremarkable'}}anatomical entity_fin: {'lungs': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: size_fin: [{'size': '13 x 28 x 19 mm'}, {'size': '12 x 22 x 18 mm'}]anatomical entity_fin: {'neck': {'location descriptor': 'posterior right'}}imaging observation_fin: ['enhancing']location descriptor_fin: ['posterior', 'right']clinical findings_fin: {'irregular, peripherally enhancing mass': {'clinical finding': 'irregular, peripherally enhancing mass', 'existence': 'pos_dx', 'descriptive_term': 'irregular peripherally enhancing', 'observation': 'mass'}}anatomical entity_fin: {'subcutaneous fat': {'location descriptor': 'midline'}, 'skin': {}}location descriptor_fin: ['midline', 'left']clinical findings_fin: {'additional soft tissue enhancement': {'clinical finding': 'additional soft tissue enhancement', 'existence': 'pos_dx', 'descriptive_term': 'additional soft tissue', 'observation': 'enhancement'}, 'stranding': {'clinical finding': 'stranding', 'existence': 'pos_dx', 'observation': 'strand'}}clinical findings_fin: {'inflammatory changes': {'clinical finding': 'inflammatory changes', 'existence': 'pos_dx', 'descriptive_term': 'inflammatory', 'observation': 'change'}}anatomical entity_fin: {'supraclavicular lymph nodes': {}}clinical findings_fin: {'small cervical and supraclavicular lymph nodes': {'clinical finding': 'small cervical and supraclavicular lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small cervical and supraclavicular lymph', 'observation': 'node', 'strength_term': 'small'}, 'lymphadenopathy': {'clinical finding': 'lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'major salivary glands': {}}clinical findings_fin: {'thyroid and major salivary glands are unremarkable': {'clinical finding': 'thyroid and major salivary glands are unremarkable'}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'pos_dx', 'observation': 'patent'}}anatomical entity_fin: {'frontal sinus': {'location descriptor': 'inferior left'}}location descriptor_fin: ['inferior', 'left']clinical findings_fin: {'small benign osteoma': {'clinical finding': 'small benign osteoma', 'cf_snomed': {'benign osteoma': 1156874003}, 'existence': 'pos_dx', 'descriptive_term': 'small benign', 'observation': 'osteoma', 'strength_term': 'small - benign'}}anatomical entity_fin: {'airways': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'pos_dx', 'observation': 'patent'}}clinical findings_fin: {'imaged intracranial structures are unremarkable': {'clinical finding': 'imaged intracranial structures are unremarkable'}}anatomical entity_fin: {'lungs': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'}} [/INST] There is redemonstration of an irregular, peripherally enhancing mass within the subcutaneous tissues of the posterior right neck which measures approximately 13 x 28 x 19 mm, previously 12 x 22 x 18 mm. Slightly more superiorly, there is additional soft tissue enhancement and stranding within the midline subcutaneous fat extending to the left toward the skin surface which appears slightly more prominent than prior. Inflammatory changes appear to be limited to the subcutaneous tissues without specific evidence of deeper extension. Small cervical and supraclavicular lymph nodes are present without lymphadenopathy by size criteria. The thyroid and major salivary glands are unremarkable. The major cervical vessels are patent. Incidental note is made of a small benign osteoma within the inferior left frontal sinus. The airways are patent. The imaged intracranial structures are unremarkable. The imaged portions of the lungs are clear. </s>

. Left lower lobe calcified granuloma. Punctate breast calcifications. Postoperative changes related to liver transplant. Interval placement of right abdominal approach percutaneous drainage catheter, located in right upper quadrant and improvement in previously seen perihepatic fluid collection, now measuring approximately 6.3 x 4.2 cm, image 16 series 4, previously measured 8.2 x 6 cm. Curvilinear air in liver, image 24 series 4, may reflect trace pneumobilia but portal venous gas not entirely excluded. Indeterminant subcentimeter right hepatic hypoattenuating lesion, image 24 series Unchanged mild splenomegaly. Unchanged subcentimeter hypoattenuating focus at level of pancreatic neck, may be a lipoma. No significant abnormality noted. No significant abnormality noted. Unchanged prominent retroperitoneal or left para-aortic lymph nodes. IVC filter. Stable to mildly increased left upper quadrant and pelvic ascites. Persistent mild small bowel thickening, nonspecific in setting of ascites. Trace pneumoperitoneum. No significant abnormality noted. No significant abnormality noted. Multilevel spinal degenerative disease and scoliosis.

anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'left lower lobe calcified granuloma': {'clinical finding': 'left lower lobe calcified granuloma', 'cf_snomed': {'calcified granuloma': 48391002}, 'existence': 'pos_dx', 'descriptive_term': 'left lower lobe calcified', 'observation': 'granuloma', 'change_term': 'calcified'}}anatomical entity_fin: {'breast': {}}clinical findings_fin: {'punctate breast calcifications': {'clinical finding': 'punctate breast calcifications', 'existence': 'pos_dx', 'descriptive_term': 'punctate breast', 'observation': 'calcification'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'postoperative changes': {'clinical finding': 'postoperative changes', 'existence': 'pos_dx', 'descriptive_term': 'postoperative', 'observation': 'change'}}size_fin: [{'size': '6.3 x 4.2 cm'}, {'size': '8.2 x 6 cm'}]anatomical entity_fin: {'abdominal': {'location descriptor': 'right'}, 'quadrant': {'location descriptor': 'right upper'}}location descriptor_fin: ['right', 'upper']object_fin: ['drainage catheter']clinical findings_fin: {'right abdominal approach percutaneous drainage catheter': {'clinical finding': 'right abdominal approach percutaneous drainage catheter', 'existence': 'pos_dx', 'descriptive_term': 'right abdominal approach percutaneous drainage', 'observation': 'catheter'}, 'previously seen perihepatic fluid collection': {'clinical finding': 'previously seen perihepatic fluid collection', 'existence': 'pos_dx', 'descriptive_term': 'previously seen perihepatic fluid', 'observation': 'collection'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'trace pneumobilia': {'clinical finding': 'trace pneumobilia', 'existence': 'unc_dx', 'descriptive_term': 'trace', 'observation': 'pneumobilia'}, 'portal venous gas': {'clinical finding': 'portal venous gas', 'existence': 'unc_dx', 'descriptive_term': 'portal venous', 'observation': 'gas'}}location descriptor_fin: ['right']clinical findings_fin: {'hepatic hypoattenuating lesion': {'clinical finding': 'hepatic hypoattenuating lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'hepatic hypoattenuating', 'observation': 'lesion'}, 'unchanged mild splenomegaly': {'clinical finding': 'unchanged mild splenomegaly', 'cf_snomed': {'splenomegaly': 16294009}, 'existence': 'pos_dx', 'descriptive_term': 'unchanged mild', 'observation': 'splenomegaly', 'strength_term': 'unchanged - mild', 'change_term': 'unchanged'}}anatomical entity_fin: {'neck': {}}clinical findings_fin: {'unchanged subcentimeter hypoattenuating focus': {'clinical finding': 'unchanged subcentimeter hypoattenuating focus', 'existence': 'pos_dx', 'descriptive_term': 'unchanged subcentimeter hypoattenuating', 'observation': 'focus', 'strength_term': 'unchanged', 'change_term': 'unchanged'}, 'lipoma': {'clinical finding': 'lipoma', 'cf_snomed': {'lipoma': 134328007}, 'existence': 'unc_dx', 'observation': 'lipoma'}}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: {'unchanged prominent retroperitoneal or left para-aortic lymph nodes': {'clinical finding': 'unchanged prominent retroperitoneal or left para-aortic lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'unchanged prominent retroperitoneal or left para-aortic lymph', 'observation': 'node', 'strength_term': 'unchanged - prominent', 'change_term': 'unchanged'}}object_fin: ['filter']clinical findings_fin: {'ivc filter': {'clinical finding': 'ivc filter'}}anatomical entity_fin: {'quadrant': {'location descriptor': 'left upper'}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'pelvic ascites': {'clinical finding': 'pelvic ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'pelvic', 'observation': 'ascite'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'persistent mild small bowel thickening': {'clinical finding': 'persistent mild small bowel thickening', 'existence': 'pos_dx', 'descriptive_term': 'persistent mild small bowel', 'observation': 'thickening', 'strength_term': 'mild - small', 'temporal_term': 'persistent'}, 'ascites': {'clinical finding': 'ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'observation': 'ascite'}}clinical findings_fin: {'trace pneumoperitoneum': {'clinical finding': 'trace pneumoperitoneum', 'cf_snomed': {'pneumoperitoneum': 17204006}, 'existence': 'pos_dx', 'descriptive_term': 'trace', 'observation': 'pneumoperitoneum'}}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: {'multilevel spinal degenerative disease': {'clinical finding': 'multilevel spinal degenerative disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'multilevel spinal degenerative', 'observation': 'disease'}, 'scoliosis': {'clinical finding': 'scoliosis', 'existence': 'pos_dx', 'observation': 'scoliosis'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'left lower lobe calcified granuloma': {'clinical finding': 'left lower lobe calcified granuloma', 'cf_snomed': {'calcified granuloma': 48391002}, 'existence': 'pos_dx', 'descriptive_term': 'left lower lobe calcified', 'observation': 'granuloma', 'change_term': 'calcified'}}anatomical entity_fin: {'breast': {}}clinical findings_fin: {'punctate breast calcifications': {'clinical finding': 'punctate breast calcifications', 'existence': 'pos_dx', 'descriptive_term': 'punctate breast', 'observation': 'calcification'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'postoperative changes': {'clinical finding': 'postoperative changes', 'existence': 'pos_dx', 'descriptive_term': 'postoperative', 'observation': 'change'}}size_fin: [{'size': '6.3 x 4.2 cm'}, {'size': '8.2 x 6 cm'}]anatomical entity_fin: {'abdominal': {'location descriptor': 'right'}, 'quadrant': {'location descriptor': 'right upper'}}location descriptor_fin: ['right', 'upper']object_fin: ['drainage catheter']clinical findings_fin: {'right abdominal approach percutaneous drainage catheter': {'clinical finding': 'right abdominal approach percutaneous drainage catheter', 'existence': 'pos_dx', 'descriptive_term': 'right abdominal approach percutaneous drainage', 'observation': 'catheter'}, 'previously seen perihepatic fluid collection': {'clinical finding': 'previously seen perihepatic fluid collection', 'existence': 'pos_dx', 'descriptive_term': 'previously seen perihepatic fluid', 'observation': 'collection'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'trace pneumobilia': {'clinical finding': 'trace pneumobilia', 'existence': 'unc_dx', 'descriptive_term': 'trace', 'observation': 'pneumobilia'}, 'portal venous gas': {'clinical finding': 'portal venous gas', 'existence': 'unc_dx', 'descriptive_term': 'portal venous', 'observation': 'gas'}}location descriptor_fin: ['right']clinical findings_fin: {'hepatic hypoattenuating lesion': {'clinical finding': 'hepatic hypoattenuating lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'hepatic hypoattenuating', 'observation': 'lesion'}, 'unchanged mild splenomegaly': {'clinical finding': 'unchanged mild splenomegaly', 'cf_snomed': {'splenomegaly': 16294009}, 'existence': 'pos_dx', 'descriptive_term': 'unchanged mild', 'observation': 'splenomegaly', 'strength_term': 'unchanged - mild', 'change_term': 'unchanged'}}anatomical entity_fin: {'neck': {}}clinical findings_fin: {'unchanged subcentimeter hypoattenuating focus': {'clinical finding': 'unchanged subcentimeter hypoattenuating focus', 'existence': 'pos_dx', 'descriptive_term': 'unchanged subcentimeter hypoattenuating', 'observation': 'focus', 'strength_term': 'unchanged', 'change_term': 'unchanged'}, 'lipoma': {'clinical finding': 'lipoma', 'cf_snomed': {'lipoma': 134328007}, 'existence': 'unc_dx', 'observation': 'lipoma'}}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: {'unchanged prominent retroperitoneal or left para-aortic lymph nodes': {'clinical finding': 'unchanged prominent retroperitoneal or left para-aortic lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'unchanged prominent retroperitoneal or left para-aortic lymph', 'observation': 'node', 'strength_term': 'unchanged - prominent', 'change_term': 'unchanged'}}object_fin: ['filter']clinical findings_fin: {'ivc filter': {'clinical finding': 'ivc filter'}}anatomical entity_fin: {'quadrant': {'location descriptor': 'left upper'}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'pelvic ascites': {'clinical finding': 'pelvic ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'pelvic', 'observation': 'ascite'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'persistent mild small bowel thickening': {'clinical finding': 'persistent mild small bowel thickening', 'existence': 'pos_dx', 'descriptive_term': 'persistent mild small bowel', 'observation': 'thickening', 'strength_term': 'mild - small', 'temporal_term': 'persistent'}, 'ascites': {'clinical finding': 'ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'observation': 'ascite'}}clinical findings_fin: {'trace pneumoperitoneum': {'clinical finding': 'trace pneumoperitoneum', 'cf_snomed': {'pneumoperitoneum': 17204006}, 'existence': 'pos_dx', 'descriptive_term': 'trace', 'observation': 'pneumoperitoneum'}}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: {'multilevel spinal degenerative disease': {'clinical finding': 'multilevel spinal degenerative disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'multilevel spinal degenerative', 'observation': 'disease'}, 'scoliosis': {'clinical finding': 'scoliosis', 'existence': 'pos_dx', 'observation': 'scoliosis'}} [/INST] . Left lower lobe calcified granuloma. Punctate breast calcifications. Postoperative changes related to liver transplant. Interval placement of right abdominal approach percutaneous drainage catheter, located in right upper quadrant and improvement in previously seen perihepatic fluid collection, now measuring approximately 6.3 x 4.2 cm, image 16 series 4, previously measured 8.2 x 6 cm. Curvilinear air in liver, image 24 series 4, may reflect trace pneumobilia but portal venous gas not entirely excluded. Indeterminant subcentimeter right hepatic hypoattenuating lesion, image 24 series Unchanged mild splenomegaly. Unchanged subcentimeter hypoattenuating focus at level of pancreatic neck, may be a lipoma. No significant abnormality noted. No significant abnormality noted. Unchanged prominent retroperitoneal or left para-aortic lymph nodes. IVC filter. Stable to mildly increased left upper quadrant and pelvic ascites. Persistent mild small bowel thickening, nonspecific in setting of ascites. Trace pneumoperitoneum. No significant abnormality noted. No significant abnormality noted. Multilevel spinal degenerative disease and scoliosis. </s>

. Right pleural effusion with overlying compressive type atelectasis. Consider aspiration the left lung base. High left mediastinal lymph node measures 3.4 x 3.6 cm. Internal jugular veins are compressed by adenopathy. None. Extensive adenopathy for reference purposes, a right axillary lymph node measures 4.6 x 3.5 cm. Right chest port. Perihepatic ascites. No intrahepatic ductal dilatation or enhancing liver lesions. Spleen measures 19 cm in anterior posterior dimension. There is irregular enhancement peripherally which may reflect an evolving infarct versus infiltration. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Extensive retroperitoneal adenopathy. For reference purposes, a conglomeration of nodes compressing the IVC anteriorly measures 8.3 x 5.6 cm. None. Colonic diverticulosis. Anasarca. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Moderate pelvic ascites.

location descriptor_fin: ['right']clinical findings_fin: {'right pleural effusion': {'clinical finding': 'right pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'right pleural', 'observation': 'effusion'}, 'overlying compressive type atelectasis': {'clinical finding': 'overlying compressive type atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'overlying compressive type', 'observation': 'atelectasis'}}anatomical entity_fin: {'left lung': {}, 'base': {}}clinical findings_fin: {'aspiration': {'clinical finding': 'aspiration', 'existence': 'unc_dx', 'observation': 'aspiration'}}size_fin: [{'size': '3.4 x 3.6 cm', 'size_descriptor': 'node'}]anatomical entity_fin: {'mediastinal lymph node': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'high left mediastinal lymph node': {'clinical finding': 'high left mediastinal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'high left mediastinal lymph', 'observation': 'node'}}anatomical entity_fin: {'internal jugular veins': {}}clinical findings_fin: {'adenopathy': {'clinical finding': 'adenopathy', 'existence': 'pos_dx', 'observation': 'adenopathy'}}size_fin: [{'size': '4.6 x 3.5 cm'}]anatomical entity_fin: {'axillary lymph node': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'extensive adenopathy': {'clinical finding': 'extensive adenopathy', 'existence': 'pos_dx', 'descriptive_term': 'extensive', 'observation': 'adenopathy', 'strength_term': 'extensive'}, 'right axillary lymph node': {'clinical finding': 'right axillary lymph node', 'existence': 'pos_dx', 'descriptive_term': 'right axillary lymph', 'observation': 'node'}}anatomical entity_fin: {'chest': {'location descriptor': 'right'}}location descriptor_fin: ['right']object_fin: ['port']clinical findings_fin: {'perihepatic ascites': {'clinical finding': 'perihepatic ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'perihepatic', 'observation': 'ascite'}}anatomical entity_fin: {'liver': {}}imaging observation_fin: ['enhancing']clinical findings_fin: {'enhancing liver lesions': {'clinical finding': 'enhancing liver lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'enhancing liver', 'observation': 'lesion'}}size_fin: [{'size': '19 cm', 'size_descriptor': 'spleen'}]anatomical entity_fin: {'spleen': {}}location descriptor_fin: ['anterior', 'posterior']clinical findings_fin: {'irregular enhancement': {'clinical finding': 'irregular enhancement', 'existence': 'pos_dx', 'descriptive_term': 'irregular', 'observation': 'enhancement'}, 'evolving infarct': {'clinical finding': 'evolving infarct', 'cf_snomed': {'evolving infarct': 52481007}, 'existence': 'unc_dx', 'descriptive_term': 'evolving', 'observation': 'infarct'}}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: {'extensive retroperitoneal adenopathy': {'clinical finding': 'extensive retroperitoneal adenopathy', 'existence': 'pos_dx', 'descriptive_term': 'extensive retroperitoneal', 'observation': 'adenopathy', 'strength_term': 'extensive'}}size_fin: [{'size': '8.3 x 5.6 cm', 'size_descriptor': 'conglomeration'}]clinical findings_fin: {'nodes': {'clinical finding': 'nodes', 'existence': 'pos_dx', 'observation': 'node'}}clinical findings_fin: {'colonic diverticulosis': {'clinical finding': 'colonic diverticulosis', 'existence': 'pos_dx', 'descriptive_term': 'colonic', 'observation': 'diverticulosis'}}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: {'moderate pelvic ascites': {'clinical finding': 'moderate pelvic ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'moderate pelvic', 'observation': 'ascite', 'strength_term': 'moderate'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['right']clinical findings_fin: {'right pleural effusion': {'clinical finding': 'right pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'right pleural', 'observation': 'effusion'}, 'overlying compressive type atelectasis': {'clinical finding': 'overlying compressive type atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'overlying compressive type', 'observation': 'atelectasis'}}anatomical entity_fin: {'left lung': {}, 'base': {}}clinical findings_fin: {'aspiration': {'clinical finding': 'aspiration', 'existence': 'unc_dx', 'observation': 'aspiration'}}size_fin: [{'size': '3.4 x 3.6 cm', 'size_descriptor': 'node'}]anatomical entity_fin: {'mediastinal lymph node': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'high left mediastinal lymph node': {'clinical finding': 'high left mediastinal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'high left mediastinal lymph', 'observation': 'node'}}anatomical entity_fin: {'internal jugular veins': {}}clinical findings_fin: {'adenopathy': {'clinical finding': 'adenopathy', 'existence': 'pos_dx', 'observation': 'adenopathy'}}size_fin: [{'size': '4.6 x 3.5 cm'}]anatomical entity_fin: {'axillary lymph node': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'extensive adenopathy': {'clinical finding': 'extensive adenopathy', 'existence': 'pos_dx', 'descriptive_term': 'extensive', 'observation': 'adenopathy', 'strength_term': 'extensive'}, 'right axillary lymph node': {'clinical finding': 'right axillary lymph node', 'existence': 'pos_dx', 'descriptive_term': 'right axillary lymph', 'observation': 'node'}}anatomical entity_fin: {'chest': {'location descriptor': 'right'}}location descriptor_fin: ['right']object_fin: ['port']clinical findings_fin: {'perihepatic ascites': {'clinical finding': 'perihepatic ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'perihepatic', 'observation': 'ascite'}}anatomical entity_fin: {'liver': {}}imaging observation_fin: ['enhancing']clinical findings_fin: {'enhancing liver lesions': {'clinical finding': 'enhancing liver lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'enhancing liver', 'observation': 'lesion'}}size_fin: [{'size': '19 cm', 'size_descriptor': 'spleen'}]anatomical entity_fin: {'spleen': {}}location descriptor_fin: ['anterior', 'posterior']clinical findings_fin: {'irregular enhancement': {'clinical finding': 'irregular enhancement', 'existence': 'pos_dx', 'descriptive_term': 'irregular', 'observation': 'enhancement'}, 'evolving infarct': {'clinical finding': 'evolving infarct', 'cf_snomed': {'evolving infarct': 52481007}, 'existence': 'unc_dx', 'descriptive_term': 'evolving', 'observation': 'infarct'}}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: {'extensive retroperitoneal adenopathy': {'clinical finding': 'extensive retroperitoneal adenopathy', 'existence': 'pos_dx', 'descriptive_term': 'extensive retroperitoneal', 'observation': 'adenopathy', 'strength_term': 'extensive'}}size_fin: [{'size': '8.3 x 5.6 cm', 'size_descriptor': 'conglomeration'}]clinical findings_fin: {'nodes': {'clinical finding': 'nodes', 'existence': 'pos_dx', 'observation': 'node'}}clinical findings_fin: {'colonic diverticulosis': {'clinical finding': 'colonic diverticulosis', 'existence': 'pos_dx', 'descriptive_term': 'colonic', 'observation': 'diverticulosis'}}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: {'moderate pelvic ascites': {'clinical finding': 'moderate pelvic ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'moderate pelvic', 'observation': 'ascite', 'strength_term': 'moderate'}} [/INST] . Right pleural effusion with overlying compressive type atelectasis. Consider aspiration the left lung base. High left mediastinal lymph node measures 3.4 x 3.6 cm. Internal jugular veins are compressed by adenopathy. None. Extensive adenopathy for reference purposes, a right axillary lymph node measures 4.6 x 3.5 cm. Right chest port. Perihepatic ascites. No intrahepatic ductal dilatation or enhancing liver lesions. Spleen measures 19 cm in anterior posterior dimension. There is irregular enhancement peripherally which may reflect an evolving infarct versus infiltration. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Extensive retroperitoneal adenopathy. For reference purposes, a conglomeration of nodes compressing the IVC anteriorly measures 8.3 x 5.6 cm. None. Colonic diverticulosis. Anasarca. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Moderate pelvic ascites. </s>

The ventricles and sulci are within normal limits. There is no midline shift or mass effect. There is no intracranial hemorrhage, within the limitations of only postcontrast imaging. There are no areas of abnormal attenuation or pathological enhancement. There is no extraaxial fluid collection. There is worsened paranasal sinus opacification, near complete in the sphenoid sinuses, with new aerated secretions in the left maxillary sinus. There is also now patchy posterior ethmoid opacification on the left although there is interval clearing of the left anterior ethmoid air cells. There remains complete opacification of the right mastoid air cells and middle ear. Mastoid is underpneumatized bilaterally.

clinical findings_fin: {'ventricles and sulci are within normal limits': {'clinical finding': 'ventricles and sulci are within normal limits'}}location descriptor_fin: ['midline']clinical findings_fin: {'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}}clinical findings_fin: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}}clinical findings_fin: {'pathological enhancement': {'clinical finding': 'pathological enhancement', 'existence': 'neg_dx', 'descriptive_term': 'pathological', 'observation': 'enhancement'}}clinical findings_fin: {'extraaxial fluid collection': {'clinical finding': 'extraaxial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'extraaxial fluid', 'observation': 'collection'}}anatomical entity_fin: {'paranasal sinus': {}, 'maxillary sinus': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'worsened paranasal sinus opacification': {'clinical finding': 'worsened paranasal sinus opacification', 'cf_snomed': {'sinus': 419351001}, 'existence': 'pos_dx', 'descriptive_term': 'worsened paranasal sinus', 'observation': 'opacification', 'strength_term': 'worsened', 'change_term': 'worsened'}}anatomical entity_fin: {'cells': {}}location descriptor_fin: ['posterior', 'left', 'anterior']clinical findings_fin: {'patchy posterior ethmoid opacification': {'clinical finding': 'patchy posterior ethmoid opacification', 'existence': 'pos_dx', 'descriptive_term': 'patchy posterior ethmoid', 'observation': 'opacification'}}anatomical entity_fin: {'mastoid air cells': {'location descriptor': 'right'}, 'middle ear': {}}location descriptor_fin: ['right']clinical findings_fin: {'complete opacification': {'clinical finding': 'complete opacification', 'existence': 'pos_dx', 'descriptive_term': 'complete', 'observation': 'opacification'}}clinical findings_fin: {'underpneumatized': {'clinical finding': 'underpneumatized', 'existence': 'pos_dx', 'observation': 'underpneumatized'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'ventricles and sulci are within normal limits': {'clinical finding': 'ventricles and sulci are within normal limits'}}location descriptor_fin: ['midline']clinical findings_fin: {'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}}clinical findings_fin: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}}clinical findings_fin: {'pathological enhancement': {'clinical finding': 'pathological enhancement', 'existence': 'neg_dx', 'descriptive_term': 'pathological', 'observation': 'enhancement'}}clinical findings_fin: {'extraaxial fluid collection': {'clinical finding': 'extraaxial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'extraaxial fluid', 'observation': 'collection'}}anatomical entity_fin: {'paranasal sinus': {}, 'maxillary sinus': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'worsened paranasal sinus opacification': {'clinical finding': 'worsened paranasal sinus opacification', 'cf_snomed': {'sinus': 419351001}, 'existence': 'pos_dx', 'descriptive_term': 'worsened paranasal sinus', 'observation': 'opacification', 'strength_term': 'worsened', 'change_term': 'worsened'}}anatomical entity_fin: {'cells': {}}location descriptor_fin: ['posterior', 'left', 'anterior']clinical findings_fin: {'patchy posterior ethmoid opacification': {'clinical finding': 'patchy posterior ethmoid opacification', 'existence': 'pos_dx', 'descriptive_term': 'patchy posterior ethmoid', 'observation': 'opacification'}}anatomical entity_fin: {'mastoid air cells': {'location descriptor': 'right'}, 'middle ear': {}}location descriptor_fin: ['right']clinical findings_fin: {'complete opacification': {'clinical finding': 'complete opacification', 'existence': 'pos_dx', 'descriptive_term': 'complete', 'observation': 'opacification'}}clinical findings_fin: {'underpneumatized': {'clinical finding': 'underpneumatized', 'existence': 'pos_dx', 'observation': 'underpneumatized'}} [/INST] The ventricles and sulci are within normal limits. There is no midline shift or mass effect. There is no intracranial hemorrhage, within the limitations of only postcontrast imaging. There are no areas of abnormal attenuation or pathological enhancement. There is no extraaxial fluid collection. There is worsened paranasal sinus opacification, near complete in the sphenoid sinuses, with new aerated secretions in the left maxillary sinus. There is also now patchy posterior ethmoid opacification on the left although there is interval clearing of the left anterior ethmoid air cells. There remains complete opacification of the right mastoid air cells and middle ear. Mastoid is underpneumatized bilaterally. </s>

Please refer to the report of the CT scan of the head for the respective findings including the metallic fragments and old lateral wall fractures involving the left orbit. Cervical spine alignment is anatomic. Also, the craniocervical and cervicothoracic articulations are anatomic. Vertebral body heights are preserved. There is no fracture. The intervertebral discs are preserved in height. The spinal canal is not narrowed. The neural foramina are open. There is minimal ossification along the ligamentum flavum at T1-T2 level on the right side but without significant narrowing of the spinal canal. Cervical soft tissues included are notable for small lymph nodes, most likely of no significance. Included lung apices are clear.

anatomical entity_fin: {'head': {}, 'wall': {'location descriptor': 'lateral'}, 'orbit': {'location descriptor': 'left'}}location descriptor_fin: ['lateral', 'left']clinical findings_fin: {'metallic fragments': {'clinical finding': 'metallic fragments', 'existence': 'pos_dx', 'descriptive_term': 'metallic', 'observation': 'fragment'}, 'old lateral wall fractures': {'clinical finding': 'old lateral wall fractures', 'cf_snomed': {'fracture': 72704001}, 'existence': 'unc_dx', 'descriptive_term': 'old lateral wall', 'observation': 'fracture', 'temporal_term': 'old'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'cervical spine alignment is anatomic': {'clinical finding': 'cervical spine alignment is anatomic'}}imaging observation_fin: ['cervicothoracic']clinical findings_fin: {'also , the craniocervical and cervicothoracic articulations are anatomic': {'clinical finding': 'also , the craniocervical and cervicothoracic articulations are anatomic'}}anatomical entity_fin: {'vertebral body': {}}clinical findings_fin: {'vertebral body heights are preserved': {'clinical finding': 'vertebral body heights are preserved', 'change_term': 'preserved'}}clinical findings_fin: {'fracture': {'clinical finding': 'fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'observation': 'fracture'}}clinical findings_fin: {'intervertebral discs are preserved in height': {'clinical finding': 'intervertebral discs are preserved in height', 'change_term': 'preserved'}}anatomical entity_fin: {'spinal canal': {}}clinical findings_fin: {'narrowed': {'clinical finding': 'narrowed', 'existence': 'neg_dx', 'observation': 'narrow'}}anatomical entity_fin: {'foramina': {}}anatomical entity_fin: {'ligamentum flavum': {}, 'spinal canal': {}}location descriptor_fin: ['right']clinical findings_fin: {'minimal ossification': {'clinical finding': 'minimal ossification', 'existence': 'pos_dx', 'descriptive_term': 'minimal', 'observation': 'ossification', 'strength_term': 'minimal', 'quantity_term': 'minimal'}, 'significant narrowing': {'clinical finding': 'significant narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'narrowing'}}clinical findings_fin: {'small lymph nodes': {'clinical finding': 'small lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small lymph', 'observation': 'node', 'strength_term': 'small'}}anatomical entity_fin: {'lung': {}, 'apices': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'head': {}, 'wall': {'location descriptor': 'lateral'}, 'orbit': {'location descriptor': 'left'}}location descriptor_fin: ['lateral', 'left']clinical findings_fin: {'metallic fragments': {'clinical finding': 'metallic fragments', 'existence': 'pos_dx', 'descriptive_term': 'metallic', 'observation': 'fragment'}, 'old lateral wall fractures': {'clinical finding': 'old lateral wall fractures', 'cf_snomed': {'fracture': 72704001}, 'existence': 'unc_dx', 'descriptive_term': 'old lateral wall', 'observation': 'fracture', 'temporal_term': 'old'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'cervical spine alignment is anatomic': {'clinical finding': 'cervical spine alignment is anatomic'}}imaging observation_fin: ['cervicothoracic']clinical findings_fin: {'also , the craniocervical and cervicothoracic articulations are anatomic': {'clinical finding': 'also , the craniocervical and cervicothoracic articulations are anatomic'}}anatomical entity_fin: {'vertebral body': {}}clinical findings_fin: {'vertebral body heights are preserved': {'clinical finding': 'vertebral body heights are preserved', 'change_term': 'preserved'}}clinical findings_fin: {'fracture': {'clinical finding': 'fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'observation': 'fracture'}}clinical findings_fin: {'intervertebral discs are preserved in height': {'clinical finding': 'intervertebral discs are preserved in height', 'change_term': 'preserved'}}anatomical entity_fin: {'spinal canal': {}}clinical findings_fin: {'narrowed': {'clinical finding': 'narrowed', 'existence': 'neg_dx', 'observation': 'narrow'}}anatomical entity_fin: {'foramina': {}}anatomical entity_fin: {'ligamentum flavum': {}, 'spinal canal': {}}location descriptor_fin: ['right']clinical findings_fin: {'minimal ossification': {'clinical finding': 'minimal ossification', 'existence': 'pos_dx', 'descriptive_term': 'minimal', 'observation': 'ossification', 'strength_term': 'minimal', 'quantity_term': 'minimal'}, 'significant narrowing': {'clinical finding': 'significant narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'narrowing'}}clinical findings_fin: {'small lymph nodes': {'clinical finding': 'small lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small lymph', 'observation': 'node', 'strength_term': 'small'}}anatomical entity_fin: {'lung': {}, 'apices': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}} [/INST] Please refer to the report of the CT scan of the head for the respective findings including the metallic fragments and old lateral wall fractures involving the left orbit. Cervical spine alignment is anatomic. Also, the craniocervical and cervicothoracic articulations are anatomic. Vertebral body heights are preserved. There is no fracture. The intervertebral discs are preserved in height. The spinal canal is not narrowed. The neural foramina are open. There is minimal ossification along the ligamentum flavum at T1-T2 level on the right side but without significant narrowing of the spinal canal. Cervical soft tissues included are notable for small lymph nodes, most likely of no significance. Included lung apices are clear. </s>

. No significant abnormality noted. No significant abnormality noted. Splenic artery calcifications seen. No pancreatic parenchymal calcifications apparent on noncontrast portion of study. Homogeneous enhancement of pancreas, no focal lesion. Triangular shaped 8 mm focus in uncinate process with associated Hounsfield units of -23 on image 57 series 11 reflects interdigitating fat and or or small focal fatty atrophy. No evidence of pancreatic duct dilatation. Left adrenal gland mildly thickened diffusely. Multiple hypoattenuating renal lesions, most of which too small to characterize, largest seen at right renal upper pole measuring up to 11 mm and measuring simple fluid. No significant abnormality noted. Mild. Sigmoid colon diverticulosis without evidence of acute diverticulitis. PROSTATE/. Prostate measures 5.4 cm in transverse dimension. No significant abnormality noted. Multilevel spinal degenerative disease.

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'}}anatomical entity_fin: {'splenic artery': {}}clinical findings_fin: {'splenic artery calcifications': {'clinical finding': 'splenic artery calcifications', 'existence': 'pos_dx', 'descriptive_term': 'splenic artery', 'observation': 'calcification'}}clinical findings_fin: {'pancreatic parenchymal calcifications': {'clinical finding': 'pancreatic parenchymal calcifications', 'existence': 'neg_dx', 'descriptive_term': 'pancreatic parenchymal', 'observation': 'calcification'}}anatomical entity_fin: {'pancreas': {}}imaging observation_fin: ['homogeneous enhancement']clinical findings_fin: {'homogeneous enhancement': {'clinical finding': 'homogeneous enhancement', 'existence': 'pos_dx', 'descriptive_term': 'homogeneous', 'observation': 'enhancement'}, 'focal lesion': {'clinical finding': 'focal lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'lesion'}}size_fin: [{'size': '8 mm', 'size_descriptor': 'focus'}]imaging observation_fin: ['triangular', 'fat']clinical findings_fin: {'triangular shaped 8 mm focus': {'clinical finding': 'triangular shaped 8 mm focus', 'existence': 'pos_dx', 'descriptive_term': 'triangular shaped 8 mm', 'observation': 'focus'}, 'interdigitating fat': {'clinical finding': 'interdigitating fat', 'existence': 'unc_dx', 'descriptive_term': 'interdigitating', 'observation': 'fat'}, 'or or small focal fatty atrophy': {'clinical finding': 'or or small focal fatty atrophy', 'cf_snomed': {'fatty atrophy': 42335002}, 'existence': 'pos_dx', 'descriptive_term': 'or or small focal fatty', 'observation': 'atrophy', 'strength_term': 'small'}}anatomical entity_fin: {'pancreatic duct': {}}clinical findings_fin: {'pancreatic duct dilatation': {'clinical finding': 'pancreatic duct dilatation', 'cf_snomed': {'dilatation': 25322007}, 'existence': 'neg_dx', 'descriptive_term': 'pancreatic duct', 'observation': 'dilatation'}}anatomical entity_fin: {'left adrenal gland': {}}clinical findings_fin: {'thickened': {'clinical finding': 'thickened', 'existence': 'pos_dx', 'observation': 'thickened'}}size_fin: [{'size': '11 mm', 'size_descriptor': 'lesions'}]anatomical entity_fin: {'pole': {'location descriptor': 'upper'}, 'fluid': {}}location descriptor_fin: ['right', 'upper']clinical findings_fin: {'multiple hypoattenuating renal lesions': {'clinical finding': 'multiple hypoattenuating renal lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'multiple hypoattenuating renal', 'observation': 'lesion', 'quantity_term': 'multiple'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'sigmoid colon': {}}clinical findings_fin: {'sigmoid colon diverticulosis': {'clinical finding': 'sigmoid colon diverticulosis', 'existence': 'pos_dx', 'descriptive_term': 'sigmoid colon', 'observation': 'diverticulosis'}, 'acute diverticulitis': {'clinical finding': 'acute diverticulitis', 'cf_snomed': {'diverticulitis': 307496006}, 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'diverticulitis', 'strength_term': 'acute', 'temporal_term': 'acute'}}size_fin: [{'size': '5.4 cm', 'size_descriptor': 'prostate'}]anatomical entity_fin: {'prostate': {}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'multilevel spinal degenerative disease': {'clinical finding': 'multilevel spinal degenerative disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'multilevel spinal degenerative', 'observation': 'disease'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: 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'}}anatomical entity_fin: {'splenic artery': {}}clinical findings_fin: {'splenic artery calcifications': {'clinical finding': 'splenic artery calcifications', 'existence': 'pos_dx', 'descriptive_term': 'splenic artery', 'observation': 'calcification'}}clinical findings_fin: {'pancreatic parenchymal calcifications': {'clinical finding': 'pancreatic parenchymal calcifications', 'existence': 'neg_dx', 'descriptive_term': 'pancreatic parenchymal', 'observation': 'calcification'}}anatomical entity_fin: {'pancreas': {}}imaging observation_fin: ['homogeneous enhancement']clinical findings_fin: {'homogeneous enhancement': {'clinical finding': 'homogeneous enhancement', 'existence': 'pos_dx', 'descriptive_term': 'homogeneous', 'observation': 'enhancement'}, 'focal lesion': {'clinical finding': 'focal lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'lesion'}}size_fin: [{'size': '8 mm', 'size_descriptor': 'focus'}]imaging observation_fin: ['triangular', 'fat']clinical findings_fin: {'triangular shaped 8 mm focus': {'clinical finding': 'triangular shaped 8 mm focus', 'existence': 'pos_dx', 'descriptive_term': 'triangular shaped 8 mm', 'observation': 'focus'}, 'interdigitating fat': {'clinical finding': 'interdigitating fat', 'existence': 'unc_dx', 'descriptive_term': 'interdigitating', 'observation': 'fat'}, 'or or small focal fatty atrophy': {'clinical finding': 'or or small focal fatty atrophy', 'cf_snomed': {'fatty atrophy': 42335002}, 'existence': 'pos_dx', 'descriptive_term': 'or or small focal fatty', 'observation': 'atrophy', 'strength_term': 'small'}}anatomical entity_fin: {'pancreatic duct': {}}clinical findings_fin: {'pancreatic duct dilatation': {'clinical finding': 'pancreatic duct dilatation', 'cf_snomed': {'dilatation': 25322007}, 'existence': 'neg_dx', 'descriptive_term': 'pancreatic duct', 'observation': 'dilatation'}}anatomical entity_fin: {'left adrenal gland': {}}clinical findings_fin: {'thickened': {'clinical finding': 'thickened', 'existence': 'pos_dx', 'observation': 'thickened'}}size_fin: [{'size': '11 mm', 'size_descriptor': 'lesions'}]anatomical entity_fin: {'pole': {'location descriptor': 'upper'}, 'fluid': {}}location descriptor_fin: ['right', 'upper']clinical findings_fin: {'multiple hypoattenuating renal lesions': {'clinical finding': 'multiple hypoattenuating renal lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'multiple hypoattenuating renal', 'observation': 'lesion', 'quantity_term': 'multiple'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'sigmoid colon': {}}clinical findings_fin: {'sigmoid colon diverticulosis': {'clinical finding': 'sigmoid colon diverticulosis', 'existence': 'pos_dx', 'descriptive_term': 'sigmoid colon', 'observation': 'diverticulosis'}, 'acute diverticulitis': {'clinical finding': 'acute diverticulitis', 'cf_snomed': {'diverticulitis': 307496006}, 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'diverticulitis', 'strength_term': 'acute', 'temporal_term': 'acute'}}size_fin: [{'size': '5.4 cm', 'size_descriptor': 'prostate'}]anatomical entity_fin: {'prostate': {}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'multilevel spinal degenerative disease': {'clinical finding': 'multilevel spinal degenerative disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'multilevel spinal degenerative', 'observation': 'disease'}} [/INST] . No significant abnormality noted. No significant abnormality noted. Splenic artery calcifications seen. No pancreatic parenchymal calcifications apparent on noncontrast portion of study. Homogeneous enhancement of pancreas, no focal lesion. Triangular shaped 8 mm focus in uncinate process with associated Hounsfield units of -23 on image 57 series 11 reflects interdigitating fat and or or small focal fatty atrophy. No evidence of pancreatic duct dilatation. Left adrenal gland mildly thickened diffusely. Multiple hypoattenuating renal lesions, most of which too small to characterize, largest seen at right renal upper pole measuring up to 11 mm and measuring simple fluid. No significant abnormality noted. Mild. Sigmoid colon diverticulosis without evidence of acute diverticulitis. PROSTATE/. Prostate measures 5.4 cm in transverse dimension. No significant abnormality noted. Multilevel spinal degenerative disease. </s>

. Technically adequate. No acute pulmonary embolus. No consolidation, pleural effusion, or pneumothorax. No significant mediastinal or hilar lymphadenopathy. Heart size is with no paracardial effusion. No visible coronary artery calcifications. No significant abnormality noted. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. No significant abnormality noted.

clinical findings_fin: {'acute pulmonary embolus': {'clinical finding': 'acute pulmonary embolus', 'cf_snomed': {'embolus': 55584005}, 'existence': 'neg_dx', 'descriptive_term': 'acute pulmonary', 'observation': 'embolus', 'strength_term': 'acute', 'temporal_term': 'acute'}}clinical findings_fin: {'consolidation': {'clinical finding': 'consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'neg_dx', 'observation': 'consolidation'}, 'pleural effusion': {'clinical finding': 'pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}, 'pneumothorax': {'clinical finding': 'pneumothorax', 'cf_snomed': {'pneumothorax': 36118008}, 'existence': 'neg_dx', 'observation': 'pneumothorax'}}clinical findings_fin: {'significant mediastinal or hilar lymphadenopathy': {'clinical finding': 'significant mediastinal or hilar lymphadenopathy', 'cf_snomed': {'hilar lymphadenopathy': 87500009}, 'existence': 'neg_dx', 'descriptive_term': 'significant mediastinal or hilar', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'heart': {}}clinical findings_fin: {'paracardial effusion': {'clinical finding': 'paracardial effusion', 'cf_snomed': {'effusion': 41699000}, 'existence': 'neg_dx', 'descriptive_term': 'paracardial', 'observation': 'effusion'}}clinical findings_fin: {'visible coronary artery calcifications': {'clinical finding': 'visible coronary artery calcifications', 'existence': 'neg_dx', 'descriptive_term': 'visible coronary artery', 'observation': 'calcification'}}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: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'acute pulmonary embolus': {'clinical finding': 'acute pulmonary embolus', 'cf_snomed': {'embolus': 55584005}, 'existence': 'neg_dx', 'descriptive_term': 'acute pulmonary', 'observation': 'embolus', 'strength_term': 'acute', 'temporal_term': 'acute'}}clinical findings_fin: {'consolidation': {'clinical finding': 'consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'neg_dx', 'observation': 'consolidation'}, 'pleural effusion': {'clinical finding': 'pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}, 'pneumothorax': {'clinical finding': 'pneumothorax', 'cf_snomed': {'pneumothorax': 36118008}, 'existence': 'neg_dx', 'observation': 'pneumothorax'}}clinical findings_fin: {'significant mediastinal or hilar lymphadenopathy': {'clinical finding': 'significant mediastinal or hilar lymphadenopathy', 'cf_snomed': {'hilar lymphadenopathy': 87500009}, 'existence': 'neg_dx', 'descriptive_term': 'significant mediastinal or hilar', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'heart': {}}clinical findings_fin: {'paracardial effusion': {'clinical finding': 'paracardial effusion', 'cf_snomed': {'effusion': 41699000}, 'existence': 'neg_dx', 'descriptive_term': 'paracardial', 'observation': 'effusion'}}clinical findings_fin: {'visible coronary artery calcifications': {'clinical finding': 'visible coronary artery calcifications', 'existence': 'neg_dx', 'descriptive_term': 'visible coronary artery', 'observation': 'calcification'}}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: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . Technically adequate. No acute pulmonary embolus. No consolidation, pleural effusion, or pneumothorax. No significant mediastinal or hilar lymphadenopathy. Heart size is with no paracardial effusion. No visible coronary artery calcifications. No significant abnormality noted. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. No significant abnormality noted. </s>

Redemonstration of right transparietal ventricular shunt catheter terminating in the right lateral ventricle and connected extracranially to an unchanged right parietal subdural catheter. No intracranial hemorrhage is identified. There is no significant residual subdural fluid in the right convexity. No midline shift. There is decrease in caliber of the markedly dilated lateral and third ventricles. The lateral ventricles now measure 9.9 cm versus previously 12.3 cm transverse in the axial plane. There is corresponding increase in the caliber of the cortical mantle. In the axial plane the right cerebral mantle measures 30 mm and the left measures 29 mm, versus previous measurements of 18 mm and 16 mm, respectively. At the vertex, the left cortical mantle appears thicker than the right, consistent with previous exam. The fourth ventricle appears normal in caliber. The septum pellucidum is again noted to be absent. There is persistent downward mass-effect on the posterior fossa. There is limited visualization of the foramen magnum due to regional streak artifact although there appears to be some degree of soft tissue fullness. The caudal extent of the cerebellar tonsils are beyond the field of view.

anatomical entity_fin: {'right lateral ventricle': {}}location descriptor_fin: ['right']object_fin: ['shunt catheter', 'catheter']clinical findings_fin: {'unchanged right parietal subdural': {'clinical finding': 'unchanged right parietal subdural', 'existence': 'pos_dx', 'descriptive_term': 'unchanged right parietal', 'observation': 'subdural', 'strength_term': 'unchanged', 'change_term': 'unchanged'}}clinical findings_fin: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}}anatomical entity_fin: {'fluid': {}, 'convexity': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'significant residual subdural': {'clinical finding': 'significant residual subdural', 'existence': 'neg_dx', 'descriptive_term': 'significant residual', 'observation': 'subdural', 'temporal_term': 'residual'}}location descriptor_fin: ['midline']anatomical entity_fin: {'third ventricles': {}}location descriptor_fin: ['lateral']clinical findings_fin: {'markedly dilated': {'clinical finding': 'markedly dilated', 'existence': 'pos_dx', 'descriptive_term': 'markedly', 'observation': 'dilated'}}size_fin: [{'size': '9.9 cm'}, {'size': '12.3 cm'}]anatomical entity_fin: {'lateral ventricles': {}, 'axial plane': {}}clinical findings_fin: {'cortical mantle': {'clinical finding': 'cortical mantle', 'existence': 'pos_dx', 'descriptive_term': 'cortical', 'observation': 'mantle'}}size_fin: [{'size': '30 mm'}, {'size': '29 mm'}, {'size': '18 mm'}, {'size': '16 mm'}]anatomical entity_fin: {'axial plane': {}}location descriptor_fin: ['right', 'left']anatomical entity_fin: {'vertex': {}}location descriptor_fin: ['left', 'right']clinical findings_fin: {'thicker': {'clinical finding': 'thicker', 'existence': 'pos_dx', 'observation': 'thick'}}anatomical entity_fin: {'fourth ventricle': {}}clinical findings_fin: {'fourth ventricle appears normal in caliber': {'clinical finding': 'fourth ventricle appears normal in caliber'}}anatomical entity_fin: {'septum pellucidum': {}}clinical findings_fin: {'absent': {'clinical finding': 'absent', 'existence': 'pos_dx', 'observation': 'absent'}}location descriptor_fin: ['posterior']clinical findings_fin: {'persistent downward mass-effect': {'clinical finding': 'persistent downward mass-effect', 'existence': 'pos_dx', 'descriptive_term': 'persistent downward', 'observation': 'mass', 'temporal_term': 'persistent'}}anatomical entity_fin: {'foramen magnum': {}}clinical findings_fin: {'regional streak artifact': {'clinical finding': 'regional streak artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'pos_dx', 'descriptive_term': 'regional streak', 'observation': 'artifact'}}anatomical entity_fin: {'tonsils': {}}location descriptor_fin: ['caudal']

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'right lateral ventricle': {}}location descriptor_fin: ['right']object_fin: ['shunt catheter', 'catheter']clinical findings_fin: {'unchanged right parietal subdural': {'clinical finding': 'unchanged right parietal subdural', 'existence': 'pos_dx', 'descriptive_term': 'unchanged right parietal', 'observation': 'subdural', 'strength_term': 'unchanged', 'change_term': 'unchanged'}}clinical findings_fin: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}}anatomical entity_fin: {'fluid': {}, 'convexity': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'significant residual subdural': {'clinical finding': 'significant residual subdural', 'existence': 'neg_dx', 'descriptive_term': 'significant residual', 'observation': 'subdural', 'temporal_term': 'residual'}}location descriptor_fin: ['midline']anatomical entity_fin: {'third ventricles': {}}location descriptor_fin: ['lateral']clinical findings_fin: {'markedly dilated': {'clinical finding': 'markedly dilated', 'existence': 'pos_dx', 'descriptive_term': 'markedly', 'observation': 'dilated'}}size_fin: [{'size': '9.9 cm'}, {'size': '12.3 cm'}]anatomical entity_fin: {'lateral ventricles': {}, 'axial plane': {}}clinical findings_fin: {'cortical mantle': {'clinical finding': 'cortical mantle', 'existence': 'pos_dx', 'descriptive_term': 'cortical', 'observation': 'mantle'}}size_fin: [{'size': '30 mm'}, {'size': '29 mm'}, {'size': '18 mm'}, {'size': '16 mm'}]anatomical entity_fin: {'axial plane': {}}location descriptor_fin: ['right', 'left']anatomical entity_fin: {'vertex': {}}location descriptor_fin: ['left', 'right']clinical findings_fin: {'thicker': {'clinical finding': 'thicker', 'existence': 'pos_dx', 'observation': 'thick'}}anatomical entity_fin: {'fourth ventricle': {}}clinical findings_fin: {'fourth ventricle appears normal in caliber': {'clinical finding': 'fourth ventricle appears normal in caliber'}}anatomical entity_fin: {'septum pellucidum': {}}clinical findings_fin: {'absent': {'clinical finding': 'absent', 'existence': 'pos_dx', 'observation': 'absent'}}location descriptor_fin: ['posterior']clinical findings_fin: {'persistent downward mass-effect': {'clinical finding': 'persistent downward mass-effect', 'existence': 'pos_dx', 'descriptive_term': 'persistent downward', 'observation': 'mass', 'temporal_term': 'persistent'}}anatomical entity_fin: {'foramen magnum': {}}clinical findings_fin: {'regional streak artifact': {'clinical finding': 'regional streak artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'pos_dx', 'descriptive_term': 'regional streak', 'observation': 'artifact'}}anatomical entity_fin: {'tonsils': {}}location descriptor_fin: ['caudal'] [/INST] Redemonstration of right transparietal ventricular shunt catheter terminating in the right lateral ventricle and connected extracranially to an unchanged right parietal subdural catheter. No intracranial hemorrhage is identified. There is no significant residual subdural fluid in the right convexity. No midline shift. There is decrease in caliber of the markedly dilated lateral and third ventricles. The lateral ventricles now measure 9.9 cm versus previously 12.3 cm transverse in the axial plane. There is corresponding increase in the caliber of the cortical mantle. In the axial plane the right cerebral mantle measures 30 mm and the left measures 29 mm, versus previous measurements of 18 mm and 16 mm, respectively. At the vertex, the left cortical mantle appears thicker than the right, consistent with previous exam. The fourth ventricle appears normal in caliber. The septum pellucidum is again noted to be absent. There is persistent downward mass-effect on the posterior fossa. There is limited visualization of the foramen magnum due to regional streak artifact although there appears to be some degree of soft tissue fullness. The caudal extent of the cerebellar tonsils are beyond the field of view. </s>

. No significant abnormality noted. Status post cholecystectomy. Small spleen versus previous splenectomy with hypertrophied accessory spleen. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Mild. The previously described periduodenal fluid collections have resolved. There is persistent mild wall thickening of the pylorus and duodenum. Mildly prominent mesenteric lymph nodes are again seen but are slightly decreased in size since prior. No evidence of bowel obstruction. Post surgical changes seen in the right colon. Additionally, there is mild bowel wall thickening involving the descending and sigmoid colon, which may be in part due to underdistention, but can be seen in the setting of colitis. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted

clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}procedure_fin: ['cholecystectomy']anatomical entity_fin: {'spleen': {}, 'accessory spleen': {}}procedure_fin: ['splenectomy']clinical findings_fin: {'hypertrophied': {'clinical finding': 'hypertrophied', 'existence': 'pos_dx', 'observation': 'hypertrophied'}}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'}}anatomical entity_fin: {'fluid': {}}anatomical entity_fin: {'pylorus': {}, 'duodenum': {}}clinical findings_fin: {'persistent mild wall thickening': {'clinical finding': 'persistent mild wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'persistent mild wall', 'observation': 'thickening', 'strength_term': 'mild', 'temporal_term': 'persistent'}}anatomical entity_fin: {'mesenteric lymph nodes': {}}clinical findings_fin: {'mildly prominent mesenteric lymph nodes': {'clinical finding': 'mildly prominent mesenteric lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'mildly prominent mesenteric lymph', 'observation': 'node', 'strength_term': 'mildly - prominent'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'bowel obstruction': {'clinical finding': 'bowel obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'descriptive_term': 'bowel', 'observation': 'obstruction'}}imaging observation_fin: ['colon']location descriptor_fin: ['right']clinical findings_fin: {'post surgical changes': {'clinical finding': 'post surgical changes', 'existence': 'pos_dx', 'descriptive_term': 'post surgical', 'observation': 'change'}}anatomical entity_fin: {'bowel': {}, 'sigmoid colon': {}}clinical findings_fin: {'mild bowel wall thickening': {'clinical finding': 'mild bowel wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild bowel wall', 'observation': 'thickening', 'strength_term': 'mild'}, 'underdistention': {'clinical finding': 'underdistention', 'existence': 'unc_dx', 'observation': 'underdistention'}, 'colitis': {'clinical finding': 'colitis', 'cf_snomed': {'colitis': 64226004}, 'existence': 'unc_dx', 'observation': 'colitis'}}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'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}procedure_fin: ['cholecystectomy']anatomical entity_fin: {'spleen': {}, 'accessory spleen': {}}procedure_fin: ['splenectomy']clinical findings_fin: {'hypertrophied': {'clinical finding': 'hypertrophied', 'existence': 'pos_dx', 'observation': 'hypertrophied'}}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'}}anatomical entity_fin: {'fluid': {}}anatomical entity_fin: {'pylorus': {}, 'duodenum': {}}clinical findings_fin: {'persistent mild wall thickening': {'clinical finding': 'persistent mild wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'persistent mild wall', 'observation': 'thickening', 'strength_term': 'mild', 'temporal_term': 'persistent'}}anatomical entity_fin: {'mesenteric lymph nodes': {}}clinical findings_fin: {'mildly prominent mesenteric lymph nodes': {'clinical finding': 'mildly prominent mesenteric lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'mildly prominent mesenteric lymph', 'observation': 'node', 'strength_term': 'mildly - prominent'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'bowel obstruction': {'clinical finding': 'bowel obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'descriptive_term': 'bowel', 'observation': 'obstruction'}}imaging observation_fin: ['colon']location descriptor_fin: ['right']clinical findings_fin: {'post surgical changes': {'clinical finding': 'post surgical changes', 'existence': 'pos_dx', 'descriptive_term': 'post surgical', 'observation': 'change'}}anatomical entity_fin: {'bowel': {}, 'sigmoid colon': {}}clinical findings_fin: {'mild bowel wall thickening': {'clinical finding': 'mild bowel wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild bowel wall', 'observation': 'thickening', 'strength_term': 'mild'}, 'underdistention': {'clinical finding': 'underdistention', 'existence': 'unc_dx', 'observation': 'underdistention'}, 'colitis': {'clinical finding': 'colitis', 'cf_snomed': {'colitis': 64226004}, 'existence': 'unc_dx', 'observation': 'colitis'}}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'}} [/INST] . No significant abnormality noted. Status post cholecystectomy. Small spleen versus previous splenectomy with hypertrophied accessory spleen. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Mild. The previously described periduodenal fluid collections have resolved. There is persistent mild wall thickening of the pylorus and duodenum. Mildly prominent mesenteric lymph nodes are again seen but are slightly decreased in size since prior. No evidence of bowel obstruction. Post surgical changes seen in the right colon. Additionally, there is mild bowel wall thickening involving the descending and sigmoid colon, which may be in part due to underdistention, but can be seen in the setting of colitis. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted </s>

. Technically adequate examination without evidence of pulmonary embolism. Main pulmonary artery caliber is within normal limits. Bibasilar atelectasis. Scattered tree-in-bud opacities and subpleural nodules may be infectious or inflammatory in etiology. For example, there is a groundglass nodule in the left upper lobe measuring 10 x 5 mm. The central airways are patent. No pleural effusion or pneumothorax. The heart size is normal without pericardial effusion. There is slightly straightening of the intraventricular septum. No significant mediastinal or hilar lymphadenopathy. None. Scattered cardiophrenic and axillary lymph nodes are not pathologically enlarged. No significant intramammary, subpectoral, cardiophrenic lymphadenopathy. No supraclavicular lymphadenopathy. The osseous structures are within normal limits. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. No significant abnormality noted.

clinical findings_fin: {'pulmonary embolism': {'clinical finding': 'pulmonary embolism', 'cf_snomed': {'pulmonary embolism': 59282003}, 'existence': 'neg_dx', 'descriptive_term': 'pulmonary', 'observation': 'embolism'}}anatomical entity_fin: {'main pulmonary artery': {}}clinical findings_fin: {'main pulmonary artery caliber is within normal limits': {'clinical finding': 'main pulmonary artery caliber is within normal limits'}}clinical findings_fin: {'bibasilar atelectasis': {'clinical finding': 'bibasilar atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'bibasilar', 'observation': 'atelectasis'}}imaging observation_fin: ['tree-in-bud']clinical findings_fin: {'opacities': {'clinical finding': 'opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'observation': 'opacity'}, 'subpleural nodules': {'clinical finding': 'subpleural nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'subpleural', 'observation': 'nodule'}}size_fin: [{'size': '10 x 5 mm', 'size_descriptor': 'nodule'}]anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'groundglass nodule': {'clinical finding': 'groundglass nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'groundglass', 'observation': 'nodule'}}anatomical entity_fin: {'airways': {'location descriptor': 'central'}}location descriptor_fin: ['central']clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}clinical findings_fin: {'pleural effusion': {'clinical finding': 'pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}, 'pneumothorax': {'clinical finding': 'pneumothorax', 'cf_snomed': {'pneumothorax': 36118008}, 'existence': 'neg_dx', 'observation': 'pneumothorax'}}anatomical entity_fin: {'heart': {}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'pos_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}clinical findings_fin: {'significant mediastinal or hilar lymphadenopathy': {'clinical finding': 'significant mediastinal or hilar lymphadenopathy', 'cf_snomed': {'hilar lymphadenopathy': 87500009}, 'existence': 'neg_dx', 'descriptive_term': 'significant mediastinal or hilar', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'axillary lymph nodes': {}}clinical findings_fin: {'scattered cardiophrenic and axillary lymph nodes': {'clinical finding': 'scattered cardiophrenic and axillary lymph nodes', 'existence': 'neg_dx', 'descriptive_term': 'scattered cardiophrenic and axillary lymph', 'observation': 'node'}, 'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}}clinical findings_fin: {'significant intramammary, subpectoral, cardiophrenic lymphadenopathy': {'clinical finding': 'significant intramammary, subpectoral, cardiophrenic lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'descriptive_term': 'significant intramammary subpectoral cardiophrenic', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'supraclavicular lymphadenopathy': {'clinical finding': 'supraclavicular lymphadenopathy', 'cf_snomed': {'supraclavicular lymphadenopathy': 127088000}, 'existence': 'neg_dx', 'descriptive_term': 'supraclavicular', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'osseous structures are within normal limits': {'clinical finding': 'osseous structures are within normal limits'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'pulmonary embolism': {'clinical finding': 'pulmonary embolism', 'cf_snomed': {'pulmonary embolism': 59282003}, 'existence': 'neg_dx', 'descriptive_term': 'pulmonary', 'observation': 'embolism'}}anatomical entity_fin: {'main pulmonary artery': {}}clinical findings_fin: {'main pulmonary artery caliber is within normal limits': {'clinical finding': 'main pulmonary artery caliber is within normal limits'}}clinical findings_fin: {'bibasilar atelectasis': {'clinical finding': 'bibasilar atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'bibasilar', 'observation': 'atelectasis'}}imaging observation_fin: ['tree-in-bud']clinical findings_fin: {'opacities': {'clinical finding': 'opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'observation': 'opacity'}, 'subpleural nodules': {'clinical finding': 'subpleural nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'subpleural', 'observation': 'nodule'}}size_fin: [{'size': '10 x 5 mm', 'size_descriptor': 'nodule'}]anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'groundglass nodule': {'clinical finding': 'groundglass nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'groundglass', 'observation': 'nodule'}}anatomical entity_fin: {'airways': {'location descriptor': 'central'}}location descriptor_fin: ['central']clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}clinical findings_fin: {'pleural effusion': {'clinical finding': 'pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}, 'pneumothorax': {'clinical finding': 'pneumothorax', 'cf_snomed': {'pneumothorax': 36118008}, 'existence': 'neg_dx', 'observation': 'pneumothorax'}}anatomical entity_fin: {'heart': {}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'pos_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}clinical findings_fin: {'significant mediastinal or hilar lymphadenopathy': {'clinical finding': 'significant mediastinal or hilar lymphadenopathy', 'cf_snomed': {'hilar lymphadenopathy': 87500009}, 'existence': 'neg_dx', 'descriptive_term': 'significant mediastinal or hilar', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'axillary lymph nodes': {}}clinical findings_fin: {'scattered cardiophrenic and axillary lymph nodes': {'clinical finding': 'scattered cardiophrenic and axillary lymph nodes', 'existence': 'neg_dx', 'descriptive_term': 'scattered cardiophrenic and axillary lymph', 'observation': 'node'}, 'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}}clinical findings_fin: {'significant intramammary, subpectoral, cardiophrenic lymphadenopathy': {'clinical finding': 'significant intramammary, subpectoral, cardiophrenic lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'descriptive_term': 'significant intramammary subpectoral cardiophrenic', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'supraclavicular lymphadenopathy': {'clinical finding': 'supraclavicular lymphadenopathy', 'cf_snomed': {'supraclavicular lymphadenopathy': 127088000}, 'existence': 'neg_dx', 'descriptive_term': 'supraclavicular', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'osseous structures are within normal limits': {'clinical finding': 'osseous structures are within normal limits'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . Technically adequate examination without evidence of pulmonary embolism. Main pulmonary artery caliber is within normal limits. Bibasilar atelectasis. Scattered tree-in-bud opacities and subpleural nodules may be infectious or inflammatory in etiology. For example, there is a groundglass nodule in the left upper lobe measuring 10 x 5 mm. The central airways are patent. No pleural effusion or pneumothorax. The heart size is normal without pericardial effusion. There is slightly straightening of the intraventricular septum. No significant mediastinal or hilar lymphadenopathy. None. Scattered cardiophrenic and axillary lymph nodes are not pathologically enlarged. No significant intramammary, subpectoral, cardiophrenic lymphadenopathy. No supraclavicular lymphadenopathy. The osseous structures are within normal limits. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. No significant abnormality noted. </s>

Note is made of hardware components of a right total hip arthroplasty device in near anatomic alignment without evidence of hardware complication. No acute fracture or malalignment is evident. Moderate degenerative changes affect the right knee most pronounced along the medial tibiofemoral compartment. There is a minimal valgus deformity about the knee. No acute fracture is evident. There is a small amount of fluid within the right knee joint.

anatomical entity_fin: {'hip': {}}location descriptor_fin: ['right']object_fin: ['arthroplasty device']clinical findings_fin: {'hardware': {'clinical finding': 'hardware', 'existence': 'pos_dx', 'observation': 'hardware'}, 'right total hip arthroplasty': {'clinical finding': 'right total hip arthroplasty', 'existence': 'pos_dx', 'descriptive_term': 'right total hip', 'observation': 'arthroplasty'}, 'near anatomic alignment': {'clinical finding': 'near anatomic alignment', 'existence': 'pos_dx', 'descriptive_term': 'near anatomic', 'observation': 'alignment'}, 'hardware complication': {'clinical finding': 'hardware complication', 'existence': 'neg_dx', 'descriptive_term': 'hardware', 'observation': 'complication'}}clinical findings_fin: {'acute fracture': {'clinical finding': 'acute fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'fracture', 'strength_term': 'acute', 'temporal_term': 'acute'}, 'malalignment': {'clinical finding': 'malalignment', 'existence': 'neg_dx', 'observation': 'malalignment'}}anatomical entity_fin: {'right knee': {}}location descriptor_fin: ['medial']clinical findings_fin: {'moderate degenerative changes': {'clinical finding': 'moderate degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'moderate degenerative', 'observation': 'change', 'strength_term': 'moderate'}}anatomical entity_fin: {'knee': {}}clinical findings_fin: {'minimal valgus deformity': {'clinical finding': 'minimal valgus deformity', 'cf_snomed': {'valgus deformity': 127561000}, 'existence': 'pos_dx', 'descriptive_term': 'minimal valgus', 'observation': 'deformity', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}clinical findings_fin: {'acute fracture': {'clinical finding': 'acute fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'fracture', 'strength_term': 'acute', 'temporal_term': 'acute'}}anatomical entity_fin: {'fluid': {}, 'right knee joint': {}}clinical findings_fin: {'is a small amount of fluid within the right knee joint': {'clinical finding': 'is a small amount of fluid within the right knee joint'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'hip': {}}location descriptor_fin: ['right']object_fin: ['arthroplasty device']clinical findings_fin: {'hardware': {'clinical finding': 'hardware', 'existence': 'pos_dx', 'observation': 'hardware'}, 'right total hip arthroplasty': {'clinical finding': 'right total hip arthroplasty', 'existence': 'pos_dx', 'descriptive_term': 'right total hip', 'observation': 'arthroplasty'}, 'near anatomic alignment': {'clinical finding': 'near anatomic alignment', 'existence': 'pos_dx', 'descriptive_term': 'near anatomic', 'observation': 'alignment'}, 'hardware complication': {'clinical finding': 'hardware complication', 'existence': 'neg_dx', 'descriptive_term': 'hardware', 'observation': 'complication'}}clinical findings_fin: {'acute fracture': {'clinical finding': 'acute fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'fracture', 'strength_term': 'acute', 'temporal_term': 'acute'}, 'malalignment': {'clinical finding': 'malalignment', 'existence': 'neg_dx', 'observation': 'malalignment'}}anatomical entity_fin: {'right knee': {}}location descriptor_fin: ['medial']clinical findings_fin: {'moderate degenerative changes': {'clinical finding': 'moderate degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'moderate degenerative', 'observation': 'change', 'strength_term': 'moderate'}}anatomical entity_fin: {'knee': {}}clinical findings_fin: {'minimal valgus deformity': {'clinical finding': 'minimal valgus deformity', 'cf_snomed': {'valgus deformity': 127561000}, 'existence': 'pos_dx', 'descriptive_term': 'minimal valgus', 'observation': 'deformity', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}clinical findings_fin: {'acute fracture': {'clinical finding': 'acute fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'fracture', 'strength_term': 'acute', 'temporal_term': 'acute'}}anatomical entity_fin: {'fluid': {}, 'right knee joint': {}}clinical findings_fin: {'is a small amount of fluid within the right knee joint': {'clinical finding': 'is a small amount of fluid within the right knee joint'}} [/INST] Note is made of hardware components of a right total hip arthroplasty device in near anatomic alignment without evidence of hardware complication. No acute fracture or malalignment is evident. Moderate degenerative changes affect the right knee most pronounced along the medial tibiofemoral compartment. There is a minimal valgus deformity about the knee. No acute fracture is evident. There is a small amount of fluid within the right knee joint. </s>

. Reference right middle lobe nodule again measures 9 x 9 mm. No new suspicious pulmonary nodules or masses are identified. Patchy diffuse mild groundglass opacities likely reflect mild air trapping related to expiratory phase acquisition. Bilateral linear opacities consistent with atelectasis. Previously seen right basilar subsegmental pulmonary embolus has resolved. Mediastinal lipomatosis slightly increased from the prior examination. No mediastinal or hilar lymphadenopathy is evident. The heart size is normal and there is no pericardial effusion. None. No significant lymphadenopathy noted. Please see abdominal CT report from the same day for full evaluation of the abdomen.

size_fin: [{'size': '9 x 9 mm'}]anatomical entity_fin: {'middle': {'location descriptor': 'right'}, 'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'reference right middle lobe nodule': {'clinical finding': 'reference right middle lobe nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'reference right middle lobe', 'observation': 'nodule'}}clinical findings_fin: {'new suspicious pulmonary nodules': {'clinical finding': 'new suspicious pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'new suspicious pulmonary', 'observation': 'nodule', 'temporal_term': 'new'}, 'masses': {'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass'}}clinical findings_fin: {'patchy diffuse mild groundglass opacities': {'clinical finding': 'patchy diffuse mild groundglass opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'patchy diffuse mild groundglass', 'observation': 'opacity', 'strength_term': 'mild'}, 'mild air trapping': {'clinical finding': 'mild air trapping', 'cf_snomed': {'air trapping': 76171001}, 'existence': 'unc_dx', 'descriptive_term': 'mild air', 'observation': 'trapping', 'strength_term': 'mild'}, 'expiratory phase': {'clinical finding': 'expiratory phase', 'existence': 'unc_dx', 'descriptive_term': 'expiratory', 'observation': 'phase'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral linear opacities': {'clinical finding': 'bilateral linear opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral linear', 'observation': 'opacity'}, 'atelectasis': {'clinical finding': 'atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'observation': 'atelectasis'}}location descriptor_fin: ['right', 'subsegmental']clinical findings_fin: {'previously seen right basilar subsegmental pulmonary embolus': {'clinical finding': 'previously seen right basilar subsegmental pulmonary embolus', 'cf_snomed': {'embolus': 55584005}, 'existence': 'neg_dx', 'descriptive_term': 'previously seen right basilar subsegmental pulmonary', 'observation': 'embolus'}}clinical findings_fin: {'mediastinal lipomatosis': {'clinical finding': 'mediastinal lipomatosis', 'cf_snomed': {'lipomatosis': 402693001}, 'existence': 'pos_dx', 'descriptive_term': 'mediastinal', 'observation': 'lipomatosis'}}clinical findings_fin: {'mediastinal or hilar lymphadenopathy': {'clinical finding': 'mediastinal or hilar lymphadenopathy', 'cf_snomed': {'hilar lymphadenopathy': 87500009}, 'existence': 'neg_dx', 'descriptive_term': 'mediastinal or hilar', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'heart': {}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}clinical findings_fin: {'significant lymphadenopathy': {'clinical finding': 'significant lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'abdominal': {}, 'abdomen': {}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: size_fin: [{'size': '9 x 9 mm'}]anatomical entity_fin: {'middle': {'location descriptor': 'right'}, 'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'reference right middle lobe nodule': {'clinical finding': 'reference right middle lobe nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'reference right middle lobe', 'observation': 'nodule'}}clinical findings_fin: {'new suspicious pulmonary nodules': {'clinical finding': 'new suspicious pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'new suspicious pulmonary', 'observation': 'nodule', 'temporal_term': 'new'}, 'masses': {'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass'}}clinical findings_fin: {'patchy diffuse mild groundglass opacities': {'clinical finding': 'patchy diffuse mild groundglass opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'patchy diffuse mild groundglass', 'observation': 'opacity', 'strength_term': 'mild'}, 'mild air trapping': {'clinical finding': 'mild air trapping', 'cf_snomed': {'air trapping': 76171001}, 'existence': 'unc_dx', 'descriptive_term': 'mild air', 'observation': 'trapping', 'strength_term': 'mild'}, 'expiratory phase': {'clinical finding': 'expiratory phase', 'existence': 'unc_dx', 'descriptive_term': 'expiratory', 'observation': 'phase'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral linear opacities': {'clinical finding': 'bilateral linear opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral linear', 'observation': 'opacity'}, 'atelectasis': {'clinical finding': 'atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'observation': 'atelectasis'}}location descriptor_fin: ['right', 'subsegmental']clinical findings_fin: {'previously seen right basilar subsegmental pulmonary embolus': {'clinical finding': 'previously seen right basilar subsegmental pulmonary embolus', 'cf_snomed': {'embolus': 55584005}, 'existence': 'neg_dx', 'descriptive_term': 'previously seen right basilar subsegmental pulmonary', 'observation': 'embolus'}}clinical findings_fin: {'mediastinal lipomatosis': {'clinical finding': 'mediastinal lipomatosis', 'cf_snomed': {'lipomatosis': 402693001}, 'existence': 'pos_dx', 'descriptive_term': 'mediastinal', 'observation': 'lipomatosis'}}clinical findings_fin: {'mediastinal or hilar lymphadenopathy': {'clinical finding': 'mediastinal or hilar lymphadenopathy', 'cf_snomed': {'hilar lymphadenopathy': 87500009}, 'existence': 'neg_dx', 'descriptive_term': 'mediastinal or hilar', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'heart': {}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}clinical findings_fin: {'significant lymphadenopathy': {'clinical finding': 'significant lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'abdominal': {}, 'abdomen': {}} [/INST] . Reference right middle lobe nodule again measures 9 x 9 mm. No new suspicious pulmonary nodules or masses are identified. Patchy diffuse mild groundglass opacities likely reflect mild air trapping related to expiratory phase acquisition. Bilateral linear opacities consistent with atelectasis. Previously seen right basilar subsegmental pulmonary embolus has resolved. Mediastinal lipomatosis slightly increased from the prior examination. No mediastinal or hilar lymphadenopathy is evident. The heart size is normal and there is no pericardial effusion. None. No significant lymphadenopathy noted. Please see abdominal CT report from the same day for full evaluation of the abdomen. </s>

. Scattered bilateral punctate micronodules. Normal size heart with no pericardial effusion. Small mediastinal lymph nodes which are not pathologic by CT size criteria. Status post partial right thyroidectomy. Enlarged left thyroid lobe containing multiple thyroid nodules with calcification. None. Bilateral breast calcifications. The right breast mass is not as pronounced in comparison to the prior outside hospital study with punctate foci of gas underlying the skin, correlate with procedural history. Multiple large right axillary lymph nodes are stable to slightly increased from prior study reference largest axillary lymph node measures 16 mm is unchanged. Additional smaller left axillary lymph nodes noted. Sclerotic lesion in the right scapula is unchanged. New and enlarging bilobar hypodense lesions compatible with metastatic disease with ill-defined borders making direct comparison difficult. However previously referenced mass in the right hepatic lobe measures 3.4 cm x 2.2 cm previously 3.0 cm x 2.1 cm. The majority appear of these lesions demonstrate ill-defined infiltrated borders and are clustered in appearance additionally there is mild perihepatic stranding. Although metastatic disease is favored, clinical correlation as well as correlation with the patients white blood cell count is recommended to exclude superimposed infection. No intra or extrahepatic biliary ductal dilatation. Cholelithiasis without evidence of cholecystitis. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Small peripheral wedge-shaped focus in the right kidney is not as well seen on the prior study. This is indeterminant with the possibility of a small infarct not excluded. Enlarging porta hepatis lymph nodes, for reference a lymph node measures 1.8 cm x 1.4 cm. Additional mildly prominent retroperitoneal lymph nodes, noted, for reference a left periaortic lymph node measures 1.1 cm x 1.2 cm slightly increased in size from prior outside hospital CT study when it measured 1.0 cm x 0.8 cm. None. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. There is mild wall thickening of the sigmoid colon with associated diverticula likely reflecting chronic inflammatory change. Amorphous sclerosis of L5 is noted unchanged likely degenerative. No significant abnormality noted.

location descriptor_fin: ['bilateral']clinical findings_fin: {'scattered bilateral punctate micronodules': {'clinical finding': 'scattered bilateral punctate micronodules', 'existence': 'pos_dx', 'descriptive_term': 'scattered bilateral punctate', 'observation': 'micronodule'}}anatomical entity_fin: {'heart': {}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}anatomical entity_fin: {'mediastinal lymph nodes': {}}clinical findings_fin: {'small mediastinal lymph nodes': {'clinical finding': 'small mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small mediastinal lymph', 'observation': 'node', 'strength_term': 'small'}}location descriptor_fin: ['right']clinical findings_fin: {'post partial right thyroidectomy': {'clinical finding': 'post partial right thyroidectomy', 'existence': 'pos_dx', 'descriptive_term': 'post partial right', 'observation': 'thyroidectomy', 'strength_term': 'partial'}}anatomical entity_fin: {'lobe': {}}location descriptor_fin: ['left']clinical findings_fin: {'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}, 'multiple thyroid nodules': {'clinical finding': 'multiple thyroid nodules', 'cf_snomed': {'thyroid nodule': 237495005}, 'existence': 'pos_dx', 'descriptive_term': 'multiple thyroid', 'observation': 'nodule', 'quantity_term': 'multiple'}, 'calcification': {'clinical finding': 'calcification', 'existence': 'pos_dx', 'observation': 'calcification'}}anatomical entity_fin: {'breast': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral breast calcifications': {'clinical finding': 'bilateral breast calcifications', 'existence': 'pos_dx', 'descriptive_term': 'bilateral breast', 'observation': 'calcification'}}anatomical entity_fin: {'skin': {}}imaging observation_fin: ['foci']location descriptor_fin: ['right']clinical findings_fin: {'right breast mass': {'clinical finding': 'right breast mass', 'existence': 'neg_dx', 'descriptive_term': 'right breast', 'observation': 'mass'}, 'punctate foci': {'clinical finding': 'punctate foci', 'existence': 'pos_dx', 'descriptive_term': 'punctate', 'observation': 'foci'}, 'gas': {'clinical finding': 'gas', 'existence': 'pos_dx', 'observation': 'gas'}}size_fin: [{'size': '16 mm'}]anatomical entity_fin: {'axillary lymph nodes': {'location descriptor': 'right'}, 'axillary lymph node': {}}location descriptor_fin: ['right']clinical findings_fin: {'multiple large right axillary lymph nodes': {'clinical finding': 'multiple large right axillary lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'multiple large right axillary lymph', 'observation': 'node', 'strength_term': 'large', 'quantity_term': 'multiple'}, 'largest axillary lymph node': {'clinical finding': 'largest axillary lymph node', 'existence': 'pos_dx', 'descriptive_term': 'largest axillary lymph', 'observation': 'node'}}anatomical entity_fin: {'axillary lymph nodes': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'additional smaller left axillary lymph nodes': {'clinical finding': 'additional smaller left axillary lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'additional smaller left axillary lymph', 'observation': 'node'}}anatomical entity_fin: {'right scapula': {}}clinical findings_fin: {'sclerotic lesion': {'clinical finding': 'sclerotic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'sclerotic', 'observation': 'lesion'}}imaging observation_fin: ['borders']clinical findings_fin: {'new and enlarging bilobar hypodense lesions': {'clinical finding': 'new and enlarging bilobar hypodense lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'new and enlarging bilobar hypodense', 'observation': 'lesion', 'temporal_term': 'new'}, 'metastatic disease': {'clinical finding': 'metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'metastatic', 'observation': 'disease'}}size_fin: [{'size': '3.4 cm x 2.2 cm'}, {'size': '3.0 cm x 2.1 cm'}]anatomical entity_fin: {'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'previously referenced mass': {'clinical finding': 'previously referenced mass', 'existence': 'pos_dx', 'descriptive_term': 'previously referenced', 'observation': 'mass'}}imaging observation_fin: ['borders']clinical findings_fin: {'these lesions': {'clinical finding': 'these lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'these', 'observation': 'lesion'}, 'ill-defined infiltrated': {'clinical finding': 'ill-defined infiltrated', 'existence': 'unc_dx', 'descriptive_term': 'ill-defined', 'observation': 'infiltrated', 'strength_term': 'ill-defined'}, 'mild perihepatic stranding': {'clinical finding': 'mild perihepatic stranding', 'existence': 'pos_dx', 'descriptive_term': 'mild perihepatic', 'observation': 'strand', 'strength_term': 'mild'}}anatomical entity_fin: {'cell': {}}imaging observation_fin: ['blood']clinical findings_fin: {'metastatic disease': {'clinical finding': 'metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'metastatic', 'observation': 'disease'}, 'superimposed infection': {'clinical finding': 'superimposed infection', 'cf_snomed': {'superimposed infection': 193198003}, 'existence': 'unc_dx', 'descriptive_term': 'superimposed', 'observation': 'infection'}}clinical findings_fin: {'intra or extrahepatic biliary ductal dilatation': {'clinical finding': 'intra or extrahepatic biliary ductal dilatation', 'cf_snomed': {'dilatation': 25322007}, 'existence': 'neg_dx', 'descriptive_term': 'intra or extrahepatic biliary ductal', 'observation': 'dilatation'}}clinical findings_fin: {'cholelithiasis': {'clinical finding': 'cholelithiasis', 'existence': 'pos_dx', 'observation': 'cholelithiasis'}, 'cholecystitis': {'clinical finding': 'cholecystitis', 'cf_snomed': {'cholecystitis': 76581006}, 'existence': 'neg_dx', 'observation': 'cholecystitis'}}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'}}anatomical entity_fin: {'right kidney': {}}imaging observation_fin: ['wedge']location descriptor_fin: ['peripheral']clinical findings_fin: {'small peripheral wedge-shaped focus': {'clinical finding': 'small peripheral wedge-shaped focus', 'existence': 'neg_dx', 'descriptive_term': 'small peripheral wedge-shaped', 'observation': 'focus', 'strength_term': 'small'}}clinical findings_fin: {'small infarct': {'clinical finding': 'small infarct', 'cf_snomed': {'infarct': 55641003}, 'existence': 'unc_dx', 'descriptive_term': 'small', 'observation': 'infarct', 'strength_term': 'small'}}size_fin: [{'size': '1.8 cm x 1.4 cm'}]anatomical entity_fin: {'porta hepatis': {}}clinical findings_fin: {'hepatis lymph nodes': {'clinical finding': 'hepatis lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'hepatis lymph', 'observation': 'node'}, 'lymph node': {'clinical finding': 'lymph node', 'existence': 'pos_dx', 'descriptive_term': 'lymph', 'observation': 'node'}}size_fin: [{'size': '1.1 cm x 1.2 cm', 'size_descriptor': 'nodes'}, {'size': '1.0 cm x 0.8 cm', 'size_descriptor': 'node'}]location descriptor_fin: ['left']clinical findings_fin: {'prominent retroperitoneal lymph nodes': {'clinical finding': 'prominent retroperitoneal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'prominent retroperitoneal lymph', 'observation': 'node', 'strength_term': 'prominent'}, 'left periaortic lymph node': {'clinical finding': 'left periaortic lymph node', 'existence': 'pos_dx', 'descriptive_term': 'left periaortic lymph', 'observation': 'node'}}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'}}anatomical entity_fin: {'sigmoid colon': {}}clinical findings_fin: {'mild wall thickening': {'clinical finding': 'mild wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild wall', 'observation': 'thickening', 'strength_term': 'mild'}, 'chronic inflammatory change': {'clinical finding': 'chronic inflammatory change', 'existence': 'pos_dx', 'descriptive_term': 'chronic inflammatory', 'observation': 'change', 'temporal_term': 'chronic'}}clinical findings_fin: {'sclerosis of l5': {'clinical finding': 'sclerosis of l5', 'cf_snomed': {'sclerosis': 43846000}, 'existence': 'pos_dx', 'descriptive_term': 'sclerosis of', 'observation': 'l5'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['bilateral']clinical findings_fin: {'scattered bilateral punctate micronodules': {'clinical finding': 'scattered bilateral punctate micronodules', 'existence': 'pos_dx', 'descriptive_term': 'scattered bilateral punctate', 'observation': 'micronodule'}}anatomical entity_fin: {'heart': {}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}anatomical entity_fin: {'mediastinal lymph nodes': {}}clinical findings_fin: {'small mediastinal lymph nodes': {'clinical finding': 'small mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small mediastinal lymph', 'observation': 'node', 'strength_term': 'small'}}location descriptor_fin: ['right']clinical findings_fin: {'post partial right thyroidectomy': {'clinical finding': 'post partial right thyroidectomy', 'existence': 'pos_dx', 'descriptive_term': 'post partial right', 'observation': 'thyroidectomy', 'strength_term': 'partial'}}anatomical entity_fin: {'lobe': {}}location descriptor_fin: ['left']clinical findings_fin: {'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}, 'multiple thyroid nodules': {'clinical finding': 'multiple thyroid nodules', 'cf_snomed': {'thyroid nodule': 237495005}, 'existence': 'pos_dx', 'descriptive_term': 'multiple thyroid', 'observation': 'nodule', 'quantity_term': 'multiple'}, 'calcification': {'clinical finding': 'calcification', 'existence': 'pos_dx', 'observation': 'calcification'}}anatomical entity_fin: {'breast': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral breast calcifications': {'clinical finding': 'bilateral breast calcifications', 'existence': 'pos_dx', 'descriptive_term': 'bilateral breast', 'observation': 'calcification'}}anatomical entity_fin: {'skin': {}}imaging observation_fin: ['foci']location descriptor_fin: ['right']clinical findings_fin: {'right breast mass': {'clinical finding': 'right breast mass', 'existence': 'neg_dx', 'descriptive_term': 'right breast', 'observation': 'mass'}, 'punctate foci': {'clinical finding': 'punctate foci', 'existence': 'pos_dx', 'descriptive_term': 'punctate', 'observation': 'foci'}, 'gas': {'clinical finding': 'gas', 'existence': 'pos_dx', 'observation': 'gas'}}size_fin: [{'size': '16 mm'}]anatomical entity_fin: {'axillary lymph nodes': {'location descriptor': 'right'}, 'axillary lymph node': {}}location descriptor_fin: ['right']clinical findings_fin: {'multiple large right axillary lymph nodes': {'clinical finding': 'multiple large right axillary lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'multiple large right axillary lymph', 'observation': 'node', 'strength_term': 'large', 'quantity_term': 'multiple'}, 'largest axillary lymph node': {'clinical finding': 'largest axillary lymph node', 'existence': 'pos_dx', 'descriptive_term': 'largest axillary lymph', 'observation': 'node'}}anatomical entity_fin: {'axillary lymph nodes': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'additional smaller left axillary lymph nodes': {'clinical finding': 'additional smaller left axillary lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'additional smaller left axillary lymph', 'observation': 'node'}}anatomical entity_fin: {'right scapula': {}}clinical findings_fin: {'sclerotic lesion': {'clinical finding': 'sclerotic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'sclerotic', 'observation': 'lesion'}}imaging observation_fin: ['borders']clinical findings_fin: {'new and enlarging bilobar hypodense lesions': {'clinical finding': 'new and enlarging bilobar hypodense lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'new and enlarging bilobar hypodense', 'observation': 'lesion', 'temporal_term': 'new'}, 'metastatic disease': {'clinical finding': 'metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'metastatic', 'observation': 'disease'}}size_fin: [{'size': '3.4 cm x 2.2 cm'}, {'size': '3.0 cm x 2.1 cm'}]anatomical entity_fin: {'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'previously referenced mass': {'clinical finding': 'previously referenced mass', 'existence': 'pos_dx', 'descriptive_term': 'previously referenced', 'observation': 'mass'}}imaging observation_fin: ['borders']clinical findings_fin: {'these lesions': {'clinical finding': 'these lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'these', 'observation': 'lesion'}, 'ill-defined infiltrated': {'clinical finding': 'ill-defined infiltrated', 'existence': 'unc_dx', 'descriptive_term': 'ill-defined', 'observation': 'infiltrated', 'strength_term': 'ill-defined'}, 'mild perihepatic stranding': {'clinical finding': 'mild perihepatic stranding', 'existence': 'pos_dx', 'descriptive_term': 'mild perihepatic', 'observation': 'strand', 'strength_term': 'mild'}}anatomical entity_fin: {'cell': {}}imaging observation_fin: ['blood']clinical findings_fin: {'metastatic disease': {'clinical finding': 'metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'metastatic', 'observation': 'disease'}, 'superimposed infection': {'clinical finding': 'superimposed infection', 'cf_snomed': {'superimposed infection': 193198003}, 'existence': 'unc_dx', 'descriptive_term': 'superimposed', 'observation': 'infection'}}clinical findings_fin: {'intra or extrahepatic biliary ductal dilatation': {'clinical finding': 'intra or extrahepatic biliary ductal dilatation', 'cf_snomed': {'dilatation': 25322007}, 'existence': 'neg_dx', 'descriptive_term': 'intra or extrahepatic biliary ductal', 'observation': 'dilatation'}}clinical findings_fin: {'cholelithiasis': {'clinical finding': 'cholelithiasis', 'existence': 'pos_dx', 'observation': 'cholelithiasis'}, 'cholecystitis': {'clinical finding': 'cholecystitis', 'cf_snomed': {'cholecystitis': 76581006}, 'existence': 'neg_dx', 'observation': 'cholecystitis'}}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'}}anatomical entity_fin: {'right kidney': {}}imaging observation_fin: ['wedge']location descriptor_fin: ['peripheral']clinical findings_fin: {'small peripheral wedge-shaped focus': {'clinical finding': 'small peripheral wedge-shaped focus', 'existence': 'neg_dx', 'descriptive_term': 'small peripheral wedge-shaped', 'observation': 'focus', 'strength_term': 'small'}}clinical findings_fin: {'small infarct': {'clinical finding': 'small infarct', 'cf_snomed': {'infarct': 55641003}, 'existence': 'unc_dx', 'descriptive_term': 'small', 'observation': 'infarct', 'strength_term': 'small'}}size_fin: [{'size': '1.8 cm x 1.4 cm'}]anatomical entity_fin: {'porta hepatis': {}}clinical findings_fin: {'hepatis lymph nodes': {'clinical finding': 'hepatis lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'hepatis lymph', 'observation': 'node'}, 'lymph node': {'clinical finding': 'lymph node', 'existence': 'pos_dx', 'descriptive_term': 'lymph', 'observation': 'node'}}size_fin: [{'size': '1.1 cm x 1.2 cm', 'size_descriptor': 'nodes'}, {'size': '1.0 cm x 0.8 cm', 'size_descriptor': 'node'}]location descriptor_fin: ['left']clinical findings_fin: {'prominent retroperitoneal lymph nodes': {'clinical finding': 'prominent retroperitoneal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'prominent retroperitoneal lymph', 'observation': 'node', 'strength_term': 'prominent'}, 'left periaortic lymph node': {'clinical finding': 'left periaortic lymph node', 'existence': 'pos_dx', 'descriptive_term': 'left periaortic lymph', 'observation': 'node'}}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'}}anatomical entity_fin: {'sigmoid colon': {}}clinical findings_fin: {'mild wall thickening': {'clinical finding': 'mild wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild wall', 'observation': 'thickening', 'strength_term': 'mild'}, 'chronic inflammatory change': {'clinical finding': 'chronic inflammatory change', 'existence': 'pos_dx', 'descriptive_term': 'chronic inflammatory', 'observation': 'change', 'temporal_term': 'chronic'}}clinical findings_fin: {'sclerosis of l5': {'clinical finding': 'sclerosis of l5', 'cf_snomed': {'sclerosis': 43846000}, 'existence': 'pos_dx', 'descriptive_term': 'sclerosis of', 'observation': 'l5'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . Scattered bilateral punctate micronodules. Normal size heart with no pericardial effusion. Small mediastinal lymph nodes which are not pathologic by CT size criteria. Status post partial right thyroidectomy. Enlarged left thyroid lobe containing multiple thyroid nodules with calcification. None. Bilateral breast calcifications. The right breast mass is not as pronounced in comparison to the prior outside hospital study with punctate foci of gas underlying the skin, correlate with procedural history. Multiple large right axillary lymph nodes are stable to slightly increased from prior study reference largest axillary lymph node measures 16 mm is unchanged. Additional smaller left axillary lymph nodes noted. Sclerotic lesion in the right scapula is unchanged. New and enlarging bilobar hypodense lesions compatible with metastatic disease with ill-defined borders making direct comparison difficult. However previously referenced mass in the right hepatic lobe measures 3.4 cm x 2.2 cm previously 3.0 cm x 2.1 cm. The majority appear of these lesions demonstrate ill-defined infiltrated borders and are clustered in appearance additionally there is mild perihepatic stranding. Although metastatic disease is favored, clinical correlation as well as correlation with the patients white blood cell count is recommended to exclude superimposed infection. No intra or extrahepatic biliary ductal dilatation. Cholelithiasis without evidence of cholecystitis. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Small peripheral wedge-shaped focus in the right kidney is not as well seen on the prior study. This is indeterminant with the possibility of a small infarct not excluded. Enlarging porta hepatis lymph nodes, for reference a lymph node measures 1.8 cm x 1.4 cm. Additional mildly prominent retroperitoneal lymph nodes, noted, for reference a left periaortic lymph node measures 1.1 cm x 1.2 cm slightly increased in size from prior outside hospital CT study when it measured 1.0 cm x 0.8 cm. None. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. There is mild wall thickening of the sigmoid colon with associated diverticula likely reflecting chronic inflammatory change. Amorphous sclerosis of L5 is noted unchanged likely degenerative. No significant abnormality noted. </s>

Nonenhanced head. Examination demonstrates no acute intracranial hemorrhage, is stable mildly prominent supratentorial ventricular system with maintained midline and a right frontal approach ventricular catheter with the tip in the right frontal horn. Numerous foci of calcification throughout bilateral cerebral hemispheres primarily in the subcortical white matter similar to prior exam and likely representing diffuse treated metastatic lesions. Diffuse low attenuation of bilateral hemispheric white matter similar to prior exam and suspected of representing post treatment or radiation change. Calvarium, soft tissues of the scalp, orbits and paranasal sinuses are unremarkable.

anatomical entity_fin: {'head': {}}clinical findings_fin: {'nonenhanced head': {'clinical finding': 'nonenhanced head'}}location descriptor_fin: ['midline', 'right']object_fin: ['catheter']clinical findings_fin: {'acute intracranial hemorrhage': {'clinical finding': 'acute intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'acute intracranial', 'observation': 'hemorrhage', 'strength_term': 'acute', 'temporal_term': 'acute'}}anatomical entity_fin: {'cerebral hemispheres': {'location descriptor': 'bilateral'}}imaging observation_fin: ['foci']location descriptor_fin: ['bilateral']clinical findings_fin: {'numerous foci': {'clinical finding': 'numerous foci', 'existence': 'pos_dx', 'descriptive_term': 'numerous', 'observation': 'foci', 'quantity_term': 'numerous'}, 'calcification': {'clinical finding': 'calcification', 'existence': 'pos_dx', 'observation': 'calcification'}, 'diffuse treated metastatic lesions': {'clinical finding': 'diffuse treated metastatic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'diffuse treated metastatic', 'observation': 'lesion'}}location descriptor_fin: ['bilateral']procedure_fin: ['treatment']clinical findings_fin: {'diffuse low attenuation': {'clinical finding': 'diffuse low attenuation', 'existence': 'pos_dx', 'descriptive_term': 'diffuse low', 'observation': 'attenuation'}, 'post treatment or radiation change': {'clinical finding': 'post treatment or radiation change', 'existence': 'unc_dx', 'descriptive_term': 'post treatment or radiation', 'observation': 'change'}}anatomical entity_fin: {'scalp': {}, 'orbits': {}, 'paranasal sinuses': {}}clinical findings_fin: {'calvarium , soft tissues of the scalp , orbits and paranasal sinuses are unremarkable': {'clinical finding': 'calvarium , soft tissues of the scalp , orbits and paranasal sinuses are unremarkable'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'head': {}}clinical findings_fin: {'nonenhanced head': {'clinical finding': 'nonenhanced head'}}location descriptor_fin: ['midline', 'right']object_fin: ['catheter']clinical findings_fin: {'acute intracranial hemorrhage': {'clinical finding': 'acute intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'acute intracranial', 'observation': 'hemorrhage', 'strength_term': 'acute', 'temporal_term': 'acute'}}anatomical entity_fin: {'cerebral hemispheres': {'location descriptor': 'bilateral'}}imaging observation_fin: ['foci']location descriptor_fin: ['bilateral']clinical findings_fin: {'numerous foci': {'clinical finding': 'numerous foci', 'existence': 'pos_dx', 'descriptive_term': 'numerous', 'observation': 'foci', 'quantity_term': 'numerous'}, 'calcification': {'clinical finding': 'calcification', 'existence': 'pos_dx', 'observation': 'calcification'}, 'diffuse treated metastatic lesions': {'clinical finding': 'diffuse treated metastatic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'diffuse treated metastatic', 'observation': 'lesion'}}location descriptor_fin: ['bilateral']procedure_fin: ['treatment']clinical findings_fin: {'diffuse low attenuation': {'clinical finding': 'diffuse low attenuation', 'existence': 'pos_dx', 'descriptive_term': 'diffuse low', 'observation': 'attenuation'}, 'post treatment or radiation change': {'clinical finding': 'post treatment or radiation change', 'existence': 'unc_dx', 'descriptive_term': 'post treatment or radiation', 'observation': 'change'}}anatomical entity_fin: {'scalp': {}, 'orbits': {}, 'paranasal sinuses': {}}clinical findings_fin: {'calvarium , soft tissues of the scalp , orbits and paranasal sinuses are unremarkable': {'clinical finding': 'calvarium , soft tissues of the scalp , orbits and paranasal sinuses are unremarkable'}} [/INST] Nonenhanced head. Examination demonstrates no acute intracranial hemorrhage, is stable mildly prominent supratentorial ventricular system with maintained midline and a right frontal approach ventricular catheter with the tip in the right frontal horn. Numerous foci of calcification throughout bilateral cerebral hemispheres primarily in the subcortical white matter similar to prior exam and likely representing diffuse treated metastatic lesions. Diffuse low attenuation of bilateral hemispheric white matter similar to prior exam and suspected of representing post treatment or radiation change. Calvarium, soft tissues of the scalp, orbits and paranasal sinuses are unremarkable. </s>

. Right basilar consolidation in a rounded configuration with surrounding linear streaky opacities suggestive of rounded atelectasis. There is widening of the fissures with mild caudal lobe hypertrophy suggestive of chronic liver disease. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. There is a nonenhancing left renal cyst measuring greater than simple fluid density with thin curvilinear punctate calcification along the posterior wall likely a high density cyst meeting criteria for a Bosniak 2 lesion. There are 2 additional renal cysts in the left kidney. There is long segment of mild urothelial thickening of the proximal left ureter. On the delayed phases the ureters are poorly opacified, however there are no masslike lesions throughout the course of the ureters noted. Infrarenal IVC filter in appropriate position. Scattered small retroperitoneal lymph nodes which are not pathologic by CT size criteria. Mild. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Multiple bladder diverticula along the left posterior wall. There is mild circumferential bladder wall thickening diffusely with surrounding induration and fluid. There are foci of air within the bladder, correlate for recent instrumentation. Scattered small lymph nodes in the pelvis which are nonpathologic by CT size criteria. No significant abnormality noted. Bilateral fat-containing inguinal hernias. No significant abnormality noted

location descriptor_fin: ['right']clinical findings_fin: {'right basilar consolidation': {'clinical finding': 'right basilar consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'pos_dx', 'descriptive_term': 'right basilar', 'observation': 'consolidation'}, 'surrounding linear streaky opacities': {'clinical finding': 'surrounding linear streaky opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'surrounding linear streaky', 'observation': 'opacity'}, 'rounded atelectasis': {'clinical finding': 'rounded atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'unc_dx', 'descriptive_term': 'rounded', 'observation': 'atelectasis'}}anatomical entity_fin: {'lobe': {'location descriptor': 'caudal'}, 'liver': {}}location descriptor_fin: ['caudal']clinical findings_fin: {'widening': {'clinical finding': 'widening', 'cf_snomed': {'widening': 90522003}, 'existence': 'pos_dx', 'observation': 'widening'}, 'fissures': {'clinical finding': 'fissures', 'cf_snomed': {'fissure': 47393002}, 'existence': 'pos_dx', 'observation': 'fissure'}, 'mild caudal lobe hypertrophy': {'clinical finding': 'mild caudal lobe hypertrophy', 'cf_snomed': {'hypertrophy': 56246009}, 'existence': 'pos_dx', 'descriptive_term': 'mild caudal lobe', 'observation': 'hypertrophy', 'strength_term': 'mild'}, 'chronic liver disease': {'clinical finding': 'chronic liver disease', 'cf_snomed': {'chronic liver disease': 328383001}, 'existence': 'unc_dx', 'descriptive_term': 'chronic liver', 'observation': 'disease', 'temporal_term': 'chronic'}}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'}}anatomical entity_fin: {'fluid': {}, 'wall': {'location descriptor': 'posterior'}}imaging observation_fin: ['nonenhancing']location descriptor_fin: ['left', 'posterior']clinical findings_fin: {'nonenhancing left renal cyst': {'clinical finding': 'nonenhancing left renal cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'nonenhancing left renal', 'observation': 'cyst'}, 'thin curvilinear punctate calcification': {'clinical finding': 'thin curvilinear punctate calcification', 'cf_snomed': {'punctate calcification': 129755006}, 'existence': 'pos_dx', 'descriptive_term': 'thin curvilinear punctate', 'observation': 'calcification'}, 'high density cyst': {'clinical finding': 'high density cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'unc_dx', 'descriptive_term': 'high density', 'observation': 'cyst'}, 'bosniak 2 lesion': {'clinical finding': 'bosniak 2 lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'unc_dx', 'descriptive_term': 'bosniak 2', 'observation': 'lesion'}}anatomical entity_fin: {'left kidney': {}}clinical findings_fin: {'2 additional renal cysts': {'clinical finding': '2 additional renal cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': '2 additional renal', 'observation': 'cyst'}}anatomical entity_fin: {'left ureter': {'location descriptor': 'proximal'}}location descriptor_fin: ['proximal']clinical findings_fin: {'mild urothelial thickening': {'clinical finding': 'mild urothelial thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild urothelial', 'observation': 'thickening', 'strength_term': 'mild'}}anatomical entity_fin: {'ureters': {}}clinical findings_fin: {'masslike lesions': {'clinical finding': 'masslike lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'masslike', 'observation': 'lesion'}}object_fin: ['filter']clinical findings_fin: {'infrarenal ivc filter in appropriate position': {'clinical finding': 'infrarenal ivc filter in appropriate position'}}clinical findings_fin: {'small retroperitoneal lymph nodes': {'clinical finding': 'small retroperitoneal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small retroperitoneal lymph', 'observation': 'node', 'strength_term': 'small'}}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'}}anatomical entity_fin: {'bladder': {}, 'wall': {'location descriptor': 'left posterior'}}location descriptor_fin: ['left', 'posterior']anatomical entity_fin: {'bladder': {}, 'fluid': {}}clinical findings_fin: {'wall thickening': {'clinical finding': 'wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'wall', 'observation': 'thickening'}}anatomical entity_fin: {'bladder': {}}imaging observation_fin: ['foci']clinical findings_fin: {'foci': {'clinical finding': 'foci', 'existence': 'pos_dx', 'observation': 'foci'}}anatomical entity_fin: {'pelvis': {}}clinical findings_fin: {'small lymph nodes': {'clinical finding': 'small lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small lymph', 'observation': 'node', 'strength_term': 'small'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}imaging observation_fin: ['fat']location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral fat-containing inguinal hernias': {'clinical finding': 'bilateral fat-containing inguinal hernias', 'existence': 'pos_dx', 'descriptive_term': 'bilateral fat-containing inguinal', 'observation': 'hernias'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['right']clinical findings_fin: {'right basilar consolidation': {'clinical finding': 'right basilar consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'pos_dx', 'descriptive_term': 'right basilar', 'observation': 'consolidation'}, 'surrounding linear streaky opacities': {'clinical finding': 'surrounding linear streaky opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'surrounding linear streaky', 'observation': 'opacity'}, 'rounded atelectasis': {'clinical finding': 'rounded atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'unc_dx', 'descriptive_term': 'rounded', 'observation': 'atelectasis'}}anatomical entity_fin: {'lobe': {'location descriptor': 'caudal'}, 'liver': {}}location descriptor_fin: ['caudal']clinical findings_fin: {'widening': {'clinical finding': 'widening', 'cf_snomed': {'widening': 90522003}, 'existence': 'pos_dx', 'observation': 'widening'}, 'fissures': {'clinical finding': 'fissures', 'cf_snomed': {'fissure': 47393002}, 'existence': 'pos_dx', 'observation': 'fissure'}, 'mild caudal lobe hypertrophy': {'clinical finding': 'mild caudal lobe hypertrophy', 'cf_snomed': {'hypertrophy': 56246009}, 'existence': 'pos_dx', 'descriptive_term': 'mild caudal lobe', 'observation': 'hypertrophy', 'strength_term': 'mild'}, 'chronic liver disease': {'clinical finding': 'chronic liver disease', 'cf_snomed': {'chronic liver disease': 328383001}, 'existence': 'unc_dx', 'descriptive_term': 'chronic liver', 'observation': 'disease', 'temporal_term': 'chronic'}}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'}}anatomical entity_fin: {'fluid': {}, 'wall': {'location descriptor': 'posterior'}}imaging observation_fin: ['nonenhancing']location descriptor_fin: ['left', 'posterior']clinical findings_fin: {'nonenhancing left renal cyst': {'clinical finding': 'nonenhancing left renal cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'nonenhancing left renal', 'observation': 'cyst'}, 'thin curvilinear punctate calcification': {'clinical finding': 'thin curvilinear punctate calcification', 'cf_snomed': {'punctate calcification': 129755006}, 'existence': 'pos_dx', 'descriptive_term': 'thin curvilinear punctate', 'observation': 'calcification'}, 'high density cyst': {'clinical finding': 'high density cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'unc_dx', 'descriptive_term': 'high density', 'observation': 'cyst'}, 'bosniak 2 lesion': {'clinical finding': 'bosniak 2 lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'unc_dx', 'descriptive_term': 'bosniak 2', 'observation': 'lesion'}}anatomical entity_fin: {'left kidney': {}}clinical findings_fin: {'2 additional renal cysts': {'clinical finding': '2 additional renal cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': '2 additional renal', 'observation': 'cyst'}}anatomical entity_fin: {'left ureter': {'location descriptor': 'proximal'}}location descriptor_fin: ['proximal']clinical findings_fin: {'mild urothelial thickening': {'clinical finding': 'mild urothelial thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild urothelial', 'observation': 'thickening', 'strength_term': 'mild'}}anatomical entity_fin: {'ureters': {}}clinical findings_fin: {'masslike lesions': {'clinical finding': 'masslike lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'masslike', 'observation': 'lesion'}}object_fin: ['filter']clinical findings_fin: {'infrarenal ivc filter in appropriate position': {'clinical finding': 'infrarenal ivc filter in appropriate position'}}clinical findings_fin: {'small retroperitoneal lymph nodes': {'clinical finding': 'small retroperitoneal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small retroperitoneal lymph', 'observation': 'node', 'strength_term': 'small'}}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'}}anatomical entity_fin: {'bladder': {}, 'wall': {'location descriptor': 'left posterior'}}location descriptor_fin: ['left', 'posterior']anatomical entity_fin: {'bladder': {}, 'fluid': {}}clinical findings_fin: {'wall thickening': {'clinical finding': 'wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'wall', 'observation': 'thickening'}}anatomical entity_fin: {'bladder': {}}imaging observation_fin: ['foci']clinical findings_fin: {'foci': {'clinical finding': 'foci', 'existence': 'pos_dx', 'observation': 'foci'}}anatomical entity_fin: {'pelvis': {}}clinical findings_fin: {'small lymph nodes': {'clinical finding': 'small lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small lymph', 'observation': 'node', 'strength_term': 'small'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}imaging observation_fin: ['fat']location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral fat-containing inguinal hernias': {'clinical finding': 'bilateral fat-containing inguinal hernias', 'existence': 'pos_dx', 'descriptive_term': 'bilateral fat-containing inguinal', 'observation': 'hernias'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . Right basilar consolidation in a rounded configuration with surrounding linear streaky opacities suggestive of rounded atelectasis. There is widening of the fissures with mild caudal lobe hypertrophy suggestive of chronic liver disease. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. There is a nonenhancing left renal cyst measuring greater than simple fluid density with thin curvilinear punctate calcification along the posterior wall likely a high density cyst meeting criteria for a Bosniak 2 lesion. There are 2 additional renal cysts in the left kidney. There is long segment of mild urothelial thickening of the proximal left ureter. On the delayed phases the ureters are poorly opacified, however there are no masslike lesions throughout the course of the ureters noted. Infrarenal IVC filter in appropriate position. Scattered small retroperitoneal lymph nodes which are not pathologic by CT size criteria. Mild. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Multiple bladder diverticula along the left posterior wall. There is mild circumferential bladder wall thickening diffusely with surrounding induration and fluid. There are foci of air within the bladder, correlate for recent instrumentation. Scattered small lymph nodes in the pelvis which are nonpathologic by CT size criteria. No significant abnormality noted. Bilateral fat-containing inguinal hernias. No significant abnormality noted </s>

Opacification of pulmonary arteries less than optimal with Hounsfield unit of 176. Even given this limitation, the pulmonary arteries to the proximal subsegmental levels cant be evaluated. No pulmonary embolism. Probable subsegmental atelectasis or scarring within the lower lobes. More confluent area of groundglass abnormality within the superior segment right lower lobe laterally could represent mild inflammatory changes superimposed on atelectasis though atelectasis is favored. Patent central airways. Scattered calcified granulomas. No significant abnormality noted. Moderate. Lipoma or geode within the left humeral head. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. No significant abnormality noted.

anatomical entity_fin: {'pulmonary arteries': {}}clinical findings_fin: {'opacification': {'clinical finding': 'opacification', 'existence': 'pos_dx', 'observation': 'opacification'}}anatomical entity_fin: {'pulmonary arteries': {}}location descriptor_fin: ['proximal', 'subsegmental']clinical findings_fin: {'pulmonary arteries to the proximal subsegmental levels': {'clinical finding': 'pulmonary arteries to the proximal subsegmental levels'}}clinical findings_fin: {'pulmonary embolism': {'clinical finding': 'pulmonary embolism', 'cf_snomed': {'pulmonary embolism': 59282003}, 'existence': 'neg_dx', 'descriptive_term': 'pulmonary', 'observation': 'embolism'}}anatomical entity_fin: {'lobes': {'location descriptor': 'lower'}}location descriptor_fin: ['subsegmental', 'lower']clinical findings_fin: {'probable subsegmental atelectasis': {'clinical finding': 'probable subsegmental atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'probable subsegmental', 'observation': 'atelectasis'}, 'scarring': {'clinical finding': 'scarring', 'existence': 'unc_dx', 'observation': 'scarr'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['superior', 'right', 'lower']clinical findings_fin: {'groundglass abnormality': {'clinical finding': 'groundglass abnormality', 'existence': 'pos_dx', 'descriptive_term': 'groundglass', 'observation': 'abnormality'}, 'mild inflammatory changes': {'clinical finding': 'mild inflammatory changes', 'existence': 'unc_dx', 'descriptive_term': 'mild inflammatory', 'observation': 'change', 'strength_term': 'mild'}, 'atelectasis_1': {'clinical finding': 'atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'observation': 'atelectasis'}, 'atelectasis_2': {'clinical finding': 'atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'unc_dx', 'observation': 'atelectasis'}}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: {'scattered calcified granulomas': {'clinical finding': 'scattered calcified granulomas', 'cf_snomed': {'calcified granuloma': 48391002}, 'existence': 'pos_dx', 'descriptive_term': 'scattered calcified', 'observation': 'granuloma', 'change_term': 'calcified'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'head': {}}location descriptor_fin: ['left']clinical findings_fin: {'lipoma': {'clinical finding': 'lipoma', 'cf_snomed': {'lipoma': 134328007}, 'existence': 'pos_dx', 'observation': 'lipoma'}, 'geode': {'clinical finding': 'geode', 'existence': 'unc_dx', 'observation': 'geode'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'pulmonary arteries': {}}clinical findings_fin: {'opacification': {'clinical finding': 'opacification', 'existence': 'pos_dx', 'observation': 'opacification'}}anatomical entity_fin: {'pulmonary arteries': {}}location descriptor_fin: ['proximal', 'subsegmental']clinical findings_fin: {'pulmonary arteries to the proximal subsegmental levels': {'clinical finding': 'pulmonary arteries to the proximal subsegmental levels'}}clinical findings_fin: {'pulmonary embolism': {'clinical finding': 'pulmonary embolism', 'cf_snomed': {'pulmonary embolism': 59282003}, 'existence': 'neg_dx', 'descriptive_term': 'pulmonary', 'observation': 'embolism'}}anatomical entity_fin: {'lobes': {'location descriptor': 'lower'}}location descriptor_fin: ['subsegmental', 'lower']clinical findings_fin: {'probable subsegmental atelectasis': {'clinical finding': 'probable subsegmental atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'probable subsegmental', 'observation': 'atelectasis'}, 'scarring': {'clinical finding': 'scarring', 'existence': 'unc_dx', 'observation': 'scarr'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['superior', 'right', 'lower']clinical findings_fin: {'groundglass abnormality': {'clinical finding': 'groundglass abnormality', 'existence': 'pos_dx', 'descriptive_term': 'groundglass', 'observation': 'abnormality'}, 'mild inflammatory changes': {'clinical finding': 'mild inflammatory changes', 'existence': 'unc_dx', 'descriptive_term': 'mild inflammatory', 'observation': 'change', 'strength_term': 'mild'}, 'atelectasis_1': {'clinical finding': 'atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'observation': 'atelectasis'}, 'atelectasis_2': {'clinical finding': 'atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'unc_dx', 'observation': 'atelectasis'}}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: {'scattered calcified granulomas': {'clinical finding': 'scattered calcified granulomas', 'cf_snomed': {'calcified granuloma': 48391002}, 'existence': 'pos_dx', 'descriptive_term': 'scattered calcified', 'observation': 'granuloma', 'change_term': 'calcified'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'head': {}}location descriptor_fin: ['left']clinical findings_fin: {'lipoma': {'clinical finding': 'lipoma', 'cf_snomed': {'lipoma': 134328007}, 'existence': 'pos_dx', 'observation': 'lipoma'}, 'geode': {'clinical finding': 'geode', 'existence': 'unc_dx', 'observation': 'geode'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] Opacification of pulmonary arteries less than optimal with Hounsfield unit of 176. Even given this limitation, the pulmonary arteries to the proximal subsegmental levels cant be evaluated. No pulmonary embolism. Probable subsegmental atelectasis or scarring within the lower lobes. More confluent area of groundglass abnormality within the superior segment right lower lobe laterally could represent mild inflammatory changes superimposed on atelectasis though atelectasis is favored. Patent central airways. Scattered calcified granulomas. No significant abnormality noted. Moderate. Lipoma or geode within the left humeral head. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. No significant abnormality noted. </s>

The exams are limited by patient motion. There is no intracranial hemorrhage. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. Encephalomalacia within the anterior left frontal lobe is unchanged as are patchy areas of hypoattenuation in the supratentorial white matter. There is no extraaxial fluid collection, midline shift, or mass effect. There are no areas of pathological parenchymal or meningeal enhancement. The osseous structures are intact. There is a partially empty sella. Atherosclerotic calcification in the distal internal carotid artery is again noted. Retention cysts are again seen in both maxillary sinuses. There is mucosal thickening or mucous within the ethmoid air cells and left nasal cavity and air-fluid levels within the right mastoid air cells. There is narrowing of the hypopharyngeal airspace however without evidence of mass or abnormal enhancement. The nasopharynx, oropharynx, and larynx are unremarkable. The oral tongue, floor of mouth, and upper esophagus are unremarkable. The epiglottis, vallecula, piriform sinuses, and vocal cords are normal. The submandibular, sublingual, and parotid glands have an unremarkable appearance. The thyroid gland is unremarkable. There is no cervical lymphadenopathy according to radiological criteria. Degenerative changes affect the cervical spine. The lung apices are poorly visualized due to motion artifact. Right central venous catheter tip is at the cavoatrial junction. The carotid arteries and jugular veins are patent.

clinical findings_fin: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}}clinical findings_fin: {'ventricles and basal cisterns are normal in size and configuration': {'clinical finding': 'ventricles and basal cisterns are normal in size and configuration'}}location descriptor_fin: ['midline']clinical findings_fin: {'herniation': {'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'}}anatomical entity_fin: {'left frontal lobe': {'location descriptor': 'anterior'}}location descriptor_fin: ['anterior']clinical findings_fin: {'encephalomalacia': {'clinical finding': 'encephalomalacia', 'cf_snomed': {'encephalomalacia': 58762006}, 'existence': 'pos_dx', 'observation': 'encephalomalacia'}, 'hypoattenuation': {'clinical finding': 'hypoattenuation', 'existence': 'pos_dx', 'observation': 'hypoattenuation'}}location descriptor_fin: ['midline']clinical findings_fin: {'extraaxial fluid collection': {'clinical finding': 'extraaxial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'extraaxial fluid', 'observation': 'collection'}, 'mass effect': {'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect'}}clinical findings_fin: {'pathological parenchymal or meningeal enhancement': {'clinical finding': 'pathological parenchymal or meningeal enhancement', 'existence': 'neg_dx', 'descriptive_term': 'pathological parenchymal or meningeal', 'observation': 'enhancement'}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}anatomical entity_fin: {'internal carotid artery': {'location descriptor': 'distal'}}location descriptor_fin: ['distal']clinical findings_fin: {'atherosclerotic calcification': {'clinical finding': 'atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'}}clinical findings_fin: {'retention cysts': {'clinical finding': 'retention cysts', 'cf_snomed': {'retention': 36850000}, 'existence': 'pos_dx', 'descriptive_term': 'retention', 'observation': 'cyst'}}anatomical entity_fin: {'cells': {}, 'nasal cavity': {'location descriptor': 'left'}, 'fluid': {}, 'mastoid air cells': {'location descriptor': 'right'}}location descriptor_fin: ['left', 'right']clinical findings_fin: {'mucosal thickening': {'clinical finding': 'mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'mucosal', 'observation': 'thickening'}, 'mucous': {'clinical finding': 'mucous', 'existence': 'unc_dx', 'observation': 'mucous'}, 'air-fluid levels': {'clinical finding': 'air-fluid levels', 'existence': 'pos_dx', 'descriptive_term': 'air-fluid', 'observation': 'level'}}anatomical entity_fin: {'airspace': {}}clinical findings_fin: {'narrowing': {'clinical finding': 'narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'observation': 'narrowing'}, 'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}, 'abnormal enhancement': {'clinical finding': 'abnormal enhancement', 'existence': 'neg_dx', 'descriptive_term': 'abnormal', 'observation': 'enhancement'}}anatomical entity_fin: {'nasopharynx': {}, 'oropharynx': {}, 'larynx': {}}clinical findings_fin: {'nasopharynx , oropharynx , and larynx are unremarkable': {'clinical finding': 'nasopharynx , oropharynx , and larynx are unremarkable'}}anatomical entity_fin: {'tongue': {}, 'floor': {}, 'mouth': {}, 'esophagus': {'location descriptor': 'upper'}}location descriptor_fin: ['upper']clinical findings_fin: {'oral tongue , floor of mouth , and upper esophagus are unremarkable': {'clinical finding': 'oral tongue , floor of mouth , and upper esophagus are unremarkable'}}anatomical entity_fin: {'epiglottis': {}}imaging observation_fin: ['cords']clinical findings_fin: {'epiglottis , vallecula , piriform sinuses , and vocal cords are normal': {'clinical finding': 'epiglottis , vallecula , piriform sinuses , and vocal cords are normal'}}anatomical entity_fin: {'parotid glands': {}}clinical findings_fin: {'submandibular , sublingual , and parotid glands have an unremarkable appearance': {'clinical finding': 'submandibular , sublingual , and parotid glands have an unremarkable appearance'}}anatomical entity_fin: {'thyroid gland': {}}clinical findings_fin: {'thyroid gland is unremarkable': {'clinical finding': 'thyroid gland is unremarkable'}}clinical findings_fin: {'cervical lymphadenopathy': {'clinical finding': 'cervical lymphadenopathy', 'cf_snomed': {'cervical lymphadenopathy': 127086001}, 'existence': 'neg_dx', 'descriptive_term': 'cervical', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'degenerative changes': {'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'}}anatomical entity_fin: {'lung': {}, 'apices': {}}artifact_fin: ['motion artifact']clinical findings_fin: {'motion artifact': {'clinical finding': 'motion artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'pos_dx', 'descriptive_term': 'motion', 'observation': 'artifact'}}location descriptor_fin: ['right']object_fin: ['central venous catheter']clinical findings_fin: {'central venous catheter': {'clinical finding': 'central venous catheter', 'existence': 'pos_dx', 'descriptive_term': 'central venous', 'observation': 'catheter'}}anatomical entity_fin: {'arteries': {}, 'veins': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}}clinical findings_fin: {'ventricles and basal cisterns are normal in size and configuration': {'clinical finding': 'ventricles and basal cisterns are normal in size and configuration'}}location descriptor_fin: ['midline']clinical findings_fin: {'herniation': {'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'}}anatomical entity_fin: {'left frontal lobe': {'location descriptor': 'anterior'}}location descriptor_fin: ['anterior']clinical findings_fin: {'encephalomalacia': {'clinical finding': 'encephalomalacia', 'cf_snomed': {'encephalomalacia': 58762006}, 'existence': 'pos_dx', 'observation': 'encephalomalacia'}, 'hypoattenuation': {'clinical finding': 'hypoattenuation', 'existence': 'pos_dx', 'observation': 'hypoattenuation'}}location descriptor_fin: ['midline']clinical findings_fin: {'extraaxial fluid collection': {'clinical finding': 'extraaxial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'extraaxial fluid', 'observation': 'collection'}, 'mass effect': {'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect'}}clinical findings_fin: {'pathological parenchymal or meningeal enhancement': {'clinical finding': 'pathological parenchymal or meningeal enhancement', 'existence': 'neg_dx', 'descriptive_term': 'pathological parenchymal or meningeal', 'observation': 'enhancement'}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}anatomical entity_fin: {'internal carotid artery': {'location descriptor': 'distal'}}location descriptor_fin: ['distal']clinical findings_fin: {'atherosclerotic calcification': {'clinical finding': 'atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'}}clinical findings_fin: {'retention cysts': {'clinical finding': 'retention cysts', 'cf_snomed': {'retention': 36850000}, 'existence': 'pos_dx', 'descriptive_term': 'retention', 'observation': 'cyst'}}anatomical entity_fin: {'cells': {}, 'nasal cavity': {'location descriptor': 'left'}, 'fluid': {}, 'mastoid air cells': {'location descriptor': 'right'}}location descriptor_fin: ['left', 'right']clinical findings_fin: {'mucosal thickening': {'clinical finding': 'mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'mucosal', 'observation': 'thickening'}, 'mucous': {'clinical finding': 'mucous', 'existence': 'unc_dx', 'observation': 'mucous'}, 'air-fluid levels': {'clinical finding': 'air-fluid levels', 'existence': 'pos_dx', 'descriptive_term': 'air-fluid', 'observation': 'level'}}anatomical entity_fin: {'airspace': {}}clinical findings_fin: {'narrowing': {'clinical finding': 'narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'observation': 'narrowing'}, 'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}, 'abnormal enhancement': {'clinical finding': 'abnormal enhancement', 'existence': 'neg_dx', 'descriptive_term': 'abnormal', 'observation': 'enhancement'}}anatomical entity_fin: {'nasopharynx': {}, 'oropharynx': {}, 'larynx': {}}clinical findings_fin: {'nasopharynx , oropharynx , and larynx are unremarkable': {'clinical finding': 'nasopharynx , oropharynx , and larynx are unremarkable'}}anatomical entity_fin: {'tongue': {}, 'floor': {}, 'mouth': {}, 'esophagus': {'location descriptor': 'upper'}}location descriptor_fin: ['upper']clinical findings_fin: {'oral tongue , floor of mouth , and upper esophagus are unremarkable': {'clinical finding': 'oral tongue , floor of mouth , and upper esophagus are unremarkable'}}anatomical entity_fin: {'epiglottis': {}}imaging observation_fin: ['cords']clinical findings_fin: {'epiglottis , vallecula , piriform sinuses , and vocal cords are normal': {'clinical finding': 'epiglottis , vallecula , piriform sinuses , and vocal cords are normal'}}anatomical entity_fin: {'parotid glands': {}}clinical findings_fin: {'submandibular , sublingual , and parotid glands have an unremarkable appearance': {'clinical finding': 'submandibular , sublingual , and parotid glands have an unremarkable appearance'}}anatomical entity_fin: {'thyroid gland': {}}clinical findings_fin: {'thyroid gland is unremarkable': {'clinical finding': 'thyroid gland is unremarkable'}}clinical findings_fin: {'cervical lymphadenopathy': {'clinical finding': 'cervical lymphadenopathy', 'cf_snomed': {'cervical lymphadenopathy': 127086001}, 'existence': 'neg_dx', 'descriptive_term': 'cervical', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'degenerative changes': {'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'}}anatomical entity_fin: {'lung': {}, 'apices': {}}artifact_fin: ['motion artifact']clinical findings_fin: {'motion artifact': {'clinical finding': 'motion artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'pos_dx', 'descriptive_term': 'motion', 'observation': 'artifact'}}location descriptor_fin: ['right']object_fin: ['central venous catheter']clinical findings_fin: {'central venous catheter': {'clinical finding': 'central venous catheter', 'existence': 'pos_dx', 'descriptive_term': 'central venous', 'observation': 'catheter'}}anatomical entity_fin: {'arteries': {}, 'veins': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}} [/INST] The exams are limited by patient motion. There is no intracranial hemorrhage. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. Encephalomalacia within the anterior left frontal lobe is unchanged as are patchy areas of hypoattenuation in the supratentorial white matter. There is no extraaxial fluid collection, midline shift, or mass effect. There are no areas of pathological parenchymal or meningeal enhancement. The osseous structures are intact. There is a partially empty sella. Atherosclerotic calcification in the distal internal carotid artery is again noted. Retention cysts are again seen in both maxillary sinuses. There is mucosal thickening or mucous within the ethmoid air cells and left nasal cavity and air-fluid levels within the right mastoid air cells. There is narrowing of the hypopharyngeal airspace however without evidence of mass or abnormal enhancement. The nasopharynx, oropharynx, and larynx are unremarkable. The oral tongue, floor of mouth, and upper esophagus are unremarkable. The epiglottis, vallecula, piriform sinuses, and vocal cords are normal. The submandibular, sublingual, and parotid glands have an unremarkable appearance. The thyroid gland is unremarkable. There is no cervical lymphadenopathy according to radiological criteria. Degenerative changes affect the cervical spine. The lung apices are poorly visualized due to motion artifact. Right central venous catheter tip is at the cavoatrial junction. The carotid arteries and jugular veins are patent. </s>

. Areas of consolidation in both lung apices seen consistent with airspace disease, rule out pneumonia. Nodular opacities measuring up to 1.7 x 1 cm series 5 image 85 in both apices. Nodular opacity superior segment left lower lobe. Bibasilar septal thickening left greater than right suggesting edema. No significant abnormality noted. No significant abnormality noted. Mild intrahepatic biliary prominence, unchanged from prior exam no discrete transition zone. No focal liver lesions. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Subtle mild haziness in the region of the splenic flexure and related to history of inflammatory bowel disease. No bowel wall thickening or abnormal bowel wall enhancement. No free or loculated intraperitoneal fluid. Diverting ileostomy. Oral contrast is seen to progress to the ostomy bag. No evidence of obstruction. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Mild prominence iliac nodes right external iliac chain in particular. No significant abnormality noted. JP drain in catheter seen in the perianal area. No measurable fluid or soft tissue collections around the catheter. Perirectal fat is normal. Ischio rectal fossa fat is normal. No significant abnormality noted.

anatomical entity_fin: {'lung': {}, 'apices': {}, 'airspace': {}}clinical findings_fin: {'consolidation': {'clinical finding': 'consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'pos_dx', 'observation': 'consolidation'}, 'airspace disease': {'clinical finding': 'airspace disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'airspace', 'observation': 'disease'}, 'pneumonia': {'clinical finding': 'pneumonia', 'cf_snomed': {'pneumonia': 233604007}, 'existence': 'pos_dx', 'observation': 'pneumonia'}}size_fin: [{'size': '1.7 x 1 cm', 'size_descriptor': 'opacities'}]anatomical entity_fin: {'apices': {}}clinical findings_fin: {'nodular opacities': {'clinical finding': 'nodular opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'nodular', 'observation': 'opacity'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['superior', 'left', 'lower']clinical findings_fin: {'nodular opacity': {'clinical finding': 'nodular opacity', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'nodular', 'observation': 'opacity'}}location descriptor_fin: ['left', 'right']clinical findings_fin: {'bibasilar septal thickening': {'clinical finding': 'bibasilar septal thickening', 'existence': 'pos_dx', 'descriptive_term': 'bibasilar septal', 'observation': 'thickening'}, 'edema': {'clinical finding': 'edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'unc_dx', 'observation': 'edema'}}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: {'mild intrahepatic biliary prominence , unchanged from prior exam': {'clinical finding': 'mild intrahepatic biliary prominence , unchanged from prior exam', 'change_term': 'unchanged'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'focal liver lesions': {'clinical finding': 'focal liver lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'focal liver', '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: {'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: {'inflammatory bowel disease': {'clinical finding': 'inflammatory bowel disease', 'cf_snomed': {'inflammatory bowel disease': 24526004}, 'existence': 'pos_dx', 'descriptive_term': 'inflammatory bowel', 'observation': 'disease'}}anatomical entity_fin: {'bowel': {}, 'wall': {}}clinical findings_fin: {'bowel wall thickening': {'clinical finding': 'bowel wall thickening', 'existence': 'neg_dx', 'descriptive_term': 'bowel wall', 'observation': 'thickening'}, 'abnormal bowel wall enhancement': {'clinical finding': 'abnormal bowel wall enhancement', 'existence': 'neg_dx', 'descriptive_term': 'abnormal bowel wall', 'observation': 'enhancement'}}anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'free or loculated intraperitoneal fluid': {'clinical finding': 'free or loculated intraperitoneal fluid'}}procedure_fin: ['ileostomy']clinical findings_fin: {'diverting ileostomy': {'clinical finding': 'diverting ileostomy'}}non-anatomical substance_fin: ['oral contrast']clinical findings_fin: {'ostomy bag': {'clinical finding': 'ostomy bag', 'existence': 'pos_dx', 'descriptive_term': 'ostomy', 'observation': 'bag'}}clinical findings_fin: {'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'observation': 'obstruction'}}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: ['right', 'external']clinical findings_fin: {'iliac nodes': {'clinical finding': 'iliac nodes', 'existence': 'pos_dx', 'descriptive_term': 'iliac', 'observation': 'node'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}object_fin: ['catheter']clinical findings_fin: {'jp drain in catheter seen in the perianal area': {'clinical finding': 'jp drain in catheter seen in the perianal area'}}anatomical entity_fin: {'fluid': {}}object_fin: ['catheter']imaging observation_fin: ['fat']clinical findings_fin: {'perirectal fat is normal': {'clinical finding': 'perirectal fat is normal'}}imaging observation_fin: ['fat']clinical findings_fin: {'ischio rectal fossa fat is normal': {'clinical finding': 'ischio rectal fossa fat is normal'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'lung': {}, 'apices': {}, 'airspace': {}}clinical findings_fin: {'consolidation': {'clinical finding': 'consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'pos_dx', 'observation': 'consolidation'}, 'airspace disease': {'clinical finding': 'airspace disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'airspace', 'observation': 'disease'}, 'pneumonia': {'clinical finding': 'pneumonia', 'cf_snomed': {'pneumonia': 233604007}, 'existence': 'pos_dx', 'observation': 'pneumonia'}}size_fin: [{'size': '1.7 x 1 cm', 'size_descriptor': 'opacities'}]anatomical entity_fin: {'apices': {}}clinical findings_fin: {'nodular opacities': {'clinical finding': 'nodular opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'nodular', 'observation': 'opacity'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['superior', 'left', 'lower']clinical findings_fin: {'nodular opacity': {'clinical finding': 'nodular opacity', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'nodular', 'observation': 'opacity'}}location descriptor_fin: ['left', 'right']clinical findings_fin: {'bibasilar septal thickening': {'clinical finding': 'bibasilar septal thickening', 'existence': 'pos_dx', 'descriptive_term': 'bibasilar septal', 'observation': 'thickening'}, 'edema': {'clinical finding': 'edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'unc_dx', 'observation': 'edema'}}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: {'mild intrahepatic biliary prominence , unchanged from prior exam': {'clinical finding': 'mild intrahepatic biliary prominence , unchanged from prior exam', 'change_term': 'unchanged'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'focal liver lesions': {'clinical finding': 'focal liver lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'focal liver', '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: {'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: {'inflammatory bowel disease': {'clinical finding': 'inflammatory bowel disease', 'cf_snomed': {'inflammatory bowel disease': 24526004}, 'existence': 'pos_dx', 'descriptive_term': 'inflammatory bowel', 'observation': 'disease'}}anatomical entity_fin: {'bowel': {}, 'wall': {}}clinical findings_fin: {'bowel wall thickening': {'clinical finding': 'bowel wall thickening', 'existence': 'neg_dx', 'descriptive_term': 'bowel wall', 'observation': 'thickening'}, 'abnormal bowel wall enhancement': {'clinical finding': 'abnormal bowel wall enhancement', 'existence': 'neg_dx', 'descriptive_term': 'abnormal bowel wall', 'observation': 'enhancement'}}anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'free or loculated intraperitoneal fluid': {'clinical finding': 'free or loculated intraperitoneal fluid'}}procedure_fin: ['ileostomy']clinical findings_fin: {'diverting ileostomy': {'clinical finding': 'diverting ileostomy'}}non-anatomical substance_fin: ['oral contrast']clinical findings_fin: {'ostomy bag': {'clinical finding': 'ostomy bag', 'existence': 'pos_dx', 'descriptive_term': 'ostomy', 'observation': 'bag'}}clinical findings_fin: {'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'observation': 'obstruction'}}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: ['right', 'external']clinical findings_fin: {'iliac nodes': {'clinical finding': 'iliac nodes', 'existence': 'pos_dx', 'descriptive_term': 'iliac', 'observation': 'node'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}object_fin: ['catheter']clinical findings_fin: {'jp drain in catheter seen in the perianal area': {'clinical finding': 'jp drain in catheter seen in the perianal area'}}anatomical entity_fin: {'fluid': {}}object_fin: ['catheter']imaging observation_fin: ['fat']clinical findings_fin: {'perirectal fat is normal': {'clinical finding': 'perirectal fat is normal'}}imaging observation_fin: ['fat']clinical findings_fin: {'ischio rectal fossa fat is normal': {'clinical finding': 'ischio rectal fossa fat is normal'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . Areas of consolidation in both lung apices seen consistent with airspace disease, rule out pneumonia. Nodular opacities measuring up to 1.7 x 1 cm series 5 image 85 in both apices. Nodular opacity superior segment left lower lobe. Bibasilar septal thickening left greater than right suggesting edema. No significant abnormality noted. No significant abnormality noted. Mild intrahepatic biliary prominence, unchanged from prior exam no discrete transition zone. No focal liver lesions. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Subtle mild haziness in the region of the splenic flexure and related to history of inflammatory bowel disease. No bowel wall thickening or abnormal bowel wall enhancement. No free or loculated intraperitoneal fluid. Diverting ileostomy. Oral contrast is seen to progress to the ostomy bag. No evidence of obstruction. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Mild prominence iliac nodes right external iliac chain in particular. No significant abnormality noted. JP drain in catheter seen in the perianal area. No measurable fluid or soft tissue collections around the catheter. Perirectal fat is normal. Ischio rectal fossa fat is normal. No significant abnormality noted. </s>

Brain shows normal gray-white differentiation. There is no intracranial hemorrhage, mass effect or midline shift. The ventricles and the other CSF-containing spaces are normal in size. The included paranasal sinuses and the mastoid air cells are clear. The orbits are normal. There is slight focal swelling of the left forehead soft tissue. There is no underlying skull fracture. Incomplete fusion along the anterior arch of C1 is described on the companion CT scan of the cervical spine.

anatomical entity_fin: {'brain': {}}clinical findings_fin: {'normal gray-white differentiation': {'clinical finding': 'normal gray-white differentiation', 'existence': 'pos_dx', 'descriptive_term': 'normal gray-white', 'observation': 'differentiation', 'strength_term': 'normal'}}location descriptor_fin: ['midline']clinical findings_fin: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}, 'mass effect': {'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect'}, 'midline shift': {'clinical finding': 'midline shift', 'cf_snomed': {'shift': 9546005}, 'existence': 'neg_dx', 'descriptive_term': 'midline', 'observation': 'shift'}}clinical findings_fin: {'ventricles and the other csf-containing spaces are normal in size': {'clinical finding': 'ventricles and the other csf-containing spaces are normal in size'}}anatomical entity_fin: {'paranasal sinuses': {}, 'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'}}anatomical entity_fin: {'orbits': {}}clinical findings_fin: {'orbits are normal': {'clinical finding': 'orbits are normal'}}location descriptor_fin: ['left']clinical findings_fin: {'slight focal swelling': {'clinical finding': 'slight focal swelling', 'cf_snomed': {'swelling': 65124004}, 'existence': 'pos_dx', 'descriptive_term': 'slight focal', 'observation': 'swell'}}anatomical entity_fin: {'skull': {}}clinical findings_fin: {'underlying skull fracture': {'clinical finding': 'underlying skull fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'descriptive_term': 'underlying skull', 'observation': 'fracture'}}anatomical entity_fin: {'cervical spine': {}}location descriptor_fin: ['anterior']clinical findings_fin: {'incomplete fusion': {'clinical finding': 'incomplete fusion', 'existence': 'pos_dx', 'descriptive_term': 'incomplete', 'observation': 'fusion'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'brain': {}}clinical findings_fin: {'normal gray-white differentiation': {'clinical finding': 'normal gray-white differentiation', 'existence': 'pos_dx', 'descriptive_term': 'normal gray-white', 'observation': 'differentiation', 'strength_term': 'normal'}}location descriptor_fin: ['midline']clinical findings_fin: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}, 'mass effect': {'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect'}, 'midline shift': {'clinical finding': 'midline shift', 'cf_snomed': {'shift': 9546005}, 'existence': 'neg_dx', 'descriptive_term': 'midline', 'observation': 'shift'}}clinical findings_fin: {'ventricles and the other csf-containing spaces are normal in size': {'clinical finding': 'ventricles and the other csf-containing spaces are normal in size'}}anatomical entity_fin: {'paranasal sinuses': {}, 'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'}}anatomical entity_fin: {'orbits': {}}clinical findings_fin: {'orbits are normal': {'clinical finding': 'orbits are normal'}}location descriptor_fin: ['left']clinical findings_fin: {'slight focal swelling': {'clinical finding': 'slight focal swelling', 'cf_snomed': {'swelling': 65124004}, 'existence': 'pos_dx', 'descriptive_term': 'slight focal', 'observation': 'swell'}}anatomical entity_fin: {'skull': {}}clinical findings_fin: {'underlying skull fracture': {'clinical finding': 'underlying skull fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'descriptive_term': 'underlying skull', 'observation': 'fracture'}}anatomical entity_fin: {'cervical spine': {}}location descriptor_fin: ['anterior']clinical findings_fin: {'incomplete fusion': {'clinical finding': 'incomplete fusion', 'existence': 'pos_dx', 'descriptive_term': 'incomplete', 'observation': 'fusion'}} [/INST] Brain shows normal gray-white differentiation. There is no intracranial hemorrhage, mass effect or midline shift. The ventricles and the other CSF-containing spaces are normal in size. The included paranasal sinuses and the mastoid air cells are clear. The orbits are normal. There is slight focal swelling of the left forehead soft tissue. There is no underlying skull fracture. Incomplete fusion along the anterior arch of C1 is described on the companion CT scan of the cervical spine. </s>

New minimal mucosal thickening within the right maxillary sinus. The left maxillary sinus and bilateral ostiomeatal units remain patent. New minimal mucosal thickening within bilateral sphenoid sinuses. There is narrowing of bilateral sphenoethmoidal recesses. Bilateral ethmoid air cells are unchanged and essentially clear. Minimal mucosal thickening is present within the left frontal sinus, which in retrospect was present previously. Bilateral frontoethmoidal recesses remain clear. The nasal septum is intact with a rightward deviation and a rightward projecting bony spur which indents the right inferior turbinate. Paradoxical curvature of the left middle turbinate is an incidental finding.

anatomical entity_fin: {'maxillary sinus': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'new minimal mucosal thickening': {'clinical finding': 'new minimal mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'new minimal mucosal', 'observation': 'thickening', 'strength_term': 'minimal', 'quantity_term': 'minimal', 'temporal_term': 'new'}}anatomical entity_fin: {'maxillary sinus': {'location descriptor': 'left'}, 'ostiomeatal units': {'location descriptor': 'bilateral'}}location descriptor_fin: ['left', 'bilateral']clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'new minimal mucosal thickening': {'clinical finding': 'new minimal mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'new minimal mucosal', 'observation': 'thickening', 'strength_term': 'minimal', 'quantity_term': 'minimal', 'temporal_term': 'new'}}anatomical entity_fin: {'sphenoethmoidal recesses': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'narrowing': {'clinical finding': 'narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'observation': 'narrowing'}}anatomical entity_fin: {'cells': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'frontal sinus': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'minimal mucosal thickening': {'clinical finding': 'minimal mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'minimal mucosal', 'observation': 'thickening', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}location descriptor_fin: ['right', 'inferior']clinical findings_fin: {'nasal septum': {'clinical finding': 'nasal septum', 'existence': 'pos_dx', 'descriptive_term': 'nasal', 'observation': 'septum'}, 'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}, 'rightward deviation': {'clinical finding': 'rightward deviation', 'existence': 'pos_dx', 'descriptive_term': 'rightward', 'observation': 'deviation'}, 'rightward projecting bony spur': {'clinical finding': 'rightward projecting bony spur', 'existence': 'pos_dx', 'descriptive_term': 'rightward projecting bony', 'observation': 'spur'}}anatomical entity_fin: {'middle': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'paradoxical curvature': {'clinical finding': 'paradoxical curvature', 'existence': 'pos_dx', 'descriptive_term': 'paradoxical', 'observation': 'curvature'}, 'incidental finding': {'clinical finding': 'incidental finding', 'existence': 'pos_dx', 'descriptive_term': 'incidental', 'observation': 'find'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'maxillary sinus': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'new minimal mucosal thickening': {'clinical finding': 'new minimal mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'new minimal mucosal', 'observation': 'thickening', 'strength_term': 'minimal', 'quantity_term': 'minimal', 'temporal_term': 'new'}}anatomical entity_fin: {'maxillary sinus': {'location descriptor': 'left'}, 'ostiomeatal units': {'location descriptor': 'bilateral'}}location descriptor_fin: ['left', 'bilateral']clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'new minimal mucosal thickening': {'clinical finding': 'new minimal mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'new minimal mucosal', 'observation': 'thickening', 'strength_term': 'minimal', 'quantity_term': 'minimal', 'temporal_term': 'new'}}anatomical entity_fin: {'sphenoethmoidal recesses': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'narrowing': {'clinical finding': 'narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'observation': 'narrowing'}}anatomical entity_fin: {'cells': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'frontal sinus': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'minimal mucosal thickening': {'clinical finding': 'minimal mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'minimal mucosal', 'observation': 'thickening', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}location descriptor_fin: ['right', 'inferior']clinical findings_fin: {'nasal septum': {'clinical finding': 'nasal septum', 'existence': 'pos_dx', 'descriptive_term': 'nasal', 'observation': 'septum'}, 'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}, 'rightward deviation': {'clinical finding': 'rightward deviation', 'existence': 'pos_dx', 'descriptive_term': 'rightward', 'observation': 'deviation'}, 'rightward projecting bony spur': {'clinical finding': 'rightward projecting bony spur', 'existence': 'pos_dx', 'descriptive_term': 'rightward projecting bony', 'observation': 'spur'}}anatomical entity_fin: {'middle': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'paradoxical curvature': {'clinical finding': 'paradoxical curvature', 'existence': 'pos_dx', 'descriptive_term': 'paradoxical', 'observation': 'curvature'}, 'incidental finding': {'clinical finding': 'incidental finding', 'existence': 'pos_dx', 'descriptive_term': 'incidental', 'observation': 'find'}} [/INST] New minimal mucosal thickening within the right maxillary sinus. The left maxillary sinus and bilateral ostiomeatal units remain patent. New minimal mucosal thickening within bilateral sphenoid sinuses. There is narrowing of bilateral sphenoethmoidal recesses. Bilateral ethmoid air cells are unchanged and essentially clear. Minimal mucosal thickening is present within the left frontal sinus, which in retrospect was present previously. Bilateral frontoethmoidal recesses remain clear. The nasal septum is intact with a rightward deviation and a rightward projecting bony spur which indents the right inferior turbinate. Paradoxical curvature of the left middle turbinate is an incidental finding. </s>

There is a new mass in the left frontal lobe that measures up to 18 mm with surrounding mild vasogenic edema, adjacent to an area of encephalomalacia. There is also a new mass within the right cerebellar hemisphere that measures up to 20 mm with surrounding mild vasogenic edema. There is no midline shift or herniation. The imaged paranasal sinuses and mastoid air cells are clear. The skull and scalp soft tissues are unremarkable.

size_fin: [{'size': '18 mm', 'size_descriptor': 'mass'}]anatomical entity_fin: {'left frontal lobe': {}}location descriptor_fin: ['adjacent']clinical findings_fin: {'new mass': {'clinical finding': 'new mass', 'existence': 'pos_dx', 'descriptive_term': 'new', 'observation': 'mass', 'temporal_term': 'new'}, 'surrounding mild vasogenic edema': {'clinical finding': 'surrounding mild vasogenic edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'descriptive_term': 'surrounding mild vasogenic', 'observation': 'edema', 'strength_term': 'mild'}, 'encephalomalacia': {'clinical finding': 'encephalomalacia', 'cf_snomed': {'encephalomalacia': 58762006}, 'existence': 'pos_dx', 'observation': 'encephalomalacia'}}size_fin: [{'size': '20 mm', 'size_descriptor': 'mass'}]location descriptor_fin: ['right']clinical findings_fin: {'new mass': {'clinical finding': 'new mass', 'existence': 'pos_dx', 'descriptive_term': 'new', 'observation': 'mass', 'temporal_term': 'new'}, 'surrounding mild vasogenic edema': {'clinical finding': 'surrounding mild vasogenic edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'descriptive_term': 'surrounding mild vasogenic', 'observation': 'edema', 'strength_term': 'mild'}}location descriptor_fin: ['midline']clinical findings_fin: {'herniation': {'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'}}anatomical entity_fin: {'paranasal sinuses': {}, 'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'}}anatomical entity_fin: {'skull': {}, 'scalp': {}}clinical findings_fin: {'skull and scalp soft tissues are unremarkable': {'clinical finding': 'skull and scalp soft tissues are unremarkable'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: size_fin: [{'size': '18 mm', 'size_descriptor': 'mass'}]anatomical entity_fin: {'left frontal lobe': {}}location descriptor_fin: ['adjacent']clinical findings_fin: {'new mass': {'clinical finding': 'new mass', 'existence': 'pos_dx', 'descriptive_term': 'new', 'observation': 'mass', 'temporal_term': 'new'}, 'surrounding mild vasogenic edema': {'clinical finding': 'surrounding mild vasogenic edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'descriptive_term': 'surrounding mild vasogenic', 'observation': 'edema', 'strength_term': 'mild'}, 'encephalomalacia': {'clinical finding': 'encephalomalacia', 'cf_snomed': {'encephalomalacia': 58762006}, 'existence': 'pos_dx', 'observation': 'encephalomalacia'}}size_fin: [{'size': '20 mm', 'size_descriptor': 'mass'}]location descriptor_fin: ['right']clinical findings_fin: {'new mass': {'clinical finding': 'new mass', 'existence': 'pos_dx', 'descriptive_term': 'new', 'observation': 'mass', 'temporal_term': 'new'}, 'surrounding mild vasogenic edema': {'clinical finding': 'surrounding mild vasogenic edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'descriptive_term': 'surrounding mild vasogenic', 'observation': 'edema', 'strength_term': 'mild'}}location descriptor_fin: ['midline']clinical findings_fin: {'herniation': {'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'}}anatomical entity_fin: {'paranasal sinuses': {}, 'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'}}anatomical entity_fin: {'skull': {}, 'scalp': {}}clinical findings_fin: {'skull and scalp soft tissues are unremarkable': {'clinical finding': 'skull and scalp soft tissues are unremarkable'}} [/INST] There is a new mass in the left frontal lobe that measures up to 18 mm with surrounding mild vasogenic edema, adjacent to an area of encephalomalacia. There is also a new mass within the right cerebellar hemisphere that measures up to 20 mm with surrounding mild vasogenic edema. There is no midline shift or herniation. The imaged paranasal sinuses and mastoid air cells are clear. The skull and scalp soft tissues are unremarkable. </s>

. 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. Moderate. Postsurgical changes secondary to gastric surgery. 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. No significant abnormality 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: {'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: {'postsurgical changes': {'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'}}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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: 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'}}clinical findings_fin: {'postsurgical changes': {'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'}}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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . 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. Moderate. Postsurgical changes secondary to gastric surgery. 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. No significant abnormality noted </s>

. Motion limits sensitivity. Left infrahilar mass significantly reduced in size measuring approximately 17 mm x 18 mm previously measuring 5.4 cm x 4.6 cm. Significant interval improvement in aeration of the left lower lobe with patency noted of the left lower lobe bronchus on the current exam. Significant interval improvement in the reticular nodular opacities previously noted in the left upper lobeParaseptal and centrilobular emphysema redemonstrated. Left pleural thickening without evidence of pleural effusions. A significant interval improvement in the mediastinal and hilar lymphadenopathy. Reference left hilar lymph node now measuring 6 mm producing measuring 15 mm. Additional left hilar lymph node measuring 10 mm previously measured 18 mm using comparable image. Cardiac size is normal without evidence of a pericardial effusion. Mild. No axillary lymphadenopathy. Fusion of the C4 and C5 vertebrae. Absence of enteric contrast material limits sensitivity for abdominal pathology. Right hepatic dome lesion now measuring 16 mm x 16 mm previously measuring 28 mm x 24 mm. Additional hepatic lesions have significantly decreased in size with right hepatic metastasis now measuring 4.5 cm x 3.7 cm previously measuring 6.8 cm x 7.5 cm on corresponding image. No significant abnormality noted. No significant abnormality noted. Stable renal cysts. No significant abnormality noted. Infrarenal IVC unchanged. Absence of enteric contrast material limits sensitivity for GI pathology. No gross abnormalities noted. General changes and degenerative disease within the lumbar spine. No significant abnormality noted.

size_fin: [{'size': '17 mm x 18 mm'}, {'size': '5.4 cm x 4.6 cm'}]location descriptor_fin: ['left']clinical findings_fin: {'left infrahilar mass': {'clinical finding': 'left infrahilar mass', 'existence': 'pos_dx', 'descriptive_term': 'left infrahilar', 'observation': 'mass'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}, 'left lower lobe bronchus': {}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'patency': {'clinical finding': 'patency', 'existence': 'pos_dx', 'observation': 'patency'}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'reticular nodular opacities': {'clinical finding': 'reticular nodular opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'reticular nodular', 'observation': 'opacity'}, 'left upper lobeparaseptal and centrilobular emphysema': {'clinical finding': 'left upper lobeparaseptal and centrilobular emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'descriptive_term': 'left upper lobeparaseptal and centrilobular', 'observation': 'emphysema'}}location descriptor_fin: ['left']clinical findings_fin: {'pleural thickening': {'clinical finding': 'pleural thickening', 'existence': 'pos_dx', 'descriptive_term': 'pleural', 'observation': 'thickening'}, 'pleural effusions': {'clinical finding': 'pleural effusions', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}}clinical findings_fin: {'mediastinal and hilar lymphadenopathy': {'clinical finding': 'mediastinal and hilar lymphadenopathy', 'cf_snomed': {'hilar lymphadenopathy': 87500009}, 'existence': 'pos_dx', 'descriptive_term': 'mediastinal and hilar', 'observation': 'lymphadenopathy'}}size_fin: [{'size': '6 mm'}, {'size': '15 mm'}]location descriptor_fin: ['left']clinical findings_fin: {'reference left hilar lymph node': {'clinical finding': 'reference left hilar lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference left hilar lymph', 'observation': 'node'}}size_fin: [{'size': '10 mm'}, {'size': '18 mm'}]location descriptor_fin: ['left']clinical findings_fin: {'additional left hilar lymph node': {'clinical finding': 'additional left hilar lymph node', 'existence': 'pos_dx', 'descriptive_term': 'additional left hilar lymph', 'observation': 'node'}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}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: {'vertebrae': {}}clinical findings_fin: {'fusion': {'clinical finding': 'fusion', 'existence': 'pos_dx', 'observation': 'fusion'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}size_fin: [{'size': '16 mm x 16 mm'}, {'size': '28 mm x 24 mm'}]location descriptor_fin: ['right']clinical findings_fin: {'right hepatic dome lesion': {'clinical finding': 'right hepatic dome lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'right hepatic dome', 'observation': 'lesion'}}size_fin: [{'size': '4.5 cm x 3.7 cm'}, {'size': '6.8 cm x 7.5 cm'}]location descriptor_fin: ['right']clinical findings_fin: {'additional hepatic lesions': {'clinical finding': 'additional hepatic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'additional hepatic', 'observation': 'lesion'}, 'right hepatic metastasis': {'clinical finding': 'right hepatic metastasis', 'existence': 'pos_dx', 'descriptive_term': 'right hepatic', 'observation': 'metastasis'}}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: {'stable renal cysts': {'clinical finding': 'stable renal cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'stable renal', 'observation': 'cyst', 'strength_term': 'stable', 'change_term': 'stable'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'unchanged': {'clinical finding': 'unchanged', 'existence': 'pos_dx', 'observation': 'unchanged'}}clinical findings_fin: {'gross abnormalities': {'clinical finding': 'gross abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'gross', 'observation': 'abnormality'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'general changes': {'clinical finding': 'general changes', 'existence': 'pos_dx', 'descriptive_term': 'general', 'observation': 'change'}, 'degenerative disease': {'clinical finding': 'degenerative disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'disease'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: size_fin: [{'size': '17 mm x 18 mm'}, {'size': '5.4 cm x 4.6 cm'}]location descriptor_fin: ['left']clinical findings_fin: {'left infrahilar mass': {'clinical finding': 'left infrahilar mass', 'existence': 'pos_dx', 'descriptive_term': 'left infrahilar', 'observation': 'mass'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}, 'left lower lobe bronchus': {}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'patency': {'clinical finding': 'patency', 'existence': 'pos_dx', 'observation': 'patency'}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'reticular nodular opacities': {'clinical finding': 'reticular nodular opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'reticular nodular', 'observation': 'opacity'}, 'left upper lobeparaseptal and centrilobular emphysema': {'clinical finding': 'left upper lobeparaseptal and centrilobular emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'descriptive_term': 'left upper lobeparaseptal and centrilobular', 'observation': 'emphysema'}}location descriptor_fin: ['left']clinical findings_fin: {'pleural thickening': {'clinical finding': 'pleural thickening', 'existence': 'pos_dx', 'descriptive_term': 'pleural', 'observation': 'thickening'}, 'pleural effusions': {'clinical finding': 'pleural effusions', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}}clinical findings_fin: {'mediastinal and hilar lymphadenopathy': {'clinical finding': 'mediastinal and hilar lymphadenopathy', 'cf_snomed': {'hilar lymphadenopathy': 87500009}, 'existence': 'pos_dx', 'descriptive_term': 'mediastinal and hilar', 'observation': 'lymphadenopathy'}}size_fin: [{'size': '6 mm'}, {'size': '15 mm'}]location descriptor_fin: ['left']clinical findings_fin: {'reference left hilar lymph node': {'clinical finding': 'reference left hilar lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference left hilar lymph', 'observation': 'node'}}size_fin: [{'size': '10 mm'}, {'size': '18 mm'}]location descriptor_fin: ['left']clinical findings_fin: {'additional left hilar lymph node': {'clinical finding': 'additional left hilar lymph node', 'existence': 'pos_dx', 'descriptive_term': 'additional left hilar lymph', 'observation': 'node'}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}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: {'vertebrae': {}}clinical findings_fin: {'fusion': {'clinical finding': 'fusion', 'existence': 'pos_dx', 'observation': 'fusion'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}size_fin: [{'size': '16 mm x 16 mm'}, {'size': '28 mm x 24 mm'}]location descriptor_fin: ['right']clinical findings_fin: {'right hepatic dome lesion': {'clinical finding': 'right hepatic dome lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'right hepatic dome', 'observation': 'lesion'}}size_fin: [{'size': '4.5 cm x 3.7 cm'}, {'size': '6.8 cm x 7.5 cm'}]location descriptor_fin: ['right']clinical findings_fin: {'additional hepatic lesions': {'clinical finding': 'additional hepatic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'additional hepatic', 'observation': 'lesion'}, 'right hepatic metastasis': {'clinical finding': 'right hepatic metastasis', 'existence': 'pos_dx', 'descriptive_term': 'right hepatic', 'observation': 'metastasis'}}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: {'stable renal cysts': {'clinical finding': 'stable renal cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'stable renal', 'observation': 'cyst', 'strength_term': 'stable', 'change_term': 'stable'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'unchanged': {'clinical finding': 'unchanged', 'existence': 'pos_dx', 'observation': 'unchanged'}}clinical findings_fin: {'gross abnormalities': {'clinical finding': 'gross abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'gross', 'observation': 'abnormality'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'general changes': {'clinical finding': 'general changes', 'existence': 'pos_dx', 'descriptive_term': 'general', 'observation': 'change'}, 'degenerative disease': {'clinical finding': 'degenerative disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'disease'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . Motion limits sensitivity. Left infrahilar mass significantly reduced in size measuring approximately 17 mm x 18 mm previously measuring 5.4 cm x 4.6 cm. Significant interval improvement in aeration of the left lower lobe with patency noted of the left lower lobe bronchus on the current exam. Significant interval improvement in the reticular nodular opacities previously noted in the left upper lobeParaseptal and centrilobular emphysema redemonstrated. Left pleural thickening without evidence of pleural effusions. A significant interval improvement in the mediastinal and hilar lymphadenopathy. Reference left hilar lymph node now measuring 6 mm producing measuring 15 mm. Additional left hilar lymph node measuring 10 mm previously measured 18 mm using comparable image. Cardiac size is normal without evidence of a pericardial effusion. Mild. No axillary lymphadenopathy. Fusion of the C4 and C5 vertebrae. Absence of enteric contrast material limits sensitivity for abdominal pathology. Right hepatic dome lesion now measuring 16 mm x 16 mm previously measuring 28 mm x 24 mm. Additional hepatic lesions have significantly decreased in size with right hepatic metastasis now measuring 4.5 cm x 3.7 cm previously measuring 6.8 cm x 7.5 cm on corresponding image. No significant abnormality noted. No significant abnormality noted. Stable renal cysts. No significant abnormality noted. Infrarenal IVC unchanged. Absence of enteric contrast material limits sensitivity for GI pathology. No gross abnormalities noted. General changes and degenerative disease within the lumbar spine. No significant abnormality noted. </s>

. Mild paraseptal emphysema and unchanged left basilar scarring and pleural thickening, probably from prior pleuritis or empyema. No evidence of pulmonary or pleural metastases. No mediastinal or hilar lymphadenopathy. Severe coronary artery calcifications are present as well as what appears to be a coronary stent. A right jugular catheter terminates at the SVC or RA junction region. Degenerative abnormalities affect the thoracolumbar spine, where there is internal stabilization hardware. Absence of enteric contrast material limits sensitivity for abdominal pathology. Very small hepatic cyst like hypodensities are stable and likely benign. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Vascular calcifications affect the aorta and its branches. Absence of enteric contrast material limits sensitivity for GI pathology. Gastrostomy tube present. See above thoracic section. No significant abnormality noted.

location descriptor_fin: ['left']clinical findings_fin: {'mild paraseptal emphysema': {'clinical finding': 'mild paraseptal emphysema', 'cf_snomed': {'paraseptal emphysema': 31898008}, 'existence': 'pos_dx', 'descriptive_term': 'mild paraseptal', 'observation': 'emphysema', 'strength_term': 'mild'}, 'unchanged left basilar scarring': {'clinical finding': 'unchanged left basilar scarring', 'existence': 'pos_dx', 'descriptive_term': 'unchanged left basilar', 'observation': 'scarr', 'strength_term': 'unchanged', 'change_term': 'unchanged'}, 'pleural thickening': {'clinical finding': 'pleural thickening', 'existence': 'pos_dx', 'descriptive_term': 'pleural', 'observation': 'thickening'}, 'prior pleuritis': {'clinical finding': 'prior pleuritis', 'existence': 'unc_dx', 'descriptive_term': 'prior', 'observation': 'pleuritis'}, 'empyema': {'clinical finding': 'empyema', 'cf_snomed': {'empyema': 312682007}, 'existence': 'unc_dx', 'observation': 'empyema'}}clinical findings_fin: {'pulmonary or pleural metastases': {'clinical finding': 'pulmonary or pleural metastases', 'existence': 'neg_dx', 'descriptive_term': 'pulmonary or pleural', 'observation': 'metastase'}}clinical findings_fin: {'mediastinal or hilar lymphadenopathy': {'clinical finding': 'mediastinal or hilar lymphadenopathy', 'cf_snomed': {'hilar lymphadenopathy': 87500009}, 'existence': 'neg_dx', 'descriptive_term': 'mediastinal or hilar', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'severe coronary artery calcifications': {'clinical finding': 'severe coronary artery calcifications', 'existence': 'pos_dx', 'descriptive_term': 'severe coronary artery', 'observation': 'calcification', 'strength_term': 'severe'}, 'coronary stent': {'clinical finding': 'coronary stent', 'existence': 'pos_dx', 'descriptive_term': 'coronary', 'observation': 'stent'}}location descriptor_fin: ['right']object_fin: ['catheter']anatomical entity_fin: {'spine': {}}clinical findings_fin: {'degenerative abnormalities': {'clinical finding': 'degenerative abnormalities', 'cf_snomed': {'degenerative abnormality': 107669003}, 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'abnormality'}, 'internal stabilization hardware': {'clinical finding': 'internal stabilization hardware', 'existence': 'pos_dx', 'descriptive_term': 'internal stabilization', 'observation': 'hardware'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'very small hepatic cyst': {'clinical finding': 'very small hepatic cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'very small hepatic', 'observation': 'cyst', 'strength_term': 'small'}, 'hypodensities': {'clinical finding': 'hypodensities', 'existence': 'pos_dx', 'observation': 'hypodensity'}}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'}}anatomical entity_fin: {'aorta': {}}clinical findings_fin: {'vascular calcifications': {'clinical finding': 'vascular calcifications', 'cf_snomed': {'vascular calcification': 237897009}, 'existence': 'pos_dx', 'descriptive_term': 'vascular', 'observation': 'calcification'}}object_fin: ['tube']procedure_fin: ['gastrostomy']clinical findings_fin: {'gastrostomy tube present': {'clinical finding': 'gastrostomy tube present'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['left']clinical findings_fin: {'mild paraseptal emphysema': {'clinical finding': 'mild paraseptal emphysema', 'cf_snomed': {'paraseptal emphysema': 31898008}, 'existence': 'pos_dx', 'descriptive_term': 'mild paraseptal', 'observation': 'emphysema', 'strength_term': 'mild'}, 'unchanged left basilar scarring': {'clinical finding': 'unchanged left basilar scarring', 'existence': 'pos_dx', 'descriptive_term': 'unchanged left basilar', 'observation': 'scarr', 'strength_term': 'unchanged', 'change_term': 'unchanged'}, 'pleural thickening': {'clinical finding': 'pleural thickening', 'existence': 'pos_dx', 'descriptive_term': 'pleural', 'observation': 'thickening'}, 'prior pleuritis': {'clinical finding': 'prior pleuritis', 'existence': 'unc_dx', 'descriptive_term': 'prior', 'observation': 'pleuritis'}, 'empyema': {'clinical finding': 'empyema', 'cf_snomed': {'empyema': 312682007}, 'existence': 'unc_dx', 'observation': 'empyema'}}clinical findings_fin: {'pulmonary or pleural metastases': {'clinical finding': 'pulmonary or pleural metastases', 'existence': 'neg_dx', 'descriptive_term': 'pulmonary or pleural', 'observation': 'metastase'}}clinical findings_fin: {'mediastinal or hilar lymphadenopathy': {'clinical finding': 'mediastinal or hilar lymphadenopathy', 'cf_snomed': {'hilar lymphadenopathy': 87500009}, 'existence': 'neg_dx', 'descriptive_term': 'mediastinal or hilar', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'severe coronary artery calcifications': {'clinical finding': 'severe coronary artery calcifications', 'existence': 'pos_dx', 'descriptive_term': 'severe coronary artery', 'observation': 'calcification', 'strength_term': 'severe'}, 'coronary stent': {'clinical finding': 'coronary stent', 'existence': 'pos_dx', 'descriptive_term': 'coronary', 'observation': 'stent'}}location descriptor_fin: ['right']object_fin: ['catheter']anatomical entity_fin: {'spine': {}}clinical findings_fin: {'degenerative abnormalities': {'clinical finding': 'degenerative abnormalities', 'cf_snomed': {'degenerative abnormality': 107669003}, 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'abnormality'}, 'internal stabilization hardware': {'clinical finding': 'internal stabilization hardware', 'existence': 'pos_dx', 'descriptive_term': 'internal stabilization', 'observation': 'hardware'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'very small hepatic cyst': {'clinical finding': 'very small hepatic cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'very small hepatic', 'observation': 'cyst', 'strength_term': 'small'}, 'hypodensities': {'clinical finding': 'hypodensities', 'existence': 'pos_dx', 'observation': 'hypodensity'}}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'}}anatomical entity_fin: {'aorta': {}}clinical findings_fin: {'vascular calcifications': {'clinical finding': 'vascular calcifications', 'cf_snomed': {'vascular calcification': 237897009}, 'existence': 'pos_dx', 'descriptive_term': 'vascular', 'observation': 'calcification'}}object_fin: ['tube']procedure_fin: ['gastrostomy']clinical findings_fin: {'gastrostomy tube present': {'clinical finding': 'gastrostomy tube present'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . Mild paraseptal emphysema and unchanged left basilar scarring and pleural thickening, probably from prior pleuritis or empyema. No evidence of pulmonary or pleural metastases. No mediastinal or hilar lymphadenopathy. Severe coronary artery calcifications are present as well as what appears to be a coronary stent. A right jugular catheter terminates at the SVC or RA junction region. Degenerative abnormalities affect the thoracolumbar spine, where there is internal stabilization hardware. Absence of enteric contrast material limits sensitivity for abdominal pathology. Very small hepatic cyst like hypodensities are stable and likely benign. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Vascular calcifications affect the aorta and its branches. Absence of enteric contrast material limits sensitivity for GI pathology. Gastrostomy tube present. See above thoracic section. No significant abnormality noted. </s>

There is redemonstration of intraventricular hemorrhage involving the right lateral ventricle the third ventricle and to a lesser degree the left lateral ventricle and fourth ventricle associated with dilation of the lateral ventricles and intraparenchymal blood in the right thalamus. There is a associated sulcal effacement which persists. A ventriculostomy tube courses through the left frontal lobe into the left lateral ventricle with tip near the region of foramen of Monro. The visualized portions of the paranasal sinuses are clear. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.

anatomical entity_fin: {'right lateral ventricle': {}, 'third ventricle': {}, 'left lateral ventricle': {}, 'fourth ventricle': {}, 'lateral ventricles': {}, 'right thalamus': {}}imaging observation_fin: ['blood']clinical findings_fin: {'intraventricular hemorrhage': {'clinical finding': 'intraventricular hemorrhage', 'cf_snomed': {'hemorrhage': 50960005}, 'existence': 'pos_dx', 'descriptive_term': 'intraventricular', 'observation': 'hemorrhage'}, 'dilation': {'clinical finding': 'dilation', 'existence': 'pos_dx', 'observation': 'dilation'}, 'intraparenchymal blood': {'clinical finding': 'intraparenchymal blood', 'existence': 'pos_dx', 'descriptive_term': 'intraparenchymal', 'observation': 'blood'}}clinical findings_fin: {'associated sulcal effacement': {'clinical finding': 'associated sulcal effacement', 'existence': 'pos_dx', 'descriptive_term': 'associated sulcal', 'observation': 'effacement'}}anatomical entity_fin: {'left frontal lobe': {}, 'left lateral ventricle': {}, 'foramen': {}}object_fin: ['tube']procedure_fin: ['ventriculostomy']anatomical entity_fin: {'paranasal sinuses': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'orbits': {}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'right lateral ventricle': {}, 'third ventricle': {}, 'left lateral ventricle': {}, 'fourth ventricle': {}, 'lateral ventricles': {}, 'right thalamus': {}}imaging observation_fin: ['blood']clinical findings_fin: {'intraventricular hemorrhage': {'clinical finding': 'intraventricular hemorrhage', 'cf_snomed': {'hemorrhage': 50960005}, 'existence': 'pos_dx', 'descriptive_term': 'intraventricular', 'observation': 'hemorrhage'}, 'dilation': {'clinical finding': 'dilation', 'existence': 'pos_dx', 'observation': 'dilation'}, 'intraparenchymal blood': {'clinical finding': 'intraparenchymal blood', 'existence': 'pos_dx', 'descriptive_term': 'intraparenchymal', 'observation': 'blood'}}clinical findings_fin: {'associated sulcal effacement': {'clinical finding': 'associated sulcal effacement', 'existence': 'pos_dx', 'descriptive_term': 'associated sulcal', 'observation': 'effacement'}}anatomical entity_fin: {'left frontal lobe': {}, 'left lateral ventricle': {}, 'foramen': {}}object_fin: ['tube']procedure_fin: ['ventriculostomy']anatomical entity_fin: {'paranasal sinuses': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'orbits': {}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}} [/INST] There is redemonstration of intraventricular hemorrhage involving the right lateral ventricle the third ventricle and to a lesser degree the left lateral ventricle and fourth ventricle associated with dilation of the lateral ventricles and intraparenchymal blood in the right thalamus. There is a associated sulcal effacement which persists. A ventriculostomy tube courses through the left frontal lobe into the left lateral ventricle with tip near the region of foramen of Monro. The visualized portions of the paranasal sinuses are clear. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact. </s>

There are post-treatment findings related to surgery and radiation therapy for a sinonasal tumor. There is increase in size of the tumor centered within the left maxillary sinus with extension into the left orbital and into the premaxillary and retromaxillary fat through dehiscent sinus walls. The mass now measures up to approximately 45 mm, previously 30 mm, although it is difficult to delineate tumor from potentially trapped secretions. However, there is decreased left neck lymphadenopathy. For example, a left level 2B lymph node measures measures 7 x 12 mm, previously 25 x 32 mm. The erosions in the right central skull base are unchanged. There is no significant lymphadenopathy in the neck. There are multiple unchanged hypoattenuating thyroid nodules. The salivary glands are unremarkable. The cervical vasculature is patent. There are degenerative changes of the cervical spine. There is an unchanged nonspecific subcentimeter focus in the left cheek subcutaneous tissues.

procedure_fin: ['treatment']clinical findings_fin: {'sinonasal tumor': {'clinical finding': 'sinonasal tumor', 'existence': 'pos_dx', 'descriptive_term': 'sinonasal', 'observation': 'tumor'}}anatomical entity_fin: {'maxillary sinus': {'location descriptor': 'left'}, 'walls': {}}imaging observation_fin: ['fat']location descriptor_fin: ['left']clinical findings_fin: {'tumor': {'clinical finding': 'tumor', 'existence': 'pos_dx', 'observation': 'tumor'}}size_fin: [{'size': '45 mm'}, {'size': '30 mm'}]clinical findings_fin: {'mass': {'clinical finding': 'mass', 'existence': 'pos_dx', 'observation': 'mass'}, 'tumor': {'clinical finding': 'tumor', 'existence': 'unc_dx', 'observation': 'tumor'}}anatomical entity_fin: {'neck': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'decreased left neck lymphadenopathy': {'clinical finding': 'decreased left neck lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'pos_dx', 'descriptive_term': 'decreased left neck', 'observation': 'lymphadenopathy', 'strength_term': 'decreased', 'change_term': 'decreased'}}size_fin: [{'size': '7 x 12 mm'}, {'size': '25 x 32 mm'}]location descriptor_fin: ['left']clinical findings_fin: {'left level 2b lymph node': {'clinical finding': 'left level 2b lymph node', 'existence': 'pos_dx', 'descriptive_term': 'left level 2b lymph', 'observation': 'node'}}anatomical entity_fin: {'skull': {'location descriptor': 'right central'}, 'base': {}}location descriptor_fin: ['right', 'central']clinical findings_fin: {'erosions': {'clinical finding': 'erosions', 'existence': 'pos_dx', 'observation': 'erosion'}}anatomical entity_fin: {'neck': {}}clinical findings_fin: {'significant lymphadenopathy': {'clinical finding': 'significant lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'multiple unchanged hypoattenuating thyroid nodules': {'clinical finding': 'multiple unchanged hypoattenuating thyroid nodules', 'cf_snomed': {'thyroid nodule': 237495005}, 'existence': 'pos_dx', 'descriptive_term': 'multiple unchanged hypoattenuating thyroid', 'observation': 'nodule', 'strength_term': 'unchanged', 'quantity_term': 'multiple', 'change_term': 'unchanged'}}anatomical entity_fin: {'salivary glands': {}}clinical findings_fin: {'salivary glands are unremarkable': {'clinical finding': 'salivary glands are unremarkable'}}anatomical entity_fin: {'vasculature': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'pos_dx', 'observation': 'patent'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'degenerative changes': {'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'}}anatomical entity_fin: {'cheek': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'unchanged nonspecific subcentimeter focus': {'clinical finding': 'unchanged nonspecific subcentimeter focus', 'existence': 'pos_dx', 'descriptive_term': 'unchanged nonspecific subcentimeter', 'observation': 'focus', 'strength_term': 'unchanged', 'change_term': 'unchanged'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: procedure_fin: ['treatment']clinical findings_fin: {'sinonasal tumor': {'clinical finding': 'sinonasal tumor', 'existence': 'pos_dx', 'descriptive_term': 'sinonasal', 'observation': 'tumor'}}anatomical entity_fin: {'maxillary sinus': {'location descriptor': 'left'}, 'walls': {}}imaging observation_fin: ['fat']location descriptor_fin: ['left']clinical findings_fin: {'tumor': {'clinical finding': 'tumor', 'existence': 'pos_dx', 'observation': 'tumor'}}size_fin: [{'size': '45 mm'}, {'size': '30 mm'}]clinical findings_fin: {'mass': {'clinical finding': 'mass', 'existence': 'pos_dx', 'observation': 'mass'}, 'tumor': {'clinical finding': 'tumor', 'existence': 'unc_dx', 'observation': 'tumor'}}anatomical entity_fin: {'neck': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'decreased left neck lymphadenopathy': {'clinical finding': 'decreased left neck lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'pos_dx', 'descriptive_term': 'decreased left neck', 'observation': 'lymphadenopathy', 'strength_term': 'decreased', 'change_term': 'decreased'}}size_fin: [{'size': '7 x 12 mm'}, {'size': '25 x 32 mm'}]location descriptor_fin: ['left']clinical findings_fin: {'left level 2b lymph node': {'clinical finding': 'left level 2b lymph node', 'existence': 'pos_dx', 'descriptive_term': 'left level 2b lymph', 'observation': 'node'}}anatomical entity_fin: {'skull': {'location descriptor': 'right central'}, 'base': {}}location descriptor_fin: ['right', 'central']clinical findings_fin: {'erosions': {'clinical finding': 'erosions', 'existence': 'pos_dx', 'observation': 'erosion'}}anatomical entity_fin: {'neck': {}}clinical findings_fin: {'significant lymphadenopathy': {'clinical finding': 'significant lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'multiple unchanged hypoattenuating thyroid nodules': {'clinical finding': 'multiple unchanged hypoattenuating thyroid nodules', 'cf_snomed': {'thyroid nodule': 237495005}, 'existence': 'pos_dx', 'descriptive_term': 'multiple unchanged hypoattenuating thyroid', 'observation': 'nodule', 'strength_term': 'unchanged', 'quantity_term': 'multiple', 'change_term': 'unchanged'}}anatomical entity_fin: {'salivary glands': {}}clinical findings_fin: {'salivary glands are unremarkable': {'clinical finding': 'salivary glands are unremarkable'}}anatomical entity_fin: {'vasculature': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'pos_dx', 'observation': 'patent'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'degenerative changes': {'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'}}anatomical entity_fin: {'cheek': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'unchanged nonspecific subcentimeter focus': {'clinical finding': 'unchanged nonspecific subcentimeter focus', 'existence': 'pos_dx', 'descriptive_term': 'unchanged nonspecific subcentimeter', 'observation': 'focus', 'strength_term': 'unchanged', 'change_term': 'unchanged'}} [/INST] There are post-treatment findings related to surgery and radiation therapy for a sinonasal tumor. There is increase in size of the tumor centered within the left maxillary sinus with extension into the left orbital and into the premaxillary and retromaxillary fat through dehiscent sinus walls. The mass now measures up to approximately 45 mm, previously 30 mm, although it is difficult to delineate tumor from potentially trapped secretions. However, there is decreased left neck lymphadenopathy. For example, a left level 2B lymph node measures measures 7 x 12 mm, previously 25 x 32 mm. The erosions in the right central skull base are unchanged. There is no significant lymphadenopathy in the neck. There are multiple unchanged hypoattenuating thyroid nodules. The salivary glands are unremarkable. The cervical vasculature is patent. There are degenerative changes of the cervical spine. There is an unchanged nonspecific subcentimeter focus in the left cheek subcutaneous tissues. </s>

. No significant abnormality noted. No changes seen in smile scattered normal size lymph nodes in the mediastinum and hilar regions without lymphadenopathy or other masses. Severe coronary artery calcification again identified. Small amount of pericardial fluid again seen. Sclerotic changes seen throughout the system compatible with the diagnosis of myelofibrosis. Hepatomegaly again noted. Prior noted right hepatic liver lesion with calcifications has not significantly changed measuring 5.4 x 3.5 cm, previous a 5.0 x 3.5 cm. Focal fatty infiltration about the left lobe adjacent to falciform ligament unchanged. No other liver parenchymal lesions are seen and no change overall in the liver. Cholelithiasis again noted without complication. Marked splenomegaly again seen unchanged in size with craniocaudal length of 26 cm. No focal abnormalities are seen, however the lack of IV contrast limits parenchymal evaluation. No significant abnormality noted. No significant abnormality noted. Benign liver cyst seen unchanged. No other significant abnormality seen. Scattered slightly enlarged retroperitoneal periaortic lymph nodes are again seen with the largest measuring 1.6 x 1.2 cm unchanged since prior exam when this node measured 1.6 x 1.3 cm. No new foci of retroperitoneal adenopathy or other masses are seen. No significant abnormality noted. Diffuse sclerosis of the skull system again seen compatible with myelofibrosis diagnosis. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Sigmoid colon diverticulosis again seen without complication. No other abnormalities. Sclerosis of the skeletal system compatible with known diagnosis of myelofibrosis. No significant abnormality noted

clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'mediastinum': {}}imaging observation_fin: ['smile']clinical findings_fin: {'changes': {'clinical finding': 'changes', 'existence': 'neg_dx', 'observation': 'change'}, 'smile scattered normal size lymph nodes': {'clinical finding': 'smile scattered normal size lymph nodes', 'cf_snomed': {'normal size': 53461003}, 'existence': 'neg_dx', 'descriptive_term': 'smile scattered normal size lymph', 'observation': 'node', 'strength_term': 'normal'}, 'lymphadenopathy': {'clinical finding': 'lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'observation': 'lymphadenopathy'}, 'other masses': {'clinical finding': 'other masses', 'existence': 'neg_dx', 'descriptive_term': 'other', 'observation': 'mass'}}clinical findings_fin: {'severe coronary artery calcification': {'clinical finding': 'severe coronary artery calcification', 'existence': 'pos_dx', 'descriptive_term': 'severe coronary artery', 'observation': 'calcification', 'strength_term': 'severe'}}anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'small amount of pericardial fluid again seen': {'clinical finding': 'small amount of pericardial fluid again seen'}}clinical findings_fin: {'sclerotic changes': {'clinical finding': 'sclerotic changes', 'existence': 'pos_dx', 'descriptive_term': 'sclerotic', 'observation': 'change'}, 'myelofibrosis': {'clinical finding': 'myelofibrosis', 'cf_snomed': {'myelofibrosis': 52967002}, 'existence': 'pos_dx', 'observation': 'myelofibrosis'}}size_fin: [{'size': '5.4 x 3.5 cm'}, {'size': '5.0 x 3.5 cm'}]anatomical entity_fin: {'liver': {}}location descriptor_fin: ['right']clinical findings_fin: {'prior noted right hepatic liver lesion': {'clinical finding': 'prior noted right hepatic liver lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'prior noted right hepatic liver', 'observation': 'lesion'}, 'calcifications': {'clinical finding': 'calcifications', 'existence': 'pos_dx', 'observation': 'calcification'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left'}}imaging observation_fin: ['falciform ligament']location descriptor_fin: ['left', 'adjacent']clinical findings_fin: {'focal fatty infiltration': {'clinical finding': 'focal fatty infiltration', 'cf_snomed': {'fatty infiltration': 45752008}, 'existence': 'pos_dx', 'descriptive_term': 'focal fatty', 'observation': 'infiltration'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'other liver parenchymal lesions': {'clinical finding': 'other liver parenchymal lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'other liver parenchymal', 'observation': 'lesion'}, 'change': {'clinical finding': 'change', 'existence': 'neg_dx', 'observation': 'change'}}clinical findings_fin: {'cholelithiasis': {'clinical finding': 'cholelithiasis', 'existence': 'pos_dx', 'observation': 'cholelithiasis'}, 'complication': {'clinical finding': 'complication', 'existence': 'neg_dx', 'observation': 'complication'}}size_fin: [{'size': '26 cm'}]clinical findings_fin: {'marked splenomegaly': {'clinical finding': 'marked splenomegaly', 'cf_snomed': {'splenomegaly': 16294009}, 'existence': 'pos_dx', 'descriptive_term': 'marked', 'observation': 'splenomegaly'}}clinical findings_fin: {'focal abnormalities': {'clinical finding': 'focal abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'abnormality'}, 'iv contrast': {'clinical finding': 'iv contrast', 'existence': 'neg_dx', 'descriptive_term': 'iv', 'observation': 'contrast'}}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'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'benign liver cyst': {'clinical finding': 'benign liver cyst', 'cf_snomed': {'liver cyst': 85057007}, 'existence': 'pos_dx', 'descriptive_term': 'benign liver', 'observation': 'cyst', 'strength_term': 'benign'}}clinical findings_fin: {'other significant abnormality': {'clinical finding': 'other significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'other significant', 'observation': 'abnormality'}}size_fin: [{'size': '1.6 x 1.2 cm'}, {'size': '1.6 x 1.3 cm'}]clinical findings_fin: {'scattered slightly enlarged retroperitoneal periaortic lymph nodes': {'clinical finding': 'scattered slightly enlarged retroperitoneal periaortic lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'scattered slightly enlarged retroperitoneal periaortic lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'}, 'this node': {'clinical finding': 'this node', 'existence': 'pos_dx', 'descriptive_term': 'this', 'observation': 'node'}}imaging observation_fin: ['foci']clinical findings_fin: {'retroperitoneal adenopathy': {'clinical finding': 'retroperitoneal adenopathy', 'existence': 'neg_dx', 'descriptive_term': 'retroperitoneal', 'observation': 'adenopathy'}, 'other masses': {'clinical finding': 'other masses', 'existence': 'neg_dx', 'descriptive_term': 'other', 'observation': 'mass'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'skull': {}}clinical findings_fin: {'diffuse sclerosis': {'clinical finding': 'diffuse sclerosis', 'cf_snomed': {'sclerosis': 43846000}, 'existence': 'pos_dx', 'descriptive_term': 'diffuse', 'observation': 'sclerosis'}, 'myelofibrosis': {'clinical finding': 'myelofibrosis', 'cf_snomed': {'myelofibrosis': 52967002}, 'existence': 'pos_dx', 'observation': 'myelofibrosis'}}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'}}anatomical entity_fin: {'sigmoid colon': {}}clinical findings_fin: {'sigmoid colon diverticulosis': {'clinical finding': 'sigmoid colon diverticulosis', 'existence': 'pos_dx', 'descriptive_term': 'sigmoid colon', 'observation': 'diverticulosis'}, 'complication': {'clinical finding': 'complication', 'existence': 'neg_dx', 'observation': 'complication'}}clinical findings_fin: {'other abnormalities': {'clinical finding': 'other abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'other', 'observation': 'abnormality'}}anatomical entity_fin: {'skeletal system': {}}clinical findings_fin: {'sclerosis': {'clinical finding': 'sclerosis', 'cf_snomed': {'sclerosis': 43846000}, 'existence': 'pos_dx', 'observation': 'sclerosis'}, 'myelofibrosis': {'clinical finding': 'myelofibrosis', 'cf_snomed': {'myelofibrosis': 52967002}, 'existence': 'pos_dx', 'observation': 'myelofibrosis'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'mediastinum': {}}imaging observation_fin: ['smile']clinical findings_fin: {'changes': {'clinical finding': 'changes', 'existence': 'neg_dx', 'observation': 'change'}, 'smile scattered normal size lymph nodes': {'clinical finding': 'smile scattered normal size lymph nodes', 'cf_snomed': {'normal size': 53461003}, 'existence': 'neg_dx', 'descriptive_term': 'smile scattered normal size lymph', 'observation': 'node', 'strength_term': 'normal'}, 'lymphadenopathy': {'clinical finding': 'lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'observation': 'lymphadenopathy'}, 'other masses': {'clinical finding': 'other masses', 'existence': 'neg_dx', 'descriptive_term': 'other', 'observation': 'mass'}}clinical findings_fin: {'severe coronary artery calcification': {'clinical finding': 'severe coronary artery calcification', 'existence': 'pos_dx', 'descriptive_term': 'severe coronary artery', 'observation': 'calcification', 'strength_term': 'severe'}}anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'small amount of pericardial fluid again seen': {'clinical finding': 'small amount of pericardial fluid again seen'}}clinical findings_fin: {'sclerotic changes': {'clinical finding': 'sclerotic changes', 'existence': 'pos_dx', 'descriptive_term': 'sclerotic', 'observation': 'change'}, 'myelofibrosis': {'clinical finding': 'myelofibrosis', 'cf_snomed': {'myelofibrosis': 52967002}, 'existence': 'pos_dx', 'observation': 'myelofibrosis'}}size_fin: [{'size': '5.4 x 3.5 cm'}, {'size': '5.0 x 3.5 cm'}]anatomical entity_fin: {'liver': {}}location descriptor_fin: ['right']clinical findings_fin: {'prior noted right hepatic liver lesion': {'clinical finding': 'prior noted right hepatic liver lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'prior noted right hepatic liver', 'observation': 'lesion'}, 'calcifications': {'clinical finding': 'calcifications', 'existence': 'pos_dx', 'observation': 'calcification'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left'}}imaging observation_fin: ['falciform ligament']location descriptor_fin: ['left', 'adjacent']clinical findings_fin: {'focal fatty infiltration': {'clinical finding': 'focal fatty infiltration', 'cf_snomed': {'fatty infiltration': 45752008}, 'existence': 'pos_dx', 'descriptive_term': 'focal fatty', 'observation': 'infiltration'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'other liver parenchymal lesions': {'clinical finding': 'other liver parenchymal lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'other liver parenchymal', 'observation': 'lesion'}, 'change': {'clinical finding': 'change', 'existence': 'neg_dx', 'observation': 'change'}}clinical findings_fin: {'cholelithiasis': {'clinical finding': 'cholelithiasis', 'existence': 'pos_dx', 'observation': 'cholelithiasis'}, 'complication': {'clinical finding': 'complication', 'existence': 'neg_dx', 'observation': 'complication'}}size_fin: [{'size': '26 cm'}]clinical findings_fin: {'marked splenomegaly': {'clinical finding': 'marked splenomegaly', 'cf_snomed': {'splenomegaly': 16294009}, 'existence': 'pos_dx', 'descriptive_term': 'marked', 'observation': 'splenomegaly'}}clinical findings_fin: {'focal abnormalities': {'clinical finding': 'focal abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'abnormality'}, 'iv contrast': {'clinical finding': 'iv contrast', 'existence': 'neg_dx', 'descriptive_term': 'iv', 'observation': 'contrast'}}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'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'benign liver cyst': {'clinical finding': 'benign liver cyst', 'cf_snomed': {'liver cyst': 85057007}, 'existence': 'pos_dx', 'descriptive_term': 'benign liver', 'observation': 'cyst', 'strength_term': 'benign'}}clinical findings_fin: {'other significant abnormality': {'clinical finding': 'other significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'other significant', 'observation': 'abnormality'}}size_fin: [{'size': '1.6 x 1.2 cm'}, {'size': '1.6 x 1.3 cm'}]clinical findings_fin: {'scattered slightly enlarged retroperitoneal periaortic lymph nodes': {'clinical finding': 'scattered slightly enlarged retroperitoneal periaortic lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'scattered slightly enlarged retroperitoneal periaortic lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'}, 'this node': {'clinical finding': 'this node', 'existence': 'pos_dx', 'descriptive_term': 'this', 'observation': 'node'}}imaging observation_fin: ['foci']clinical findings_fin: {'retroperitoneal adenopathy': {'clinical finding': 'retroperitoneal adenopathy', 'existence': 'neg_dx', 'descriptive_term': 'retroperitoneal', 'observation': 'adenopathy'}, 'other masses': {'clinical finding': 'other masses', 'existence': 'neg_dx', 'descriptive_term': 'other', 'observation': 'mass'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'skull': {}}clinical findings_fin: {'diffuse sclerosis': {'clinical finding': 'diffuse sclerosis', 'cf_snomed': {'sclerosis': 43846000}, 'existence': 'pos_dx', 'descriptive_term': 'diffuse', 'observation': 'sclerosis'}, 'myelofibrosis': {'clinical finding': 'myelofibrosis', 'cf_snomed': {'myelofibrosis': 52967002}, 'existence': 'pos_dx', 'observation': 'myelofibrosis'}}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'}}anatomical entity_fin: {'sigmoid colon': {}}clinical findings_fin: {'sigmoid colon diverticulosis': {'clinical finding': 'sigmoid colon diverticulosis', 'existence': 'pos_dx', 'descriptive_term': 'sigmoid colon', 'observation': 'diverticulosis'}, 'complication': {'clinical finding': 'complication', 'existence': 'neg_dx', 'observation': 'complication'}}clinical findings_fin: {'other abnormalities': {'clinical finding': 'other abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'other', 'observation': 'abnormality'}}anatomical entity_fin: {'skeletal system': {}}clinical findings_fin: {'sclerosis': {'clinical finding': 'sclerosis', 'cf_snomed': {'sclerosis': 43846000}, 'existence': 'pos_dx', 'observation': 'sclerosis'}, 'myelofibrosis': {'clinical finding': 'myelofibrosis', 'cf_snomed': {'myelofibrosis': 52967002}, 'existence': 'pos_dx', 'observation': 'myelofibrosis'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . No significant abnormality noted. No changes seen in smile scattered normal size lymph nodes in the mediastinum and hilar regions without lymphadenopathy or other masses. Severe coronary artery calcification again identified. Small amount of pericardial fluid again seen. Sclerotic changes seen throughout the system compatible with the diagnosis of myelofibrosis. Hepatomegaly again noted. Prior noted right hepatic liver lesion with calcifications has not significantly changed measuring 5.4 x 3.5 cm, previous a 5.0 x 3.5 cm. Focal fatty infiltration about the left lobe adjacent to falciform ligament unchanged. No other liver parenchymal lesions are seen and no change overall in the liver. Cholelithiasis again noted without complication. Marked splenomegaly again seen unchanged in size with craniocaudal length of 26 cm. No focal abnormalities are seen, however the lack of IV contrast limits parenchymal evaluation. No significant abnormality noted. No significant abnormality noted. Benign liver cyst seen unchanged. No other significant abnormality seen. Scattered slightly enlarged retroperitoneal periaortic lymph nodes are again seen with the largest measuring 1.6 x 1.2 cm unchanged since prior exam when this node measured 1.6 x 1.3 cm. No new foci of retroperitoneal adenopathy or other masses are seen. No significant abnormality noted. Diffuse sclerosis of the skull system again seen compatible with myelofibrosis diagnosis. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Sigmoid colon diverticulosis again seen without complication. No other abnormalities. Sclerosis of the skeletal system compatible with known diagnosis of myelofibrosis. No significant abnormality noted </s>

. Right lower lobe partially solid partially groundless nodular opacity appears stable compared to prior study with interval development of architectural distortion with associated scarring. There is a new extremely small faint ground glass opacity in the right lower lobe. There is a stable right lower lobe calcified granuloma. Normal sized heart with no evidence of pericardial effusion. There is hypoattenuation of the blood pool consistent with anemia. No visible coronary artery calcification. The main pulmonary artery is markedly enlarged in caliber measuring up to 4.0 cm. There is no mediastinal or hilar adenopathy. Central venous catheter with tip in the distal SVC. No significant abnormality noted. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. No significant abnormality noted.

anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'lower lobe partially solid partially groundless nodular opacity': {'clinical finding': 'lower lobe partially solid partially groundless nodular opacity', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'lower lobe partially solid partially groundless nodular', 'observation': 'opacity', 'strength_term': 'partially - partially'}, 'architectural distortion': {'clinical finding': 'architectural distortion', 'existence': 'pos_dx', 'descriptive_term': 'architectural', 'observation': 'distortion'}, 'associated scarring': {'clinical finding': 'associated scarring', 'existence': 'pos_dx', 'descriptive_term': 'associated', 'observation': 'scarr'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'new extremely small faint ground glass opacity': {'clinical finding': 'new extremely small faint ground glass opacity', 'cf_snomed': {'ground glass opacity': 1217294009}, 'existence': 'pos_dx', 'descriptive_term': 'new extremely small faint ground glass', 'observation': 'opacity', 'strength_term': 'small', 'temporal_term': 'new'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'stable right lower lobe calcified granuloma': {'clinical finding': 'stable right lower lobe calcified granuloma', 'cf_snomed': {'calcified granuloma': 48391002}, 'existence': 'pos_dx', 'descriptive_term': 'stable right lower lobe calcified', 'observation': 'granuloma', 'strength_term': 'stable', 'change_term': 'stable - calcified'}}anatomical entity_fin: {'heart': {}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}imaging observation_fin: ['blood']clinical findings_fin: {'hypoattenuation': {'clinical finding': 'hypoattenuation', 'existence': 'pos_dx', 'observation': 'hypoattenuation'}, 'anemia': {'clinical finding': 'anemia', 'cf_snomed': {'anemia': 271737000}, 'existence': 'pos_dx', 'observation': 'anemia'}}clinical findings_fin: {'visible coronary artery calcification': {'clinical finding': 'visible coronary artery calcification', 'existence': 'neg_dx', 'descriptive_term': 'visible coronary artery', 'observation': 'calcification'}}size_fin: [{'size': '4.0 cm'}]anatomical entity_fin: {'main pulmonary artery': {}}clinical findings_fin: {'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}}clinical findings_fin: {'mediastinal or hilar adenopathy': {'clinical finding': 'mediastinal or hilar adenopathy', 'existence': 'neg_dx', 'descriptive_term': 'mediastinal or hilar', 'observation': 'adenopathy'}}location descriptor_fin: ['distal']object_fin: ['central venous catheter']clinical findings_fin: {'central venous catheter': {'clinical finding': 'central venous catheter', 'existence': 'pos_dx', 'descriptive_term': 'central venous', 'observation': 'catheter'}}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': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'lower lobe partially solid partially groundless nodular opacity': {'clinical finding': 'lower lobe partially solid partially groundless nodular opacity', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'lower lobe partially solid partially groundless nodular', 'observation': 'opacity', 'strength_term': 'partially - partially'}, 'architectural distortion': {'clinical finding': 'architectural distortion', 'existence': 'pos_dx', 'descriptive_term': 'architectural', 'observation': 'distortion'}, 'associated scarring': {'clinical finding': 'associated scarring', 'existence': 'pos_dx', 'descriptive_term': 'associated', 'observation': 'scarr'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'new extremely small faint ground glass opacity': {'clinical finding': 'new extremely small faint ground glass opacity', 'cf_snomed': {'ground glass opacity': 1217294009}, 'existence': 'pos_dx', 'descriptive_term': 'new extremely small faint ground glass', 'observation': 'opacity', 'strength_term': 'small', 'temporal_term': 'new'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'stable right lower lobe calcified granuloma': {'clinical finding': 'stable right lower lobe calcified granuloma', 'cf_snomed': {'calcified granuloma': 48391002}, 'existence': 'pos_dx', 'descriptive_term': 'stable right lower lobe calcified', 'observation': 'granuloma', 'strength_term': 'stable', 'change_term': 'stable - calcified'}}anatomical entity_fin: {'heart': {}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}imaging observation_fin: ['blood']clinical findings_fin: {'hypoattenuation': {'clinical finding': 'hypoattenuation', 'existence': 'pos_dx', 'observation': 'hypoattenuation'}, 'anemia': {'clinical finding': 'anemia', 'cf_snomed': {'anemia': 271737000}, 'existence': 'pos_dx', 'observation': 'anemia'}}clinical findings_fin: {'visible coronary artery calcification': {'clinical finding': 'visible coronary artery calcification', 'existence': 'neg_dx', 'descriptive_term': 'visible coronary artery', 'observation': 'calcification'}}size_fin: [{'size': '4.0 cm'}]anatomical entity_fin: {'main pulmonary artery': {}}clinical findings_fin: {'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}}clinical findings_fin: {'mediastinal or hilar adenopathy': {'clinical finding': 'mediastinal or hilar adenopathy', 'existence': 'neg_dx', 'descriptive_term': 'mediastinal or hilar', 'observation': 'adenopathy'}}location descriptor_fin: ['distal']object_fin: ['central venous catheter']clinical findings_fin: {'central venous catheter': {'clinical finding': 'central venous catheter', 'existence': 'pos_dx', 'descriptive_term': 'central venous', 'observation': 'catheter'}}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': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . Right lower lobe partially solid partially groundless nodular opacity appears stable compared to prior study with interval development of architectural distortion with associated scarring. There is a new extremely small faint ground glass opacity in the right lower lobe. There is a stable right lower lobe calcified granuloma. Normal sized heart with no evidence of pericardial effusion. There is hypoattenuation of the blood pool consistent with anemia. No visible coronary artery calcification. The main pulmonary artery is markedly enlarged in caliber measuring up to 4.0 cm. There is no mediastinal or hilar adenopathy. Central venous catheter with tip in the distal SVC. No significant abnormality noted. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. No significant abnormality noted. </s>

. Scattered calcified and noncalcified pulmonary micronodules. Bilateral lower lobe bronchial wall thickening, patchy atelectasis or consolidation and scattered tree-in-bud opacities. These findings are seen to a lesser degree in the left upper lobe. Findings compatible with bronchiolitis and chronic aspiration. Diffuse calcification of the cartilage rings of the bronchial tree is an age-related finding. Small amount of mucous plugging in the distal lower lobe airways. No foreign body identified within the respiratory tree. No evidence of pathologic air trapping in expiratory views. No pleural effusions or pneumothorax. Extensive calcification of mediastinal and hilar lymph nodes compatible with prior granulomatous disease. Heart size normal. No pericardial effusion. Moderate. No significant abnormality noted. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. Several large rim-calcified gallstones. Severe focal calcification of the splenic artery. Several focal calcifications in the spleen, compatible with prior granulomatous disease.

clinical findings_fin: {'scattered calcified and noncalcified pulmonary micronodules': {'clinical finding': 'scattered calcified and noncalcified pulmonary micronodules', 'existence': 'pos_dx', 'descriptive_term': 'scattered calcified and noncalcified pulmonary', 'observation': 'micronodule', 'change_term': 'calcified'}}anatomical entity_fin: {'lobe': {'location descriptor': 'bilateral lower'}}imaging observation_fin: ['tree-in-bud']location descriptor_fin: ['bilateral', 'lower']clinical findings_fin: {'bilateral lower lobe bronchial wall thickening': {'clinical finding': 'bilateral lower lobe bronchial wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'bilateral lower lobe bronchial wall', 'observation': 'thickening'}, 'patchy atelectasis': {'clinical finding': 'patchy atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'patchy', 'observation': 'atelectasis'}, 'consolidation': {'clinical finding': 'consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'unc_dx', 'observation': 'consolidation'}, 'tree-in-bud opacities': {'clinical finding': 'tree-in-bud opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'tree-in-bud', 'observation': 'opacity'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'findings are seen to a lesser degree in the left upper lobe': {'clinical finding': 'findings are seen to a lesser degree in the left upper lobe'}}clinical findings_fin: {'bronchiolitis': {'clinical finding': 'bronchiolitis', 'cf_snomed': {'bronchiolitis': 4120002}, 'existence': 'pos_dx', 'observation': 'bronchiolitis'}, 'chronic aspiration': {'clinical finding': 'chronic aspiration', 'existence': 'pos_dx', 'descriptive_term': 'chronic', 'observation': 'aspiration', 'temporal_term': 'chronic'}}anatomical entity_fin: {'bronchial tree': {}}clinical findings_fin: {'diffuse calcification': {'clinical finding': 'diffuse calcification', 'existence': 'pos_dx', 'descriptive_term': 'diffuse', 'observation': 'calcification'}, 'cartilage rings': {'clinical finding': 'cartilage rings', 'existence': 'pos_dx', 'descriptive_term': 'cartilage', 'observation': 'ring'}, 'age-related': {'clinical finding': 'age-related', 'cf_snomed': {'related': 262094002}, 'existence': 'pos_dx', 'observation': 'age'}}anatomical entity_fin: {'lobe': {'location descriptor': 'distal lower'}, 'airways': {}}location descriptor_fin: ['distal', 'lower']clinical findings_fin: {'small amount of mucous plugging in the distal lower lobe airways': {'clinical finding': 'small amount of mucous plugging in the distal lower lobe airways'}}object_fin: ['foreign body']clinical findings_fin: {'foreign body': {'clinical finding': 'foreign body', 'cf_snomed': {'foreign body': 125670008}, 'existence': 'neg_dx', 'descriptive_term': 'foreign', 'observation': 'body'}}clinical findings_fin: {'pathologic air trapping': {'clinical finding': 'pathologic air trapping', 'cf_snomed': {'air trapping': 76171001}, 'existence': 'neg_dx', 'descriptive_term': 'pathologic air', 'observation': 'trapping'}}clinical findings_fin: {'pleural effusions': {'clinical finding': 'pleural effusions', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}, 'pneumothorax': {'clinical finding': 'pneumothorax', 'cf_snomed': {'pneumothorax': 36118008}, 'existence': 'neg_dx', 'observation': 'pneumothorax'}}clinical findings_fin: {'extensive calcification': {'clinical finding': 'extensive calcification', 'existence': 'pos_dx', 'descriptive_term': 'extensive', 'observation': 'calcification', 'strength_term': 'extensive'}, 'mediastinal and hilar lymph nodes': {'clinical finding': 'mediastinal and hilar lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'mediastinal and hilar lymph', 'observation': 'node'}, 'prior granulomatous disease': {'clinical finding': 'prior granulomatous disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'prior granulomatous', 'observation': 'disease'}}anatomical entity_fin: {'heart': {}}clinical findings_fin: {'heart size normal': {'clinical finding': 'heart size normal'}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}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': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}anatomical entity_fin: {'rim': {}}clinical findings_fin: {'several large rim-calcified gallstones': {'clinical finding': 'several large rim-calcified gallstones', 'cf_snomed': {'gallstone': 235919008}, 'existence': 'pos_dx', 'descriptive_term': 'several large rim-calcified', 'observation': 'gallstone', 'strength_term': 'large', 'quantity_term': 'several', 'change_term': 'calcified'}}anatomical entity_fin: {'splenic artery': {}}clinical findings_fin: {'severe focal calcification': {'clinical finding': 'severe focal calcification', 'existence': 'pos_dx', 'descriptive_term': 'severe focal', 'observation': 'calcification', 'strength_term': 'severe'}}anatomical entity_fin: {'spleen': {}}clinical findings_fin: {'several focal calcifications': {'clinical finding': 'several focal calcifications', 'existence': 'pos_dx', 'descriptive_term': 'several focal', 'observation': 'calcification', 'quantity_term': 'several'}, 'prior granulomatous disease': {'clinical finding': 'prior granulomatous disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'prior granulomatous', 'observation': 'disease'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'scattered calcified and noncalcified pulmonary micronodules': {'clinical finding': 'scattered calcified and noncalcified pulmonary micronodules', 'existence': 'pos_dx', 'descriptive_term': 'scattered calcified and noncalcified pulmonary', 'observation': 'micronodule', 'change_term': 'calcified'}}anatomical entity_fin: {'lobe': {'location descriptor': 'bilateral lower'}}imaging observation_fin: ['tree-in-bud']location descriptor_fin: ['bilateral', 'lower']clinical findings_fin: {'bilateral lower lobe bronchial wall thickening': {'clinical finding': 'bilateral lower lobe bronchial wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'bilateral lower lobe bronchial wall', 'observation': 'thickening'}, 'patchy atelectasis': {'clinical finding': 'patchy atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'patchy', 'observation': 'atelectasis'}, 'consolidation': {'clinical finding': 'consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'unc_dx', 'observation': 'consolidation'}, 'tree-in-bud opacities': {'clinical finding': 'tree-in-bud opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'tree-in-bud', 'observation': 'opacity'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'findings are seen to a lesser degree in the left upper lobe': {'clinical finding': 'findings are seen to a lesser degree in the left upper lobe'}}clinical findings_fin: {'bronchiolitis': {'clinical finding': 'bronchiolitis', 'cf_snomed': {'bronchiolitis': 4120002}, 'existence': 'pos_dx', 'observation': 'bronchiolitis'}, 'chronic aspiration': {'clinical finding': 'chronic aspiration', 'existence': 'pos_dx', 'descriptive_term': 'chronic', 'observation': 'aspiration', 'temporal_term': 'chronic'}}anatomical entity_fin: {'bronchial tree': {}}clinical findings_fin: {'diffuse calcification': {'clinical finding': 'diffuse calcification', 'existence': 'pos_dx', 'descriptive_term': 'diffuse', 'observation': 'calcification'}, 'cartilage rings': {'clinical finding': 'cartilage rings', 'existence': 'pos_dx', 'descriptive_term': 'cartilage', 'observation': 'ring'}, 'age-related': {'clinical finding': 'age-related', 'cf_snomed': {'related': 262094002}, 'existence': 'pos_dx', 'observation': 'age'}}anatomical entity_fin: {'lobe': {'location descriptor': 'distal lower'}, 'airways': {}}location descriptor_fin: ['distal', 'lower']clinical findings_fin: {'small amount of mucous plugging in the distal lower lobe airways': {'clinical finding': 'small amount of mucous plugging in the distal lower lobe airways'}}object_fin: ['foreign body']clinical findings_fin: {'foreign body': {'clinical finding': 'foreign body', 'cf_snomed': {'foreign body': 125670008}, 'existence': 'neg_dx', 'descriptive_term': 'foreign', 'observation': 'body'}}clinical findings_fin: {'pathologic air trapping': {'clinical finding': 'pathologic air trapping', 'cf_snomed': {'air trapping': 76171001}, 'existence': 'neg_dx', 'descriptive_term': 'pathologic air', 'observation': 'trapping'}}clinical findings_fin: {'pleural effusions': {'clinical finding': 'pleural effusions', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}, 'pneumothorax': {'clinical finding': 'pneumothorax', 'cf_snomed': {'pneumothorax': 36118008}, 'existence': 'neg_dx', 'observation': 'pneumothorax'}}clinical findings_fin: {'extensive calcification': {'clinical finding': 'extensive calcification', 'existence': 'pos_dx', 'descriptive_term': 'extensive', 'observation': 'calcification', 'strength_term': 'extensive'}, 'mediastinal and hilar lymph nodes': {'clinical finding': 'mediastinal and hilar lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'mediastinal and hilar lymph', 'observation': 'node'}, 'prior granulomatous disease': {'clinical finding': 'prior granulomatous disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'prior granulomatous', 'observation': 'disease'}}anatomical entity_fin: {'heart': {}}clinical findings_fin: {'heart size normal': {'clinical finding': 'heart size normal'}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}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': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}anatomical entity_fin: {'rim': {}}clinical findings_fin: {'several large rim-calcified gallstones': {'clinical finding': 'several large rim-calcified gallstones', 'cf_snomed': {'gallstone': 235919008}, 'existence': 'pos_dx', 'descriptive_term': 'several large rim-calcified', 'observation': 'gallstone', 'strength_term': 'large', 'quantity_term': 'several', 'change_term': 'calcified'}}anatomical entity_fin: {'splenic artery': {}}clinical findings_fin: {'severe focal calcification': {'clinical finding': 'severe focal calcification', 'existence': 'pos_dx', 'descriptive_term': 'severe focal', 'observation': 'calcification', 'strength_term': 'severe'}}anatomical entity_fin: {'spleen': {}}clinical findings_fin: {'several focal calcifications': {'clinical finding': 'several focal calcifications', 'existence': 'pos_dx', 'descriptive_term': 'several focal', 'observation': 'calcification', 'quantity_term': 'several'}, 'prior granulomatous disease': {'clinical finding': 'prior granulomatous disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'prior granulomatous', 'observation': 'disease'}} [/INST] . Scattered calcified and noncalcified pulmonary micronodules. Bilateral lower lobe bronchial wall thickening, patchy atelectasis or consolidation and scattered tree-in-bud opacities. These findings are seen to a lesser degree in the left upper lobe. Findings compatible with bronchiolitis and chronic aspiration. Diffuse calcification of the cartilage rings of the bronchial tree is an age-related finding. Small amount of mucous plugging in the distal lower lobe airways. No foreign body identified within the respiratory tree. No evidence of pathologic air trapping in expiratory views. No pleural effusions or pneumothorax. Extensive calcification of mediastinal and hilar lymph nodes compatible with prior granulomatous disease. Heart size normal. No pericardial effusion. Moderate. No significant abnormality noted. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. Several large rim-calcified gallstones. Severe focal calcification of the splenic artery. Several focal calcifications in the spleen, compatible with prior granulomatous disease. </s>

.Poorly defined, confluent hypoattenuation involving the cerebral periventricular white matter has minimally increased since the previous examination. This is most probably from microvascular ischemia. Gray-white matter differentiation is preserved. There is no intracranial hemorrhage, midline shift or mass effect. The ventricles on the other CSF-containing spaces are mildly enlarged, reflecting volume loss. Mastoid air cells and paranasal sinuses are clear. Orbits are unremarkable accounting for bilateral lens replacement. Artifact related to the shoulders partially obscures mid or lower thoracic spine. Spinal alignment is notable for reversal of the normal lordosis which may reflect patient positioning. Craniocervical and cervicothoracic articulations are anatomic. Vertebral body heights are preserved. There is no acute fracture. Facets are anatomic but show progressive degenerative change at multiple levels as described below. The prevertebral soft tissues are not thickened. Included cervical soft tissues show no gross abnormality. Included lung apices show minimal reticular opacification which may reflect scarring. While there is no definite narrowing of the spinal canal, it is difficult to evaluate the spinal canal in the lower cervical levels because of the artifact from the shoulders. Proliferative changes are present at the atlantodental articulation but without compression of the thecal sac. Left more than right facet hypertrophy associated with mild C2-C3 and moderate C3-C4 left neural foraminal narrowing. The right facet hypertrophy cause mild right neural foraminal narrowing. Left facet degenerative change causes mild left neural foraminal narrowing. There is mild right neural foraminal narrowing by uncovertebral hypertrophy. Bilateral facet hypertrophy results in moderate left and mild right neural foraminal narrowing. These findings are not significant changed since the previous examination in 2012.

clinical findings_fin: {'poorly defined, confluent hypoattenuation': {'clinical finding': 'poorly defined, confluent hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'poorly defined confluent', 'observation': 'hypoattenuation'}}clinical findings_fin: {'microvascular ischemia': {'clinical finding': 'microvascular ischemia', 'cf_snomed': {'ischemia': 52674009}, 'existence': 'unc_dx', 'descriptive_term': 'microvascular', 'observation': 'ischemia'}}clinical findings_fin: {'gray-white matter differentiation': {'clinical finding': 'gray-white matter differentiation', 'existence': 'pos_dx', 'descriptive_term': 'gray-white matter', 'observation': 'differentiation'}}location descriptor_fin: ['midline']clinical findings_fin: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}, 'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}}clinical findings_fin: {'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}, 'volume loss': {'clinical finding': 'volume loss', 'existence': 'pos_dx', 'descriptive_term': 'volume', 'observation': 'loss'}}anatomical entity_fin: {'mastoid air cells': {}, 'paranasal sinuses': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'orbits': {}, 'lens': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'unremarkable accounting for bilateral lens replacement': {'clinical finding': 'unremarkable accounting for bilateral lens replacement'}}anatomical entity_fin: {'shoulders': {}, 'spine': {}}location descriptor_fin: ['lower']clinical findings_fin: {'artifact': {'clinical finding': 'artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'pos_dx', 'observation': 'artifact'}}imaging observation_fin: ['reversal']clinical findings_fin: {'spinal alignment': {'clinical finding': 'spinal alignment', 'existence': 'pos_dx', 'descriptive_term': 'spinal', 'observation': 'alignment'}, 'normal lordosis': {'clinical finding': 'normal lordosis', 'existence': 'pos_dx', 'descriptive_term': 'normal', 'observation': 'lordosis', 'strength_term': 'normal'}, 'patient positioning': {'clinical finding': 'patient positioning', 'existence': 'unc_dx', 'descriptive_term': 'patient', 'observation': 'positioning'}}imaging observation_fin: ['cervicothoracic']clinical findings_fin: {'craniocervical and cervicothoracic articulations are anatomic': {'clinical finding': 'craniocervical and cervicothoracic articulations are anatomic'}}anatomical entity_fin: {'vertebral body': {}}clinical findings_fin: {'vertebral body heights are preserved': {'clinical finding': 'vertebral body heights are preserved', 'change_term': 'preserved'}}clinical findings_fin: {'acute fracture': {'clinical finding': 'acute fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'fracture', 'strength_term': 'acute', 'temporal_term': 'acute'}}anatomical entity_fin: {'facets': {}}clinical findings_fin: {'progressive degenerative change': {'clinical finding': 'progressive degenerative change', 'existence': 'pos_dx', 'descriptive_term': 'progressive degenerative', 'observation': 'change'}}clinical findings_fin: {'thickened': {'clinical finding': 'thickened', 'existence': 'pos_dx', 'observation': 'thickened'}}clinical findings_fin: {'gross abnormality': {'clinical finding': 'gross abnormality', 'existence': 'neg_dx', 'descriptive_term': 'gross', 'observation': 'abnormality'}}anatomical entity_fin: {'lung': {}, 'apices': {}}clinical findings_fin: {'minimal reticular opacification': {'clinical finding': 'minimal reticular opacification', 'existence': 'pos_dx', 'descriptive_term': 'minimal reticular', 'observation': 'opacification', 'strength_term': 'minimal', 'quantity_term': 'minimal'}, 'scarring': {'clinical finding': 'scarring', 'existence': 'unc_dx', 'observation': 'scarr'}}anatomical entity_fin: {'spinal canal': {}, 'shoulders': {}}location descriptor_fin: ['lower']clinical findings_fin: {'definite narrowing': {'clinical finding': 'definite narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'neg_dx', 'descriptive_term': 'definite', 'observation': 'narrowing'}, 'artifact': {'clinical finding': 'artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'pos_dx', 'observation': 'artifact'}}clinical findings_fin: {'proliferative changes': {'clinical finding': 'proliferative changes', 'existence': 'pos_dx', 'descriptive_term': 'proliferative', 'observation': 'change'}, 'compression': {'clinical finding': 'compression', 'cf_snomed': {'compression': 71173004}, 'existence': 'neg_dx', 'observation': 'compression'}}anatomical entity_fin: {'facet': {'location descriptor': 'right'}}location descriptor_fin: ['left', 'right']clinical findings_fin: {'left more than right facet hypertrophy': {'clinical finding': 'left more than right facet hypertrophy', 'cf_snomed': {'hypertrophy': 56246009}, 'existence': 'pos_dx', 'descriptive_term': 'left more than right facet', 'observation': 'hypertrophy', 'quantity_term': 'more'}, 'moderate c3-c4 left neural foraminal narrowing': {'clinical finding': 'moderate c3-c4 left neural foraminal narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'moderate c3-c4 left neural foraminal', 'observation': 'narrowing', 'strength_term': 'moderate'}}anatomical entity_fin: {'facet': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'right facet hypertrophy': {'clinical finding': 'right facet hypertrophy', 'cf_snomed': {'hypertrophy': 56246009}, 'existence': 'pos_dx', 'descriptive_term': 'right facet', 'observation': 'hypertrophy'}, 'mild right neural foraminal narrowing': {'clinical finding': 'mild right neural foraminal narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'mild right neural foraminal', 'observation': 'narrowing', 'strength_term': 'mild'}}anatomical entity_fin: {'facet': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'left facet degenerative change': {'clinical finding': 'left facet degenerative change', 'existence': 'pos_dx', 'descriptive_term': 'left facet degenerative', 'observation': 'change'}, 'mild left neural foraminal narrowing': {'clinical finding': 'mild left neural foraminal narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'mild left neural foraminal', 'observation': 'narrowing', 'strength_term': 'mild'}}location descriptor_fin: ['right']clinical findings_fin: {'mild right neural foraminal narrowing': {'clinical finding': 'mild right neural foraminal narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'mild right neural foraminal', 'observation': 'narrowing', 'strength_term': 'mild'}, 'uncovertebral hypertrophy': {'clinical finding': 'uncovertebral hypertrophy', 'cf_snomed': {'hypertrophy': 56246009}, 'existence': 'pos_dx', 'descriptive_term': 'uncovertebral', 'observation': 'hypertrophy'}}anatomical entity_fin: {'facet': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral', 'left', 'right']clinical findings_fin: {'bilateral facet hypertrophy': {'clinical finding': 'bilateral facet hypertrophy', 'cf_snomed': {'hypertrophy': 56246009}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral facet', 'observation': 'hypertrophy'}, 'moderate left and mild right neural foraminal narrowing': {'clinical finding': 'moderate left and mild right neural foraminal narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'moderate left and mild right neural foraminal', 'observation': 'narrowing', 'strength_term': 'moderate - mild'}}clinical findings_fin: {'not significant changed since the previous examination in 2012': {'clinical finding': 'not significant changed since the previous examination in 2012', 'change_term': 'changed'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'poorly defined, confluent hypoattenuation': {'clinical finding': 'poorly defined, confluent hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'poorly defined confluent', 'observation': 'hypoattenuation'}}clinical findings_fin: {'microvascular ischemia': {'clinical finding': 'microvascular ischemia', 'cf_snomed': {'ischemia': 52674009}, 'existence': 'unc_dx', 'descriptive_term': 'microvascular', 'observation': 'ischemia'}}clinical findings_fin: {'gray-white matter differentiation': {'clinical finding': 'gray-white matter differentiation', 'existence': 'pos_dx', 'descriptive_term': 'gray-white matter', 'observation': 'differentiation'}}location descriptor_fin: ['midline']clinical findings_fin: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}, 'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}}clinical findings_fin: {'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}, 'volume loss': {'clinical finding': 'volume loss', 'existence': 'pos_dx', 'descriptive_term': 'volume', 'observation': 'loss'}}anatomical entity_fin: {'mastoid air cells': {}, 'paranasal sinuses': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'orbits': {}, 'lens': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'unremarkable accounting for bilateral lens replacement': {'clinical finding': 'unremarkable accounting for bilateral lens replacement'}}anatomical entity_fin: {'shoulders': {}, 'spine': {}}location descriptor_fin: ['lower']clinical findings_fin: {'artifact': {'clinical finding': 'artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'pos_dx', 'observation': 'artifact'}}imaging observation_fin: ['reversal']clinical findings_fin: {'spinal alignment': {'clinical finding': 'spinal alignment', 'existence': 'pos_dx', 'descriptive_term': 'spinal', 'observation': 'alignment'}, 'normal lordosis': {'clinical finding': 'normal lordosis', 'existence': 'pos_dx', 'descriptive_term': 'normal', 'observation': 'lordosis', 'strength_term': 'normal'}, 'patient positioning': {'clinical finding': 'patient positioning', 'existence': 'unc_dx', 'descriptive_term': 'patient', 'observation': 'positioning'}}imaging observation_fin: ['cervicothoracic']clinical findings_fin: {'craniocervical and cervicothoracic articulations are anatomic': {'clinical finding': 'craniocervical and cervicothoracic articulations are anatomic'}}anatomical entity_fin: {'vertebral body': {}}clinical findings_fin: {'vertebral body heights are preserved': {'clinical finding': 'vertebral body heights are preserved', 'change_term': 'preserved'}}clinical findings_fin: {'acute fracture': {'clinical finding': 'acute fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'fracture', 'strength_term': 'acute', 'temporal_term': 'acute'}}anatomical entity_fin: {'facets': {}}clinical findings_fin: {'progressive degenerative change': {'clinical finding': 'progressive degenerative change', 'existence': 'pos_dx', 'descriptive_term': 'progressive degenerative', 'observation': 'change'}}clinical findings_fin: {'thickened': {'clinical finding': 'thickened', 'existence': 'pos_dx', 'observation': 'thickened'}}clinical findings_fin: {'gross abnormality': {'clinical finding': 'gross abnormality', 'existence': 'neg_dx', 'descriptive_term': 'gross', 'observation': 'abnormality'}}anatomical entity_fin: {'lung': {}, 'apices': {}}clinical findings_fin: {'minimal reticular opacification': {'clinical finding': 'minimal reticular opacification', 'existence': 'pos_dx', 'descriptive_term': 'minimal reticular', 'observation': 'opacification', 'strength_term': 'minimal', 'quantity_term': 'minimal'}, 'scarring': {'clinical finding': 'scarring', 'existence': 'unc_dx', 'observation': 'scarr'}}anatomical entity_fin: {'spinal canal': {}, 'shoulders': {}}location descriptor_fin: ['lower']clinical findings_fin: {'definite narrowing': {'clinical finding': 'definite narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'neg_dx', 'descriptive_term': 'definite', 'observation': 'narrowing'}, 'artifact': {'clinical finding': 'artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'pos_dx', 'observation': 'artifact'}}clinical findings_fin: {'proliferative changes': {'clinical finding': 'proliferative changes', 'existence': 'pos_dx', 'descriptive_term': 'proliferative', 'observation': 'change'}, 'compression': {'clinical finding': 'compression', 'cf_snomed': {'compression': 71173004}, 'existence': 'neg_dx', 'observation': 'compression'}}anatomical entity_fin: {'facet': {'location descriptor': 'right'}}location descriptor_fin: ['left', 'right']clinical findings_fin: {'left more than right facet hypertrophy': {'clinical finding': 'left more than right facet hypertrophy', 'cf_snomed': {'hypertrophy': 56246009}, 'existence': 'pos_dx', 'descriptive_term': 'left more than right facet', 'observation': 'hypertrophy', 'quantity_term': 'more'}, 'moderate c3-c4 left neural foraminal narrowing': {'clinical finding': 'moderate c3-c4 left neural foraminal narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'moderate c3-c4 left neural foraminal', 'observation': 'narrowing', 'strength_term': 'moderate'}}anatomical entity_fin: {'facet': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'right facet hypertrophy': {'clinical finding': 'right facet hypertrophy', 'cf_snomed': {'hypertrophy': 56246009}, 'existence': 'pos_dx', 'descriptive_term': 'right facet', 'observation': 'hypertrophy'}, 'mild right neural foraminal narrowing': {'clinical finding': 'mild right neural foraminal narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'mild right neural foraminal', 'observation': 'narrowing', 'strength_term': 'mild'}}anatomical entity_fin: {'facet': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'left facet degenerative change': {'clinical finding': 'left facet degenerative change', 'existence': 'pos_dx', 'descriptive_term': 'left facet degenerative', 'observation': 'change'}, 'mild left neural foraminal narrowing': {'clinical finding': 'mild left neural foraminal narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'mild left neural foraminal', 'observation': 'narrowing', 'strength_term': 'mild'}}location descriptor_fin: ['right']clinical findings_fin: {'mild right neural foraminal narrowing': {'clinical finding': 'mild right neural foraminal narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'mild right neural foraminal', 'observation': 'narrowing', 'strength_term': 'mild'}, 'uncovertebral hypertrophy': {'clinical finding': 'uncovertebral hypertrophy', 'cf_snomed': {'hypertrophy': 56246009}, 'existence': 'pos_dx', 'descriptive_term': 'uncovertebral', 'observation': 'hypertrophy'}}anatomical entity_fin: {'facet': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral', 'left', 'right']clinical findings_fin: {'bilateral facet hypertrophy': {'clinical finding': 'bilateral facet hypertrophy', 'cf_snomed': {'hypertrophy': 56246009}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral facet', 'observation': 'hypertrophy'}, 'moderate left and mild right neural foraminal narrowing': {'clinical finding': 'moderate left and mild right neural foraminal narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'moderate left and mild right neural foraminal', 'observation': 'narrowing', 'strength_term': 'moderate - mild'}}clinical findings_fin: {'not significant changed since the previous examination in 2012': {'clinical finding': 'not significant changed since the previous examination in 2012', 'change_term': 'changed'}} [/INST] .Poorly defined, confluent hypoattenuation involving the cerebral periventricular white matter has minimally increased since the previous examination. This is most probably from microvascular ischemia. Gray-white matter differentiation is preserved. There is no intracranial hemorrhage, midline shift or mass effect. The ventricles on the other CSF-containing spaces are mildly enlarged, reflecting volume loss. Mastoid air cells and paranasal sinuses are clear. Orbits are unremarkable accounting for bilateral lens replacement. Artifact related to the shoulders partially obscures mid or lower thoracic spine. Spinal alignment is notable for reversal of the normal lordosis which may reflect patient positioning. Craniocervical and cervicothoracic articulations are anatomic. Vertebral body heights are preserved. There is no acute fracture. Facets are anatomic but show progressive degenerative change at multiple levels as described below. The prevertebral soft tissues are not thickened. Included cervical soft tissues show no gross abnormality. Included lung apices show minimal reticular opacification which may reflect scarring. While there is no definite narrowing of the spinal canal, it is difficult to evaluate the spinal canal in the lower cervical levels because of the artifact from the shoulders. Proliferative changes are present at the atlantodental articulation but without compression of the thecal sac. Left more than right facet hypertrophy associated with mild C2-C3 and moderate C3-C4 left neural foraminal narrowing. The right facet hypertrophy cause mild right neural foraminal narrowing. Left facet degenerative change causes mild left neural foraminal narrowing. There is mild right neural foraminal narrowing by uncovertebral hypertrophy. Bilateral facet hypertrophy results in moderate left and mild right neural foraminal narrowing. These findings are not significant changed since the previous examination in 2012. </s>

. Scattered benign-appearing micronodules, some calcified, with no evidence of pulmonary metastases. No lymphadenopathy identified. Heart size and pericardium normal. Moderate. Degenerative hypertrophic changes affect the thoracic spine. Absence of enteric contrast material limits sensitivity for abdominal pathology. Splenic granuloma noted.

clinical findings_fin: {'benign-appearing micronodules': {'clinical finding': 'benign-appearing micronodules', 'existence': 'pos_dx', 'descriptive_term': 'benign-appearing', 'observation': 'micronodule', 'strength_term': 'benign'}, 'pulmonary metastases': {'clinical finding': 'pulmonary metastases', 'existence': 'neg_dx', 'descriptive_term': 'pulmonary', 'observation': 'metastase'}}clinical findings_fin: {'lymphadenopathy': {'clinical finding': 'lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'heart': {}, 'pericardium': {}}clinical findings_fin: {'heart size and pericardium normal': {'clinical finding': 'heart size and pericardium normal'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'degenerative hypertrophic changes': {'clinical finding': 'degenerative hypertrophic changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative hypertrophic', 'observation': 'change'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'splenic granuloma': {'clinical finding': 'splenic granuloma', 'cf_snomed': {'granuloma': 45647009}, 'existence': 'pos_dx', 'descriptive_term': 'splenic', 'observation': 'granuloma'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'benign-appearing micronodules': {'clinical finding': 'benign-appearing micronodules', 'existence': 'pos_dx', 'descriptive_term': 'benign-appearing', 'observation': 'micronodule', 'strength_term': 'benign'}, 'pulmonary metastases': {'clinical finding': 'pulmonary metastases', 'existence': 'neg_dx', 'descriptive_term': 'pulmonary', 'observation': 'metastase'}}clinical findings_fin: {'lymphadenopathy': {'clinical finding': 'lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'heart': {}, 'pericardium': {}}clinical findings_fin: {'heart size and pericardium normal': {'clinical finding': 'heart size and pericardium normal'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'degenerative hypertrophic changes': {'clinical finding': 'degenerative hypertrophic changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative hypertrophic', 'observation': 'change'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'splenic granuloma': {'clinical finding': 'splenic granuloma', 'cf_snomed': {'granuloma': 45647009}, 'existence': 'pos_dx', 'descriptive_term': 'splenic', 'observation': 'granuloma'}} [/INST] . Scattered benign-appearing micronodules, some calcified, with no evidence of pulmonary metastases. No lymphadenopathy identified. Heart size and pericardium normal. Moderate. Degenerative hypertrophic changes affect the thoracic spine. Absence of enteric contrast material limits sensitivity for abdominal pathology. Splenic granuloma noted. </s>

There is interval insertion of bilateral transparietal medial temporal depth electrode insertion and right middle cranial fossa electrode strip insertion. There is a small amount of pneumocephalus, but no evidence of a large amount intracranial hemorrhage, although the assessment is limited by streak artifact. There is no midline shift. There is a stereotactic frame in position.

anatomical entity_fin: {'insertion': {}, 'middle': {'location descriptor': 'right'}}location descriptor_fin: ['bilateral', 'medial', 'right']object_fin: ['electrode']imaging observation_fin: ['assessment']clinical findings_fin: {'pneumocephalus': {'clinical finding': 'pneumocephalus', 'cf_snomed': {'pneumocephalus': 14415006}, 'existence': 'pos_dx', 'observation': 'pneumocephalus'}, 'large amount intracranial hemorrhage': {'clinical finding': 'large amount intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'large amount intracranial', 'observation': 'hemorrhage', 'strength_term': 'large'}, 'streak artifact': {'clinical finding': 'streak artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'pos_dx', 'descriptive_term': 'streak', 'observation': 'artifact'}}location descriptor_fin: ['midline']clinical findings_fin: {'midline shift': {'clinical finding': 'midline shift', 'cf_snomed': {'shift': 9546005}, 'existence': 'neg_dx', 'descriptive_term': 'midline', 'observation': 'shift'}}clinical findings_fin: {'stereotactic frame': {'clinical finding': 'stereotactic frame', 'existence': 'pos_dx', 'descriptive_term': 'stereotactic', 'observation': 'frame'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'insertion': {}, 'middle': {'location descriptor': 'right'}}location descriptor_fin: ['bilateral', 'medial', 'right']object_fin: ['electrode']imaging observation_fin: ['assessment']clinical findings_fin: {'pneumocephalus': {'clinical finding': 'pneumocephalus', 'cf_snomed': {'pneumocephalus': 14415006}, 'existence': 'pos_dx', 'observation': 'pneumocephalus'}, 'large amount intracranial hemorrhage': {'clinical finding': 'large amount intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'large amount intracranial', 'observation': 'hemorrhage', 'strength_term': 'large'}, 'streak artifact': {'clinical finding': 'streak artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'pos_dx', 'descriptive_term': 'streak', 'observation': 'artifact'}}location descriptor_fin: ['midline']clinical findings_fin: {'midline shift': {'clinical finding': 'midline shift', 'cf_snomed': {'shift': 9546005}, 'existence': 'neg_dx', 'descriptive_term': 'midline', 'observation': 'shift'}}clinical findings_fin: {'stereotactic frame': {'clinical finding': 'stereotactic frame', 'existence': 'pos_dx', 'descriptive_term': 'stereotactic', 'observation': 'frame'}} [/INST] There is interval insertion of bilateral transparietal medial temporal depth electrode insertion and right middle cranial fossa electrode strip insertion. There is a small amount of pneumocephalus, but no evidence of a large amount intracranial hemorrhage, although the assessment is limited by streak artifact. There is no midline shift. There is a stereotactic frame in position. </s>

. No significant abnormality noted. No significant abnormality noted. Severe. There are multiple rib metastases predominantly on the right side. An index lesion measures 3 x 1.7 cm on image #29, series #18. There is also a new vertebral body metastases that extends into the spinal canal at one of the midthoracic vertebral bodies. Cirrhotic liver. Segment 8 todays defect measures 2.1 x 2 cm image #93, series #18, unchanged. Again noted numerous hypodense lesions throughout the liver of uncertain etiology but has not significantly changed compared to previous study. The liver is very heterogeneous and diffuse hepatocellular carcinoma cannot be excluded. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Index portacaval node is also increased in size and now measures 3.3 x 2.8 cm on image #98, series #18. Other retroperitoneal lymph nodes are also increased in size compared to previous study. Severe. No significant abnormality noted. There is interval increase in the size of the L3 vertebral body metastatic lesion. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Interval development of a new lymph node measuring 9 mm in diameter image #160, series #18 in the right external iliac region. No significant abnormality noted. No significant abnormality noted. No significant abnormality 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'}}anatomical entity_fin: {'rib': {}}location descriptor_fin: ['right']clinical findings_fin: {'multiple rib metastases': {'clinical finding': 'multiple rib metastases', 'existence': 'pos_dx', 'descriptive_term': 'multiple rib', 'observation': 'metastase', 'quantity_term': 'multiple'}}size_fin: [{'size': '3 x 1.7 cm', 'size_descriptor': 'lesion'}]clinical findings_fin: {'index lesion': {'clinical finding': 'index lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'index', 'observation': 'lesion'}}anatomical entity_fin: {'vertebral body': {}, 'spinal canal': {}, 'vertebral bodies': {}}clinical findings_fin: {'new vertebral body metastases': {'clinical finding': 'new vertebral body metastases', 'existence': 'pos_dx', 'descriptive_term': 'new vertebral body', 'observation': 'metastase', 'temporal_term': 'new'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'cirrhotic liver': {'clinical finding': 'cirrhotic liver'}}size_fin: [{'size': '2.1 x 2 cm', 'size_descriptor': 'image'}]clinical findings_fin: {'defect': {'clinical finding': 'defect', 'cf_snomed': {'defect': 6920004}, 'existence': 'pos_dx', 'observation': 'defect'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'numerous hypodense lesions': {'clinical finding': 'numerous hypodense lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'numerous hypodense', 'observation': 'lesion', 'quantity_term': 'numerous'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'heterogeneous': {'clinical finding': 'heterogeneous', 'existence': 'pos_dx', 'observation': 'heterogeneous'}, 'diffuse hepatocellular carcinoma': {'clinical finding': 'diffuse hepatocellular carcinoma', 'cf_snomed': {'hepatocellular carcinoma': 25370001}, 'existence': 'unc_dx', 'descriptive_term': 'diffuse hepatocellular', 'observation': 'carcinoma'}}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'}}size_fin: [{'size': '3.3 x 2.8 cm'}]clinical findings_fin: {'index portacaval node': {'clinical finding': 'index portacaval node', 'existence': 'pos_dx', 'descriptive_term': 'index portacaval', 'observation': 'node'}}clinical findings_fin: {'other retroperitoneal lymph nodes': {'clinical finding': 'other retroperitoneal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'other retroperitoneal lymph', 'observation': 'node'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'l3 vertebral body': {}}clinical findings_fin: {'l3 vertebral body metastatic lesion': {'clinical finding': 'l3 vertebral body metastatic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'l3 vertebral body metastatic', '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'}}size_fin: [{'size': '9 mm', 'size_descriptor': 'development'}]location descriptor_fin: ['right', 'external']clinical findings_fin: {'new lymph node': {'clinical finding': 'new lymph node', 'existence': 'pos_dx', 'descriptive_term': 'new lymph', 'observation': 'node', 'temporal_term': 'new'}}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'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: 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'}}anatomical entity_fin: {'rib': {}}location descriptor_fin: ['right']clinical findings_fin: {'multiple rib metastases': {'clinical finding': 'multiple rib metastases', 'existence': 'pos_dx', 'descriptive_term': 'multiple rib', 'observation': 'metastase', 'quantity_term': 'multiple'}}size_fin: [{'size': '3 x 1.7 cm', 'size_descriptor': 'lesion'}]clinical findings_fin: {'index lesion': {'clinical finding': 'index lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'index', 'observation': 'lesion'}}anatomical entity_fin: {'vertebral body': {}, 'spinal canal': {}, 'vertebral bodies': {}}clinical findings_fin: {'new vertebral body metastases': {'clinical finding': 'new vertebral body metastases', 'existence': 'pos_dx', 'descriptive_term': 'new vertebral body', 'observation': 'metastase', 'temporal_term': 'new'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'cirrhotic liver': {'clinical finding': 'cirrhotic liver'}}size_fin: [{'size': '2.1 x 2 cm', 'size_descriptor': 'image'}]clinical findings_fin: {'defect': {'clinical finding': 'defect', 'cf_snomed': {'defect': 6920004}, 'existence': 'pos_dx', 'observation': 'defect'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'numerous hypodense lesions': {'clinical finding': 'numerous hypodense lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'numerous hypodense', 'observation': 'lesion', 'quantity_term': 'numerous'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'heterogeneous': {'clinical finding': 'heterogeneous', 'existence': 'pos_dx', 'observation': 'heterogeneous'}, 'diffuse hepatocellular carcinoma': {'clinical finding': 'diffuse hepatocellular carcinoma', 'cf_snomed': {'hepatocellular carcinoma': 25370001}, 'existence': 'unc_dx', 'descriptive_term': 'diffuse hepatocellular', 'observation': 'carcinoma'}}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'}}size_fin: [{'size': '3.3 x 2.8 cm'}]clinical findings_fin: {'index portacaval node': {'clinical finding': 'index portacaval node', 'existence': 'pos_dx', 'descriptive_term': 'index portacaval', 'observation': 'node'}}clinical findings_fin: {'other retroperitoneal lymph nodes': {'clinical finding': 'other retroperitoneal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'other retroperitoneal lymph', 'observation': 'node'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'l3 vertebral body': {}}clinical findings_fin: {'l3 vertebral body metastatic lesion': {'clinical finding': 'l3 vertebral body metastatic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'l3 vertebral body metastatic', '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'}}size_fin: [{'size': '9 mm', 'size_descriptor': 'development'}]location descriptor_fin: ['right', 'external']clinical findings_fin: {'new lymph node': {'clinical finding': 'new lymph node', 'existence': 'pos_dx', 'descriptive_term': 'new lymph', 'observation': 'node', 'temporal_term': 'new'}}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'}} [/INST] . No significant abnormality noted. No significant abnormality noted. Severe. There are multiple rib metastases predominantly on the right side. An index lesion measures 3 x 1.7 cm on image #29, series #18. There is also a new vertebral body metastases that extends into the spinal canal at one of the midthoracic vertebral bodies. Cirrhotic liver. Segment 8 todays defect measures 2.1 x 2 cm image #93, series #18, unchanged. Again noted numerous hypodense lesions throughout the liver of uncertain etiology but has not significantly changed compared to previous study. The liver is very heterogeneous and diffuse hepatocellular carcinoma cannot be excluded. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Index portacaval node is also increased in size and now measures 3.3 x 2.8 cm on image #98, series #18. Other retroperitoneal lymph nodes are also increased in size compared to previous study. Severe. No significant abnormality noted. There is interval increase in the size of the L3 vertebral body metastatic lesion. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Interval development of a new lymph node measuring 9 mm in diameter image #160, series #18 in the right external iliac region. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. </s>

The ventricles and sulci are prominent, consistent with moderate age-related volume loss. There is asymmetric prominence of the right occipital horn possibly relating to small area of right occipital lobe encephalomalacia as there is adjacent slight sulcal prominence medially. There is no midline shift. There is no intracranial hemorrhage. There are scattered punctate and confluent areas of abnormal low density in the periventricular and subcortical white matter, consistent with mild age-indeterminate small vessel ischemic changes. There is suggestion of bilateral parietal CSF density extra-axial collections located laterally, with mild mass effect upon the subjacent parenchyma. These measure up to 8 mm in greatest thickness. The visualized portions of the paranasal sinuses and mastoids or middle ears are grossly clear. There is a prosthetic right globe. The right mastoid is underpneumatized. Prominent subgaleal edema and hematoma is noted along the parietal convexity. A few punctate hyperdensities within the anterior parietal scalp may relate to dystrophic calcifications although correlation with physical exam should be made for possible retained foreign bodies. CERVICAL SPINE

clinical findings_fin: {'prominent': {'clinical finding': 'prominent', 'existence': 'pos_dx', 'observation': 'prominent'}, 'moderate age-related volume loss': {'clinical finding': 'moderate age-related volume loss', 'cf_snomed': {'related': 262094002}, 'existence': 'pos_dx', 'descriptive_term': 'moderate age-related volume', 'observation': 'loss', 'strength_term': 'moderate'}}anatomical entity_fin: {'right occipital lobe': {}}location descriptor_fin: ['right', 'adjacent']clinical findings_fin: {'right occipital lobe encephalomalacia': {'clinical finding': 'right occipital lobe encephalomalacia', 'cf_snomed': {'encephalomalacia': 58762006}, 'existence': 'unc_dx', 'descriptive_term': 'right occipital lobe', 'observation': 'encephalomalacia'}}location descriptor_fin: ['midline']clinical findings_fin: {'midline shift': {'clinical finding': 'midline shift', 'cf_snomed': {'shift': 9546005}, 'existence': 'neg_dx', 'descriptive_term': 'midline', 'observation': 'shift'}}clinical findings_fin: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}}clinical findings_fin: {'abnormal low density': {'clinical finding': 'abnormal low density', 'existence': 'pos_dx', 'descriptive_term': 'abnormal low', 'observation': 'density'}, 'mild age-indeterminate small vessel ischemic changes': {'clinical finding': 'mild age-indeterminate small vessel ischemic changes', 'existence': 'pos_dx', 'descriptive_term': 'mild age-indeterminate small vessel ischemic', 'observation': 'change', 'strength_term': 'mild - small'}}anatomical entity_fin: {'parenchyma': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral parietal csf density': {'clinical finding': 'bilateral parietal csf density', 'existence': 'unc_dx', 'descriptive_term': 'bilateral parietal csf', 'observation': 'density'}, 'mild mass effect': {'clinical finding': 'mild mass effect', 'existence': 'unc_dx', 'descriptive_term': 'mild mass', 'observation': 'effect', 'strength_term': 'mild'}}size_fin: [{'size': '8 mm', 'size_descriptor': 'measure'}]anatomical entity_fin: {'paranasal sinuses': {}, 'middle ears': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'globe': {'location descriptor': 'right'}}location descriptor_fin: ['right']location descriptor_fin: ['right']clinical findings_fin: {'right mastoid': {'clinical finding': 'right mastoid', 'existence': 'pos_dx', 'descriptive_term': 'right', 'observation': 'mastoid'}, 'underpneumatized': {'clinical finding': 'underpneumatized', 'existence': 'pos_dx', 'observation': 'underpneumatized'}}anatomical entity_fin: {'convexity': {}}imaging observation_fin: ['hematoma']clinical findings_fin: {'prominent subgaleal edema': {'clinical finding': 'prominent subgaleal edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'descriptive_term': 'prominent subgaleal', 'observation': 'edema', 'strength_term': 'prominent'}, 'hematoma': {'clinical finding': 'hematoma', 'cf_snomed': {'hematoma': 385494008}, 'existence': 'pos_dx', 'observation': 'hematoma'}}anatomical entity_fin: {'scalp': {}}location descriptor_fin: ['anterior']clinical findings_fin: {'few punctate hyperdensities': {'clinical finding': 'few punctate hyperdensities', 'existence': 'pos_dx', 'descriptive_term': 'few punctate', 'observation': 'hyperdensity', 'quantity_term': 'few'}, 'dystrophic calcifications': {'clinical finding': 'dystrophic calcifications', 'cf_snomed': {'dystrophic calcification': 129750001}, 'existence': 'unc_dx', 'descriptive_term': 'dystrophic', 'observation': 'calcification'}, 'possible retained foreign bodies': {'clinical finding': 'possible retained foreign bodies', 'cf_snomed': {'retained foreign body': 142661000119102}, 'existence': 'unc_dx', 'descriptive_term': 'possible retained foreign', 'observation': 'body'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'cervical spine': {'clinical finding': 'cervical spine'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'prominent': {'clinical finding': 'prominent', 'existence': 'pos_dx', 'observation': 'prominent'}, 'moderate age-related volume loss': {'clinical finding': 'moderate age-related volume loss', 'cf_snomed': {'related': 262094002}, 'existence': 'pos_dx', 'descriptive_term': 'moderate age-related volume', 'observation': 'loss', 'strength_term': 'moderate'}}anatomical entity_fin: {'right occipital lobe': {}}location descriptor_fin: ['right', 'adjacent']clinical findings_fin: {'right occipital lobe encephalomalacia': {'clinical finding': 'right occipital lobe encephalomalacia', 'cf_snomed': {'encephalomalacia': 58762006}, 'existence': 'unc_dx', 'descriptive_term': 'right occipital lobe', 'observation': 'encephalomalacia'}}location descriptor_fin: ['midline']clinical findings_fin: {'midline shift': {'clinical finding': 'midline shift', 'cf_snomed': {'shift': 9546005}, 'existence': 'neg_dx', 'descriptive_term': 'midline', 'observation': 'shift'}}clinical findings_fin: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}}clinical findings_fin: {'abnormal low density': {'clinical finding': 'abnormal low density', 'existence': 'pos_dx', 'descriptive_term': 'abnormal low', 'observation': 'density'}, 'mild age-indeterminate small vessel ischemic changes': {'clinical finding': 'mild age-indeterminate small vessel ischemic changes', 'existence': 'pos_dx', 'descriptive_term': 'mild age-indeterminate small vessel ischemic', 'observation': 'change', 'strength_term': 'mild - small'}}anatomical entity_fin: {'parenchyma': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral parietal csf density': {'clinical finding': 'bilateral parietal csf density', 'existence': 'unc_dx', 'descriptive_term': 'bilateral parietal csf', 'observation': 'density'}, 'mild mass effect': {'clinical finding': 'mild mass effect', 'existence': 'unc_dx', 'descriptive_term': 'mild mass', 'observation': 'effect', 'strength_term': 'mild'}}size_fin: [{'size': '8 mm', 'size_descriptor': 'measure'}]anatomical entity_fin: {'paranasal sinuses': {}, 'middle ears': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'globe': {'location descriptor': 'right'}}location descriptor_fin: ['right']location descriptor_fin: ['right']clinical findings_fin: {'right mastoid': {'clinical finding': 'right mastoid', 'existence': 'pos_dx', 'descriptive_term': 'right', 'observation': 'mastoid'}, 'underpneumatized': {'clinical finding': 'underpneumatized', 'existence': 'pos_dx', 'observation': 'underpneumatized'}}anatomical entity_fin: {'convexity': {}}imaging observation_fin: ['hematoma']clinical findings_fin: {'prominent subgaleal edema': {'clinical finding': 'prominent subgaleal edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'descriptive_term': 'prominent subgaleal', 'observation': 'edema', 'strength_term': 'prominent'}, 'hematoma': {'clinical finding': 'hematoma', 'cf_snomed': {'hematoma': 385494008}, 'existence': 'pos_dx', 'observation': 'hematoma'}}anatomical entity_fin: {'scalp': {}}location descriptor_fin: ['anterior']clinical findings_fin: {'few punctate hyperdensities': {'clinical finding': 'few punctate hyperdensities', 'existence': 'pos_dx', 'descriptive_term': 'few punctate', 'observation': 'hyperdensity', 'quantity_term': 'few'}, 'dystrophic calcifications': {'clinical finding': 'dystrophic calcifications', 'cf_snomed': {'dystrophic calcification': 129750001}, 'existence': 'unc_dx', 'descriptive_term': 'dystrophic', 'observation': 'calcification'}, 'possible retained foreign bodies': {'clinical finding': 'possible retained foreign bodies', 'cf_snomed': {'retained foreign body': 142661000119102}, 'existence': 'unc_dx', 'descriptive_term': 'possible retained foreign', 'observation': 'body'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'cervical spine': {'clinical finding': 'cervical spine'}} [/INST] The ventricles and sulci are prominent, consistent with moderate age-related volume loss. There is asymmetric prominence of the right occipital horn possibly relating to small area of right occipital lobe encephalomalacia as there is adjacent slight sulcal prominence medially. There is no midline shift. There is no intracranial hemorrhage. There are scattered punctate and confluent areas of abnormal low density in the periventricular and subcortical white matter, consistent with mild age-indeterminate small vessel ischemic changes. There is suggestion of bilateral parietal CSF density extra-axial collections located laterally, with mild mass effect upon the subjacent parenchyma. These measure up to 8 mm in greatest thickness. The visualized portions of the paranasal sinuses and mastoids or middle ears are grossly clear. There is a prosthetic right globe. The right mastoid is underpneumatized. Prominent subgaleal edema and hematoma is noted along the parietal convexity. A few punctate hyperdensities within the anterior parietal scalp may relate to dystrophic calcifications although correlation with physical exam should be made for possible retained foreign bodies. CERVICAL SPINE </s>

. Central airways are patent. Bibasilar dependent atelectasis. No focal consolidation, pneumothorax, or pleural effusion. Scattered calcified and noncalcified pulmonary micronodules. No suspicious nodules or masses are identified. Localized focal bronchiectasis in the right lung likely post-inflammatory. Cardiac size upper limits of normal without significant pericardial effusion. Aorta and great vessels are normal in caliber. No significant hilar or mediastinal lymphadenopathy. Moderate. No lymphadenopathy. Absence of enteric contrast material limits sensitivity for abdominal pathology. Low-attenuation focus in the right hepatic lobe too small to actually characterize but likely represents a hepatic cyst, unchanged since 2008 examination.

anatomical entity_fin: {'airways': {'location descriptor': 'central'}}location descriptor_fin: ['central']clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}clinical findings_fin: {'bibasilar dependent atelectasis': {'clinical finding': 'bibasilar dependent atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'bibasilar dependent', 'observation': 'atelectasis'}}clinical findings_fin: {'focal consolidation': {'clinical finding': 'focal consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'consolidation'}, 'pneumothorax': {'clinical finding': 'pneumothorax', 'cf_snomed': {'pneumothorax': 36118008}, 'existence': 'neg_dx', 'observation': 'pneumothorax'}, 'pleural effusion': {'clinical finding': 'pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}}clinical findings_fin: {'scattered calcified and noncalcified pulmonary micronodules': {'clinical finding': 'scattered calcified and noncalcified pulmonary micronodules', 'existence': 'pos_dx', 'descriptive_term': 'scattered calcified and noncalcified pulmonary', 'observation': 'micronodule', 'change_term': 'calcified'}}clinical findings_fin: {'suspicious nodules': {'clinical finding': 'suspicious nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious', 'observation': 'nodule'}, 'masses': {'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass'}}anatomical entity_fin: {'right lung': {}}clinical findings_fin: {'localized focal bronchiectasis': {'clinical finding': 'localized focal bronchiectasis', 'cf_snomed': {'bronchiectasis': 12295008}, 'existence': 'pos_dx', 'descriptive_term': 'localized focal', 'observation': 'bronchiectasis'}}location descriptor_fin: ['upper']clinical findings_fin: {'significant pericardial effusion': {'clinical finding': 'significant pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'pos_dx', 'descriptive_term': 'significant pericardial', 'observation': 'effusion'}}anatomical entity_fin: {'aorta': {}}clinical findings_fin: {'aorta and great vessels are normal in caliber': {'clinical finding': 'aorta and great vessels are normal in caliber'}}clinical findings_fin: {'significant hilar or mediastinal lymphadenopathy': {'clinical finding': 'significant hilar or mediastinal lymphadenopathy', 'cf_snomed': {'mediastinal lymphadenopathy': 52324001}, 'existence': 'neg_dx', 'descriptive_term': 'significant hilar or mediastinal', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'lymphadenopathy': {'clinical finding': 'lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}anatomical entity_fin: {'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'low-attenuation focus': {'clinical finding': 'low-attenuation focus', 'existence': 'pos_dx', 'descriptive_term': 'low-attenuation', 'observation': 'focus'}, 'hepatic cyst': {'clinical finding': 'hepatic cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'unc_dx', 'descriptive_term': 'hepatic', 'observation': 'cyst'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'airways': {'location descriptor': 'central'}}location descriptor_fin: ['central']clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}clinical findings_fin: {'bibasilar dependent atelectasis': {'clinical finding': 'bibasilar dependent atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'bibasilar dependent', 'observation': 'atelectasis'}}clinical findings_fin: {'focal consolidation': {'clinical finding': 'focal consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'consolidation'}, 'pneumothorax': {'clinical finding': 'pneumothorax', 'cf_snomed': {'pneumothorax': 36118008}, 'existence': 'neg_dx', 'observation': 'pneumothorax'}, 'pleural effusion': {'clinical finding': 'pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}}clinical findings_fin: {'scattered calcified and noncalcified pulmonary micronodules': {'clinical finding': 'scattered calcified and noncalcified pulmonary micronodules', 'existence': 'pos_dx', 'descriptive_term': 'scattered calcified and noncalcified pulmonary', 'observation': 'micronodule', 'change_term': 'calcified'}}clinical findings_fin: {'suspicious nodules': {'clinical finding': 'suspicious nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious', 'observation': 'nodule'}, 'masses': {'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass'}}anatomical entity_fin: {'right lung': {}}clinical findings_fin: {'localized focal bronchiectasis': {'clinical finding': 'localized focal bronchiectasis', 'cf_snomed': {'bronchiectasis': 12295008}, 'existence': 'pos_dx', 'descriptive_term': 'localized focal', 'observation': 'bronchiectasis'}}location descriptor_fin: ['upper']clinical findings_fin: {'significant pericardial effusion': {'clinical finding': 'significant pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'pos_dx', 'descriptive_term': 'significant pericardial', 'observation': 'effusion'}}anatomical entity_fin: {'aorta': {}}clinical findings_fin: {'aorta and great vessels are normal in caliber': {'clinical finding': 'aorta and great vessels are normal in caliber'}}clinical findings_fin: {'significant hilar or mediastinal lymphadenopathy': {'clinical finding': 'significant hilar or mediastinal lymphadenopathy', 'cf_snomed': {'mediastinal lymphadenopathy': 52324001}, 'existence': 'neg_dx', 'descriptive_term': 'significant hilar or mediastinal', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'lymphadenopathy': {'clinical finding': 'lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}anatomical entity_fin: {'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'low-attenuation focus': {'clinical finding': 'low-attenuation focus', 'existence': 'pos_dx', 'descriptive_term': 'low-attenuation', 'observation': 'focus'}, 'hepatic cyst': {'clinical finding': 'hepatic cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'unc_dx', 'descriptive_term': 'hepatic', 'observation': 'cyst'}} [/INST] . Central airways are patent. Bibasilar dependent atelectasis. No focal consolidation, pneumothorax, or pleural effusion. Scattered calcified and noncalcified pulmonary micronodules. No suspicious nodules or masses are identified. Localized focal bronchiectasis in the right lung likely post-inflammatory. Cardiac size upper limits of normal without significant pericardial effusion. Aorta and great vessels are normal in caliber. No significant hilar or mediastinal lymphadenopathy. Moderate. No lymphadenopathy. Absence of enteric contrast material limits sensitivity for abdominal pathology. Low-attenuation focus in the right hepatic lobe too small to actually characterize but likely represents a hepatic cyst, unchanged since 2008 examination. </s>

. Emphysema. Scattered punctate micronodules, some of which are calcified, which are nonspecific. However there is a noncalcified 8 mm nodule in the right lower lobe which is concerning for malignancy. Scattered small subcentimeter nodes, nonspecific. Multiple nonspecific hypodense thyroid nodules. Please see dedicated neck CT report for further details. None. Multifocal areas of patchy sclerosis throughout the axial skeleton are highly suggestive of metastatic disease. Absence of enteric contrast material limits sensitivity for abdominal pathology. Widespread hepatic hypodensities highly suggestive of metastatic disease. For continued reference a lesion in the right lobe measures 24 x 24 mm on image 87/104. Trace perihepatic fluid.

clinical findings_fin: {'scattered punctate micronodules': {'clinical finding': 'scattered punctate micronodules', 'existence': 'pos_dx', 'descriptive_term': 'scattered punctate', 'observation': 'micronodule'}}size_fin: [{'size': '8 mm', 'size_descriptor': 'nodule'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'noncalcified 8 mm nodule': {'clinical finding': 'noncalcified 8 mm nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'noncalcified 8 mm', 'observation': 'nodule'}, 'malignancy': {'clinical finding': 'malignancy', 'existence': 'unc_dx', 'observation': 'malignancy'}}clinical findings_fin: {'scattered small subcentimeter nodes': {'clinical finding': 'scattered small subcentimeter nodes', 'existence': 'pos_dx', 'descriptive_term': 'scattered small subcentimeter', 'observation': 'node', 'strength_term': 'small'}}clinical findings_fin: {'multiple nonspecific hypodense thyroid nodules': {'clinical finding': 'multiple nonspecific hypodense thyroid nodules', 'cf_snomed': {'thyroid nodule': 237495005}, 'existence': 'pos_dx', 'descriptive_term': 'multiple nonspecific hypodense thyroid', 'observation': 'nodule', 'quantity_term': 'multiple'}}anatomical entity_fin: {'neck': {}}anatomical entity_fin: {'axial skeleton': {}}clinical findings_fin: {'patchy sclerosis': {'clinical finding': 'patchy sclerosis', 'cf_snomed': {'sclerosis': 43846000}, 'existence': 'pos_dx', 'descriptive_term': 'patchy', 'observation': 'sclerosis'}, 'metastatic disease': {'clinical finding': 'metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'unc_dx', 'descriptive_term': 'metastatic', 'observation': 'disease'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'widespread hepatic hypodensities': {'clinical finding': 'widespread hepatic hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'widespread hepatic', 'observation': 'hypodensity', 'strength_term': 'widespread'}, 'metastatic disease': {'clinical finding': 'metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'unc_dx', 'descriptive_term': 'metastatic', 'observation': 'disease'}}size_fin: [{'size': '24 x 24 mm', 'size_descriptor': 'lesion'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'lesion': {'clinical finding': 'lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'observation': 'lesion'}}anatomical entity_fin: {'fluid': {}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'scattered punctate micronodules': {'clinical finding': 'scattered punctate micronodules', 'existence': 'pos_dx', 'descriptive_term': 'scattered punctate', 'observation': 'micronodule'}}size_fin: [{'size': '8 mm', 'size_descriptor': 'nodule'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'noncalcified 8 mm nodule': {'clinical finding': 'noncalcified 8 mm nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'noncalcified 8 mm', 'observation': 'nodule'}, 'malignancy': {'clinical finding': 'malignancy', 'existence': 'unc_dx', 'observation': 'malignancy'}}clinical findings_fin: {'scattered small subcentimeter nodes': {'clinical finding': 'scattered small subcentimeter nodes', 'existence': 'pos_dx', 'descriptive_term': 'scattered small subcentimeter', 'observation': 'node', 'strength_term': 'small'}}clinical findings_fin: {'multiple nonspecific hypodense thyroid nodules': {'clinical finding': 'multiple nonspecific hypodense thyroid nodules', 'cf_snomed': {'thyroid nodule': 237495005}, 'existence': 'pos_dx', 'descriptive_term': 'multiple nonspecific hypodense thyroid', 'observation': 'nodule', 'quantity_term': 'multiple'}}anatomical entity_fin: {'neck': {}}anatomical entity_fin: {'axial skeleton': {}}clinical findings_fin: {'patchy sclerosis': {'clinical finding': 'patchy sclerosis', 'cf_snomed': {'sclerosis': 43846000}, 'existence': 'pos_dx', 'descriptive_term': 'patchy', 'observation': 'sclerosis'}, 'metastatic disease': {'clinical finding': 'metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'unc_dx', 'descriptive_term': 'metastatic', 'observation': 'disease'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'widespread hepatic hypodensities': {'clinical finding': 'widespread hepatic hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'widespread hepatic', 'observation': 'hypodensity', 'strength_term': 'widespread'}, 'metastatic disease': {'clinical finding': 'metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'unc_dx', 'descriptive_term': 'metastatic', 'observation': 'disease'}}size_fin: [{'size': '24 x 24 mm', 'size_descriptor': 'lesion'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'lesion': {'clinical finding': 'lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'observation': 'lesion'}}anatomical entity_fin: {'fluid': {}} [/INST] . Emphysema. Scattered punctate micronodules, some of which are calcified, which are nonspecific. However there is a noncalcified 8 mm nodule in the right lower lobe which is concerning for malignancy. Scattered small subcentimeter nodes, nonspecific. Multiple nonspecific hypodense thyroid nodules. Please see dedicated neck CT report for further details. None. Multifocal areas of patchy sclerosis throughout the axial skeleton are highly suggestive of metastatic disease. Absence of enteric contrast material limits sensitivity for abdominal pathology. Widespread hepatic hypodensities highly suggestive of metastatic disease. For continued reference a lesion in the right lobe measures 24 x 24 mm on image 87/104. Trace perihepatic fluid. </s>

. Subpleural basilar predominant reticulation with traction bronchiectasis, architectural distortion, and honeycombing, left lung greater than right. This appears similar to 11/17/2014. No significant groundglass opacity. Scattered calcified and noncalcified micronodules. No suspicious pulmonary nodules or masses. No pleural effusions. Prominent mediastinal lymph nodes, similar to prior. Normal-sized heart without pericardial effusion. Severe. Mild to moderate degenerative changes of the thoracic spine. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. No significant abnormality noted.

anatomical entity_fin: {'left lung': {}}imaging observation_fin: ['reticulation']location descriptor_fin: ['right']clinical findings_fin: {'subpleural basilar predominant reticulation': {'clinical finding': 'subpleural basilar predominant reticulation', 'existence': 'pos_dx', 'descriptive_term': 'subpleural basilar predominant', 'observation': 'reticulation'}, 'traction bronchiectasis': {'clinical finding': 'traction bronchiectasis', 'cf_snomed': {'traction bronchiectasis': 19325002}, 'existence': 'pos_dx', 'descriptive_term': 'traction', 'observation': 'bronchiectasis'}, 'architectural distortion': {'clinical finding': 'architectural distortion', 'existence': 'pos_dx', 'descriptive_term': 'architectural', 'observation': 'distortion'}, 'honeycombing': {'clinical finding': 'honeycombing', 'existence': 'pos_dx', 'observation': 'honeycombing'}}clinical findings_fin: {'this appears similar to 11/17/2014': {'clinical finding': 'this appears similar to 11/17/2014'}}clinical findings_fin: {'significant groundglass opacity': {'clinical finding': 'significant groundglass opacity', 'cf_snomed': {'opacity': 128305008}, 'existence': 'neg_dx', 'descriptive_term': 'significant groundglass', 'observation': 'opacity'}}clinical findings_fin: {'scattered calcified and noncalcified micronodules': {'clinical finding': 'scattered calcified and noncalcified micronodules', 'existence': 'pos_dx', 'descriptive_term': 'scattered calcified and noncalcified', 'observation': 'micronodule', 'change_term': 'calcified'}}clinical findings_fin: {'suspicious pulmonary nodules': {'clinical finding': 'suspicious pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious pulmonary', 'observation': 'nodule'}, 'masses': {'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass'}}clinical findings_fin: {'pleural effusions': {'clinical finding': 'pleural effusions', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}}anatomical entity_fin: {'mediastinal lymph nodes': {}}clinical findings_fin: {'prominent mediastinal lymph nodes': {'clinical finding': 'prominent mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'prominent mediastinal lymph', 'observation': 'node', 'strength_term': 'prominent'}}anatomical entity_fin: {'heart': {}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'pos_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'mild to moderate degenerative changes': {'clinical finding': 'mild to moderate degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'mild to moderate degenerative', 'observation': 'change', 'strength_term': 'mild - moderate'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'left lung': {}}imaging observation_fin: ['reticulation']location descriptor_fin: ['right']clinical findings_fin: {'subpleural basilar predominant reticulation': {'clinical finding': 'subpleural basilar predominant reticulation', 'existence': 'pos_dx', 'descriptive_term': 'subpleural basilar predominant', 'observation': 'reticulation'}, 'traction bronchiectasis': {'clinical finding': 'traction bronchiectasis', 'cf_snomed': {'traction bronchiectasis': 19325002}, 'existence': 'pos_dx', 'descriptive_term': 'traction', 'observation': 'bronchiectasis'}, 'architectural distortion': {'clinical finding': 'architectural distortion', 'existence': 'pos_dx', 'descriptive_term': 'architectural', 'observation': 'distortion'}, 'honeycombing': {'clinical finding': 'honeycombing', 'existence': 'pos_dx', 'observation': 'honeycombing'}}clinical findings_fin: {'this appears similar to 11/17/2014': {'clinical finding': 'this appears similar to 11/17/2014'}}clinical findings_fin: {'significant groundglass opacity': {'clinical finding': 'significant groundglass opacity', 'cf_snomed': {'opacity': 128305008}, 'existence': 'neg_dx', 'descriptive_term': 'significant groundglass', 'observation': 'opacity'}}clinical findings_fin: {'scattered calcified and noncalcified micronodules': {'clinical finding': 'scattered calcified and noncalcified micronodules', 'existence': 'pos_dx', 'descriptive_term': 'scattered calcified and noncalcified', 'observation': 'micronodule', 'change_term': 'calcified'}}clinical findings_fin: {'suspicious pulmonary nodules': {'clinical finding': 'suspicious pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious pulmonary', 'observation': 'nodule'}, 'masses': {'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass'}}clinical findings_fin: {'pleural effusions': {'clinical finding': 'pleural effusions', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}}anatomical entity_fin: {'mediastinal lymph nodes': {}}clinical findings_fin: {'prominent mediastinal lymph nodes': {'clinical finding': 'prominent mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'prominent mediastinal lymph', 'observation': 'node', 'strength_term': 'prominent'}}anatomical entity_fin: {'heart': {}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'pos_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'mild to moderate degenerative changes': {'clinical finding': 'mild to moderate degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'mild to moderate degenerative', 'observation': 'change', 'strength_term': 'mild - moderate'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . Subpleural basilar predominant reticulation with traction bronchiectasis, architectural distortion, and honeycombing, left lung greater than right. This appears similar to 11/17/2014. No significant groundglass opacity. Scattered calcified and noncalcified micronodules. No suspicious pulmonary nodules or masses. No pleural effusions. Prominent mediastinal lymph nodes, similar to prior. Normal-sized heart without pericardial effusion. Severe. Mild to moderate degenerative changes of the thoracic spine. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. No significant abnormality noted. </s>

Near severe degenerative changes affect the right knee most pronounced along the medial tibiofemoral compartment. Calcification along the medial aspect of the medial femoral condyle may represent prior injury to the MCL or Pellegrini-Stieda lesion. There is a small amount of chondrocalcinosis along the lateral tibiofemoral compartment. There is an apparent popliteal venous aneurysm measuring up to 2.8 cm in diameter which is incompletely characterized on this noncontrast examination. Moderate degenerative changes affect the right hip. No acute fracture or malalignment is evident. Note is made of vascular calcifications of the aorta and its branches. There is mild fatty infiltration of the musculature of the right hip, particularly affecting the gluteus musculature mild to moderate degenerative changes affect the pubic symphysis. There is soft tissue about the pubic symphysis which may reflect osteitis pubis. Severe degenerative disc disease affects the imaged lower lumbar spine. There is mild sclerosis within the talar dome which is nonspecific but may represent avascular necrosis.

anatomical entity_fin: {'right knee': {}}location descriptor_fin: ['medial']clinical findings_fin: {'near severe degenerative changes': {'clinical finding': 'near severe degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'near severe degenerative', 'observation': 'change', 'strength_term': 'severe'}}anatomical entity_fin: {'condyle': {}}imaging observation_fin: ['pellegrini-stieda']location descriptor_fin: ['medial']clinical findings_fin: {'calcification': {'clinical finding': 'calcification', 'existence': 'pos_dx', 'observation': 'calcification'}, 'prior injury': {'clinical finding': 'prior injury', 'existence': 'unc_dx', 'descriptive_term': 'prior', 'observation': 'injury'}, 'mcl or pellegrini-stieda lesion': {'clinical finding': 'mcl or pellegrini-stieda lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'unc_dx', 'descriptive_term': 'mcl or pellegrini-stieda', 'observation': 'lesion'}}location descriptor_fin: ['lateral']clinical findings_fin: {'chondrocalcinosis': {'clinical finding': 'chondrocalcinosis', 'cf_snomed': {'chondrocalcinosis': 239838005}, 'existence': 'pos_dx', 'observation': 'chondrocalcinosis'}}size_fin: [{'size': '2.8 cm', 'size_descriptor': 'aneurysm'}]clinical findings_fin: {'apparent popliteal venous aneurysm': {'clinical finding': 'apparent popliteal venous aneurysm', 'cf_snomed': {'aneurysm': 432119003}, 'existence': 'pos_dx', 'descriptive_term': 'apparent popliteal venous', 'observation': 'aneurysm'}}anatomical entity_fin: {'hip': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'moderate degenerative changes': {'clinical finding': 'moderate degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'moderate degenerative', 'observation': 'change', 'strength_term': 'moderate'}}clinical findings_fin: {'acute fracture': {'clinical finding': 'acute fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'fracture', 'strength_term': 'acute', 'temporal_term': 'acute'}, 'malalignment': {'clinical finding': 'malalignment', 'existence': 'neg_dx', 'observation': 'malalignment'}}anatomical entity_fin: {'aorta': {}}clinical findings_fin: {'vascular calcifications': {'clinical finding': 'vascular calcifications', 'cf_snomed': {'vascular calcification': 237897009}, 'existence': 'pos_dx', 'descriptive_term': 'vascular', 'observation': 'calcification'}}anatomical entity_fin: {'musculature': {}, 'hip': {'location descriptor': 'right'}, 'symphysis': {}}location descriptor_fin: ['right']clinical findings_fin: {'mild fatty infiltration': {'clinical finding': 'mild fatty infiltration', 'cf_snomed': {'fatty infiltration': 45752008}, 'existence': 'pos_dx', 'descriptive_term': 'mild fatty', 'observation': 'infiltration', 'strength_term': 'mild'}, 'mild to moderate degenerative changes': {'clinical finding': 'mild to moderate degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'mild to moderate degenerative', 'observation': 'change', 'strength_term': 'mild - moderate'}}anatomical entity_fin: {'symphysis': {}, 'pubis': {}}clinical findings_fin: {'soft tissue': {'clinical finding': 'soft tissue', 'existence': 'pos_dx', 'descriptive_term': 'soft', 'observation': 'tissue'}, 'osteitis': {'clinical finding': 'osteitis', 'cf_snomed': {'osteitis': 274144001}, 'existence': 'unc_dx', 'observation': 'osteitis'}}anatomical entity_fin: {'spine': {}}location descriptor_fin: ['lower']clinical findings_fin: {'severe degenerative disc disease': {'clinical finding': 'severe degenerative disc disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'severe degenerative disc', 'observation': 'disease', 'strength_term': 'severe'}}anatomical entity_fin: {'talar dome': {}}clinical findings_fin: {'mild sclerosis': {'clinical finding': 'mild sclerosis', 'cf_snomed': {'sclerosis': 43846000}, 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'sclerosis', 'strength_term': 'mild'}, 'avascular necrosis': {'clinical finding': 'avascular necrosis', 'cf_snomed': {'avascular necrosis': 86217007}, 'existence': 'unc_dx', 'descriptive_term': 'avascular', 'observation': 'necrosis'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'right knee': {}}location descriptor_fin: ['medial']clinical findings_fin: {'near severe degenerative changes': {'clinical finding': 'near severe degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'near severe degenerative', 'observation': 'change', 'strength_term': 'severe'}}anatomical entity_fin: {'condyle': {}}imaging observation_fin: ['pellegrini-stieda']location descriptor_fin: ['medial']clinical findings_fin: {'calcification': {'clinical finding': 'calcification', 'existence': 'pos_dx', 'observation': 'calcification'}, 'prior injury': {'clinical finding': 'prior injury', 'existence': 'unc_dx', 'descriptive_term': 'prior', 'observation': 'injury'}, 'mcl or pellegrini-stieda lesion': {'clinical finding': 'mcl or pellegrini-stieda lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'unc_dx', 'descriptive_term': 'mcl or pellegrini-stieda', 'observation': 'lesion'}}location descriptor_fin: ['lateral']clinical findings_fin: {'chondrocalcinosis': {'clinical finding': 'chondrocalcinosis', 'cf_snomed': {'chondrocalcinosis': 239838005}, 'existence': 'pos_dx', 'observation': 'chondrocalcinosis'}}size_fin: [{'size': '2.8 cm', 'size_descriptor': 'aneurysm'}]clinical findings_fin: {'apparent popliteal venous aneurysm': {'clinical finding': 'apparent popliteal venous aneurysm', 'cf_snomed': {'aneurysm': 432119003}, 'existence': 'pos_dx', 'descriptive_term': 'apparent popliteal venous', 'observation': 'aneurysm'}}anatomical entity_fin: {'hip': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'moderate degenerative changes': {'clinical finding': 'moderate degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'moderate degenerative', 'observation': 'change', 'strength_term': 'moderate'}}clinical findings_fin: {'acute fracture': {'clinical finding': 'acute fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'fracture', 'strength_term': 'acute', 'temporal_term': 'acute'}, 'malalignment': {'clinical finding': 'malalignment', 'existence': 'neg_dx', 'observation': 'malalignment'}}anatomical entity_fin: {'aorta': {}}clinical findings_fin: {'vascular calcifications': {'clinical finding': 'vascular calcifications', 'cf_snomed': {'vascular calcification': 237897009}, 'existence': 'pos_dx', 'descriptive_term': 'vascular', 'observation': 'calcification'}}anatomical entity_fin: {'musculature': {}, 'hip': {'location descriptor': 'right'}, 'symphysis': {}}location descriptor_fin: ['right']clinical findings_fin: {'mild fatty infiltration': {'clinical finding': 'mild fatty infiltration', 'cf_snomed': {'fatty infiltration': 45752008}, 'existence': 'pos_dx', 'descriptive_term': 'mild fatty', 'observation': 'infiltration', 'strength_term': 'mild'}, 'mild to moderate degenerative changes': {'clinical finding': 'mild to moderate degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'mild to moderate degenerative', 'observation': 'change', 'strength_term': 'mild - moderate'}}anatomical entity_fin: {'symphysis': {}, 'pubis': {}}clinical findings_fin: {'soft tissue': {'clinical finding': 'soft tissue', 'existence': 'pos_dx', 'descriptive_term': 'soft', 'observation': 'tissue'}, 'osteitis': {'clinical finding': 'osteitis', 'cf_snomed': {'osteitis': 274144001}, 'existence': 'unc_dx', 'observation': 'osteitis'}}anatomical entity_fin: {'spine': {}}location descriptor_fin: ['lower']clinical findings_fin: {'severe degenerative disc disease': {'clinical finding': 'severe degenerative disc disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'severe degenerative disc', 'observation': 'disease', 'strength_term': 'severe'}}anatomical entity_fin: {'talar dome': {}}clinical findings_fin: {'mild sclerosis': {'clinical finding': 'mild sclerosis', 'cf_snomed': {'sclerosis': 43846000}, 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'sclerosis', 'strength_term': 'mild'}, 'avascular necrosis': {'clinical finding': 'avascular necrosis', 'cf_snomed': {'avascular necrosis': 86217007}, 'existence': 'unc_dx', 'descriptive_term': 'avascular', 'observation': 'necrosis'}} [/INST] Near severe degenerative changes affect the right knee most pronounced along the medial tibiofemoral compartment. Calcification along the medial aspect of the medial femoral condyle may represent prior injury to the MCL or Pellegrini-Stieda lesion. There is a small amount of chondrocalcinosis along the lateral tibiofemoral compartment. There is an apparent popliteal venous aneurysm measuring up to 2.8 cm in diameter which is incompletely characterized on this noncontrast examination. Moderate degenerative changes affect the right hip. No acute fracture or malalignment is evident. Note is made of vascular calcifications of the aorta and its branches. There is mild fatty infiltration of the musculature of the right hip, particularly affecting the gluteus musculature mild to moderate degenerative changes affect the pubic symphysis. There is soft tissue about the pubic symphysis which may reflect osteitis pubis. Severe degenerative disc disease affects the imaged lower lumbar spine. There is mild sclerosis within the talar dome which is nonspecific but may represent avascular necrosis. </s>

. There is no evidence of intracranial mass or abnormal enhancement. The ventricles are stable in size and configuration. There is no midline shift or herniation. The imaged paranasal sinuses and mastoid air cells are clear. The skull is unremarkable. There are postoperative findings related to total thyroidectomy. There is no new neck mass to suggest tumor recurrence. There are scattered subcentimeter lymph nodes. The airway is patent. The major salivary glands are unchanged. The major cervical vessels are patent. There is a retropharyngeal left carotid artery. There is degenerative cervical spondylosis. There is incomplete fusion of the posterior C1 arch. There are multiple pulmonary nodules in the visualized portion of the lungs, which are not changed from the previous neck CT. In the partially visualized mediastinum there is an enlarged left paraaortic mediastinal lymph node unchanged since the previous study.

clinical findings_fin: {'intracranial mass': {'clinical finding': 'intracranial mass', 'cf_snomed': {'intracranial mass': 85974009}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'mass'}, 'abnormal enhancement': {'clinical finding': 'abnormal enhancement', 'existence': 'neg_dx', 'descriptive_term': 'abnormal', 'observation': 'enhancement'}}clinical findings_fin: {'ventricles are stable in size and configuration': {'clinical finding': 'ventricles are stable in size and configuration', 'change_term': 'stable'}}location descriptor_fin: ['midline']clinical findings_fin: {'herniation': {'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'}}anatomical entity_fin: {'paranasal sinuses': {}, 'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'}}anatomical entity_fin: {'skull': {}}clinical findings_fin: {'skull is unremarkable': {'clinical finding': 'skull is unremarkable'}}clinical findings_fin: {'postoperative': {'clinical finding': 'postoperative', 'existence': 'pos_dx', 'observation': 'postoperative'}, 'total thyroidectomy': {'clinical finding': 'total thyroidectomy', 'existence': 'pos_dx', 'descriptive_term': 'total', 'observation': 'thyroidectomy'}}anatomical entity_fin: {'neck': {}}clinical findings_fin: {'new neck mass': {'clinical finding': 'new neck mass', 'existence': 'neg_dx', 'descriptive_term': 'new neck', 'observation': 'mass', 'temporal_term': 'new'}, 'tumor recurrence': {'clinical finding': 'tumor recurrence', 'existence': 'unc_dx', 'descriptive_term': 'tumor', 'observation': 'recurrence'}}clinical findings_fin: {'scattered subcentimeter lymph nodes': {'clinical finding': 'scattered subcentimeter lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'scattered subcentimeter lymph', 'observation': 'node'}}anatomical entity_fin: {'airway': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'pos_dx', 'observation': 'patent'}}anatomical entity_fin: {'major salivary glands': {}}clinical findings_fin: {'major salivary glands are unchanged': {'clinical finding': 'major salivary glands are unchanged', 'change_term': 'unchanged'}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'pos_dx', 'observation': 'patent'}}anatomical entity_fin: {'artery': {}}location descriptor_fin: ['left']clinical findings_fin: {'degenerative cervical spondylosis': {'clinical finding': 'degenerative cervical spondylosis', 'cf_snomed': {'cervical spondylosis': 387800004}, 'existence': 'pos_dx', 'descriptive_term': 'degenerative cervical', 'observation': 'spondylosis'}}location descriptor_fin: ['posterior']clinical findings_fin: {'incomplete fusion': {'clinical finding': 'incomplete fusion', 'existence': 'pos_dx', 'descriptive_term': 'incomplete', 'observation': 'fusion'}}anatomical entity_fin: {'lungs': {}, 'neck': {}}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'}}anatomical entity_fin: {'mediastinum': {}, 'mediastinal lymph node': {}}location descriptor_fin: ['left']clinical findings_fin: {'enlarged left paraaortic mediastinal lymph node': {'clinical finding': 'enlarged left paraaortic mediastinal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'enlarged left paraaortic mediastinal lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'intracranial mass': {'clinical finding': 'intracranial mass', 'cf_snomed': {'intracranial mass': 85974009}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'mass'}, 'abnormal enhancement': {'clinical finding': 'abnormal enhancement', 'existence': 'neg_dx', 'descriptive_term': 'abnormal', 'observation': 'enhancement'}}clinical findings_fin: {'ventricles are stable in size and configuration': {'clinical finding': 'ventricles are stable in size and configuration', 'change_term': 'stable'}}location descriptor_fin: ['midline']clinical findings_fin: {'herniation': {'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'}}anatomical entity_fin: {'paranasal sinuses': {}, 'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'}}anatomical entity_fin: {'skull': {}}clinical findings_fin: {'skull is unremarkable': {'clinical finding': 'skull is unremarkable'}}clinical findings_fin: {'postoperative': {'clinical finding': 'postoperative', 'existence': 'pos_dx', 'observation': 'postoperative'}, 'total thyroidectomy': {'clinical finding': 'total thyroidectomy', 'existence': 'pos_dx', 'descriptive_term': 'total', 'observation': 'thyroidectomy'}}anatomical entity_fin: {'neck': {}}clinical findings_fin: {'new neck mass': {'clinical finding': 'new neck mass', 'existence': 'neg_dx', 'descriptive_term': 'new neck', 'observation': 'mass', 'temporal_term': 'new'}, 'tumor recurrence': {'clinical finding': 'tumor recurrence', 'existence': 'unc_dx', 'descriptive_term': 'tumor', 'observation': 'recurrence'}}clinical findings_fin: {'scattered subcentimeter lymph nodes': {'clinical finding': 'scattered subcentimeter lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'scattered subcentimeter lymph', 'observation': 'node'}}anatomical entity_fin: {'airway': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'pos_dx', 'observation': 'patent'}}anatomical entity_fin: {'major salivary glands': {}}clinical findings_fin: {'major salivary glands are unchanged': {'clinical finding': 'major salivary glands are unchanged', 'change_term': 'unchanged'}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'pos_dx', 'observation': 'patent'}}anatomical entity_fin: {'artery': {}}location descriptor_fin: ['left']clinical findings_fin: {'degenerative cervical spondylosis': {'clinical finding': 'degenerative cervical spondylosis', 'cf_snomed': {'cervical spondylosis': 387800004}, 'existence': 'pos_dx', 'descriptive_term': 'degenerative cervical', 'observation': 'spondylosis'}}location descriptor_fin: ['posterior']clinical findings_fin: {'incomplete fusion': {'clinical finding': 'incomplete fusion', 'existence': 'pos_dx', 'descriptive_term': 'incomplete', 'observation': 'fusion'}}anatomical entity_fin: {'lungs': {}, 'neck': {}}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'}}anatomical entity_fin: {'mediastinum': {}, 'mediastinal lymph node': {}}location descriptor_fin: ['left']clinical findings_fin: {'enlarged left paraaortic mediastinal lymph node': {'clinical finding': 'enlarged left paraaortic mediastinal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'enlarged left paraaortic mediastinal lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'}} [/INST] . There is no evidence of intracranial mass or abnormal enhancement. The ventricles are stable in size and configuration. There is no midline shift or herniation. The imaged paranasal sinuses and mastoid air cells are clear. The skull is unremarkable. There are postoperative findings related to total thyroidectomy. There is no new neck mass to suggest tumor recurrence. There are scattered subcentimeter lymph nodes. The airway is patent. The major salivary glands are unchanged. The major cervical vessels are patent. There is a retropharyngeal left carotid artery. There is degenerative cervical spondylosis. There is incomplete fusion of the posterior C1 arch. There are multiple pulmonary nodules in the visualized portion of the lungs, which are not changed from the previous neck CT. In the partially visualized mediastinum there is an enlarged left paraaortic mediastinal lymph node unchanged since the previous study. </s>

. Severe apical predominant centrilobular emphysema. Spiculated lesion in the lateral aspect of the superior segment of the right lower lobe measuring approximately 7 x 9 mm , previously 7 x 6 mm and also appears more solid than on previous study, suggestive of pulmonary pulmonary neoplasm. A smaller satellite lesion slightly more inferior in the right lower lobe measures 5 mm , previously 4 mm, suspicious for metastatic disease. Additional micronodules are seen along the posterior right lower lobe, nonspecific, but metastatic disease cant be excluded. No suspicious mass or lesion is identified in the left lung. Scarring along the right paramediastinum likely represents posttreatment changes. The heart size is within normal limits, no significant pericardial effusion. Scattered subcentimeter mediastinal and hilar lymph nodes. Small hiatal hernia. Mild. No significant axillary lymphadenopathy. Scattered mild multilevel degenerative changes of the thoracolumbar spine. Absence of enteric contrast material limits sensitivity for abdominal pathology. Please report of concurrent CT abdomen or pelvis for dedicated findings.

imaging observation_fin: ['apical']clinical findings_fin: {'severe apical predominant centrilobular emphysema': {'clinical finding': 'severe apical predominant centrilobular emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'descriptive_term': 'severe apical predominant centrilobular', 'observation': 'emphysema', 'strength_term': 'severe'}}size_fin: [{'size': '7 x 9 mm'}, {'size': '7 x 6 mm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['lateral', 'superior', 'right', 'lower']clinical findings_fin: {'spiculated lesion': {'clinical finding': 'spiculated lesion', 'cf_snomed': {'spiculated lesion': 129742005}, 'existence': 'pos_dx', 'descriptive_term': 'spiculated', 'observation': 'lesion'}, 'pulmonary pulmonary neoplasm': {'clinical finding': 'pulmonary pulmonary neoplasm', 'cf_snomed': {'neoplasm': 108369006}, 'existence': 'unc_dx', 'descriptive_term': 'pulmonary pulmonary', 'observation': 'neoplasm'}}size_fin: [{'size': '5 mm'}, {'size': '4 mm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['inferior', 'right', 'lower']clinical findings_fin: {'smaller satellite lesion': {'clinical finding': 'smaller satellite lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'smaller satellite', 'observation': 'lesion'}, 'metastatic disease': {'clinical finding': 'metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'unc_dx', 'descriptive_term': 'metastatic', 'observation': 'disease'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['posterior', 'right', 'lower']clinical findings_fin: {'additional micronodules': {'clinical finding': 'additional micronodules', 'existence': 'pos_dx', 'descriptive_term': 'additional', 'observation': 'micronodule'}, 'metastatic disease': {'clinical finding': 'metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'unc_dx', 'descriptive_term': 'metastatic', 'observation': 'disease'}}anatomical entity_fin: {'left lung': {}}clinical findings_fin: {'suspicious mass': {'clinical finding': 'suspicious mass', 'existence': 'neg_dx', 'descriptive_term': 'suspicious', 'observation': 'mass'}, 'lesion': {'clinical finding': 'lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'observation': 'lesion'}}location descriptor_fin: ['right']clinical findings_fin: {'posttreatment changes': {'clinical finding': 'posttreatment changes', 'existence': 'pos_dx', 'descriptive_term': 'posttreatment', 'observation': 'change'}}anatomical entity_fin: {'heart': {}}clinical findings_fin: {'significant pericardial effusion': {'clinical finding': 'significant pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'significant pericardial', 'observation': 'effusion'}}clinical findings_fin: {'scattered subcentimeter mediastinal and hilar lymph nodes': {'clinical finding': 'scattered subcentimeter mediastinal and hilar lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'scattered subcentimeter mediastinal and hilar lymph', 'observation': 'node'}}clinical findings_fin: {'small hiatal hernia': {'clinical finding': 'small hiatal hernia', 'cf_snomed': {'hiatal hernia': 84089009}, 'existence': 'pos_dx', 'descriptive_term': 'small hiatal', 'observation': 'hernia', 'strength_term': 'small'}}clinical findings_fin: {'significant axillary lymphadenopathy': {'clinical finding': 'significant axillary lymphadenopathy', 'cf_snomed': {'axillary lymphadenopathy': 127189005}, 'existence': 'neg_dx', 'descriptive_term': 'significant axillary', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'mild multilevel degenerative changes': {'clinical finding': 'mild multilevel degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'mild multilevel degenerative', 'observation': 'change', 'strength_term': 'mild'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}anatomical entity_fin: {'abdomen': {}, 'pelvis': {}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: imaging observation_fin: ['apical']clinical findings_fin: {'severe apical predominant centrilobular emphysema': {'clinical finding': 'severe apical predominant centrilobular emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'descriptive_term': 'severe apical predominant centrilobular', 'observation': 'emphysema', 'strength_term': 'severe'}}size_fin: [{'size': '7 x 9 mm'}, {'size': '7 x 6 mm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['lateral', 'superior', 'right', 'lower']clinical findings_fin: {'spiculated lesion': {'clinical finding': 'spiculated lesion', 'cf_snomed': {'spiculated lesion': 129742005}, 'existence': 'pos_dx', 'descriptive_term': 'spiculated', 'observation': 'lesion'}, 'pulmonary pulmonary neoplasm': {'clinical finding': 'pulmonary pulmonary neoplasm', 'cf_snomed': {'neoplasm': 108369006}, 'existence': 'unc_dx', 'descriptive_term': 'pulmonary pulmonary', 'observation': 'neoplasm'}}size_fin: [{'size': '5 mm'}, {'size': '4 mm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['inferior', 'right', 'lower']clinical findings_fin: {'smaller satellite lesion': {'clinical finding': 'smaller satellite lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'smaller satellite', 'observation': 'lesion'}, 'metastatic disease': {'clinical finding': 'metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'unc_dx', 'descriptive_term': 'metastatic', 'observation': 'disease'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['posterior', 'right', 'lower']clinical findings_fin: {'additional micronodules': {'clinical finding': 'additional micronodules', 'existence': 'pos_dx', 'descriptive_term': 'additional', 'observation': 'micronodule'}, 'metastatic disease': {'clinical finding': 'metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'unc_dx', 'descriptive_term': 'metastatic', 'observation': 'disease'}}anatomical entity_fin: {'left lung': {}}clinical findings_fin: {'suspicious mass': {'clinical finding': 'suspicious mass', 'existence': 'neg_dx', 'descriptive_term': 'suspicious', 'observation': 'mass'}, 'lesion': {'clinical finding': 'lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'observation': 'lesion'}}location descriptor_fin: ['right']clinical findings_fin: {'posttreatment changes': {'clinical finding': 'posttreatment changes', 'existence': 'pos_dx', 'descriptive_term': 'posttreatment', 'observation': 'change'}}anatomical entity_fin: {'heart': {}}clinical findings_fin: {'significant pericardial effusion': {'clinical finding': 'significant pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'significant pericardial', 'observation': 'effusion'}}clinical findings_fin: {'scattered subcentimeter mediastinal and hilar lymph nodes': {'clinical finding': 'scattered subcentimeter mediastinal and hilar lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'scattered subcentimeter mediastinal and hilar lymph', 'observation': 'node'}}clinical findings_fin: {'small hiatal hernia': {'clinical finding': 'small hiatal hernia', 'cf_snomed': {'hiatal hernia': 84089009}, 'existence': 'pos_dx', 'descriptive_term': 'small hiatal', 'observation': 'hernia', 'strength_term': 'small'}}clinical findings_fin: {'significant axillary lymphadenopathy': {'clinical finding': 'significant axillary lymphadenopathy', 'cf_snomed': {'axillary lymphadenopathy': 127189005}, 'existence': 'neg_dx', 'descriptive_term': 'significant axillary', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'mild multilevel degenerative changes': {'clinical finding': 'mild multilevel degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'mild multilevel degenerative', 'observation': 'change', 'strength_term': 'mild'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}anatomical entity_fin: {'abdomen': {}, 'pelvis': {}} [/INST] . Severe apical predominant centrilobular emphysema. Spiculated lesion in the lateral aspect of the superior segment of the right lower lobe measuring approximately 7 x 9 mm , previously 7 x 6 mm and also appears more solid than on previous study, suggestive of pulmonary pulmonary neoplasm. A smaller satellite lesion slightly more inferior in the right lower lobe measures 5 mm , previously 4 mm, suspicious for metastatic disease. Additional micronodules are seen along the posterior right lower lobe, nonspecific, but metastatic disease cant be excluded. No suspicious mass or lesion is identified in the left lung. Scarring along the right paramediastinum likely represents posttreatment changes. The heart size is within normal limits, no significant pericardial effusion. Scattered subcentimeter mediastinal and hilar lymph nodes. Small hiatal hernia. Mild. No significant axillary lymphadenopathy. Scattered mild multilevel degenerative changes of the thoracolumbar spine. Absence of enteric contrast material limits sensitivity for abdominal pathology. Please report of concurrent CT abdomen or pelvis for dedicated findings. </s>

. Since the immediate prior study, there has been interval improvement in multifocal groundglass and nodular opacities particularly in the left lung, with residual groundglass opacity in the right upper lobe. Additionally, there has been interval development of new peribronchial vascular nodularity in the right lower lobe, suggestive of aspiration, as well as interval increase in bilateral pleural effusions, right greater than left, with loculated foci of air on the right consistent with loculated hydropneumothorax. Linear high density surgical material is seen in the right lung related to recent wedge biopsies. There is no evidence of air trapping on expiratory images. Very mild peripheral bronchiolectasis is again seen, without peripheral reticulation to suggest fibrosis. Persistent thickening of the fissures, similar to prior. The heart size is within normal limits, with small pericardial effusion which is minimally decreased when compared to prior. Hypoattenuation of the blood pool is suggestive of anemia. Left jugular catheter tip is seen at the cavoatrial junction. Subcentimeter mediastinal lymph nodes appear similar to prior. Small hiatal hernia. Mild. Scattered multilevel degenerative changes of the thoracolumbar spine. Diffuse soft tissue anasarca is again seen. Prominent axillary lymph nodes are not significantly changed. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. Hyperattenuation of the liver and spleen is again seen. Trace free fluid in the abdomen.

anatomical entity_fin: {'left lung': {}, 'lobe': {'location descriptor': 'right upper'}}location descriptor_fin: ['right', 'upper']clinical findings_fin: {'multifocal groundglass and nodular opacities': {'clinical finding': 'multifocal groundglass and nodular opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'multifocal groundglass and nodular', 'observation': 'opacity'}, 'residual groundglass opacity': {'clinical finding': 'residual groundglass opacity', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'residual groundglass', 'observation': 'opacity', 'temporal_term': 'residual'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}imaging observation_fin: ['foci']location descriptor_fin: ['right', 'lower', 'bilateral', 'left']clinical findings_fin: {'new peribronchial vascular nodularity': {'clinical finding': 'new peribronchial vascular nodularity', 'existence': 'pos_dx', 'descriptive_term': 'new peribronchial vascular', 'observation': 'nodularity', 'temporal_term': 'new'}, 'aspiration': {'clinical finding': 'aspiration', 'existence': 'unc_dx', 'observation': 'aspiration'}, 'bilateral pleural effusions': {'clinical finding': 'bilateral pleural effusions', 'cf_snomed': {'bilateral pleural effusion': 425802001}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral pleural', 'observation': 'effusion'}, 'loculated foci': {'clinical finding': 'loculated foci', 'existence': 'pos_dx', 'descriptive_term': 'loculated', 'observation': 'foci'}, 'loculated hydropneumothorax': {'clinical finding': 'loculated hydropneumothorax', 'cf_snomed': {'hydropneumothorax': 65933003}, 'existence': 'pos_dx', 'descriptive_term': 'loculated', 'observation': 'hydropneumothorax'}}anatomical entity_fin: {'right lung': {}}imaging observation_fin: ['wedge']procedure_fin: ['biopsies']clinical findings_fin: {'linear high density surgical material': {'clinical finding': 'linear high density surgical material', 'existence': 'pos_dx', 'descriptive_term': 'linear high density surgical', 'observation': 'material'}}clinical findings_fin: {'air trapping': {'clinical finding': 'air trapping', 'cf_snomed': {'air trapping': 76171001}, 'existence': 'neg_dx', 'descriptive_term': 'air', 'observation': 'trapping'}}imaging observation_fin: ['reticulation']location descriptor_fin: ['peripheral']clinical findings_fin: {'very mild peripheral bronchiolectasis': {'clinical finding': 'very mild peripheral bronchiolectasis', 'cf_snomed': {'bronchiolectasis': 29424000}, 'existence': 'pos_dx', 'descriptive_term': 'very mild peripheral', 'observation': 'bronchiolectasis', 'strength_term': 'mild'}, 'peripheral reticulation': {'clinical finding': 'peripheral reticulation', 'existence': 'neg_dx', 'descriptive_term': 'peripheral', 'observation': 'reticulation'}, 'fibrosis': {'clinical finding': 'fibrosis', 'existence': 'unc_dx', 'observation': 'fibrosis'}}clinical findings_fin: {'persistent thickening': {'clinical finding': 'persistent thickening', 'existence': 'pos_dx', 'descriptive_term': 'persistent', 'observation': 'thickening', 'temporal_term': 'persistent'}, 'fissures': {'clinical finding': 'fissures', 'cf_snomed': {'fissure': 47393002}, 'existence': 'pos_dx', 'observation': 'fissure'}}anatomical entity_fin: {'heart': {}}clinical findings_fin: {'small pericardial effusion': {'clinical finding': 'small pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'pos_dx', 'descriptive_term': 'small pericardial', 'observation': 'effusion', 'strength_term': 'small'}}imaging observation_fin: ['blood']clinical findings_fin: {'anemia': {'clinical finding': 'anemia', 'cf_snomed': {'anemia': 271737000}, 'existence': 'unc_dx', 'observation': 'anemia'}}location descriptor_fin: ['left']object_fin: ['catheter']clinical findings_fin: {'left jugular catheter tip is seen at the cavoatrial junction': {'clinical finding': 'left jugular catheter tip is seen at the cavoatrial junction'}}anatomical entity_fin: {'mediastinal lymph nodes': {}}clinical findings_fin: {'subcentimeter mediastinal lymph nodes': {'clinical finding': 'subcentimeter mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter mediastinal lymph', 'observation': 'node'}}clinical findings_fin: {'small hiatal hernia': {'clinical finding': 'small hiatal hernia', 'cf_snomed': {'hiatal hernia': 84089009}, 'existence': 'pos_dx', 'descriptive_term': 'small hiatal', 'observation': 'hernia', 'strength_term': 'small'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'scattered multilevel degenerative changes': {'clinical finding': 'scattered multilevel degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'scattered multilevel degenerative', 'observation': 'change'}}clinical findings_fin: {'diffuse soft tissue anasarca': {'clinical finding': 'diffuse soft tissue anasarca', 'cf_snomed': {'anasarca': 442433009}, 'existence': 'pos_dx', 'descriptive_term': 'diffuse soft tissue', 'observation': 'anasarca'}}anatomical entity_fin: {'axillary lymph nodes': {}}clinical findings_fin: {'prominent axillary lymph nodes': {'clinical finding': 'prominent axillary lymph nodes', 'existence': 'neg_dx', 'descriptive_term': 'prominent axillary lymph', 'observation': 'node', 'strength_term': 'prominent'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}anatomical entity_fin: {'liver': {}, 'spleen': {}}clinical findings_fin: {'hyperattenuation of the liver and spleen is again seen': {'clinical finding': 'hyperattenuation of the liver and spleen is again seen'}}anatomical entity_fin: {'abdomen': {}}clinical findings_fin: {'trace free fluid': {'clinical finding': 'trace free fluid', 'existence': 'pos_dx', 'descriptive_term': 'trace free', 'observation': 'fluid'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'left lung': {}, 'lobe': {'location descriptor': 'right upper'}}location descriptor_fin: ['right', 'upper']clinical findings_fin: {'multifocal groundglass and nodular opacities': {'clinical finding': 'multifocal groundglass and nodular opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'multifocal groundglass and nodular', 'observation': 'opacity'}, 'residual groundglass opacity': {'clinical finding': 'residual groundglass opacity', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'residual groundglass', 'observation': 'opacity', 'temporal_term': 'residual'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}imaging observation_fin: ['foci']location descriptor_fin: ['right', 'lower', 'bilateral', 'left']clinical findings_fin: {'new peribronchial vascular nodularity': {'clinical finding': 'new peribronchial vascular nodularity', 'existence': 'pos_dx', 'descriptive_term': 'new peribronchial vascular', 'observation': 'nodularity', 'temporal_term': 'new'}, 'aspiration': {'clinical finding': 'aspiration', 'existence': 'unc_dx', 'observation': 'aspiration'}, 'bilateral pleural effusions': {'clinical finding': 'bilateral pleural effusions', 'cf_snomed': {'bilateral pleural effusion': 425802001}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral pleural', 'observation': 'effusion'}, 'loculated foci': {'clinical finding': 'loculated foci', 'existence': 'pos_dx', 'descriptive_term': 'loculated', 'observation': 'foci'}, 'loculated hydropneumothorax': {'clinical finding': 'loculated hydropneumothorax', 'cf_snomed': {'hydropneumothorax': 65933003}, 'existence': 'pos_dx', 'descriptive_term': 'loculated', 'observation': 'hydropneumothorax'}}anatomical entity_fin: {'right lung': {}}imaging observation_fin: ['wedge']procedure_fin: ['biopsies']clinical findings_fin: {'linear high density surgical material': {'clinical finding': 'linear high density surgical material', 'existence': 'pos_dx', 'descriptive_term': 'linear high density surgical', 'observation': 'material'}}clinical findings_fin: {'air trapping': {'clinical finding': 'air trapping', 'cf_snomed': {'air trapping': 76171001}, 'existence': 'neg_dx', 'descriptive_term': 'air', 'observation': 'trapping'}}imaging observation_fin: ['reticulation']location descriptor_fin: ['peripheral']clinical findings_fin: {'very mild peripheral bronchiolectasis': {'clinical finding': 'very mild peripheral bronchiolectasis', 'cf_snomed': {'bronchiolectasis': 29424000}, 'existence': 'pos_dx', 'descriptive_term': 'very mild peripheral', 'observation': 'bronchiolectasis', 'strength_term': 'mild'}, 'peripheral reticulation': {'clinical finding': 'peripheral reticulation', 'existence': 'neg_dx', 'descriptive_term': 'peripheral', 'observation': 'reticulation'}, 'fibrosis': {'clinical finding': 'fibrosis', 'existence': 'unc_dx', 'observation': 'fibrosis'}}clinical findings_fin: {'persistent thickening': {'clinical finding': 'persistent thickening', 'existence': 'pos_dx', 'descriptive_term': 'persistent', 'observation': 'thickening', 'temporal_term': 'persistent'}, 'fissures': {'clinical finding': 'fissures', 'cf_snomed': {'fissure': 47393002}, 'existence': 'pos_dx', 'observation': 'fissure'}}anatomical entity_fin: {'heart': {}}clinical findings_fin: {'small pericardial effusion': {'clinical finding': 'small pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'pos_dx', 'descriptive_term': 'small pericardial', 'observation': 'effusion', 'strength_term': 'small'}}imaging observation_fin: ['blood']clinical findings_fin: {'anemia': {'clinical finding': 'anemia', 'cf_snomed': {'anemia': 271737000}, 'existence': 'unc_dx', 'observation': 'anemia'}}location descriptor_fin: ['left']object_fin: ['catheter']clinical findings_fin: {'left jugular catheter tip is seen at the cavoatrial junction': {'clinical finding': 'left jugular catheter tip is seen at the cavoatrial junction'}}anatomical entity_fin: {'mediastinal lymph nodes': {}}clinical findings_fin: {'subcentimeter mediastinal lymph nodes': {'clinical finding': 'subcentimeter mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter mediastinal lymph', 'observation': 'node'}}clinical findings_fin: {'small hiatal hernia': {'clinical finding': 'small hiatal hernia', 'cf_snomed': {'hiatal hernia': 84089009}, 'existence': 'pos_dx', 'descriptive_term': 'small hiatal', 'observation': 'hernia', 'strength_term': 'small'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'scattered multilevel degenerative changes': {'clinical finding': 'scattered multilevel degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'scattered multilevel degenerative', 'observation': 'change'}}clinical findings_fin: {'diffuse soft tissue anasarca': {'clinical finding': 'diffuse soft tissue anasarca', 'cf_snomed': {'anasarca': 442433009}, 'existence': 'pos_dx', 'descriptive_term': 'diffuse soft tissue', 'observation': 'anasarca'}}anatomical entity_fin: {'axillary lymph nodes': {}}clinical findings_fin: {'prominent axillary lymph nodes': {'clinical finding': 'prominent axillary lymph nodes', 'existence': 'neg_dx', 'descriptive_term': 'prominent axillary lymph', 'observation': 'node', 'strength_term': 'prominent'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}anatomical entity_fin: {'liver': {}, 'spleen': {}}clinical findings_fin: {'hyperattenuation of the liver and spleen is again seen': {'clinical finding': 'hyperattenuation of the liver and spleen is again seen'}}anatomical entity_fin: {'abdomen': {}}clinical findings_fin: {'trace free fluid': {'clinical finding': 'trace free fluid', 'existence': 'pos_dx', 'descriptive_term': 'trace free', 'observation': 'fluid'}} [/INST] . Since the immediate prior study, there has been interval improvement in multifocal groundglass and nodular opacities particularly in the left lung, with residual groundglass opacity in the right upper lobe. Additionally, there has been interval development of new peribronchial vascular nodularity in the right lower lobe, suggestive of aspiration, as well as interval increase in bilateral pleural effusions, right greater than left, with loculated foci of air on the right consistent with loculated hydropneumothorax. Linear high density surgical material is seen in the right lung related to recent wedge biopsies. There is no evidence of air trapping on expiratory images. Very mild peripheral bronchiolectasis is again seen, without peripheral reticulation to suggest fibrosis. Persistent thickening of the fissures, similar to prior. The heart size is within normal limits, with small pericardial effusion which is minimally decreased when compared to prior. Hypoattenuation of the blood pool is suggestive of anemia. Left jugular catheter tip is seen at the cavoatrial junction. Subcentimeter mediastinal lymph nodes appear similar to prior. Small hiatal hernia. Mild. Scattered multilevel degenerative changes of the thoracolumbar spine. Diffuse soft tissue anasarca is again seen. Prominent axillary lymph nodes are not significantly changed. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. Hyperattenuation of the liver and spleen is again seen. Trace free fluid in the abdomen. </s>

There are mildly prominent left supraclavicular lymph nodes, the larges of which measures 9 x 14 mm in axial cross-section. There are multiple thyroid nodules, including a partially calcified nodule in the right lobe that measures up to 19 mm and an isthmus nodule that measures up to 14 mm. The major salivary glands are unremarkable. The major cervical vessels are patent. There is multilevel degenerative spondylosis with kyphotic cervical alignment and fusion of the C4 to C6 vertebrae. The airways are patent. The imaged intracranial structures are unremarkable. The imaged portions of the lungs are emphysematous.

size_fin: [{'size': '9 x 14 mm', 'size_descriptor': 'nodes'}]anatomical entity_fin: {'supraclavicular lymph nodes': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'mildly prominent left supraclavicular lymph nodes': {'clinical finding': 'mildly prominent left supraclavicular lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'mildly prominent left supraclavicular lymph', 'observation': 'node', 'strength_term': 'mildly - prominent'}}size_fin: [{'size': '19 mm'}, {'size': '14 mm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'multiple thyroid nodules': {'clinical finding': 'multiple thyroid nodules', 'cf_snomed': {'thyroid nodule': 237495005}, 'existence': 'pos_dx', 'descriptive_term': 'multiple thyroid', 'observation': 'nodule', 'quantity_term': 'multiple'}, 'partially calcified nodule': {'clinical finding': 'partially calcified nodule', 'cf_snomed': {'calcified nodule': 255003}, 'existence': 'pos_dx', 'descriptive_term': 'partially calcified', 'observation': 'nodule', 'strength_term': 'partially', 'change_term': 'calcified'}, 'isthmus nodule': {'clinical finding': 'isthmus nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'isthmus', 'observation': 'nodule'}}anatomical entity_fin: {'major salivary glands': {}}clinical findings_fin: {'major salivary glands are unremarkable': {'clinical finding': 'major salivary glands are unremarkable'}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}anatomical entity_fin: {'vertebrae': {}}clinical findings_fin: {'multilevel degenerative spondylosis': {'clinical finding': 'multilevel degenerative spondylosis', 'cf_snomed': {'spondylosis': 8847002}, 'existence': 'pos_dx', 'descriptive_term': 'multilevel degenerative', 'observation': 'spondylosis'}, 'kyphotic cervical alignment': {'clinical finding': 'kyphotic cervical alignment', 'existence': 'pos_dx', 'descriptive_term': 'kyphotic cervical', 'observation': 'alignment'}, 'fusion': {'clinical finding': 'fusion', 'existence': 'pos_dx', 'observation': 'fusion'}}anatomical entity_fin: {'airways': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}clinical findings_fin: {'imaged intracranial structures are unremarkable': {'clinical finding': 'imaged intracranial structures are unremarkable'}}anatomical entity_fin: {'lungs': {}}clinical findings_fin: {'emphysematous': {'clinical finding': 'emphysematous', 'existence': 'pos_dx', 'observation': 'emphysematous'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: size_fin: [{'size': '9 x 14 mm', 'size_descriptor': 'nodes'}]anatomical entity_fin: {'supraclavicular lymph nodes': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'mildly prominent left supraclavicular lymph nodes': {'clinical finding': 'mildly prominent left supraclavicular lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'mildly prominent left supraclavicular lymph', 'observation': 'node', 'strength_term': 'mildly - prominent'}}size_fin: [{'size': '19 mm'}, {'size': '14 mm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'multiple thyroid nodules': {'clinical finding': 'multiple thyroid nodules', 'cf_snomed': {'thyroid nodule': 237495005}, 'existence': 'pos_dx', 'descriptive_term': 'multiple thyroid', 'observation': 'nodule', 'quantity_term': 'multiple'}, 'partially calcified nodule': {'clinical finding': 'partially calcified nodule', 'cf_snomed': {'calcified nodule': 255003}, 'existence': 'pos_dx', 'descriptive_term': 'partially calcified', 'observation': 'nodule', 'strength_term': 'partially', 'change_term': 'calcified'}, 'isthmus nodule': {'clinical finding': 'isthmus nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'isthmus', 'observation': 'nodule'}}anatomical entity_fin: {'major salivary glands': {}}clinical findings_fin: {'major salivary glands are unremarkable': {'clinical finding': 'major salivary glands are unremarkable'}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}anatomical entity_fin: {'vertebrae': {}}clinical findings_fin: {'multilevel degenerative spondylosis': {'clinical finding': 'multilevel degenerative spondylosis', 'cf_snomed': {'spondylosis': 8847002}, 'existence': 'pos_dx', 'descriptive_term': 'multilevel degenerative', 'observation': 'spondylosis'}, 'kyphotic cervical alignment': {'clinical finding': 'kyphotic cervical alignment', 'existence': 'pos_dx', 'descriptive_term': 'kyphotic cervical', 'observation': 'alignment'}, 'fusion': {'clinical finding': 'fusion', 'existence': 'pos_dx', 'observation': 'fusion'}}anatomical entity_fin: {'airways': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}clinical findings_fin: {'imaged intracranial structures are unremarkable': {'clinical finding': 'imaged intracranial structures are unremarkable'}}anatomical entity_fin: {'lungs': {}}clinical findings_fin: {'emphysematous': {'clinical finding': 'emphysematous', 'existence': 'pos_dx', 'observation': 'emphysematous'}} [/INST] There are mildly prominent left supraclavicular lymph nodes, the larges of which measures 9 x 14 mm in axial cross-section. There are multiple thyroid nodules, including a partially calcified nodule in the right lobe that measures up to 19 mm and an isthmus nodule that measures up to 14 mm. The major salivary glands are unremarkable. The major cervical vessels are patent. There is multilevel degenerative spondylosis with kyphotic cervical alignment and fusion of the C4 to C6 vertebrae. The airways are patent. The imaged intracranial structures are unremarkable. The imaged portions of the lungs are emphysematous. </s>

There is interval decreased conspicuity of scattered subarachnoid hemorrhage within the sulci of the bilateral posterior cerebral convexities and within the posterior fossa. There is also interval decreased attenuation at the site of the right temporo-occipital hematoma. There is no evidence of new hemorrhage. There is no midline shift or herniation. The sulci and ventricles are unchanged. The orbits, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable.

anatomical entity_fin: {'convexities': {}}location descriptor_fin: ['bilateral', 'posterior']clinical findings_fin: {'scattered subarachnoid hemorrhage': {'clinical finding': 'scattered subarachnoid hemorrhage', 'cf_snomed': {'subarachnoid hemorrhage': 21454007}, 'existence': 'pos_dx', 'descriptive_term': 'scattered subarachnoid', 'observation': 'hemorrhage'}}imaging observation_fin: ['hematoma']location descriptor_fin: ['right']clinical findings_fin: {'right temporo-occipital hematoma': {'clinical finding': 'right temporo-occipital hematoma', 'cf_snomed': {'hematoma': 385494008}, 'existence': 'pos_dx', 'descriptive_term': 'right temporo-occipital', 'observation': 'hematoma'}}clinical findings_fin: {'new hemorrhage': {'clinical finding': 'new hemorrhage', 'cf_snomed': {'hemorrhage': 50960005}, 'existence': 'neg_dx', 'descriptive_term': 'new', 'observation': 'hemorrhage', 'temporal_term': 'new'}}location descriptor_fin: ['midline']clinical findings_fin: {'herniation': {'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'}}clinical findings_fin: {'sulci and ventricles are unchanged': {'clinical finding': 'sulci and ventricles are unchanged', 'change_term': 'unchanged'}}anatomical entity_fin: {'orbits': {}, 'skull': {}, 'paranasal sinuses': {}, 'scalp': {}}clinical findings_fin: {'orbits , skull , paranasal sinuses , and scalp soft tissues are grossly unremarkable': {'clinical finding': 'orbits , skull , paranasal sinuses , and scalp soft tissues are grossly unremarkable'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'convexities': {}}location descriptor_fin: ['bilateral', 'posterior']clinical findings_fin: {'scattered subarachnoid hemorrhage': {'clinical finding': 'scattered subarachnoid hemorrhage', 'cf_snomed': {'subarachnoid hemorrhage': 21454007}, 'existence': 'pos_dx', 'descriptive_term': 'scattered subarachnoid', 'observation': 'hemorrhage'}}imaging observation_fin: ['hematoma']location descriptor_fin: ['right']clinical findings_fin: {'right temporo-occipital hematoma': {'clinical finding': 'right temporo-occipital hematoma', 'cf_snomed': {'hematoma': 385494008}, 'existence': 'pos_dx', 'descriptive_term': 'right temporo-occipital', 'observation': 'hematoma'}}clinical findings_fin: {'new hemorrhage': {'clinical finding': 'new hemorrhage', 'cf_snomed': {'hemorrhage': 50960005}, 'existence': 'neg_dx', 'descriptive_term': 'new', 'observation': 'hemorrhage', 'temporal_term': 'new'}}location descriptor_fin: ['midline']clinical findings_fin: {'herniation': {'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'}}clinical findings_fin: {'sulci and ventricles are unchanged': {'clinical finding': 'sulci and ventricles are unchanged', 'change_term': 'unchanged'}}anatomical entity_fin: {'orbits': {}, 'skull': {}, 'paranasal sinuses': {}, 'scalp': {}}clinical findings_fin: {'orbits , skull , paranasal sinuses , and scalp soft tissues are grossly unremarkable': {'clinical finding': 'orbits , skull , paranasal sinuses , and scalp soft tissues are grossly unremarkable'}} [/INST] There is interval decreased conspicuity of scattered subarachnoid hemorrhage within the sulci of the bilateral posterior cerebral convexities and within the posterior fossa. There is also interval decreased attenuation at the site of the right temporo-occipital hematoma. There is no evidence of new hemorrhage. There is no midline shift or herniation. The sulci and ventricles are unchanged. The orbits, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable. </s>

Todays CT portion grossly demonstrates right pancreatic soft tissue density near the left adrenal gland measuring approximately 11 x 8 mm. Cholecystectomy clips, anterior abdominal wall suture material, and suture in the pelvis. Changes status post cystectomy, with ileal conduit. Todays PET examination demonstrates 2 small, approximately 1 cm liver hypermetabolic lesions consistent with tumor, with SUV max of 6.8. 2 hypermetabolic nodules in the left vaginal cuff, suspicious for tumor. FDG containing urine in the ileal conduit is noted in the right hemiabdomen. Mildly increased activity in the right atrium is likely physiologic. Linear increased activity in the incision site in the anterior abdominal wall. No corresponding FDG activity in the peripancreatic soft tissue nodule.

size_fin: [{'size': '11 x 8 mm', 'size_descriptor': 'portion'}]anatomical entity_fin: {'left adrenal gland': {}}imaging observation_fin: ['soft tissue density']location descriptor_fin: ['right']clinical findings_fin: {'right pancreatic soft tissue density': {'clinical finding': 'right pancreatic soft tissue density', 'existence': 'pos_dx', 'descriptive_term': 'right pancreatic soft tissue', 'observation': 'density'}}anatomical entity_fin: {'anterior abdominal wall': {}, 'pelvis': {}}object_fin: ['cholecystectomy clips', 'suture']clinical findings_fin: {'cholecystectomy clips': {'clinical finding': 'cholecystectomy clips', 'existence': 'pos_dx', 'descriptive_term': 'cholecystectomy', 'observation': 'clip'}}procedure_fin: ['cystectomy', 'ileal conduit']clinical findings_fin: {'changes': {'clinical finding': 'changes', 'existence': 'pos_dx', 'observation': 'change'}}size_fin: [{'size': '1 cm', 'size_descriptor': 'lesions'}]anatomical entity_fin: {'liver': {}}clinical findings_fin: {'2 small, approximately 1 cm liver hypermetabolic lesions': {'clinical finding': '2 small, approximately 1 cm liver hypermetabolic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': '2 small approximately 1 cm liver hypermetabolic', 'observation': 'lesion', 'strength_term': 'small'}, 'tumor': {'clinical finding': 'tumor', 'existence': 'pos_dx', 'observation': 'tumor'}}location descriptor_fin: ['left']clinical findings_fin: {'2 hypermetabolic nodules': {'clinical finding': '2 hypermetabolic nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': '2 hypermetabolic', 'observation': 'nodule'}, 'tumor': {'clinical finding': 'tumor', 'existence': 'unc_dx', 'observation': 'tumor'}}location descriptor_fin: ['right']procedure_fin: ['ileal conduit']clinical findings_fin: {'fdg containing urine in the ileal conduit is noted in the right hemiabdomen': {'clinical finding': 'fdg containing urine in the ileal conduit is noted in the right hemiabdomen'}}anatomical entity_fin: {'right atrium': {}}clinical findings_fin: {'mildly increased activity in the right atrium': {'clinical finding': 'mildly increased activity in the right atrium', 'change_term': 'increased'}}anatomical entity_fin: {'anterior abdominal wall': {}}clinical findings_fin: {'linear increased activity in the incision site in the anterior abdominal wall': {'clinical finding': 'linear increased activity in the incision site in the anterior abdominal wall', 'change_term': 'increased'}}clinical findings_fin: {'peripancreatic soft tissue nodule': {'clinical finding': 'peripancreatic soft tissue nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'peripancreatic soft tissue', 'observation': 'nodule'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: size_fin: [{'size': '11 x 8 mm', 'size_descriptor': 'portion'}]anatomical entity_fin: {'left adrenal gland': {}}imaging observation_fin: ['soft tissue density']location descriptor_fin: ['right']clinical findings_fin: {'right pancreatic soft tissue density': {'clinical finding': 'right pancreatic soft tissue density', 'existence': 'pos_dx', 'descriptive_term': 'right pancreatic soft tissue', 'observation': 'density'}}anatomical entity_fin: {'anterior abdominal wall': {}, 'pelvis': {}}object_fin: ['cholecystectomy clips', 'suture']clinical findings_fin: {'cholecystectomy clips': {'clinical finding': 'cholecystectomy clips', 'existence': 'pos_dx', 'descriptive_term': 'cholecystectomy', 'observation': 'clip'}}procedure_fin: ['cystectomy', 'ileal conduit']clinical findings_fin: {'changes': {'clinical finding': 'changes', 'existence': 'pos_dx', 'observation': 'change'}}size_fin: [{'size': '1 cm', 'size_descriptor': 'lesions'}]anatomical entity_fin: {'liver': {}}clinical findings_fin: {'2 small, approximately 1 cm liver hypermetabolic lesions': {'clinical finding': '2 small, approximately 1 cm liver hypermetabolic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': '2 small approximately 1 cm liver hypermetabolic', 'observation': 'lesion', 'strength_term': 'small'}, 'tumor': {'clinical finding': 'tumor', 'existence': 'pos_dx', 'observation': 'tumor'}}location descriptor_fin: ['left']clinical findings_fin: {'2 hypermetabolic nodules': {'clinical finding': '2 hypermetabolic nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': '2 hypermetabolic', 'observation': 'nodule'}, 'tumor': {'clinical finding': 'tumor', 'existence': 'unc_dx', 'observation': 'tumor'}}location descriptor_fin: ['right']procedure_fin: ['ileal conduit']clinical findings_fin: {'fdg containing urine in the ileal conduit is noted in the right hemiabdomen': {'clinical finding': 'fdg containing urine in the ileal conduit is noted in the right hemiabdomen'}}anatomical entity_fin: {'right atrium': {}}clinical findings_fin: {'mildly increased activity in the right atrium': {'clinical finding': 'mildly increased activity in the right atrium', 'change_term': 'increased'}}anatomical entity_fin: {'anterior abdominal wall': {}}clinical findings_fin: {'linear increased activity in the incision site in the anterior abdominal wall': {'clinical finding': 'linear increased activity in the incision site in the anterior abdominal wall', 'change_term': 'increased'}}clinical findings_fin: {'peripancreatic soft tissue nodule': {'clinical finding': 'peripancreatic soft tissue nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'peripancreatic soft tissue', 'observation': 'nodule'}} [/INST] Todays CT portion grossly demonstrates right pancreatic soft tissue density near the left adrenal gland measuring approximately 11 x 8 mm. Cholecystectomy clips, anterior abdominal wall suture material, and suture in the pelvis. Changes status post cystectomy, with ileal conduit. Todays PET examination demonstrates 2 small, approximately 1 cm liver hypermetabolic lesions consistent with tumor, with SUV max of 6.8. 2 hypermetabolic nodules in the left vaginal cuff, suspicious for tumor. FDG containing urine in the ileal conduit is noted in the right hemiabdomen. Mildly increased activity in the right atrium is likely physiologic. Linear increased activity in the incision site in the anterior abdominal wall. No corresponding FDG activity in the peripancreatic soft tissue nodule. </s>

A left posterior temporal approach ventriculostomy catheter appears stable in overall position. There remains focal fluid density along the portion of the catheter in the scalp just distal to the reservoir, with focal redundancy of the catheter at this level partially visualized. There has been interval slight decreased caliber of the lateral and third ventricles. For example, the third ventricle now measures 7 mm transverse as compared to previous 8 mm, while a measurement across the anterior body of the lateral ventricles is now 3.3 cm as compared to previous 3.5 cm. The fourth ventricle remains small in size. The septum pellucidum appears absent. There is a colpocephalic appearance to the streak aspect of the lateral ventricles which may relate to callosal dysgenesis. The anterior aspect of the corpus callosum appears to be present. There is no midline shift or mass effect. There is no intracranial hemorrhage. There are a few dystrophic calcifications along the left tentorium. There are no areas of abnormal attenuation. There is no extraaxial fluid collection. The visualized portions of the paranasal sinuses and mastoids or middle ears are grossly clear. Cerebellar tonsils again extend caudal to the level the foramen magnum by approximately 8-9 mm, with crowding at this level.

location descriptor_fin: ['left', 'posterior']object_fin: ['catheter']procedure_fin: ['ventriculostomy']clinical findings_fin: {'left posterior temporal approach ventriculostomy catheter appears stable in overall position': {'clinical finding': 'left posterior temporal approach ventriculostomy catheter appears stable in overall position', 'change_term': 'stable'}}anatomical entity_fin: {'fluid': {}, 'scalp': {}}location descriptor_fin: ['distal']object_fin: ['catheter']clinical findings_fin: {'distal to the reservoir , with focal redundancy of the catheter at this level partially visualized': {'clinical finding': 'distal to the reservoir , with focal redundancy of the catheter at this level partially visualized'}}anatomical entity_fin: {'third ventricles': {}}location descriptor_fin: ['lateral']clinical findings_fin: {'been interval slight decreased caliber of the lateral and third ventricles': {'clinical finding': 'been interval slight decreased caliber of the lateral and third ventricles', 'change_term': 'decreased'}}size_fin: [{'size': '7 mm'}, {'size': '8 mm'}, {'size': '3.3 cm'}, {'size': '3.5 cm'}]anatomical entity_fin: {'third ventricle': {}, 'body': {'location descriptor': 'anterior'}, 'lateral ventricles': {}}location descriptor_fin: ['anterior']anatomical entity_fin: {'fourth ventricle': {}}clinical findings_fin: {'small': {'clinical finding': 'small', 'existence': 'pos_dx', 'observation': 'small'}}anatomical entity_fin: {'septum pellucidum': {}}clinical findings_fin: {'absent': {'clinical finding': 'absent', 'existence': 'pos_dx', 'observation': 'absent'}}anatomical entity_fin: {'lateral ventricles': {}}clinical findings_fin: {'colpocephalic': {'clinical finding': 'colpocephalic', 'existence': 'pos_dx', 'observation': 'colpocephalic'}, 'callosal dysgenesis': {'clinical finding': 'callosal dysgenesis', 'existence': 'unc_dx', 'descriptive_term': 'callosal', 'observation': 'dysgenesis'}}anatomical entity_fin: {'corpus callosum': {}}location descriptor_fin: ['anterior']clinical findings_fin: {'anterior aspect of the corpus callosum appears to be present': {'clinical finding': 'anterior aspect of the corpus callosum appears to be present'}}location descriptor_fin: ['midline']clinical findings_fin: {'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}}clinical findings_fin: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}}location descriptor_fin: ['left']clinical findings_fin: {'few dystrophic calcifications': {'clinical finding': 'few dystrophic calcifications', 'cf_snomed': {'dystrophic calcification': 129750001}, 'existence': 'pos_dx', 'descriptive_term': 'few dystrophic', 'observation': 'calcification', 'quantity_term': 'few'}}clinical findings_fin: {'abnormal attenuation': {'clinical finding': 'abnormal attenuation', 'existence': 'neg_dx', 'descriptive_term': 'abnormal', 'observation': 'attenuation'}}clinical findings_fin: {'extraaxial fluid collection': {'clinical finding': 'extraaxial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'extraaxial fluid', 'observation': 'collection'}}anatomical entity_fin: {'paranasal sinuses': {}, 'middle ears': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}size_fin: [{'size': '9 mm', 'size_descriptor': 'tonsils'}]anatomical entity_fin: {'tonsils': {}, 'foramen magnum': {}}location descriptor_fin: ['caudal']

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['left', 'posterior']object_fin: ['catheter']procedure_fin: ['ventriculostomy']clinical findings_fin: {'left posterior temporal approach ventriculostomy catheter appears stable in overall position': {'clinical finding': 'left posterior temporal approach ventriculostomy catheter appears stable in overall position', 'change_term': 'stable'}}anatomical entity_fin: {'fluid': {}, 'scalp': {}}location descriptor_fin: ['distal']object_fin: ['catheter']clinical findings_fin: {'distal to the reservoir , with focal redundancy of the catheter at this level partially visualized': {'clinical finding': 'distal to the reservoir , with focal redundancy of the catheter at this level partially visualized'}}anatomical entity_fin: {'third ventricles': {}}location descriptor_fin: ['lateral']clinical findings_fin: {'been interval slight decreased caliber of the lateral and third ventricles': {'clinical finding': 'been interval slight decreased caliber of the lateral and third ventricles', 'change_term': 'decreased'}}size_fin: [{'size': '7 mm'}, {'size': '8 mm'}, {'size': '3.3 cm'}, {'size': '3.5 cm'}]anatomical entity_fin: {'third ventricle': {}, 'body': {'location descriptor': 'anterior'}, 'lateral ventricles': {}}location descriptor_fin: ['anterior']anatomical entity_fin: {'fourth ventricle': {}}clinical findings_fin: {'small': {'clinical finding': 'small', 'existence': 'pos_dx', 'observation': 'small'}}anatomical entity_fin: {'septum pellucidum': {}}clinical findings_fin: {'absent': {'clinical finding': 'absent', 'existence': 'pos_dx', 'observation': 'absent'}}anatomical entity_fin: {'lateral ventricles': {}}clinical findings_fin: {'colpocephalic': {'clinical finding': 'colpocephalic', 'existence': 'pos_dx', 'observation': 'colpocephalic'}, 'callosal dysgenesis': {'clinical finding': 'callosal dysgenesis', 'existence': 'unc_dx', 'descriptive_term': 'callosal', 'observation': 'dysgenesis'}}anatomical entity_fin: {'corpus callosum': {}}location descriptor_fin: ['anterior']clinical findings_fin: {'anterior aspect of the corpus callosum appears to be present': {'clinical finding': 'anterior aspect of the corpus callosum appears to be present'}}location descriptor_fin: ['midline']clinical findings_fin: {'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}}clinical findings_fin: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}}location descriptor_fin: ['left']clinical findings_fin: {'few dystrophic calcifications': {'clinical finding': 'few dystrophic calcifications', 'cf_snomed': {'dystrophic calcification': 129750001}, 'existence': 'pos_dx', 'descriptive_term': 'few dystrophic', 'observation': 'calcification', 'quantity_term': 'few'}}clinical findings_fin: {'abnormal attenuation': {'clinical finding': 'abnormal attenuation', 'existence': 'neg_dx', 'descriptive_term': 'abnormal', 'observation': 'attenuation'}}clinical findings_fin: {'extraaxial fluid collection': {'clinical finding': 'extraaxial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'extraaxial fluid', 'observation': 'collection'}}anatomical entity_fin: {'paranasal sinuses': {}, 'middle ears': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}size_fin: [{'size': '9 mm', 'size_descriptor': 'tonsils'}]anatomical entity_fin: {'tonsils': {}, 'foramen magnum': {}}location descriptor_fin: ['caudal'] [/INST] A left posterior temporal approach ventriculostomy catheter appears stable in overall position. There remains focal fluid density along the portion of the catheter in the scalp just distal to the reservoir, with focal redundancy of the catheter at this level partially visualized. There has been interval slight decreased caliber of the lateral and third ventricles. For example, the third ventricle now measures 7 mm transverse as compared to previous 8 mm, while a measurement across the anterior body of the lateral ventricles is now 3.3 cm as compared to previous 3.5 cm. The fourth ventricle remains small in size. The septum pellucidum appears absent. There is a colpocephalic appearance to the streak aspect of the lateral ventricles which may relate to callosal dysgenesis. The anterior aspect of the corpus callosum appears to be present. There is no midline shift or mass effect. There is no intracranial hemorrhage. There are a few dystrophic calcifications along the left tentorium. There are no areas of abnormal attenuation. There is no extraaxial fluid collection. The visualized portions of the paranasal sinuses and mastoids or middle ears are grossly clear. Cerebellar tonsils again extend caudal to the level the foramen magnum by approximately 8-9 mm, with crowding at this level. </s>

Nonenhanced head. There is no evidence of acute intracranial hemorrhage or edema and no evidence of midline deviation. Examination demonstrates interval increased size of supratentorial ventricular system since prior study. Nearly collapsed right frontal horn of lateral ventricle since prior study demonstrate interval increased size and measuring approximately 19 mm. Posterior body of right lateral ventricle measures at 21 mm compared to prior study measurement of 18. Similarly there is interval increased size of the left lateral ventricle and with persistent asymmetric enlargement of the left frontal horn of lateral ventricle. Mild increased size of the third ventricle is also noted measuring approximately 16 mm in transverse axis compared to prior study measurement of approximately 14 mm. There is however interval significant decreased size of bilateral hemispheric subdural collections. Residual subdural in the left anterior frontal measures approximately 5.5 mm compared to prior study measurement of 9 mm. The left temporal residual subdural measures 3.5 mm compared to prior study measurement of 6.5 mm. High convexity left frontal remaining subdural measures approximately 5 mm compared to prior study measurement of 11.5 mm. Similarly there is decreased size of right hemispheric convexity subdural with approximately 8mm in the right frontal and 11.3 mm in right temporal region. A right frontal approach ventricular catheter with the tip in the now dilated right frontal horn lateral ventricle similar to prior exam. Calvarium is intact. Images through the orbits are unremarkable. All visualized paranasal sinuses and bilateral mastoid air cells and middle ear cavities remain well pneumatized.

anatomical entity_fin: {'head': {}}clinical findings_fin: {'nonenhanced head': {'clinical finding': 'nonenhanced head'}}location descriptor_fin: ['midline']clinical findings_fin: {'acute intracranial hemorrhage': {'clinical finding': 'acute intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'acute intracranial', 'observation': 'hemorrhage', 'strength_term': 'acute', 'temporal_term': 'acute'}, 'edema': {'clinical finding': 'edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'neg_dx', 'observation': 'edema'}}clinical findings_fin: {'examination demonstrates interval increased size of supratentorial ventricular system since prior study': {'clinical finding': 'examination demonstrates interval increased size of supratentorial ventricular system since prior study', 'cf_snomed': {'increased size': 15454001}, 'change_term': 'increased'}}size_fin: [{'size': '19 mm', 'size_descriptor': 'horn'}]anatomical entity_fin: {'frontal horn of lateral ventricle': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'collapsed': {'clinical finding': 'collapsed', 'cf_snomed': {'collapse': 271787007}, 'existence': 'pos_dx', 'observation': 'collapse'}}size_fin: [{'size': '21 mm', 'size_descriptor': 'body'}]anatomical entity_fin: {'body of right lateral ventricle': {'location descriptor': 'posterior'}}location descriptor_fin: ['posterior']anatomical entity_fin: {'left lateral ventricle': {}, 'frontal horn of lateral ventricle': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'similarly there is interval increased size of the left lateral ventricle': {'clinical finding': 'similarly there is interval increased size of the left lateral ventricle', 'cf_snomed': {'increased size': 15454001}, 'change_term': 'increased'}}size_fin: [{'size': '16 mm'}, {'size': '14 mm'}]anatomical entity_fin: {'third ventricle': {}, 'axis': {}}clinical findings_fin: {'mild increased size of the third ventricle is also noted': {'clinical finding': 'mild increased size of the third ventricle is also noted', 'cf_snomed': {'increased size': 15454001}, 'change_term': 'increased'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral hemispheric subdural': {'clinical finding': 'bilateral hemispheric subdural', 'existence': 'pos_dx', 'descriptive_term': 'bilateral hemispheric', 'observation': 'subdural'}}size_fin: [{'size': '5.5 mm'}, {'size': '9 mm'}]location descriptor_fin: ['left', 'anterior']clinical findings_fin: {'residual subdural': {'clinical finding': 'residual subdural', 'existence': 'pos_dx', 'descriptive_term': 'residual', 'observation': 'subdural', 'temporal_term': 'residual'}}size_fin: [{'size': '3.5 mm'}, {'size': '6.5 mm'}]location descriptor_fin: ['left']clinical findings_fin: {'left temporal residual': {'clinical finding': 'left temporal residual', 'existence': 'pos_dx', 'descriptive_term': 'left temporal', 'observation': 'residual'}, 'subdural': {'clinical finding': 'subdural', 'existence': 'pos_dx', 'observation': 'subdural'}}size_fin: [{'size': '5 mm'}, {'size': '11.5 mm'}]anatomical entity_fin: {'convexity': {}}location descriptor_fin: ['left']clinical findings_fin: {'high convexity left frontal remaining subdural': {'clinical finding': 'high convexity left frontal remaining subdural', 'existence': 'pos_dx', 'descriptive_term': 'high convexity left frontal remaining', 'observation': 'subdural'}}size_fin: [{'size': '8mm'}, {'size': '11.3 mm'}]anatomical entity_fin: {'convexity': {}}location descriptor_fin: ['right']clinical findings_fin: {'subdural': {'clinical finding': 'subdural', 'existence': 'pos_dx', 'observation': 'subdural'}}anatomical entity_fin: {'lateral ventricle': {}}location descriptor_fin: ['right']object_fin: ['catheter']clinical findings_fin: {'now dilated': {'clinical finding': 'now dilated', 'existence': 'pos_dx', 'descriptive_term': 'now', 'observation': 'dilated'}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}anatomical entity_fin: {'orbits': {}}clinical findings_fin: {'images through the orbits are unremarkable': {'clinical finding': 'images through the orbits are unremarkable'}}anatomical entity_fin: {'paranasal sinuses': {}, 'mastoid air cells': {'location descriptor': 'bilateral'}, 'middle ear cavities': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'pneumatized': {'clinical finding': 'pneumatized', 'existence': 'pos_dx', 'observation': 'pneumatized'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'head': {}}clinical findings_fin: {'nonenhanced head': {'clinical finding': 'nonenhanced head'}}location descriptor_fin: ['midline']clinical findings_fin: {'acute intracranial hemorrhage': {'clinical finding': 'acute intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'acute intracranial', 'observation': 'hemorrhage', 'strength_term': 'acute', 'temporal_term': 'acute'}, 'edema': {'clinical finding': 'edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'neg_dx', 'observation': 'edema'}}clinical findings_fin: {'examination demonstrates interval increased size of supratentorial ventricular system since prior study': {'clinical finding': 'examination demonstrates interval increased size of supratentorial ventricular system since prior study', 'cf_snomed': {'increased size': 15454001}, 'change_term': 'increased'}}size_fin: [{'size': '19 mm', 'size_descriptor': 'horn'}]anatomical entity_fin: {'frontal horn of lateral ventricle': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'collapsed': {'clinical finding': 'collapsed', 'cf_snomed': {'collapse': 271787007}, 'existence': 'pos_dx', 'observation': 'collapse'}}size_fin: [{'size': '21 mm', 'size_descriptor': 'body'}]anatomical entity_fin: {'body of right lateral ventricle': {'location descriptor': 'posterior'}}location descriptor_fin: ['posterior']anatomical entity_fin: {'left lateral ventricle': {}, 'frontal horn of lateral ventricle': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'similarly there is interval increased size of the left lateral ventricle': {'clinical finding': 'similarly there is interval increased size of the left lateral ventricle', 'cf_snomed': {'increased size': 15454001}, 'change_term': 'increased'}}size_fin: [{'size': '16 mm'}, {'size': '14 mm'}]anatomical entity_fin: {'third ventricle': {}, 'axis': {}}clinical findings_fin: {'mild increased size of the third ventricle is also noted': {'clinical finding': 'mild increased size of the third ventricle is also noted', 'cf_snomed': {'increased size': 15454001}, 'change_term': 'increased'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral hemispheric subdural': {'clinical finding': 'bilateral hemispheric subdural', 'existence': 'pos_dx', 'descriptive_term': 'bilateral hemispheric', 'observation': 'subdural'}}size_fin: [{'size': '5.5 mm'}, {'size': '9 mm'}]location descriptor_fin: ['left', 'anterior']clinical findings_fin: {'residual subdural': {'clinical finding': 'residual subdural', 'existence': 'pos_dx', 'descriptive_term': 'residual', 'observation': 'subdural', 'temporal_term': 'residual'}}size_fin: [{'size': '3.5 mm'}, {'size': '6.5 mm'}]location descriptor_fin: ['left']clinical findings_fin: {'left temporal residual': {'clinical finding': 'left temporal residual', 'existence': 'pos_dx', 'descriptive_term': 'left temporal', 'observation': 'residual'}, 'subdural': {'clinical finding': 'subdural', 'existence': 'pos_dx', 'observation': 'subdural'}}size_fin: [{'size': '5 mm'}, {'size': '11.5 mm'}]anatomical entity_fin: {'convexity': {}}location descriptor_fin: ['left']clinical findings_fin: {'high convexity left frontal remaining subdural': {'clinical finding': 'high convexity left frontal remaining subdural', 'existence': 'pos_dx', 'descriptive_term': 'high convexity left frontal remaining', 'observation': 'subdural'}}size_fin: [{'size': '8mm'}, {'size': '11.3 mm'}]anatomical entity_fin: {'convexity': {}}location descriptor_fin: ['right']clinical findings_fin: {'subdural': {'clinical finding': 'subdural', 'existence': 'pos_dx', 'observation': 'subdural'}}anatomical entity_fin: {'lateral ventricle': {}}location descriptor_fin: ['right']object_fin: ['catheter']clinical findings_fin: {'now dilated': {'clinical finding': 'now dilated', 'existence': 'pos_dx', 'descriptive_term': 'now', 'observation': 'dilated'}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}anatomical entity_fin: {'orbits': {}}clinical findings_fin: {'images through the orbits are unremarkable': {'clinical finding': 'images through the orbits are unremarkable'}}anatomical entity_fin: {'paranasal sinuses': {}, 'mastoid air cells': {'location descriptor': 'bilateral'}, 'middle ear cavities': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'pneumatized': {'clinical finding': 'pneumatized', 'existence': 'pos_dx', 'observation': 'pneumatized'}} [/INST] Nonenhanced head. There is no evidence of acute intracranial hemorrhage or edema and no evidence of midline deviation. Examination demonstrates interval increased size of supratentorial ventricular system since prior study. Nearly collapsed right frontal horn of lateral ventricle since prior study demonstrate interval increased size and measuring approximately 19 mm. Posterior body of right lateral ventricle measures at 21 mm compared to prior study measurement of 18. Similarly there is interval increased size of the left lateral ventricle and with persistent asymmetric enlargement of the left frontal horn of lateral ventricle. Mild increased size of the third ventricle is also noted measuring approximately 16 mm in transverse axis compared to prior study measurement of approximately 14 mm. There is however interval significant decreased size of bilateral hemispheric subdural collections. Residual subdural in the left anterior frontal measures approximately 5.5 mm compared to prior study measurement of 9 mm. The left temporal residual subdural measures 3.5 mm compared to prior study measurement of 6.5 mm. High convexity left frontal remaining subdural measures approximately 5 mm compared to prior study measurement of 11.5 mm. Similarly there is decreased size of right hemispheric convexity subdural with approximately 8mm in the right frontal and 11.3 mm in right temporal region. A right frontal approach ventricular catheter with the tip in the now dilated right frontal horn lateral ventricle similar to prior exam. Calvarium is intact. Images through the orbits are unremarkable. All visualized paranasal sinuses and bilateral mastoid air cells and middle ear cavities remain well pneumatized. </s>

Todays CT portion grossly demonstrates air within the bladder and upper pole of the right kidney. Mild arterial coronary calcifications are also visualized. Todays PET examination demonstrates complete interval resolution of previous FDG avid cervical mass. There has also been resolution of the FDG avid bilateral pelvic and left periaortic lymph nodes. There is a mildly FDG avid curvilinear right vaginal lesion more inferiorly that is consistent with benign uptake. No other FDG avid lesion to demonstrate tumor is identified.

anatomical entity_fin: {'bladder': {}, 'pole': {'location descriptor': 'upper'}, 'right kidney': {}}location descriptor_fin: ['upper']clinical findings_fin: {'mild arterial coronary calcifications': {'clinical finding': 'mild arterial coronary calcifications', 'existence': 'pos_dx', 'descriptive_term': 'mild arterial coronary', 'observation': 'calcification', 'strength_term': 'mild'}}clinical findings_fin: {'complete interval resolution': {'clinical finding': 'complete interval resolution', 'existence': 'unc_dx', 'descriptive_term': 'complete interval', 'observation': 'resolution'}, 'previous fdg avid cervical mass': {'clinical finding': 'previous fdg avid cervical mass', 'existence': 'pos_dx', 'descriptive_term': 'previous fdg avid cervical', 'observation': 'mass', 'temporal_term': 'previous'}}location descriptor_fin: ['bilateral', 'left']clinical findings_fin: {'resolution': {'clinical finding': 'resolution', 'existence': 'pos_dx', 'observation': 'resolution'}, 'fdg avid bilateral pelvic and left periaortic lymph nodes': {'clinical finding': 'fdg avid bilateral pelvic and left periaortic lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'fdg avid bilateral pelvic and left periaortic lymph', 'observation': 'node'}}location descriptor_fin: ['right']clinical findings_fin: {'mildly fdg avid curvilinear right vaginal lesion': {'clinical finding': 'mildly fdg avid curvilinear right vaginal lesion', 'cf_snomed': {'vaginal lesion': 289517005}, 'existence': 'pos_dx', 'descriptive_term': 'mildly fdg avid curvilinear right vaginal', 'observation': 'lesion', 'strength_term': 'mildly'}, 'benign uptake': {'clinical finding': 'benign uptake', 'existence': 'pos_dx', 'descriptive_term': 'benign', 'observation': 'uptake', 'strength_term': 'benign'}}clinical findings_fin: {'other fdg avid lesion': {'clinical finding': 'other fdg avid lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'other fdg avid', 'observation': 'lesion'}, 'tumor': {'clinical finding': 'tumor', 'existence': 'neg_dx', 'observation': 'tumor'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'bladder': {}, 'pole': {'location descriptor': 'upper'}, 'right kidney': {}}location descriptor_fin: ['upper']clinical findings_fin: {'mild arterial coronary calcifications': {'clinical finding': 'mild arterial coronary calcifications', 'existence': 'pos_dx', 'descriptive_term': 'mild arterial coronary', 'observation': 'calcification', 'strength_term': 'mild'}}clinical findings_fin: {'complete interval resolution': {'clinical finding': 'complete interval resolution', 'existence': 'unc_dx', 'descriptive_term': 'complete interval', 'observation': 'resolution'}, 'previous fdg avid cervical mass': {'clinical finding': 'previous fdg avid cervical mass', 'existence': 'pos_dx', 'descriptive_term': 'previous fdg avid cervical', 'observation': 'mass', 'temporal_term': 'previous'}}location descriptor_fin: ['bilateral', 'left']clinical findings_fin: {'resolution': {'clinical finding': 'resolution', 'existence': 'pos_dx', 'observation': 'resolution'}, 'fdg avid bilateral pelvic and left periaortic lymph nodes': {'clinical finding': 'fdg avid bilateral pelvic and left periaortic lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'fdg avid bilateral pelvic and left periaortic lymph', 'observation': 'node'}}location descriptor_fin: ['right']clinical findings_fin: {'mildly fdg avid curvilinear right vaginal lesion': {'clinical finding': 'mildly fdg avid curvilinear right vaginal lesion', 'cf_snomed': {'vaginal lesion': 289517005}, 'existence': 'pos_dx', 'descriptive_term': 'mildly fdg avid curvilinear right vaginal', 'observation': 'lesion', 'strength_term': 'mildly'}, 'benign uptake': {'clinical finding': 'benign uptake', 'existence': 'pos_dx', 'descriptive_term': 'benign', 'observation': 'uptake', 'strength_term': 'benign'}}clinical findings_fin: {'other fdg avid lesion': {'clinical finding': 'other fdg avid lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'other fdg avid', 'observation': 'lesion'}, 'tumor': {'clinical finding': 'tumor', 'existence': 'neg_dx', 'observation': 'tumor'}} [/INST] Todays CT portion grossly demonstrates air within the bladder and upper pole of the right kidney. Mild arterial coronary calcifications are also visualized. Todays PET examination demonstrates complete interval resolution of previous FDG avid cervical mass. There has also been resolution of the FDG avid bilateral pelvic and left periaortic lymph nodes. There is a mildly FDG avid curvilinear right vaginal lesion more inferiorly that is consistent with benign uptake. No other FDG avid lesion to demonstrate tumor is identified. </s>

. No focal consolidation or pleural effusion. No suspicious pulmonary nodules. Liver enhances homogenously without focal lesion. Gallbladder is unremarkable. No significant abnormality noted. Pancreas is unremarkable. No adrenal nodularity or thickening. The kidneys enhance symmetrically without focal lesion. There is asymmetric right renal cortical thinning. 6 mm nonobstructing right inferior pole renal stone measures approximately 734 Hounsfield units. No hydronephrosis or ureteronephrosis. Prominent retroperitoneal lymph nodes are not significantly changed in size. A left para-aortic node measures 1.4 x 1.2 cm , previously 1.5 x 1.4 cm. None. Interval postsurgical findings related to right lower quadrant loop ileostomy and likely partial small bowel resection are noted. Injected enteric contrast into the afferent and efferent loops is seen. The bowel loops are now decompressed and normal in caliber without evidence of obstruction or ileus. There are multiple foci of tract-like soft tissue thickening in the midline anterior subcutaneous soft tissues at the level of the ostomy extending from the skin surface to the anterior abdominal wall. Thickening at the skin surface with few gas foci are noted, which may represent packing material clinical correlation is recommended. Enteric contrast does not fill these tracts. Superiorly, there is also thin linear hyperattenuating material which likely represents suture , though enteric contrast filling a sinus tract or fistula in this location cannot be excluded. However please note that optimal evaluation for fistulae is performed by fluoroscopy. No significant abnormality noted. Large heterogeneous pelvic mass is redemonstrated, measuring approximately 9.6 x 8.7 cm , previously 8.7 x 8.5 cm. Origin cannot be definitively discerned, however given the pathology results on record and appearance of extensive bladder invasion, is favored to arise from the bladder. Several small bowel loops are displaced and attenuated by the mass. Uterine fibroids are noted distinct from this mass. Probable bladder dome invasion by the large pelvic mass, as above. Small focus of air in the bladder correlate for recent instrumentation. No inguinal, iliac chain, or pelvic lymphadenopathy. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted.

clinical findings_fin: {'focal consolidation': {'clinical finding': 'focal consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'consolidation'}, 'pleural effusion': {'clinical finding': 'pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}}clinical findings_fin: {'suspicious pulmonary nodules': {'clinical finding': 'suspicious pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious pulmonary', 'observation': 'nodule'}}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': {}}clinical findings_fin: {'gallbladder is unremarkable': {'clinical finding': 'gallbladder is unremarkable'}}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'}}clinical findings_fin: {'adrenal nodularity': {'clinical finding': 'adrenal nodularity', 'existence': 'neg_dx', 'descriptive_term': 'adrenal', 'observation': 'nodularity'}, 'thickening': {'clinical finding': 'thickening', 'existence': 'neg_dx', 'observation': 'thickening'}}anatomical entity_fin: {'kidneys': {}}clinical findings_fin: {'focal lesion': {'clinical finding': 'focal lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'focal', 'observation': 'lesion'}}location descriptor_fin: ['right']clinical findings_fin: {'asymmetric right renal cortical thinning': {'clinical finding': 'asymmetric right renal cortical thinning', 'existence': 'pos_dx', 'descriptive_term': 'asymmetric right renal cortical', 'observation': 'thinning'}}size_fin: [{'size': '6 mm', 'size_descriptor': 'stone'}]anatomical entity_fin: {'pole': {'location descriptor': 'right inferior'}}location descriptor_fin: ['right', 'inferior']clinical findings_fin: {'6 mm nonobstructing right inferior pole renal stone': {'clinical finding': '6 mm nonobstructing right inferior pole renal stone', 'existence': 'pos_dx', 'descriptive_term': '6 mm nonobstructing right inferior pole renal', 'observation': 'stone'}}clinical findings_fin: {'hydronephrosis': {'clinical finding': 'hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'neg_dx', 'observation': 'hydronephrosis'}, 'ureteronephrosis': {'clinical finding': 'ureteronephrosis', 'existence': 'neg_dx', 'observation': 'ureteronephrosis'}}clinical findings_fin: {'prominent retroperitoneal lymph nodes': {'clinical finding': 'prominent retroperitoneal lymph nodes', 'existence': 'neg_dx', 'descriptive_term': 'prominent retroperitoneal lymph', 'observation': 'node', 'strength_term': 'prominent'}}size_fin: [{'size': '1.4 x 1.2 cm'}, {'size': '1.5 x 1.4 cm'}]location descriptor_fin: ['left']clinical findings_fin: {'left para-aortic node': {'clinical finding': 'left para-aortic node', 'existence': 'pos_dx', 'descriptive_term': 'left para-aortic', 'observation': 'node'}}anatomical entity_fin: {'quadrant': {'location descriptor': 'right lower'}, 'bowel': {}}location descriptor_fin: ['right', 'lower']procedure_fin: ['ileostomy']clinical findings_fin: {'right lower quadrant loop ileostomy and likely partial small bowel resection': {'clinical finding': 'right lower quadrant loop ileostomy and likely partial small bowel resection'}}clinical findings_fin: {'injected enteric contrast': {'clinical finding': 'injected enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'injected enteric', 'observation': 'contrast'}, 'afferent and efferent loops': {'clinical finding': 'afferent and efferent loops', 'existence': 'pos_dx', 'descriptive_term': 'afferent and efferent', 'observation': 'loop'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'decompressed': {'clinical finding': 'decompressed', 'existence': 'pos_dx', 'observation': 'decompressed'}, 'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'observation': 'obstruction'}, 'ileus': {'clinical finding': 'ileus', 'existence': 'neg_dx', 'observation': 'ileus'}}anatomical entity_fin: {'skin': {}, 'anterior abdominal wall': {}}imaging observation_fin: ['foci']location descriptor_fin: ['midline', 'anterior']clinical findings_fin: {'thickening': {'clinical finding': 'thickening', 'existence': 'pos_dx', 'observation': 'thickening'}}anatomical entity_fin: {'skin': {}}imaging observation_fin: ['foci']clinical findings_fin: {'few gas foci': {'clinical finding': 'few gas foci', 'existence': 'pos_dx', 'descriptive_term': 'few gas', 'observation': 'foci', 'quantity_term': 'few'}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}object_fin: ['suture']clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'unc_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}, 'fistula': {'clinical finding': 'fistula', 'cf_snomed': {'fistula': 428794004}, 'existence': 'unc_dx', 'observation': 'fistula'}}imaging modality_fin: ['fluoroscopy']clinical findings_fin: {'fistulae': {'clinical finding': 'fistulae', 'existence': 'unc_dx', 'observation': 'fistulae'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}size_fin: [{'size': '9.6 x 8.7 cm'}, {'size': '8.7 x 8.5 cm'}]clinical findings_fin: {'large heterogeneous pelvic mass': {'clinical finding': 'large heterogeneous pelvic mass', 'cf_snomed': {'pelvic mass': 74285003}, 'existence': 'pos_dx', 'descriptive_term': 'large heterogeneous pelvic', 'observation': 'mass', 'strength_term': 'large'}}anatomical entity_fin: {'origin': {}, 'bladder': {}}clinical findings_fin: {'extensive bladder invasion': {'clinical finding': 'extensive bladder invasion', 'existence': 'unc_dx', 'descriptive_term': 'extensive bladder', 'observation': 'invasion', 'strength_term': 'extensive'}}anatomical entity_fin: {'bowel': {}}location descriptor_fin: ['displaced']clinical findings_fin: {'mass': {'clinical finding': 'mass', 'existence': 'pos_dx', 'observation': 'mass'}}clinical findings_fin: {'this mass': {'clinical finding': 'this mass', 'existence': 'pos_dx', 'descriptive_term': 'this', 'observation': 'mass'}}anatomical entity_fin: {'bladder': {}}clinical findings_fin: {'probable bladder dome invasion': {'clinical finding': 'probable bladder dome invasion', 'existence': 'pos_dx', 'descriptive_term': 'probable bladder dome', 'observation': 'invasion'}, 'large pelvic mass': {'clinical finding': 'large pelvic mass', 'cf_snomed': {'pelvic mass': 74285003}, 'existence': 'unc_dx', 'descriptive_term': 'large pelvic', 'observation': 'mass', 'strength_term': 'large'}}anatomical entity_fin: {'bladder': {}}clinical findings_fin: {'small focus of air in the bladder correlate for recent instrumentation': {'clinical finding': 'small focus of air in the bladder correlate for recent instrumentation'}}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: {'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'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'focal consolidation': {'clinical finding': 'focal consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'consolidation'}, 'pleural effusion': {'clinical finding': 'pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}}clinical findings_fin: {'suspicious pulmonary nodules': {'clinical finding': 'suspicious pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious pulmonary', 'observation': 'nodule'}}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': {}}clinical findings_fin: {'gallbladder is unremarkable': {'clinical finding': 'gallbladder is unremarkable'}}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'}}clinical findings_fin: {'adrenal nodularity': {'clinical finding': 'adrenal nodularity', 'existence': 'neg_dx', 'descriptive_term': 'adrenal', 'observation': 'nodularity'}, 'thickening': {'clinical finding': 'thickening', 'existence': 'neg_dx', 'observation': 'thickening'}}anatomical entity_fin: {'kidneys': {}}clinical findings_fin: {'focal lesion': {'clinical finding': 'focal lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'focal', 'observation': 'lesion'}}location descriptor_fin: ['right']clinical findings_fin: {'asymmetric right renal cortical thinning': {'clinical finding': 'asymmetric right renal cortical thinning', 'existence': 'pos_dx', 'descriptive_term': 'asymmetric right renal cortical', 'observation': 'thinning'}}size_fin: [{'size': '6 mm', 'size_descriptor': 'stone'}]anatomical entity_fin: {'pole': {'location descriptor': 'right inferior'}}location descriptor_fin: ['right', 'inferior']clinical findings_fin: {'6 mm nonobstructing right inferior pole renal stone': {'clinical finding': '6 mm nonobstructing right inferior pole renal stone', 'existence': 'pos_dx', 'descriptive_term': '6 mm nonobstructing right inferior pole renal', 'observation': 'stone'}}clinical findings_fin: {'hydronephrosis': {'clinical finding': 'hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'neg_dx', 'observation': 'hydronephrosis'}, 'ureteronephrosis': {'clinical finding': 'ureteronephrosis', 'existence': 'neg_dx', 'observation': 'ureteronephrosis'}}clinical findings_fin: {'prominent retroperitoneal lymph nodes': {'clinical finding': 'prominent retroperitoneal lymph nodes', 'existence': 'neg_dx', 'descriptive_term': 'prominent retroperitoneal lymph', 'observation': 'node', 'strength_term': 'prominent'}}size_fin: [{'size': '1.4 x 1.2 cm'}, {'size': '1.5 x 1.4 cm'}]location descriptor_fin: ['left']clinical findings_fin: {'left para-aortic node': {'clinical finding': 'left para-aortic node', 'existence': 'pos_dx', 'descriptive_term': 'left para-aortic', 'observation': 'node'}}anatomical entity_fin: {'quadrant': {'location descriptor': 'right lower'}, 'bowel': {}}location descriptor_fin: ['right', 'lower']procedure_fin: ['ileostomy']clinical findings_fin: {'right lower quadrant loop ileostomy and likely partial small bowel resection': {'clinical finding': 'right lower quadrant loop ileostomy and likely partial small bowel resection'}}clinical findings_fin: {'injected enteric contrast': {'clinical finding': 'injected enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'injected enteric', 'observation': 'contrast'}, 'afferent and efferent loops': {'clinical finding': 'afferent and efferent loops', 'existence': 'pos_dx', 'descriptive_term': 'afferent and efferent', 'observation': 'loop'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'decompressed': {'clinical finding': 'decompressed', 'existence': 'pos_dx', 'observation': 'decompressed'}, 'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'observation': 'obstruction'}, 'ileus': {'clinical finding': 'ileus', 'existence': 'neg_dx', 'observation': 'ileus'}}anatomical entity_fin: {'skin': {}, 'anterior abdominal wall': {}}imaging observation_fin: ['foci']location descriptor_fin: ['midline', 'anterior']clinical findings_fin: {'thickening': {'clinical finding': 'thickening', 'existence': 'pos_dx', 'observation': 'thickening'}}anatomical entity_fin: {'skin': {}}imaging observation_fin: ['foci']clinical findings_fin: {'few gas foci': {'clinical finding': 'few gas foci', 'existence': 'pos_dx', 'descriptive_term': 'few gas', 'observation': 'foci', 'quantity_term': 'few'}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}object_fin: ['suture']clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'unc_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}, 'fistula': {'clinical finding': 'fistula', 'cf_snomed': {'fistula': 428794004}, 'existence': 'unc_dx', 'observation': 'fistula'}}imaging modality_fin: ['fluoroscopy']clinical findings_fin: {'fistulae': {'clinical finding': 'fistulae', 'existence': 'unc_dx', 'observation': 'fistulae'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}size_fin: [{'size': '9.6 x 8.7 cm'}, {'size': '8.7 x 8.5 cm'}]clinical findings_fin: {'large heterogeneous pelvic mass': {'clinical finding': 'large heterogeneous pelvic mass', 'cf_snomed': {'pelvic mass': 74285003}, 'existence': 'pos_dx', 'descriptive_term': 'large heterogeneous pelvic', 'observation': 'mass', 'strength_term': 'large'}}anatomical entity_fin: {'origin': {}, 'bladder': {}}clinical findings_fin: {'extensive bladder invasion': {'clinical finding': 'extensive bladder invasion', 'existence': 'unc_dx', 'descriptive_term': 'extensive bladder', 'observation': 'invasion', 'strength_term': 'extensive'}}anatomical entity_fin: {'bowel': {}}location descriptor_fin: ['displaced']clinical findings_fin: {'mass': {'clinical finding': 'mass', 'existence': 'pos_dx', 'observation': 'mass'}}clinical findings_fin: {'this mass': {'clinical finding': 'this mass', 'existence': 'pos_dx', 'descriptive_term': 'this', 'observation': 'mass'}}anatomical entity_fin: {'bladder': {}}clinical findings_fin: {'probable bladder dome invasion': {'clinical finding': 'probable bladder dome invasion', 'existence': 'pos_dx', 'descriptive_term': 'probable bladder dome', 'observation': 'invasion'}, 'large pelvic mass': {'clinical finding': 'large pelvic mass', 'cf_snomed': {'pelvic mass': 74285003}, 'existence': 'unc_dx', 'descriptive_term': 'large pelvic', 'observation': 'mass', 'strength_term': 'large'}}anatomical entity_fin: {'bladder': {}}clinical findings_fin: {'small focus of air in the bladder correlate for recent instrumentation': {'clinical finding': 'small focus of air in the bladder correlate for recent instrumentation'}}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: {'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'}} [/INST] . No focal consolidation or pleural effusion. No suspicious pulmonary nodules. Liver enhances homogenously without focal lesion. Gallbladder is unremarkable. No significant abnormality noted. Pancreas is unremarkable. No adrenal nodularity or thickening. The kidneys enhance symmetrically without focal lesion. There is asymmetric right renal cortical thinning. 6 mm nonobstructing right inferior pole renal stone measures approximately 734 Hounsfield units. No hydronephrosis or ureteronephrosis. Prominent retroperitoneal lymph nodes are not significantly changed in size. A left para-aortic node measures 1.4 x 1.2 cm , previously 1.5 x 1.4 cm. None. Interval postsurgical findings related to right lower quadrant loop ileostomy and likely partial small bowel resection are noted. Injected enteric contrast into the afferent and efferent loops is seen. The bowel loops are now decompressed and normal in caliber without evidence of obstruction or ileus. There are multiple foci of tract-like soft tissue thickening in the midline anterior subcutaneous soft tissues at the level of the ostomy extending from the skin surface to the anterior abdominal wall. Thickening at the skin surface with few gas foci are noted, which may represent packing material clinical correlation is recommended. Enteric contrast does not fill these tracts. Superiorly, there is also thin linear hyperattenuating material which likely represents suture , though enteric contrast filling a sinus tract or fistula in this location cannot be excluded. However please note that optimal evaluation for fistulae is performed by fluoroscopy. No significant abnormality noted. Large heterogeneous pelvic mass is redemonstrated, measuring approximately 9.6 x 8.7 cm , previously 8.7 x 8.5 cm. Origin cannot be definitively discerned, however given the pathology results on record and appearance of extensive bladder invasion, is favored to arise from the bladder. Several small bowel loops are displaced and attenuated by the mass. Uterine fibroids are noted distinct from this mass. Probable bladder dome invasion by the large pelvic mass, as above. Small focus of air in the bladder correlate for recent instrumentation. No inguinal, iliac chain, or pelvic lymphadenopathy. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. </s>

. Technically adequate study without evidence of acute pulmonary embolus. The main pulmonary artery is of normal caliber, measuring 2.5 cm in diameter. Grossly stable appearance of innumerable pulmonary metastases, in a miliary pattern. A reference nodule in the right lower lobe is unchanged, measuring 8 x 8 mm. Again seen are postoperative changes in the neck, not significantly changed when compared to previous. A reference left upper paratracheal node measures 14 mm , previously 14 mm. A reference paraesophageal lymph node near the hiatus measures 11 mm , previously 11 mm. Other lymphadenopathy is not significantly changed. Persistent mild nonspecific esophageal thickening. The left ventricle is upper limits of normal. There are aortic and mitral valve annular calcifications, likely secondary to chronic renal disease. Severe. No significant abnormality noted. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. Osseous changes likely related to renal osteodystrophy. There is mild soft tissue edema as well as periportal edema in the liver. There is apparent slight prominence of the right renal collecting system, new when compared to prior study, and incompletely characterized on this study.

clinical findings_fin: {'acute pulmonary embolus': {'clinical finding': 'acute pulmonary embolus', 'cf_snomed': {'embolus': 55584005}, 'existence': 'neg_dx', 'descriptive_term': 'acute pulmonary', 'observation': 'embolus', 'strength_term': 'acute', 'temporal_term': 'acute'}}size_fin: [{'size': '2.5 cm', 'size_descriptor': 'artery'}]anatomical entity_fin: {'main pulmonary artery': {}}clinical findings_fin: {'main pulmonary artery is of normal caliber': {'clinical finding': 'main pulmonary artery is of normal caliber'}}imaging observation_fin: ['miliary pattern']clinical findings_fin: {'innumerable pulmonary metastases': {'clinical finding': 'innumerable pulmonary metastases', 'existence': 'pos_dx', 'descriptive_term': 'innumerable pulmonary', 'observation': 'metastase'}, 'miliary pattern': {'clinical finding': 'miliary pattern', 'existence': 'pos_dx', 'descriptive_term': 'miliary', 'observation': 'pattern'}}size_fin: [{'size': '8 x 8 mm', 'size_descriptor': 'nodule'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'reference nodule': {'clinical finding': 'reference nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'reference', 'observation': 'nodule'}}anatomical entity_fin: {'neck': {}}clinical findings_fin: {'postoperative changes': {'clinical finding': 'postoperative changes', 'existence': 'pos_dx', 'descriptive_term': 'postoperative', 'observation': 'change'}}size_fin: [{'size': '14 mm'}, {'size': '14 mm'}]location descriptor_fin: ['left', 'upper']clinical findings_fin: {'reference left upper paratracheal node': {'clinical finding': 'reference left upper paratracheal node', 'existence': 'pos_dx', 'descriptive_term': 'reference left upper paratracheal', 'observation': 'node'}}size_fin: [{'size': '11 mm'}, {'size': '11 mm'}]clinical findings_fin: {'reference paraesophageal lymph node': {'clinical finding': 'reference paraesophageal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference paraesophageal lymph', 'observation': 'node'}}clinical findings_fin: {'other lymphadenopathy': {'clinical finding': 'other lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'descriptive_term': 'other', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'persistent mild nonspecific esophageal thickening': {'clinical finding': 'persistent mild nonspecific esophageal thickening', 'existence': 'pos_dx', 'descriptive_term': 'persistent mild nonspecific esophageal', 'observation': 'thickening', 'strength_term': 'mild', 'temporal_term': 'persistent'}}anatomical entity_fin: {'left ventricle': {}}location descriptor_fin: ['upper']clinical findings_fin: {'upper limits of normal': {'clinical finding': 'upper limits of normal'}}anatomical entity_fin: {'mitral valve': {}}clinical findings_fin: {'aortic and mitral valve annular calcifications': {'clinical finding': 'aortic and mitral valve annular calcifications', 'cf_snomed': {'mitral valve annular calcification': 251002009}, 'existence': 'pos_dx', 'descriptive_term': 'aortic and mitral valve annular', 'observation': 'calcification'}, 'chronic renal disease': {'clinical finding': 'chronic renal disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'unc_dx', 'descriptive_term': 'chronic renal', 'observation': 'disease', 'temporal_term': 'chronic'}}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: {'osseous changes': {'clinical finding': 'osseous changes', 'existence': 'unc_dx', 'descriptive_term': 'osseous', 'observation': 'change'}, 'renal osteodystrophy': {'clinical finding': 'renal osteodystrophy', 'cf_snomed': {'renal osteodystrophy': 16726004}, 'existence': 'unc_dx', 'descriptive_term': 'renal', 'observation': 'osteodystrophy'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'mild soft tissue edema': {'clinical finding': 'mild soft tissue edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'descriptive_term': 'mild soft tissue', 'observation': 'edema', 'strength_term': 'mild'}, 'periportal edema': {'clinical finding': 'periportal edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'descriptive_term': 'periportal', 'observation': 'edema'}}anatomical entity_fin: {'renal collecting system': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'apparent slight prominence of the right renal collecting system , new when compared to prior study': {'clinical finding': 'apparent slight prominence of the right renal collecting system , new when compared to prior study'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'acute pulmonary embolus': {'clinical finding': 'acute pulmonary embolus', 'cf_snomed': {'embolus': 55584005}, 'existence': 'neg_dx', 'descriptive_term': 'acute pulmonary', 'observation': 'embolus', 'strength_term': 'acute', 'temporal_term': 'acute'}}size_fin: [{'size': '2.5 cm', 'size_descriptor': 'artery'}]anatomical entity_fin: {'main pulmonary artery': {}}clinical findings_fin: {'main pulmonary artery is of normal caliber': {'clinical finding': 'main pulmonary artery is of normal caliber'}}imaging observation_fin: ['miliary pattern']clinical findings_fin: {'innumerable pulmonary metastases': {'clinical finding': 'innumerable pulmonary metastases', 'existence': 'pos_dx', 'descriptive_term': 'innumerable pulmonary', 'observation': 'metastase'}, 'miliary pattern': {'clinical finding': 'miliary pattern', 'existence': 'pos_dx', 'descriptive_term': 'miliary', 'observation': 'pattern'}}size_fin: [{'size': '8 x 8 mm', 'size_descriptor': 'nodule'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'reference nodule': {'clinical finding': 'reference nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'reference', 'observation': 'nodule'}}anatomical entity_fin: {'neck': {}}clinical findings_fin: {'postoperative changes': {'clinical finding': 'postoperative changes', 'existence': 'pos_dx', 'descriptive_term': 'postoperative', 'observation': 'change'}}size_fin: [{'size': '14 mm'}, {'size': '14 mm'}]location descriptor_fin: ['left', 'upper']clinical findings_fin: {'reference left upper paratracheal node': {'clinical finding': 'reference left upper paratracheal node', 'existence': 'pos_dx', 'descriptive_term': 'reference left upper paratracheal', 'observation': 'node'}}size_fin: [{'size': '11 mm'}, {'size': '11 mm'}]clinical findings_fin: {'reference paraesophageal lymph node': {'clinical finding': 'reference paraesophageal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference paraesophageal lymph', 'observation': 'node'}}clinical findings_fin: {'other lymphadenopathy': {'clinical finding': 'other lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'descriptive_term': 'other', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'persistent mild nonspecific esophageal thickening': {'clinical finding': 'persistent mild nonspecific esophageal thickening', 'existence': 'pos_dx', 'descriptive_term': 'persistent mild nonspecific esophageal', 'observation': 'thickening', 'strength_term': 'mild', 'temporal_term': 'persistent'}}anatomical entity_fin: {'left ventricle': {}}location descriptor_fin: ['upper']clinical findings_fin: {'upper limits of normal': {'clinical finding': 'upper limits of normal'}}anatomical entity_fin: {'mitral valve': {}}clinical findings_fin: {'aortic and mitral valve annular calcifications': {'clinical finding': 'aortic and mitral valve annular calcifications', 'cf_snomed': {'mitral valve annular calcification': 251002009}, 'existence': 'pos_dx', 'descriptive_term': 'aortic and mitral valve annular', 'observation': 'calcification'}, 'chronic renal disease': {'clinical finding': 'chronic renal disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'unc_dx', 'descriptive_term': 'chronic renal', 'observation': 'disease', 'temporal_term': 'chronic'}}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: {'osseous changes': {'clinical finding': 'osseous changes', 'existence': 'unc_dx', 'descriptive_term': 'osseous', 'observation': 'change'}, 'renal osteodystrophy': {'clinical finding': 'renal osteodystrophy', 'cf_snomed': {'renal osteodystrophy': 16726004}, 'existence': 'unc_dx', 'descriptive_term': 'renal', 'observation': 'osteodystrophy'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'mild soft tissue edema': {'clinical finding': 'mild soft tissue edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'descriptive_term': 'mild soft tissue', 'observation': 'edema', 'strength_term': 'mild'}, 'periportal edema': {'clinical finding': 'periportal edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'descriptive_term': 'periportal', 'observation': 'edema'}}anatomical entity_fin: {'renal collecting system': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'apparent slight prominence of the right renal collecting system , new when compared to prior study': {'clinical finding': 'apparent slight prominence of the right renal collecting system , new when compared to prior study'}} [/INST] . Technically adequate study without evidence of acute pulmonary embolus. The main pulmonary artery is of normal caliber, measuring 2.5 cm in diameter. Grossly stable appearance of innumerable pulmonary metastases, in a miliary pattern. A reference nodule in the right lower lobe is unchanged, measuring 8 x 8 mm. Again seen are postoperative changes in the neck, not significantly changed when compared to previous. A reference left upper paratracheal node measures 14 mm , previously 14 mm. A reference paraesophageal lymph node near the hiatus measures 11 mm , previously 11 mm. Other lymphadenopathy is not significantly changed. Persistent mild nonspecific esophageal thickening. The left ventricle is upper limits of normal. There are aortic and mitral valve annular calcifications, likely secondary to chronic renal disease. Severe. No significant abnormality noted. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. Osseous changes likely related to renal osteodystrophy. There is mild soft tissue edema as well as periportal edema in the liver. There is apparent slight prominence of the right renal collecting system, new when compared to prior study, and incompletely characterized on this study. </s>

. Stable postoperative changes are related to a left upper lobectomy. Scattered micronodules unchanged. No new suspicious pulmonary nodules or masses. Left basilar scarring or discoid atelectasis. No pleural effusions. No hilar or mediastinal lymphadenopathy. Extensive aortic calcification. Cardiac size is normal without evidence of pericardial effusion. Severe. Bilateral breast calcifications redemonstrated. No axillary lymphadenopathy. Extensive degenerative changes in thoracic spine with stable compression deformity of the T12 vertebrae. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. Hypodensity in left lobe of the liver unchanged.

location descriptor_fin: ['left', 'upper']clinical findings_fin: {'stable postoperative changes': {'clinical finding': 'stable postoperative changes', 'existence': 'pos_dx', 'descriptive_term': 'stable postoperative', 'observation': 'change', 'strength_term': 'stable', 'change_term': 'stable'}, 'left upper lobectomy': {'clinical finding': 'left upper lobectomy', 'existence': 'pos_dx', 'descriptive_term': 'left upper', 'observation': 'lobectomy'}}clinical findings_fin: {'scattered micronodules': {'clinical finding': 'scattered micronodules', 'existence': 'pos_dx', 'descriptive_term': 'scattered', 'observation': 'micronodule'}}clinical findings_fin: {'new suspicious pulmonary nodules': {'clinical finding': 'new suspicious pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'new suspicious pulmonary', 'observation': 'nodule', 'temporal_term': 'new'}, 'masses': {'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass'}}location descriptor_fin: ['left']clinical findings_fin: {'basilar scarring': {'clinical finding': 'basilar scarring', 'existence': 'pos_dx', 'descriptive_term': 'basilar', 'observation': 'scarr'}, 'discoid atelectasis': {'clinical finding': 'discoid atelectasis', 'cf_snomed': {'discoid atelectasis': 40779009}, 'existence': 'unc_dx', 'descriptive_term': 'discoid', 'observation': 'atelectasis'}}clinical findings_fin: {'pleural effusions': {'clinical finding': 'pleural effusions', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}}clinical findings_fin: {'hilar or mediastinal lymphadenopathy': {'clinical finding': 'hilar or mediastinal lymphadenopathy', 'cf_snomed': {'mediastinal lymphadenopathy': 52324001}, 'existence': 'neg_dx', 'descriptive_term': 'hilar or mediastinal', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'extensive aortic calcification': {'clinical finding': 'extensive aortic calcification', 'existence': 'pos_dx', 'descriptive_term': 'extensive aortic', 'observation': 'calcification', 'strength_term': 'extensive'}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}anatomical entity_fin: {'breast': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral breast calcifications': {'clinical finding': 'bilateral breast calcifications', 'existence': 'pos_dx', 'descriptive_term': 'bilateral breast', 'observation': 'calcification'}}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: {'thoracic spine': {}, 'vertebrae': {}}clinical findings_fin: {'extensive degenerative changes': {'clinical finding': 'extensive degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'extensive degenerative', 'observation': 'change', 'strength_term': 'extensive'}, 'stable compression deformity': {'clinical finding': 'stable compression deformity', 'cf_snomed': {'compression': 71173004, 'deformity': 417893002}, 'existence': 'pos_dx', 'descriptive_term': 'stable compression', 'observation': 'deformity', 'strength_term': 'stable', 'change_term': 'stable'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left'}, 'liver': {}}location descriptor_fin: ['left']clinical findings_fin: {'hypodensity': {'clinical finding': 'hypodensity', 'existence': 'pos_dx', 'observation': 'hypodensity'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['left', 'upper']clinical findings_fin: {'stable postoperative changes': {'clinical finding': 'stable postoperative changes', 'existence': 'pos_dx', 'descriptive_term': 'stable postoperative', 'observation': 'change', 'strength_term': 'stable', 'change_term': 'stable'}, 'left upper lobectomy': {'clinical finding': 'left upper lobectomy', 'existence': 'pos_dx', 'descriptive_term': 'left upper', 'observation': 'lobectomy'}}clinical findings_fin: {'scattered micronodules': {'clinical finding': 'scattered micronodules', 'existence': 'pos_dx', 'descriptive_term': 'scattered', 'observation': 'micronodule'}}clinical findings_fin: {'new suspicious pulmonary nodules': {'clinical finding': 'new suspicious pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'new suspicious pulmonary', 'observation': 'nodule', 'temporal_term': 'new'}, 'masses': {'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass'}}location descriptor_fin: ['left']clinical findings_fin: {'basilar scarring': {'clinical finding': 'basilar scarring', 'existence': 'pos_dx', 'descriptive_term': 'basilar', 'observation': 'scarr'}, 'discoid atelectasis': {'clinical finding': 'discoid atelectasis', 'cf_snomed': {'discoid atelectasis': 40779009}, 'existence': 'unc_dx', 'descriptive_term': 'discoid', 'observation': 'atelectasis'}}clinical findings_fin: {'pleural effusions': {'clinical finding': 'pleural effusions', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}}clinical findings_fin: {'hilar or mediastinal lymphadenopathy': {'clinical finding': 'hilar or mediastinal lymphadenopathy', 'cf_snomed': {'mediastinal lymphadenopathy': 52324001}, 'existence': 'neg_dx', 'descriptive_term': 'hilar or mediastinal', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'extensive aortic calcification': {'clinical finding': 'extensive aortic calcification', 'existence': 'pos_dx', 'descriptive_term': 'extensive aortic', 'observation': 'calcification', 'strength_term': 'extensive'}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}anatomical entity_fin: {'breast': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral breast calcifications': {'clinical finding': 'bilateral breast calcifications', 'existence': 'pos_dx', 'descriptive_term': 'bilateral breast', 'observation': 'calcification'}}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: {'thoracic spine': {}, 'vertebrae': {}}clinical findings_fin: {'extensive degenerative changes': {'clinical finding': 'extensive degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'extensive degenerative', 'observation': 'change', 'strength_term': 'extensive'}, 'stable compression deformity': {'clinical finding': 'stable compression deformity', 'cf_snomed': {'compression': 71173004, 'deformity': 417893002}, 'existence': 'pos_dx', 'descriptive_term': 'stable compression', 'observation': 'deformity', 'strength_term': 'stable', 'change_term': 'stable'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left'}, 'liver': {}}location descriptor_fin: ['left']clinical findings_fin: {'hypodensity': {'clinical finding': 'hypodensity', 'existence': 'pos_dx', 'observation': 'hypodensity'}} [/INST] . Stable postoperative changes are related to a left upper lobectomy. Scattered micronodules unchanged. No new suspicious pulmonary nodules or masses. Left basilar scarring or discoid atelectasis. No pleural effusions. No hilar or mediastinal lymphadenopathy. Extensive aortic calcification. Cardiac size is normal without evidence of pericardial effusion. Severe. Bilateral breast calcifications redemonstrated. No axillary lymphadenopathy. Extensive degenerative changes in thoracic spine with stable compression deformity of the T12 vertebrae. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. Hypodensity in left lobe of the liver unchanged. </s>

. Left basilar atelectasis. Cirrhotic liver morphology with multiple venous portosystemic collaterals and varices again noted. Slightly increasing perihepatic fluid. No focal hepatic lesions. No intra or extra hepatic biliary ductal dilatation. New gallbladder wall thickening and surrounding induration. Splenomegaly with no perisplenic free fluid. New mild mesenteric haziness surrounds the pancreas. The pancreatic parenchyma enhances normally. No discrete fluid collection. No pseudoaneurysm or thrombus. No significant abnormality noted. Punctate left hypodense lesion too small to characterize unchanged. Reference left para-aortic lymph node measures 1.4 cm x 1.1 cm unchanged. Additional small retroperitoneal lymph nodes not significantly changed. Mild. Increasing size of mesenteric and peritoneal nodularity, for reference a perisplenic soft tissue nodule measures 2.9 cm. 2.1 cm previously 1.8 cm x 1.6 cm when measured in a similar fashion. Additional mesenteric nodularity also appears increased. Diverticulosis without evidence of diverticulitis. Fat density lesion abutting the right superior posterior femur is partially imaged and not grossly changed. No significant abnormality noted. No significant abnormality noted. Heterogeneous soft tissue mass involving the right posterolateral wall with internal calcifications extending posteriorly to the vaginal cuff not significantly changed from prior study. No significant abnormality noted. Diverticulosis without evidence of diverticulitis. No significant abnormality noted. No significant abnormality noted

location descriptor_fin: ['left']clinical findings_fin: {'left basilar atelectasis': {'clinical finding': 'left basilar atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'left basilar', 'observation': 'atelectasis'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'multiple venous portosystemic collaterals': {'clinical finding': 'multiple venous portosystemic collaterals', 'existence': 'pos_dx', 'descriptive_term': 'multiple venous portosystemic', 'observation': 'collateral', 'quantity_term': 'multiple'}, 'varices': {'clinical finding': 'varices', 'existence': 'pos_dx', 'observation': 'varice'}}anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'slightly increasing': {'clinical finding': 'slightly increasing', 'change_term': 'increasing'}}clinical findings_fin: {'focal hepatic lesions': {'clinical finding': 'focal hepatic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'focal hepatic', 'observation': 'lesion'}}clinical findings_fin: {'intra or extra hepatic biliary ductal dilatation': {'clinical finding': 'intra or extra hepatic biliary ductal dilatation', 'cf_snomed': {'dilatation': 25322007}, 'existence': 'neg_dx', 'descriptive_term': 'intra or extra hepatic biliary ductal', 'observation': 'dilatation'}}clinical findings_fin: {'gallbladder wall thickening': {'clinical finding': 'gallbladder wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'gallbladder wall', 'observation': 'thickening'}}clinical findings_fin: {'splenomegaly': {'clinical finding': 'splenomegaly', 'cf_snomed': {'splenomegaly': 16294009}, 'existence': 'pos_dx', 'observation': 'splenomegaly'}, 'perisplenic free fluid': {'clinical finding': 'perisplenic free fluid', 'existence': 'neg_dx', 'descriptive_term': 'perisplenic free', 'observation': 'fluid'}}anatomical entity_fin: {'pancreas': {}}clinical findings_fin: {'new mild mesenteric haziness': {'clinical finding': 'new mild mesenteric haziness', 'existence': 'pos_dx', 'descriptive_term': 'new mild mesenteric', 'observation': 'haziness', 'strength_term': 'mild', 'temporal_term': 'new'}}anatomical entity_fin: {'parenchyma': {}}clinical findings_fin: {'discrete fluid collection': {'clinical finding': 'discrete fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'discrete fluid', 'observation': 'collection'}}clinical findings_fin: {'pseudoaneurysm': {'clinical finding': 'pseudoaneurysm', 'cf_snomed': {'pseudoaneurysm': 443089001}, 'existence': 'neg_dx', 'observation': 'pseudoaneurysm'}, 'thrombus': {'clinical finding': 'thrombus', 'cf_snomed': {'thrombus': 396339007}, 'existence': 'neg_dx', 'observation': 'thrombus'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}location descriptor_fin: ['left']clinical findings_fin: {'punctate left hypodense lesion': {'clinical finding': 'punctate left hypodense lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'punctate left hypodense', 'observation': 'lesion'}}size_fin: [{'size': '1.4 cm x 1.1 cm'}]location descriptor_fin: ['left']clinical findings_fin: {'reference left para-aortic lymph node': {'clinical finding': 'reference left para-aortic lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference left para-aortic lymph', 'observation': 'node'}}clinical findings_fin: {'additional small retroperitoneal lymph nodes': {'clinical finding': 'additional small retroperitoneal lymph nodes', 'existence': 'neg_dx', 'descriptive_term': 'additional small retroperitoneal lymph', 'observation': 'node', 'strength_term': 'small'}}size_fin: [{'size': '2.9 cm', 'size_descriptor': 'nodule'}]clinical findings_fin: {'mesenteric and peritoneal nodularity': {'clinical finding': 'mesenteric and peritoneal nodularity', 'existence': 'pos_dx', 'descriptive_term': 'mesenteric and peritoneal', 'observation': 'nodularity'}, 'perisplenic soft tissue nodule': {'clinical finding': 'perisplenic soft tissue nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'perisplenic soft tissue', 'observation': 'nodule'}}size_fin: [{'size': '2.1 cm'}, {'size': '1.8 cm x 1.6 cm'}]clinical findings_fin: {'cm previously 1.8 cm x 1.6 cm when measured in a similar fashion': {'clinical finding': 'cm previously 1.8 cm x 1.6 cm when measured in a similar fashion'}}clinical findings_fin: {'additional mesenteric nodularity': {'clinical finding': 'additional mesenteric nodularity', 'existence': 'pos_dx', 'descriptive_term': 'additional mesenteric', 'observation': 'nodularity'}}clinical findings_fin: {'diverticulosis': {'clinical finding': 'diverticulosis', 'existence': 'pos_dx', 'observation': 'diverticulosis'}, 'diverticulitis': {'clinical finding': 'diverticulitis', 'cf_snomed': {'diverticulitis': 307496006}, 'existence': 'neg_dx', 'observation': 'diverticulitis'}}anatomical entity_fin: {'femur': {'location descriptor': 'superior posterior'}}imaging observation_fin: ['fat']location descriptor_fin: ['right', 'superior', 'posterior']clinical findings_fin: {'fat density lesion': {'clinical finding': 'fat density lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'fat density', 'observation': 'lesion'}, 'changed': {'clinical finding': 'changed', 'existence': 'pos_dx', 'observation': 'change'}}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'}}anatomical entity_fin: {'wall': {}}location descriptor_fin: ['right']clinical findings_fin: {'heterogeneous soft tissue mass': {'clinical finding': 'heterogeneous soft tissue mass', 'cf_snomed': {'soft tissue mass': 278002000}, 'existence': 'pos_dx', 'descriptive_term': 'heterogeneous soft tissue', 'observation': 'mass'}, 'internal calcifications': {'clinical finding': 'internal calcifications', 'existence': 'pos_dx', 'descriptive_term': 'internal', 'observation': 'calcification'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'diverticulosis': {'clinical finding': 'diverticulosis', 'existence': 'pos_dx', 'observation': 'diverticulosis'}, 'diverticulitis': {'clinical finding': 'diverticulitis', 'cf_snomed': {'diverticulitis': 307496006}, 'existence': 'neg_dx', 'observation': 'diverticulitis'}}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'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['left']clinical findings_fin: {'left basilar atelectasis': {'clinical finding': 'left basilar atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'left basilar', 'observation': 'atelectasis'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'multiple venous portosystemic collaterals': {'clinical finding': 'multiple venous portosystemic collaterals', 'existence': 'pos_dx', 'descriptive_term': 'multiple venous portosystemic', 'observation': 'collateral', 'quantity_term': 'multiple'}, 'varices': {'clinical finding': 'varices', 'existence': 'pos_dx', 'observation': 'varice'}}anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'slightly increasing': {'clinical finding': 'slightly increasing', 'change_term': 'increasing'}}clinical findings_fin: {'focal hepatic lesions': {'clinical finding': 'focal hepatic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'focal hepatic', 'observation': 'lesion'}}clinical findings_fin: {'intra or extra hepatic biliary ductal dilatation': {'clinical finding': 'intra or extra hepatic biliary ductal dilatation', 'cf_snomed': {'dilatation': 25322007}, 'existence': 'neg_dx', 'descriptive_term': 'intra or extra hepatic biliary ductal', 'observation': 'dilatation'}}clinical findings_fin: {'gallbladder wall thickening': {'clinical finding': 'gallbladder wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'gallbladder wall', 'observation': 'thickening'}}clinical findings_fin: {'splenomegaly': {'clinical finding': 'splenomegaly', 'cf_snomed': {'splenomegaly': 16294009}, 'existence': 'pos_dx', 'observation': 'splenomegaly'}, 'perisplenic free fluid': {'clinical finding': 'perisplenic free fluid', 'existence': 'neg_dx', 'descriptive_term': 'perisplenic free', 'observation': 'fluid'}}anatomical entity_fin: {'pancreas': {}}clinical findings_fin: {'new mild mesenteric haziness': {'clinical finding': 'new mild mesenteric haziness', 'existence': 'pos_dx', 'descriptive_term': 'new mild mesenteric', 'observation': 'haziness', 'strength_term': 'mild', 'temporal_term': 'new'}}anatomical entity_fin: {'parenchyma': {}}clinical findings_fin: {'discrete fluid collection': {'clinical finding': 'discrete fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'discrete fluid', 'observation': 'collection'}}clinical findings_fin: {'pseudoaneurysm': {'clinical finding': 'pseudoaneurysm', 'cf_snomed': {'pseudoaneurysm': 443089001}, 'existence': 'neg_dx', 'observation': 'pseudoaneurysm'}, 'thrombus': {'clinical finding': 'thrombus', 'cf_snomed': {'thrombus': 396339007}, 'existence': 'neg_dx', 'observation': 'thrombus'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}location descriptor_fin: ['left']clinical findings_fin: {'punctate left hypodense lesion': {'clinical finding': 'punctate left hypodense lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'punctate left hypodense', 'observation': 'lesion'}}size_fin: [{'size': '1.4 cm x 1.1 cm'}]location descriptor_fin: ['left']clinical findings_fin: {'reference left para-aortic lymph node': {'clinical finding': 'reference left para-aortic lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference left para-aortic lymph', 'observation': 'node'}}clinical findings_fin: {'additional small retroperitoneal lymph nodes': {'clinical finding': 'additional small retroperitoneal lymph nodes', 'existence': 'neg_dx', 'descriptive_term': 'additional small retroperitoneal lymph', 'observation': 'node', 'strength_term': 'small'}}size_fin: [{'size': '2.9 cm', 'size_descriptor': 'nodule'}]clinical findings_fin: {'mesenteric and peritoneal nodularity': {'clinical finding': 'mesenteric and peritoneal nodularity', 'existence': 'pos_dx', 'descriptive_term': 'mesenteric and peritoneal', 'observation': 'nodularity'}, 'perisplenic soft tissue nodule': {'clinical finding': 'perisplenic soft tissue nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'perisplenic soft tissue', 'observation': 'nodule'}}size_fin: [{'size': '2.1 cm'}, {'size': '1.8 cm x 1.6 cm'}]clinical findings_fin: {'cm previously 1.8 cm x 1.6 cm when measured in a similar fashion': {'clinical finding': 'cm previously 1.8 cm x 1.6 cm when measured in a similar fashion'}}clinical findings_fin: {'additional mesenteric nodularity': {'clinical finding': 'additional mesenteric nodularity', 'existence': 'pos_dx', 'descriptive_term': 'additional mesenteric', 'observation': 'nodularity'}}clinical findings_fin: {'diverticulosis': {'clinical finding': 'diverticulosis', 'existence': 'pos_dx', 'observation': 'diverticulosis'}, 'diverticulitis': {'clinical finding': 'diverticulitis', 'cf_snomed': {'diverticulitis': 307496006}, 'existence': 'neg_dx', 'observation': 'diverticulitis'}}anatomical entity_fin: {'femur': {'location descriptor': 'superior posterior'}}imaging observation_fin: ['fat']location descriptor_fin: ['right', 'superior', 'posterior']clinical findings_fin: {'fat density lesion': {'clinical finding': 'fat density lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'fat density', 'observation': 'lesion'}, 'changed': {'clinical finding': 'changed', 'existence': 'pos_dx', 'observation': 'change'}}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'}}anatomical entity_fin: {'wall': {}}location descriptor_fin: ['right']clinical findings_fin: {'heterogeneous soft tissue mass': {'clinical finding': 'heterogeneous soft tissue mass', 'cf_snomed': {'soft tissue mass': 278002000}, 'existence': 'pos_dx', 'descriptive_term': 'heterogeneous soft tissue', 'observation': 'mass'}, 'internal calcifications': {'clinical finding': 'internal calcifications', 'existence': 'pos_dx', 'descriptive_term': 'internal', 'observation': 'calcification'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'diverticulosis': {'clinical finding': 'diverticulosis', 'existence': 'pos_dx', 'observation': 'diverticulosis'}, 'diverticulitis': {'clinical finding': 'diverticulitis', 'cf_snomed': {'diverticulitis': 307496006}, 'existence': 'neg_dx', 'observation': 'diverticulitis'}}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'}} [/INST] . Left basilar atelectasis. Cirrhotic liver morphology with multiple venous portosystemic collaterals and varices again noted. Slightly increasing perihepatic fluid. No focal hepatic lesions. No intra or extra hepatic biliary ductal dilatation. New gallbladder wall thickening and surrounding induration. Splenomegaly with no perisplenic free fluid. New mild mesenteric haziness surrounds the pancreas. The pancreatic parenchyma enhances normally. No discrete fluid collection. No pseudoaneurysm or thrombus. No significant abnormality noted. Punctate left hypodense lesion too small to characterize unchanged. Reference left para-aortic lymph node measures 1.4 cm x 1.1 cm unchanged. Additional small retroperitoneal lymph nodes not significantly changed. Mild. Increasing size of mesenteric and peritoneal nodularity, for reference a perisplenic soft tissue nodule measures 2.9 cm. 2.1 cm previously 1.8 cm x 1.6 cm when measured in a similar fashion. Additional mesenteric nodularity also appears increased. Diverticulosis without evidence of diverticulitis. Fat density lesion abutting the right superior posterior femur is partially imaged and not grossly changed. No significant abnormality noted. No significant abnormality noted. Heterogeneous soft tissue mass involving the right posterolateral wall with internal calcifications extending posteriorly to the vaginal cuff not significantly changed from prior study. No significant abnormality noted. Diverticulosis without evidence of diverticulitis. No significant abnormality noted. No significant abnormality noted </s>

There is subgaleal hematoma that measures up to 3 mm in thickness and emphysema of the left anterior frontal scalp. There is no evidence of underlying calvarial fracture. There is no evidence of acute intracranial hemorrhage or mass. The grey-white matter differentiation appears to be intact. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The paranasal sinuses are clear.

size_fin: [{'size': '3 mm', 'size_descriptor': 'hematoma'}]anatomical entity_fin: {'scalp': {}}imaging observation_fin: ['hematoma']location descriptor_fin: ['left', 'anterior']clinical findings_fin: {'subgaleal hematoma': {'clinical finding': 'subgaleal hematoma', 'cf_snomed': {'hematoma': 385494008}, 'existence': 'pos_dx', 'descriptive_term': 'subgaleal', 'observation': 'hematoma'}, 'emphysema': {'clinical finding': 'emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'observation': 'emphysema'}}clinical findings_fin: {'underlying calvarial fracture': {'clinical finding': 'underlying calvarial fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'descriptive_term': 'underlying calvarial', 'observation': 'fracture'}}clinical findings_fin: {'acute intracranial hemorrhage': {'clinical finding': 'acute intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'acute intracranial', 'observation': 'hemorrhage', 'strength_term': 'acute', 'temporal_term': 'acute'}, 'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}clinical findings_fin: {'ventricles and basal cisterns are normal in size and configuration': {'clinical finding': 'ventricles and basal cisterns are normal in size and configuration'}}location descriptor_fin: ['midline']clinical findings_fin: {'herniation': {'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'}}anatomical entity_fin: {'paranasal sinuses': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: size_fin: [{'size': '3 mm', 'size_descriptor': 'hematoma'}]anatomical entity_fin: {'scalp': {}}imaging observation_fin: ['hematoma']location descriptor_fin: ['left', 'anterior']clinical findings_fin: {'subgaleal hematoma': {'clinical finding': 'subgaleal hematoma', 'cf_snomed': {'hematoma': 385494008}, 'existence': 'pos_dx', 'descriptive_term': 'subgaleal', 'observation': 'hematoma'}, 'emphysema': {'clinical finding': 'emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'observation': 'emphysema'}}clinical findings_fin: {'underlying calvarial fracture': {'clinical finding': 'underlying calvarial fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'descriptive_term': 'underlying calvarial', 'observation': 'fracture'}}clinical findings_fin: {'acute intracranial hemorrhage': {'clinical finding': 'acute intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'acute intracranial', 'observation': 'hemorrhage', 'strength_term': 'acute', 'temporal_term': 'acute'}, 'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}clinical findings_fin: {'ventricles and basal cisterns are normal in size and configuration': {'clinical finding': 'ventricles and basal cisterns are normal in size and configuration'}}location descriptor_fin: ['midline']clinical findings_fin: {'herniation': {'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'}}anatomical entity_fin: {'paranasal sinuses': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}} [/INST] There is subgaleal hematoma that measures up to 3 mm in thickness and emphysema of the left anterior frontal scalp. There is no evidence of underlying calvarial fracture. There is no evidence of acute intracranial hemorrhage or mass. The grey-white matter differentiation appears to be intact. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The paranasal sinuses are clear. </s>

. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Subcutaneous emphysema of the right thigh below the inguinal canal extending to the right buttock. No significant abnormality 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: {'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'}}anatomical entity_fin: {'thigh': {'location descriptor': 'right'}, 'inguinal canal': {}}location descriptor_fin: ['right']clinical findings_fin: {'subcutaneous emphysema': {'clinical finding': 'subcutaneous emphysema', 'cf_snomed': {'subcutaneous emphysema': 3830001}, 'existence': 'pos_dx', 'descriptive_term': 'subcutaneous', 'observation': 'emphysema'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: 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'}}anatomical entity_fin: {'thigh': {'location descriptor': 'right'}, 'inguinal canal': {}}location descriptor_fin: ['right']clinical findings_fin: {'subcutaneous emphysema': {'clinical finding': 'subcutaneous emphysema', 'cf_snomed': {'subcutaneous emphysema': 3830001}, 'existence': 'pos_dx', 'descriptive_term': 'subcutaneous', 'observation': 'emphysema'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Subcutaneous emphysema of the right thigh below the inguinal canal extending to the right buttock. No significant abnormality noted </s>

Left thalamic ICH with minimal midline shift toward the right side and bilateral lateral ventricular IVH are redemonstrated. No significant interval change of the extent of hemorrhage as well as ventricle size since prior study. Right frontal approach ventriculostomy tube has been removed. There is no new ischemic or hemorrhagic lesion on the scan. The osseous structures are unremarkable. The paranasal sinuses and mastoid air cells are clear.

location descriptor_fin: ['left', 'midline', 'right', 'bilateral', 'lateral']clinical findings_fin: {'left thalamic ich': {'clinical finding': 'left thalamic ich', 'existence': 'pos_dx', 'descriptive_term': 'left thalamic', 'observation': 'ich'}, 'bilateral lateral ventricular ivh': {'clinical finding': 'bilateral lateral ventricular ivh', 'existence': 'pos_dx', 'descriptive_term': 'bilateral lateral ventricular', 'observation': 'ivh'}}clinical findings_fin: {'significant interval change': {'clinical finding': 'significant interval change', 'existence': 'neg_dx', 'descriptive_term': 'significant interval', 'observation': 'change'}, 'hemorrhage': {'clinical finding': 'hemorrhage', 'cf_snomed': {'hemorrhage': 50960005}, 'existence': 'neg_dx', 'observation': 'hemorrhage'}}location descriptor_fin: ['right']object_fin: ['tube']procedure_fin: ['ventriculostomy']clinical findings_fin: {'right frontal approach ventriculostomy tube has been removed': {'clinical finding': 'right frontal approach ventriculostomy tube has been removed'}}clinical findings_fin: {'new ischemic or hemorrhagic lesion': {'clinical finding': 'new ischemic or hemorrhagic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'new ischemic or hemorrhagic', 'observation': 'lesion', 'temporal_term': 'new'}}clinical findings_fin: {'osseous structures are unremarkable': {'clinical finding': 'osseous structures are unremarkable'}}anatomical entity_fin: {'paranasal sinuses': {}, 'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['left', 'midline', 'right', 'bilateral', 'lateral']clinical findings_fin: {'left thalamic ich': {'clinical finding': 'left thalamic ich', 'existence': 'pos_dx', 'descriptive_term': 'left thalamic', 'observation': 'ich'}, 'bilateral lateral ventricular ivh': {'clinical finding': 'bilateral lateral ventricular ivh', 'existence': 'pos_dx', 'descriptive_term': 'bilateral lateral ventricular', 'observation': 'ivh'}}clinical findings_fin: {'significant interval change': {'clinical finding': 'significant interval change', 'existence': 'neg_dx', 'descriptive_term': 'significant interval', 'observation': 'change'}, 'hemorrhage': {'clinical finding': 'hemorrhage', 'cf_snomed': {'hemorrhage': 50960005}, 'existence': 'neg_dx', 'observation': 'hemorrhage'}}location descriptor_fin: ['right']object_fin: ['tube']procedure_fin: ['ventriculostomy']clinical findings_fin: {'right frontal approach ventriculostomy tube has been removed': {'clinical finding': 'right frontal approach ventriculostomy tube has been removed'}}clinical findings_fin: {'new ischemic or hemorrhagic lesion': {'clinical finding': 'new ischemic or hemorrhagic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'new ischemic or hemorrhagic', 'observation': 'lesion', 'temporal_term': 'new'}}clinical findings_fin: {'osseous structures are unremarkable': {'clinical finding': 'osseous structures are unremarkable'}}anatomical entity_fin: {'paranasal sinuses': {}, 'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'}} [/INST] Left thalamic ICH with minimal midline shift toward the right side and bilateral lateral ventricular IVH are redemonstrated. No significant interval change of the extent of hemorrhage as well as ventricle size since prior study. Right frontal approach ventriculostomy tube has been removed. There is no new ischemic or hemorrhagic lesion on the scan. The osseous structures are unremarkable. The paranasal sinuses and mastoid air cells are clear. </s>

No intracranial hemorrhage is identified. No intracranial mass, evidence of mass-effect or significant midline shift is present. There is encephalomalacia in the left basal ganglia and mild ex vacuo dilatation of the anterior horn of the left lateral ventricle, consistent with prior left lacunar infarct, which is more prominent than on previous exam. There are scattered areas of hypoattenuation in the periventricular and subcortical white matter, which are nonspecific, but favored to represent age-indeterminant small vessel ischemic changes. The ventricles and sulci are within normal limits for age. No extra-axial collections are identified. The paranasal sinuses and mastoid air cells are clear. The calvarium is intact.

clinical findings_fin: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}}location descriptor_fin: ['midline']clinical findings_fin: {'intracranial mass': {'clinical finding': 'intracranial mass', 'cf_snomed': {'intracranial mass': 85974009}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'mass'}, 'mass-effect': {'clinical finding': 'mass-effect', 'existence': 'neg_dx', 'observation': 'mass'}}anatomical entity_fin: {'basal ganglia': {'location descriptor': 'left'}, 'left lateral ventricle': {}}location descriptor_fin: ['left', 'anterior']clinical findings_fin: {'encephalomalacia': {'clinical finding': 'encephalomalacia', 'cf_snomed': {'encephalomalacia': 58762006}, 'existence': 'pos_dx', 'observation': 'encephalomalacia'}, 'prior left lacunar infarct': {'clinical finding': 'prior left lacunar infarct', 'cf_snomed': {'lacunar infarct': 81037000}, 'existence': 'pos_dx', 'descriptive_term': 'prior left lacunar', 'observation': 'infarct'}}clinical findings_fin: {'hypoattenuation': {'clinical finding': 'hypoattenuation', 'existence': 'pos_dx', 'observation': 'hypoattenuation'}, 'age-indeterminant small vessel ischemic changes': {'clinical finding': 'age-indeterminant small vessel ischemic changes', 'existence': 'unc_dx', 'descriptive_term': 'age-indeterminant small vessel ischemic', 'observation': 'change', 'strength_term': 'small'}}clinical findings_fin: {'normal limits for age': {'clinical finding': 'normal limits for age'}}clinical findings_fin: {'extra-axial collections are identified': {'clinical finding': 'extra-axial collections are identified'}}anatomical entity_fin: {'paranasal sinuses': {}, 'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}}location descriptor_fin: ['midline']clinical findings_fin: {'intracranial mass': {'clinical finding': 'intracranial mass', 'cf_snomed': {'intracranial mass': 85974009}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'mass'}, 'mass-effect': {'clinical finding': 'mass-effect', 'existence': 'neg_dx', 'observation': 'mass'}}anatomical entity_fin: {'basal ganglia': {'location descriptor': 'left'}, 'left lateral ventricle': {}}location descriptor_fin: ['left', 'anterior']clinical findings_fin: {'encephalomalacia': {'clinical finding': 'encephalomalacia', 'cf_snomed': {'encephalomalacia': 58762006}, 'existence': 'pos_dx', 'observation': 'encephalomalacia'}, 'prior left lacunar infarct': {'clinical finding': 'prior left lacunar infarct', 'cf_snomed': {'lacunar infarct': 81037000}, 'existence': 'pos_dx', 'descriptive_term': 'prior left lacunar', 'observation': 'infarct'}}clinical findings_fin: {'hypoattenuation': {'clinical finding': 'hypoattenuation', 'existence': 'pos_dx', 'observation': 'hypoattenuation'}, 'age-indeterminant small vessel ischemic changes': {'clinical finding': 'age-indeterminant small vessel ischemic changes', 'existence': 'unc_dx', 'descriptive_term': 'age-indeterminant small vessel ischemic', 'observation': 'change', 'strength_term': 'small'}}clinical findings_fin: {'normal limits for age': {'clinical finding': 'normal limits for age'}}clinical findings_fin: {'extra-axial collections are identified': {'clinical finding': 'extra-axial collections are identified'}}anatomical entity_fin: {'paranasal sinuses': {}, 'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}} [/INST] No intracranial hemorrhage is identified. No intracranial mass, evidence of mass-effect or significant midline shift is present. There is encephalomalacia in the left basal ganglia and mild ex vacuo dilatation of the anterior horn of the left lateral ventricle, consistent with prior left lacunar infarct, which is more prominent than on previous exam. There are scattered areas of hypoattenuation in the periventricular and subcortical white matter, which are nonspecific, but favored to represent age-indeterminant small vessel ischemic changes. The ventricles and sulci are within normal limits for age. No extra-axial collections are identified. The paranasal sinuses and mastoid air cells are clear. The calvarium is intact. </s>

There is a subtle focus of abnormal activity seen on both planar and SPECT or CT imaging which appears to involve the uncinate process of the pancreas and is suspicious for an octreotide avid lesion. However, there is no correlate on the recent diagnostic CT study. Normal physiologic radiotracer distribution is seen in the spleen, kidneys, liver, bowel and bladder.

anatomical entity_fin: {'pancreas': {}}clinical findings_fin: {'abnormal activity': {'clinical finding': 'abnormal activity', 'existence': 'pos_dx', 'descriptive_term': 'abnormal', 'observation': 'activity'}, 'octreotide avid lesion': {'clinical finding': 'octreotide avid lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'unc_dx', 'descriptive_term': 'octreotide avid', 'observation': 'lesion'}}anatomical entity_fin: {'spleen': {}, 'kidneys': {}, 'liver': {}, 'bowel': {}, 'bladder': {}}clinical findings_fin: {'normal physiologic radiotracer distribution': {'clinical finding': 'normal physiologic radiotracer distribution', 'existence': 'pos_dx', 'descriptive_term': 'normal physiologic radiotracer', 'observation': 'distribution', 'strength_term': 'normal'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'pancreas': {}}clinical findings_fin: {'abnormal activity': {'clinical finding': 'abnormal activity', 'existence': 'pos_dx', 'descriptive_term': 'abnormal', 'observation': 'activity'}, 'octreotide avid lesion': {'clinical finding': 'octreotide avid lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'unc_dx', 'descriptive_term': 'octreotide avid', 'observation': 'lesion'}}anatomical entity_fin: {'spleen': {}, 'kidneys': {}, 'liver': {}, 'bowel': {}, 'bladder': {}}clinical findings_fin: {'normal physiologic radiotracer distribution': {'clinical finding': 'normal physiologic radiotracer distribution', 'existence': 'pos_dx', 'descriptive_term': 'normal physiologic radiotracer', 'observation': 'distribution', 'strength_term': 'normal'}} [/INST] There is a subtle focus of abnormal activity seen on both planar and SPECT or CT imaging which appears to involve the uncinate process of the pancreas and is suspicious for an octreotide avid lesion. However, there is no correlate on the recent diagnostic CT study. Normal physiologic radiotracer distribution is seen in the spleen, kidneys, liver, bowel and bladder. </s>

. Technically adequate to the segmental level. No acute pulmonary embolus. The main pulmonary in caliber. Reflux of contrast into the intrahepatic IVC and hepatic veins suggestive of right heart strain. Evaluation of fine parenchymal detail is limited by motion artifact. Interstitial edema. Small bilateral pleural effusions. Prominent paratracheal and right hilar lymph nodes, likely reactive. Heart size is enlarged with left atrial and ventricular enlargement. No pericardial effusion. No visible coronary calcifications. Mild degenerative in the visualized lower thoracolumbar spine. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. No significant abnormality noted.

clinical findings_fin: {'acute pulmonary embolus': {'clinical finding': 'acute pulmonary embolus', 'cf_snomed': {'embolus': 55584005}, 'existence': 'neg_dx', 'descriptive_term': 'acute pulmonary', 'observation': 'embolus', 'strength_term': 'acute', 'temporal_term': 'acute'}}clinical findings_fin: {'main pulmonary': {'clinical finding': 'main pulmonary', 'existence': 'pos_dx', 'descriptive_term': 'main', 'observation': 'pulmonary'}}anatomical entity_fin: {'hepatic veins': {}, 'heart': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'reflux': {'clinical finding': 'reflux', 'existence': 'pos_dx', 'observation': 'reflux'}, 'contrast': {'clinical finding': 'contrast', 'existence': 'pos_dx', 'observation': 'contrast'}, 'right heart strain': {'clinical finding': 'right heart strain', 'existence': 'unc_dx', 'descriptive_term': 'right heart', 'observation': 'strain'}}artifact_fin: ['motion artifact']clinical findings_fin: {'motion artifact': {'clinical finding': 'motion artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'pos_dx', 'descriptive_term': 'motion', 'observation': 'artifact'}}clinical findings_fin: {'interstitial edema': {'clinical finding': 'interstitial edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'descriptive_term': 'interstitial', 'observation': 'edema'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'small bilateral pleural effusions': {'clinical finding': 'small bilateral pleural effusions', 'cf_snomed': {'bilateral pleural effusion': 425802001}, 'existence': 'pos_dx', 'descriptive_term': 'small bilateral pleural', 'observation': 'effusion', 'strength_term': 'small'}}location descriptor_fin: ['right']clinical findings_fin: {'prominent paratracheal and right hilar lymph nodes': {'clinical finding': 'prominent paratracheal and right hilar lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'prominent paratracheal and right hilar lymph', 'observation': 'node', 'strength_term': 'prominent'}}anatomical entity_fin: {'heart': {}}location descriptor_fin: ['left']clinical findings_fin: {'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}clinical findings_fin: {'visible coronary calcifications': {'clinical finding': 'visible coronary calcifications', 'existence': 'neg_dx', 'descriptive_term': 'visible coronary', 'observation': 'calcification'}}anatomical entity_fin: {'spine': {}}location descriptor_fin: ['lower']clinical findings_fin: {'mild degenerative in the visualized lower thoracolumbar spine': {'clinical finding': 'mild degenerative in the visualized lower thoracolumbar spine'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'acute pulmonary embolus': {'clinical finding': 'acute pulmonary embolus', 'cf_snomed': {'embolus': 55584005}, 'existence': 'neg_dx', 'descriptive_term': 'acute pulmonary', 'observation': 'embolus', 'strength_term': 'acute', 'temporal_term': 'acute'}}clinical findings_fin: {'main pulmonary': {'clinical finding': 'main pulmonary', 'existence': 'pos_dx', 'descriptive_term': 'main', 'observation': 'pulmonary'}}anatomical entity_fin: {'hepatic veins': {}, 'heart': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'reflux': {'clinical finding': 'reflux', 'existence': 'pos_dx', 'observation': 'reflux'}, 'contrast': {'clinical finding': 'contrast', 'existence': 'pos_dx', 'observation': 'contrast'}, 'right heart strain': {'clinical finding': 'right heart strain', 'existence': 'unc_dx', 'descriptive_term': 'right heart', 'observation': 'strain'}}artifact_fin: ['motion artifact']clinical findings_fin: {'motion artifact': {'clinical finding': 'motion artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'pos_dx', 'descriptive_term': 'motion', 'observation': 'artifact'}}clinical findings_fin: {'interstitial edema': {'clinical finding': 'interstitial edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'descriptive_term': 'interstitial', 'observation': 'edema'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'small bilateral pleural effusions': {'clinical finding': 'small bilateral pleural effusions', 'cf_snomed': {'bilateral pleural effusion': 425802001}, 'existence': 'pos_dx', 'descriptive_term': 'small bilateral pleural', 'observation': 'effusion', 'strength_term': 'small'}}location descriptor_fin: ['right']clinical findings_fin: {'prominent paratracheal and right hilar lymph nodes': {'clinical finding': 'prominent paratracheal and right hilar lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'prominent paratracheal and right hilar lymph', 'observation': 'node', 'strength_term': 'prominent'}}anatomical entity_fin: {'heart': {}}location descriptor_fin: ['left']clinical findings_fin: {'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}clinical findings_fin: {'visible coronary calcifications': {'clinical finding': 'visible coronary calcifications', 'existence': 'neg_dx', 'descriptive_term': 'visible coronary', 'observation': 'calcification'}}anatomical entity_fin: {'spine': {}}location descriptor_fin: ['lower']clinical findings_fin: {'mild degenerative in the visualized lower thoracolumbar spine': {'clinical finding': 'mild degenerative in the visualized lower thoracolumbar spine'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . Technically adequate to the segmental level. No acute pulmonary embolus. The main pulmonary in caliber. Reflux of contrast into the intrahepatic IVC and hepatic veins suggestive of right heart strain. Evaluation of fine parenchymal detail is limited by motion artifact. Interstitial edema. Small bilateral pleural effusions. Prominent paratracheal and right hilar lymph nodes, likely reactive. Heart size is enlarged with left atrial and ventricular enlargement. No pericardial effusion. No visible coronary calcifications. Mild degenerative in the visualized lower thoracolumbar spine. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. No significant abnormality noted. </s>

There is no evidence of measurable mass lesions are significant cervical lymphadenopathy based on size criteria. The airways are patent. The major cervical vessels are patent. The parotid and the submandibular glands appear intact. The submandibular glands are atrophic. The thyroid gland is unremarkable. The intracranial structures are unremarkable. There are emphysematous changes in the lung apices. There is loss of disc height and endplate degenerative osteophytic changes at C6-C7 with uncovertebral osteophytes resulting in left neural foraminal narrowing. No significant spinal canal stenosis.

clinical findings_fin: {'measurable mass lesions': {'clinical finding': 'measurable mass lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'measurable mass', 'observation': 'lesion'}, 'significant cervical lymphadenopathy': {'clinical finding': 'significant cervical lymphadenopathy', 'cf_snomed': {'cervical lymphadenopathy': 127086001}, 'existence': 'neg_dx', 'descriptive_term': 'significant cervical', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'airways': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}anatomical entity_fin: {'submandibular glands': {}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}anatomical entity_fin: {'submandibular glands': {}}clinical findings_fin: {'atrophic': {'clinical finding': 'atrophic', 'existence': 'pos_dx', 'observation': 'atrophic'}}anatomical entity_fin: {'thyroid gland': {}}clinical findings_fin: {'thyroid gland is unremarkable': {'clinical finding': 'thyroid gland is unremarkable'}}clinical findings_fin: {'intracranial structures are unremarkable': {'clinical finding': 'intracranial structures are unremarkable'}}anatomical entity_fin: {'lung': {}, 'apices': {}}clinical findings_fin: {'emphysematous changes': {'clinical finding': 'emphysematous changes', 'existence': 'pos_dx', 'descriptive_term': 'emphysematous', 'observation': 'change'}}anatomical entity_fin: {'disc': {}, 'endplate': {}}location descriptor_fin: ['left']clinical findings_fin: {'endplate degenerative osteophytic changes': {'clinical finding': 'endplate degenerative osteophytic changes', 'existence': 'pos_dx', 'descriptive_term': 'endplate degenerative osteophytic', 'observation': 'change'}, 'uncovertebral osteophytes': {'clinical finding': 'uncovertebral osteophytes', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'uncovertebral', 'observation': 'osteophyte'}, 'left neural foraminal narrowing': {'clinical finding': 'left neural foraminal narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'left neural foraminal', 'observation': 'narrowing'}}anatomical entity_fin: {'spinal canal': {}}clinical findings_fin: {'significant spinal canal stenosis': {'clinical finding': 'significant spinal canal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'neg_dx', 'descriptive_term': 'significant spinal canal', 'observation': 'stenosis'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'measurable mass lesions': {'clinical finding': 'measurable mass lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'measurable mass', 'observation': 'lesion'}, 'significant cervical lymphadenopathy': {'clinical finding': 'significant cervical lymphadenopathy', 'cf_snomed': {'cervical lymphadenopathy': 127086001}, 'existence': 'neg_dx', 'descriptive_term': 'significant cervical', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'airways': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}anatomical entity_fin: {'submandibular glands': {}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}anatomical entity_fin: {'submandibular glands': {}}clinical findings_fin: {'atrophic': {'clinical finding': 'atrophic', 'existence': 'pos_dx', 'observation': 'atrophic'}}anatomical entity_fin: {'thyroid gland': {}}clinical findings_fin: {'thyroid gland is unremarkable': {'clinical finding': 'thyroid gland is unremarkable'}}clinical findings_fin: {'intracranial structures are unremarkable': {'clinical finding': 'intracranial structures are unremarkable'}}anatomical entity_fin: {'lung': {}, 'apices': {}}clinical findings_fin: {'emphysematous changes': {'clinical finding': 'emphysematous changes', 'existence': 'pos_dx', 'descriptive_term': 'emphysematous', 'observation': 'change'}}anatomical entity_fin: {'disc': {}, 'endplate': {}}location descriptor_fin: ['left']clinical findings_fin: {'endplate degenerative osteophytic changes': {'clinical finding': 'endplate degenerative osteophytic changes', 'existence': 'pos_dx', 'descriptive_term': 'endplate degenerative osteophytic', 'observation': 'change'}, 'uncovertebral osteophytes': {'clinical finding': 'uncovertebral osteophytes', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'uncovertebral', 'observation': 'osteophyte'}, 'left neural foraminal narrowing': {'clinical finding': 'left neural foraminal narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'left neural foraminal', 'observation': 'narrowing'}}anatomical entity_fin: {'spinal canal': {}}clinical findings_fin: {'significant spinal canal stenosis': {'clinical finding': 'significant spinal canal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'neg_dx', 'descriptive_term': 'significant spinal canal', 'observation': 'stenosis'}} [/INST] There is no evidence of measurable mass lesions are significant cervical lymphadenopathy based on size criteria. The airways are patent. The major cervical vessels are patent. The parotid and the submandibular glands appear intact. The submandibular glands are atrophic. The thyroid gland is unremarkable. The intracranial structures are unremarkable. There are emphysematous changes in the lung apices. There is loss of disc height and endplate degenerative osteophytic changes at C6-C7 with uncovertebral osteophytes resulting in left neural foraminal narrowing. No significant spinal canal stenosis. </s>

There are postoperative findings in the left nasal ala region. There is no evidence of local tumor recurrence or significant cervical lymphadenopathy based on size criteria. There is opacification of the right posterior ethmoid sinus. The rest of the paranasal sinuses and nasal cavity are clear. The thyroid gland appears to be atrophic. The major salivary glands are unremarkable. There is a right internal jugular venous catheter. The major cervical vessels are patent. The airways are patent. There is multilevel degenerative spondylosis. There are bilateral lens implants. The imaged portions of the lungs are clear.

location descriptor_fin: ['left']clinical findings_fin: {'postoperative': {'clinical finding': 'postoperative', 'existence': 'pos_dx', 'observation': 'postoperative'}}clinical findings_fin: {'local tumor recurrence': {'clinical finding': 'local tumor recurrence', 'existence': 'neg_dx', 'descriptive_term': 'local tumor', 'observation': 'recurrence'}, 'significant cervical lymphadenopathy': {'clinical finding': 'significant cervical lymphadenopathy', 'cf_snomed': {'cervical lymphadenopathy': 127086001}, 'existence': 'neg_dx', 'descriptive_term': 'significant cervical', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'ethmoid sinus': {'location descriptor': 'right posterior'}}location descriptor_fin: ['right', 'posterior']clinical findings_fin: {'opacification': {'clinical finding': 'opacification', 'existence': 'pos_dx', 'observation': 'opacification'}, 'right posterior ethmoid sinus': {'clinical finding': 'right posterior ethmoid sinus', 'cf_snomed': {'sinus': 419351001}, 'existence': 'pos_dx', 'descriptive_term': 'right posterior ethmoid', 'observation': 'sinus'}}anatomical entity_fin: {'paranasal sinuses': {}, 'nasal cavity': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'thyroid gland': {}}clinical findings_fin: {'atrophic': {'clinical finding': 'atrophic', 'existence': 'pos_dx', 'observation': 'atrophic'}}anatomical entity_fin: {'major salivary glands': {}}clinical findings_fin: {'major salivary glands are unremarkable': {'clinical finding': 'major salivary glands are unremarkable'}}location descriptor_fin: ['right']object_fin: ['catheter']clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}anatomical entity_fin: {'airways': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}clinical findings_fin: {'multilevel degenerative spondylosis': {'clinical finding': 'multilevel degenerative spondylosis', 'cf_snomed': {'spondylosis': 8847002}, 'existence': 'pos_dx', 'descriptive_term': 'multilevel degenerative', 'observation': 'spondylosis'}}anatomical entity_fin: {'lens': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']anatomical entity_fin: {'lungs': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['left']clinical findings_fin: {'postoperative': {'clinical finding': 'postoperative', 'existence': 'pos_dx', 'observation': 'postoperative'}}clinical findings_fin: {'local tumor recurrence': {'clinical finding': 'local tumor recurrence', 'existence': 'neg_dx', 'descriptive_term': 'local tumor', 'observation': 'recurrence'}, 'significant cervical lymphadenopathy': {'clinical finding': 'significant cervical lymphadenopathy', 'cf_snomed': {'cervical lymphadenopathy': 127086001}, 'existence': 'neg_dx', 'descriptive_term': 'significant cervical', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'ethmoid sinus': {'location descriptor': 'right posterior'}}location descriptor_fin: ['right', 'posterior']clinical findings_fin: {'opacification': {'clinical finding': 'opacification', 'existence': 'pos_dx', 'observation': 'opacification'}, 'right posterior ethmoid sinus': {'clinical finding': 'right posterior ethmoid sinus', 'cf_snomed': {'sinus': 419351001}, 'existence': 'pos_dx', 'descriptive_term': 'right posterior ethmoid', 'observation': 'sinus'}}anatomical entity_fin: {'paranasal sinuses': {}, 'nasal cavity': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'thyroid gland': {}}clinical findings_fin: {'atrophic': {'clinical finding': 'atrophic', 'existence': 'pos_dx', 'observation': 'atrophic'}}anatomical entity_fin: {'major salivary glands': {}}clinical findings_fin: {'major salivary glands are unremarkable': {'clinical finding': 'major salivary glands are unremarkable'}}location descriptor_fin: ['right']object_fin: ['catheter']clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}anatomical entity_fin: {'airways': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}clinical findings_fin: {'multilevel degenerative spondylosis': {'clinical finding': 'multilevel degenerative spondylosis', 'cf_snomed': {'spondylosis': 8847002}, 'existence': 'pos_dx', 'descriptive_term': 'multilevel degenerative', 'observation': 'spondylosis'}}anatomical entity_fin: {'lens': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']anatomical entity_fin: {'lungs': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}} [/INST] There are postoperative findings in the left nasal ala region. There is no evidence of local tumor recurrence or significant cervical lymphadenopathy based on size criteria. There is opacification of the right posterior ethmoid sinus. The rest of the paranasal sinuses and nasal cavity are clear. The thyroid gland appears to be atrophic. The major salivary glands are unremarkable. There is a right internal jugular venous catheter. The major cervical vessels are patent. The airways are patent. There is multilevel degenerative spondylosis. There are bilateral lens implants. The imaged portions of the lungs are clear. </s>

. No suspicious pulmonary nodules or masses. Mild dependent atelectasis. No significant abnormality noted. None. Right axillary lymph node measures 1.3 cm x 1.2 cm containing a focus of calcification. Asymmetric glandular tissue, more prominent on the right breast with presumed surgical clips, correlate with mammography. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. None. Right lower quadrant hypodense well-circumscribed lesion measuring 1.8 cm x 1.8 cm , difficult to determine if there is connection with the adjacent bowel. No bowel obstruction. No free air. No significant abnormality noted. No significant abnormality noted. 2.8 cm x 3.8 cm right adnexal cystic lesion and a 2.2 cm x 2.7 cm left adnexal hypodense lesion. Retroflexed uterus likely containing fibroids. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted.

clinical findings_fin: {'suspicious pulmonary nodules': {'clinical finding': 'suspicious pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious pulmonary', 'observation': 'nodule'}, 'masses': {'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass'}}clinical findings_fin: {'mild dependent atelectasis': {'clinical finding': 'mild dependent atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'mild dependent', 'observation': 'atelectasis', 'strength_term': 'mild'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}size_fin: [{'size': '1.3 cm x 1.2 cm', 'size_descriptor': 'node'}]anatomical entity_fin: {'axillary lymph node': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'right axillary lymph node': {'clinical finding': 'right axillary lymph node', 'existence': 'pos_dx', 'descriptive_term': 'right axillary lymph', 'observation': 'node'}, 'calcification': {'clinical finding': 'calcification', 'existence': 'pos_dx', 'observation': 'calcification'}}anatomical entity_fin: {'breast': {'location descriptor': 'right'}}imaging modality_fin: ['mammography']location descriptor_fin: ['right']object_fin: ['surgical clips']clinical findings_fin: {'asymmetric glandular tissue': {'clinical finding': 'asymmetric glandular tissue', 'existence': 'pos_dx', 'descriptive_term': 'asymmetric glandular', 'observation': 'tissue'}, 'presumed surgical clips': {'clinical finding': 'presumed surgical clips', 'existence': 'pos_dx', 'descriptive_term': 'presumed surgical', 'observation': 'clip'}}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'}}size_fin: [{'size': '1.8 cm x 1.8 cm', 'size_descriptor': 'connection'}]anatomical entity_fin: {'quadrant': {'location descriptor': 'right lower'}, 'bowel': {'location descriptor': 'adjacent'}}location descriptor_fin: ['right', 'lower', 'adjacent']clinical findings_fin: {'right lower quadrant hypodense well-circumscribed lesion': {'clinical finding': 'right lower quadrant hypodense well-circumscribed lesion', 'cf_snomed': {'circumscribed lesion': 129738007}, 'existence': 'pos_dx', 'descriptive_term': 'right lower quadrant hypodense well-circumscribed', 'observation': 'lesion'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'bowel obstruction': {'clinical finding': 'bowel obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'descriptive_term': 'bowel', 'observation': 'obstruction'}}clinical findings_fin: {'free air': {'clinical finding': 'free air', 'existence': 'neg_dx', 'descriptive_term': 'free', 'observation': 'air'}}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': '2.8 cm x 3.8 cm', 'size_descriptor': 'lesion'}, {'size': '2.2 cm x 2.7 cm', 'size_descriptor': 'lesion'}]location descriptor_fin: ['right', 'left']clinical findings_fin: {'2.8 cm x 3.8 cm right adnexal cystic lesion': {'clinical finding': '2.8 cm x 3.8 cm right adnexal cystic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': '2 8 cm x 3 8 cm right adnexal cystic', 'observation': 'lesion'}, 'left adnexal hypodense lesion': {'clinical finding': 'left adnexal hypodense lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'left adnexal hypodense', 'observation': 'lesion'}}anatomical entity_fin: {'uterus': {}}clinical findings_fin: {'retroflexed uterus likely containing': {'clinical finding': 'retroflexed uterus likely containing', 'cf_snomed': {'retroflexed uterus': 41121007}}}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'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'suspicious pulmonary nodules': {'clinical finding': 'suspicious pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious pulmonary', 'observation': 'nodule'}, 'masses': {'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass'}}clinical findings_fin: {'mild dependent atelectasis': {'clinical finding': 'mild dependent atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'mild dependent', 'observation': 'atelectasis', 'strength_term': 'mild'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}size_fin: [{'size': '1.3 cm x 1.2 cm', 'size_descriptor': 'node'}]anatomical entity_fin: {'axillary lymph node': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'right axillary lymph node': {'clinical finding': 'right axillary lymph node', 'existence': 'pos_dx', 'descriptive_term': 'right axillary lymph', 'observation': 'node'}, 'calcification': {'clinical finding': 'calcification', 'existence': 'pos_dx', 'observation': 'calcification'}}anatomical entity_fin: {'breast': {'location descriptor': 'right'}}imaging modality_fin: ['mammography']location descriptor_fin: ['right']object_fin: ['surgical clips']clinical findings_fin: {'asymmetric glandular tissue': {'clinical finding': 'asymmetric glandular tissue', 'existence': 'pos_dx', 'descriptive_term': 'asymmetric glandular', 'observation': 'tissue'}, 'presumed surgical clips': {'clinical finding': 'presumed surgical clips', 'existence': 'pos_dx', 'descriptive_term': 'presumed surgical', 'observation': 'clip'}}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'}}size_fin: [{'size': '1.8 cm x 1.8 cm', 'size_descriptor': 'connection'}]anatomical entity_fin: {'quadrant': {'location descriptor': 'right lower'}, 'bowel': {'location descriptor': 'adjacent'}}location descriptor_fin: ['right', 'lower', 'adjacent']clinical findings_fin: {'right lower quadrant hypodense well-circumscribed lesion': {'clinical finding': 'right lower quadrant hypodense well-circumscribed lesion', 'cf_snomed': {'circumscribed lesion': 129738007}, 'existence': 'pos_dx', 'descriptive_term': 'right lower quadrant hypodense well-circumscribed', 'observation': 'lesion'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'bowel obstruction': {'clinical finding': 'bowel obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'descriptive_term': 'bowel', 'observation': 'obstruction'}}clinical findings_fin: {'free air': {'clinical finding': 'free air', 'existence': 'neg_dx', 'descriptive_term': 'free', 'observation': 'air'}}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': '2.8 cm x 3.8 cm', 'size_descriptor': 'lesion'}, {'size': '2.2 cm x 2.7 cm', 'size_descriptor': 'lesion'}]location descriptor_fin: ['right', 'left']clinical findings_fin: {'2.8 cm x 3.8 cm right adnexal cystic lesion': {'clinical finding': '2.8 cm x 3.8 cm right adnexal cystic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': '2 8 cm x 3 8 cm right adnexal cystic', 'observation': 'lesion'}, 'left adnexal hypodense lesion': {'clinical finding': 'left adnexal hypodense lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'left adnexal hypodense', 'observation': 'lesion'}}anatomical entity_fin: {'uterus': {}}clinical findings_fin: {'retroflexed uterus likely containing': {'clinical finding': 'retroflexed uterus likely containing', 'cf_snomed': {'retroflexed uterus': 41121007}}}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'}} [/INST] . No suspicious pulmonary nodules or masses. Mild dependent atelectasis. No significant abnormality noted. None. Right axillary lymph node measures 1.3 cm x 1.2 cm containing a focus of calcification. Asymmetric glandular tissue, more prominent on the right breast with presumed surgical clips, correlate with mammography. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. None. Right lower quadrant hypodense well-circumscribed lesion measuring 1.8 cm x 1.8 cm , difficult to determine if there is connection with the adjacent bowel. No bowel obstruction. No free air. No significant abnormality noted. No significant abnormality noted. 2.8 cm x 3.8 cm right adnexal cystic lesion and a 2.2 cm x 2.7 cm left adnexal hypodense lesion. Retroflexed uterus likely containing fibroids. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. </s>

. Biapical scarring without evidence of pulmonary consolidation, bronchial wall thickening, or bronchiectasis. No suspicious pulmonary nodules or masses. Tracheomegaly. Heart size is normal. No pericardial effusion. No mediastinal or hilar lymphadenopathy. Circumferential distal esophageal wall thickening. None. No significant abnormality noted. Absence of enteric contrast material limits sensitivity for abdominal pathology. No significant abnormality noted.

clinical findings_fin: {'biapical scarring': {'clinical finding': 'biapical scarring', 'existence': 'pos_dx', 'descriptive_term': 'biapical', 'observation': 'scarr'}, 'pulmonary consolidation': {'clinical finding': 'pulmonary consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'neg_dx', 'descriptive_term': 'pulmonary', 'observation': 'consolidation'}, 'bronchial wall thickening': {'clinical finding': 'bronchial wall thickening', 'existence': 'neg_dx', 'descriptive_term': 'bronchial wall', 'observation': 'thickening'}, 'bronchiectasis': {'clinical finding': 'bronchiectasis', 'cf_snomed': {'bronchiectasis': 12295008}, 'existence': 'unc_dx', 'observation': 'bronchiectasis'}}clinical findings_fin: {'suspicious pulmonary nodules': {'clinical finding': 'suspicious pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious pulmonary', 'observation': 'nodule'}, 'masses': {'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass'}}clinical findings_fin: {'tracheomegaly': {'clinical finding': 'tracheomegaly', 'existence': 'pos_dx', 'observation': 'tracheomegaly'}}anatomical entity_fin: {'heart': {}}clinical findings_fin: {'heart size is normal': {'clinical finding': 'heart size is normal'}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}clinical findings_fin: {'mediastinal or hilar lymphadenopathy': {'clinical finding': 'mediastinal or hilar lymphadenopathy', 'cf_snomed': {'hilar lymphadenopathy': 87500009}, 'existence': 'neg_dx', 'descriptive_term': 'mediastinal or hilar', 'observation': 'lymphadenopathy'}}location descriptor_fin: ['distal']clinical findings_fin: {'circumferential distal esophageal wall thickening': {'clinical finding': 'circumferential distal esophageal wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'circumferential distal esophageal wall', 'observation': 'thickening'}}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: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'biapical scarring': {'clinical finding': 'biapical scarring', 'existence': 'pos_dx', 'descriptive_term': 'biapical', 'observation': 'scarr'}, 'pulmonary consolidation': {'clinical finding': 'pulmonary consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'neg_dx', 'descriptive_term': 'pulmonary', 'observation': 'consolidation'}, 'bronchial wall thickening': {'clinical finding': 'bronchial wall thickening', 'existence': 'neg_dx', 'descriptive_term': 'bronchial wall', 'observation': 'thickening'}, 'bronchiectasis': {'clinical finding': 'bronchiectasis', 'cf_snomed': {'bronchiectasis': 12295008}, 'existence': 'unc_dx', 'observation': 'bronchiectasis'}}clinical findings_fin: {'suspicious pulmonary nodules': {'clinical finding': 'suspicious pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious pulmonary', 'observation': 'nodule'}, 'masses': {'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass'}}clinical findings_fin: {'tracheomegaly': {'clinical finding': 'tracheomegaly', 'existence': 'pos_dx', 'observation': 'tracheomegaly'}}anatomical entity_fin: {'heart': {}}clinical findings_fin: {'heart size is normal': {'clinical finding': 'heart size is normal'}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}clinical findings_fin: {'mediastinal or hilar lymphadenopathy': {'clinical finding': 'mediastinal or hilar lymphadenopathy', 'cf_snomed': {'hilar lymphadenopathy': 87500009}, 'existence': 'neg_dx', 'descriptive_term': 'mediastinal or hilar', 'observation': 'lymphadenopathy'}}location descriptor_fin: ['distal']clinical findings_fin: {'circumferential distal esophageal wall thickening': {'clinical finding': 'circumferential distal esophageal wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'circumferential distal esophageal wall', 'observation': 'thickening'}}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: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . Biapical scarring without evidence of pulmonary consolidation, bronchial wall thickening, or bronchiectasis. No suspicious pulmonary nodules or masses. Tracheomegaly. Heart size is normal. No pericardial effusion. No mediastinal or hilar lymphadenopathy. Circumferential distal esophageal wall thickening. None. No significant abnormality noted. Absence of enteric contrast material limits sensitivity for abdominal pathology. No significant abnormality noted. </s>

. Again seen is aneurysmal dilatation of the ascending thoracic aorta measuring approximately 4.6 cm in a nonorthogonal plane, utilizing similar measuring technique as the prior examination, when it measured 4.5 cm. There is no evidence of arterial dissection. There is good peripheral contrast opacification consistent with appropriate blood flow. The celiac trunk demonstrates nonvariant anatomy. Streaky or groundglass left basilar opacity may reflect atelectasis or aspiration. No significant mediastinal or hilar lymphadenopathy is evident. The heart size is normal and there is no pericardial effusion. None. No significant lymphadenopathy noted. Absence of enteric contrast material limits sensitivity for abdominal pathology. Focal area of avid enhancement in the right hepatic lobe is nonspecific and may reflect an arteriovenous malformation among other differential considerations. There is ectasia of the splenic and portal veins, which is nonspecific, but may reflect portal hypertension. The liver is the upper limit of normal in size. Splenomegaly and ectasia of the splenic vein may reflect portal hypertension. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. There are scattered nonspecific slightly prominent mesenteric lymph nodes. No significant abnormality noted. No significant abnormality noted.

size_fin: [{'size': '4.6 cm'}, {'size': '4.5 cm'}]anatomical entity_fin: {'thoracic aorta': {}}clinical findings_fin: {'aneurysmal dilatation': {'clinical finding': 'aneurysmal dilatation', 'cf_snomed': {'dilatation': 25322007}, 'existence': 'pos_dx', 'descriptive_term': 'aneurysmal', 'observation': 'dilatation'}}clinical findings_fin: {'arterial dissection': {'clinical finding': 'arterial dissection', 'existence': 'neg_dx', 'descriptive_term': 'arterial', 'observation': 'dissection'}}imaging observation_fin: ['blood']location descriptor_fin: ['peripheral']clinical findings_fin: {'good peripheral contrast opacification': {'clinical finding': 'good peripheral contrast opacification', 'existence': 'pos_dx', 'descriptive_term': 'good peripheral contrast', 'observation': 'opacification'}, 'appropriate blood flow': {'clinical finding': 'appropriate blood flow', 'existence': 'pos_dx', 'descriptive_term': 'appropriate blood', 'observation': 'flow'}}anatomical entity_fin: {'trunk': {}}location descriptor_fin: ['left']clinical findings_fin: {'streaky or groundglass left basilar opacity': {'clinical finding': 'streaky or groundglass left basilar opacity', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'streaky or groundglass left basilar', 'observation': 'opacity'}, 'atelectasis': {'clinical finding': 'atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'unc_dx', 'observation': 'atelectasis'}, 'aspiration': {'clinical finding': 'aspiration', 'existence': 'unc_dx', 'observation': 'aspiration'}}clinical findings_fin: {'significant mediastinal or hilar lymphadenopathy': {'clinical finding': 'significant mediastinal or hilar lymphadenopathy', 'cf_snomed': {'hilar lymphadenopathy': 87500009}, 'existence': 'neg_dx', 'descriptive_term': 'significant mediastinal or hilar', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'heart': {}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}clinical findings_fin: {'significant lymphadenopathy': {'clinical finding': 'significant lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}anatomical entity_fin: {'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'avid enhancement': {'clinical finding': 'avid enhancement', 'existence': 'pos_dx', 'descriptive_term': 'avid', 'observation': 'enhancement'}, 'arteriovenous malformation': {'clinical finding': 'arteriovenous malformation', 'cf_snomed': {'arteriovenous malformation': 24551003}, 'existence': 'unc_dx', 'descriptive_term': 'arteriovenous', 'observation': 'malformation'}}anatomical entity_fin: {'portal veins': {}}clinical findings_fin: {'ectasia': {'clinical finding': 'ectasia', 'existence': 'pos_dx', 'observation': 'ectasia'}, 'portal hypertension': {'clinical finding': 'portal hypertension', 'cf_snomed': {'portal hypertension': 34742003}, 'existence': 'unc_dx', 'descriptive_term': 'portal', 'observation': 'hypertension'}}anatomical entity_fin: {'liver': {}}location descriptor_fin: ['upper']clinical findings_fin: {'upper limit of normal in size': {'clinical finding': 'upper limit of normal in size'}}anatomical entity_fin: {'splenic vein': {}}clinical findings_fin: {'splenomegaly': {'clinical finding': 'splenomegaly', 'cf_snomed': {'splenomegaly': 16294009}, 'existence': 'pos_dx', 'observation': 'splenomegaly'}, 'ectasia': {'clinical finding': 'ectasia', 'existence': 'pos_dx', 'observation': 'ectasia'}, 'portal hypertension': {'clinical finding': 'portal hypertension', 'cf_snomed': {'portal hypertension': 34742003}, 'existence': 'unc_dx', 'descriptive_term': 'portal', 'observation': 'hypertension'}}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'}}anatomical entity_fin: {'mesenteric lymph nodes': {}}clinical findings_fin: {'scattered nonspecific slightly prominent mesenteric lymph nodes': {'clinical finding': 'scattered nonspecific slightly prominent mesenteric lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'scattered nonspecific slightly prominent mesenteric lymph', 'observation': 'node', 'strength_term': 'prominent'}}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'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: size_fin: [{'size': '4.6 cm'}, {'size': '4.5 cm'}]anatomical entity_fin: {'thoracic aorta': {}}clinical findings_fin: {'aneurysmal dilatation': {'clinical finding': 'aneurysmal dilatation', 'cf_snomed': {'dilatation': 25322007}, 'existence': 'pos_dx', 'descriptive_term': 'aneurysmal', 'observation': 'dilatation'}}clinical findings_fin: {'arterial dissection': {'clinical finding': 'arterial dissection', 'existence': 'neg_dx', 'descriptive_term': 'arterial', 'observation': 'dissection'}}imaging observation_fin: ['blood']location descriptor_fin: ['peripheral']clinical findings_fin: {'good peripheral contrast opacification': {'clinical finding': 'good peripheral contrast opacification', 'existence': 'pos_dx', 'descriptive_term': 'good peripheral contrast', 'observation': 'opacification'}, 'appropriate blood flow': {'clinical finding': 'appropriate blood flow', 'existence': 'pos_dx', 'descriptive_term': 'appropriate blood', 'observation': 'flow'}}anatomical entity_fin: {'trunk': {}}location descriptor_fin: ['left']clinical findings_fin: {'streaky or groundglass left basilar opacity': {'clinical finding': 'streaky or groundglass left basilar opacity', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'streaky or groundglass left basilar', 'observation': 'opacity'}, 'atelectasis': {'clinical finding': 'atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'unc_dx', 'observation': 'atelectasis'}, 'aspiration': {'clinical finding': 'aspiration', 'existence': 'unc_dx', 'observation': 'aspiration'}}clinical findings_fin: {'significant mediastinal or hilar lymphadenopathy': {'clinical finding': 'significant mediastinal or hilar lymphadenopathy', 'cf_snomed': {'hilar lymphadenopathy': 87500009}, 'existence': 'neg_dx', 'descriptive_term': 'significant mediastinal or hilar', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'heart': {}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}clinical findings_fin: {'significant lymphadenopathy': {'clinical finding': 'significant lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}anatomical entity_fin: {'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'avid enhancement': {'clinical finding': 'avid enhancement', 'existence': 'pos_dx', 'descriptive_term': 'avid', 'observation': 'enhancement'}, 'arteriovenous malformation': {'clinical finding': 'arteriovenous malformation', 'cf_snomed': {'arteriovenous malformation': 24551003}, 'existence': 'unc_dx', 'descriptive_term': 'arteriovenous', 'observation': 'malformation'}}anatomical entity_fin: {'portal veins': {}}clinical findings_fin: {'ectasia': {'clinical finding': 'ectasia', 'existence': 'pos_dx', 'observation': 'ectasia'}, 'portal hypertension': {'clinical finding': 'portal hypertension', 'cf_snomed': {'portal hypertension': 34742003}, 'existence': 'unc_dx', 'descriptive_term': 'portal', 'observation': 'hypertension'}}anatomical entity_fin: {'liver': {}}location descriptor_fin: ['upper']clinical findings_fin: {'upper limit of normal in size': {'clinical finding': 'upper limit of normal in size'}}anatomical entity_fin: {'splenic vein': {}}clinical findings_fin: {'splenomegaly': {'clinical finding': 'splenomegaly', 'cf_snomed': {'splenomegaly': 16294009}, 'existence': 'pos_dx', 'observation': 'splenomegaly'}, 'ectasia': {'clinical finding': 'ectasia', 'existence': 'pos_dx', 'observation': 'ectasia'}, 'portal hypertension': {'clinical finding': 'portal hypertension', 'cf_snomed': {'portal hypertension': 34742003}, 'existence': 'unc_dx', 'descriptive_term': 'portal', 'observation': 'hypertension'}}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'}}anatomical entity_fin: {'mesenteric lymph nodes': {}}clinical findings_fin: {'scattered nonspecific slightly prominent mesenteric lymph nodes': {'clinical finding': 'scattered nonspecific slightly prominent mesenteric lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'scattered nonspecific slightly prominent mesenteric lymph', 'observation': 'node', 'strength_term': 'prominent'}}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'}} [/INST] . Again seen is aneurysmal dilatation of the ascending thoracic aorta measuring approximately 4.6 cm in a nonorthogonal plane, utilizing similar measuring technique as the prior examination, when it measured 4.5 cm. There is no evidence of arterial dissection. There is good peripheral contrast opacification consistent with appropriate blood flow. The celiac trunk demonstrates nonvariant anatomy. Streaky or groundglass left basilar opacity may reflect atelectasis or aspiration. No significant mediastinal or hilar lymphadenopathy is evident. The heart size is normal and there is no pericardial effusion. None. No significant lymphadenopathy noted. Absence of enteric contrast material limits sensitivity for abdominal pathology. Focal area of avid enhancement in the right hepatic lobe is nonspecific and may reflect an arteriovenous malformation among other differential considerations. There is ectasia of the splenic and portal veins, which is nonspecific, but may reflect portal hypertension. The liver is the upper limit of normal in size. Splenomegaly and ectasia of the splenic vein may reflect portal hypertension. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. There are scattered nonspecific slightly prominent mesenteric lymph nodes. No significant abnormality noted. No significant abnormality noted. </s>

. Heart size is enlarged. There is a small left pleural effusion. Liver is normal in morphology. Progressive compression of the portal vein to near thrombosis. Right pectineus biliary catheter terminates within the biliary enteric anastomosis. The right hepatic ductal dilatation has decreased. There is expected pneumobilia within the left hepatic ducts. Reference subcapsular lesion measures 2.5 x 1.4 cm previously, 1.8 x 1.1 cm. Dominant central mass has increased in size. No significant abnormality noted. Surgical changes in the pancreatic head with a procedure. No significant abnormality noted. Multiple right renal cysts. No hydronephrosis in either kidney. Extensive soft tissue mass extends adjacent to the celiac and superior mesenteric vessels. Extensive nodularity of the omentum with ascites most suggestive of peritoneal carcinomatosis. No significant abnormality noted. No significant abnormality noted. PROSTATE/. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Left inguinal hernia containing fluid. Possible filling defect in the left common iliac vein suboptimally evaluated due to the phase of contrast.

anatomical entity_fin: {'heart': {}}clinical findings_fin: {'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}}location descriptor_fin: ['left']clinical findings_fin: {'small left pleural effusion': {'clinical finding': 'small left pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'small left pleural', 'observation': 'effusion', 'strength_term': 'small'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'liver is normal in morphology': {'clinical finding': 'liver is normal in morphology'}}anatomical entity_fin: {'portal vein': {}}clinical findings_fin: {'progressive compression': {'clinical finding': 'progressive compression', 'cf_snomed': {'compression': 71173004}, 'existence': 'pos_dx', 'descriptive_term': 'progressive', 'observation': 'compression'}, 'near thrombosis': {'clinical finding': 'near thrombosis', 'cf_snomed': {'thrombosis': 439127006}, 'existence': 'pos_dx', 'descriptive_term': 'near', 'observation': 'thrombosis'}}anatomical entity_fin: {'right pectineus': {}, 'anastomosis': {}}object_fin: ['catheter']location descriptor_fin: ['right']clinical findings_fin: {'right hepatic ductal dilatation has decreased': {'clinical finding': 'right hepatic ductal dilatation has decreased', 'cf_snomed': {'dilatation': 25322007}, 'change_term': 'decreased'}}anatomical entity_fin: {'left hepatic ducts': {}}clinical findings_fin: {'expected pneumobilia': {'clinical finding': 'expected pneumobilia', 'existence': 'pos_dx', 'descriptive_term': 'expected', 'observation': 'pneumobilia'}}size_fin: [{'size': '2.5 x 1.4 cm'}, {'size': '1.8 x 1.1 cm'}]clinical findings_fin: {'reference subcapsular lesion': {'clinical finding': 'reference subcapsular lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'reference subcapsular', 'observation': 'lesion'}}location descriptor_fin: ['central']clinical findings_fin: {'dominant central mass': {'clinical finding': 'dominant central mass', 'existence': 'pos_dx', 'descriptive_term': 'dominant central', 'observation': 'mass'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'head': {}}clinical findings_fin: {'surgical changes': {'clinical finding': 'surgical changes', 'existence': 'pos_dx', 'descriptive_term': 'surgical', 'observation': 'change'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}location descriptor_fin: ['right']clinical findings_fin: {'multiple right renal cysts': {'clinical finding': 'multiple right renal cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'multiple right renal', 'observation': 'cyst', 'quantity_term': 'multiple'}}anatomical entity_fin: {'kidney': {}}clinical findings_fin: {'hydronephrosis': {'clinical finding': 'hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'neg_dx', 'observation': 'hydronephrosis'}}location descriptor_fin: ['adjacent', 'superior']clinical findings_fin: {'extensive soft tissue mass': {'clinical finding': 'extensive soft tissue mass', 'cf_snomed': {'soft tissue mass': 278002000}, 'existence': 'pos_dx', 'descriptive_term': 'extensive soft tissue', 'observation': 'mass', 'strength_term': 'extensive'}}anatomical entity_fin: {'omentum': {}}clinical findings_fin: {'extensive nodularity': {'clinical finding': 'extensive nodularity', 'existence': 'pos_dx', 'descriptive_term': 'extensive', 'observation': 'nodularity', 'strength_term': 'extensive'}, 'ascites': {'clinical finding': 'ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'observation': 'ascite'}, 'peritoneal carcinomatosis': {'clinical finding': 'peritoneal carcinomatosis', 'cf_snomed': {'carcinomatosis': 307593001}, 'existence': 'unc_dx', 'descriptive_term': 'peritoneal', 'observation': 'carcinomatosis'}}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'}}anatomical entity_fin: {'fluid': {}}location descriptor_fin: ['left']clinical findings_fin: {'left inguinal hernia': {'clinical finding': 'left inguinal hernia', 'cf_snomed': {'left inguinal hernia': 236022004}, 'existence': 'pos_dx', 'descriptive_term': 'left inguinal', 'observation': 'hernia'}}anatomical entity_fin: {'common iliac vein': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'possible filling defect': {'clinical finding': 'possible filling defect', 'cf_snomed': {'filling defect': 43468004}, 'existence': 'pos_dx', 'descriptive_term': 'possible filling', 'observation': 'defect'}, 'contrast': {'clinical finding': 'contrast', 'existence': 'unc_dx', 'observation': 'contrast'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'heart': {}}clinical findings_fin: {'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}}location descriptor_fin: ['left']clinical findings_fin: {'small left pleural effusion': {'clinical finding': 'small left pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'small left pleural', 'observation': 'effusion', 'strength_term': 'small'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'liver is normal in morphology': {'clinical finding': 'liver is normal in morphology'}}anatomical entity_fin: {'portal vein': {}}clinical findings_fin: {'progressive compression': {'clinical finding': 'progressive compression', 'cf_snomed': {'compression': 71173004}, 'existence': 'pos_dx', 'descriptive_term': 'progressive', 'observation': 'compression'}, 'near thrombosis': {'clinical finding': 'near thrombosis', 'cf_snomed': {'thrombosis': 439127006}, 'existence': 'pos_dx', 'descriptive_term': 'near', 'observation': 'thrombosis'}}anatomical entity_fin: {'right pectineus': {}, 'anastomosis': {}}object_fin: ['catheter']location descriptor_fin: ['right']clinical findings_fin: {'right hepatic ductal dilatation has decreased': {'clinical finding': 'right hepatic ductal dilatation has decreased', 'cf_snomed': {'dilatation': 25322007}, 'change_term': 'decreased'}}anatomical entity_fin: {'left hepatic ducts': {}}clinical findings_fin: {'expected pneumobilia': {'clinical finding': 'expected pneumobilia', 'existence': 'pos_dx', 'descriptive_term': 'expected', 'observation': 'pneumobilia'}}size_fin: [{'size': '2.5 x 1.4 cm'}, {'size': '1.8 x 1.1 cm'}]clinical findings_fin: {'reference subcapsular lesion': {'clinical finding': 'reference subcapsular lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'reference subcapsular', 'observation': 'lesion'}}location descriptor_fin: ['central']clinical findings_fin: {'dominant central mass': {'clinical finding': 'dominant central mass', 'existence': 'pos_dx', 'descriptive_term': 'dominant central', 'observation': 'mass'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'head': {}}clinical findings_fin: {'surgical changes': {'clinical finding': 'surgical changes', 'existence': 'pos_dx', 'descriptive_term': 'surgical', 'observation': 'change'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}location descriptor_fin: ['right']clinical findings_fin: {'multiple right renal cysts': {'clinical finding': 'multiple right renal cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'multiple right renal', 'observation': 'cyst', 'quantity_term': 'multiple'}}anatomical entity_fin: {'kidney': {}}clinical findings_fin: {'hydronephrosis': {'clinical finding': 'hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'neg_dx', 'observation': 'hydronephrosis'}}location descriptor_fin: ['adjacent', 'superior']clinical findings_fin: {'extensive soft tissue mass': {'clinical finding': 'extensive soft tissue mass', 'cf_snomed': {'soft tissue mass': 278002000}, 'existence': 'pos_dx', 'descriptive_term': 'extensive soft tissue', 'observation': 'mass', 'strength_term': 'extensive'}}anatomical entity_fin: {'omentum': {}}clinical findings_fin: {'extensive nodularity': {'clinical finding': 'extensive nodularity', 'existence': 'pos_dx', 'descriptive_term': 'extensive', 'observation': 'nodularity', 'strength_term': 'extensive'}, 'ascites': {'clinical finding': 'ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'observation': 'ascite'}, 'peritoneal carcinomatosis': {'clinical finding': 'peritoneal carcinomatosis', 'cf_snomed': {'carcinomatosis': 307593001}, 'existence': 'unc_dx', 'descriptive_term': 'peritoneal', 'observation': 'carcinomatosis'}}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'}}anatomical entity_fin: {'fluid': {}}location descriptor_fin: ['left']clinical findings_fin: {'left inguinal hernia': {'clinical finding': 'left inguinal hernia', 'cf_snomed': {'left inguinal hernia': 236022004}, 'existence': 'pos_dx', 'descriptive_term': 'left inguinal', 'observation': 'hernia'}}anatomical entity_fin: {'common iliac vein': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'possible filling defect': {'clinical finding': 'possible filling defect', 'cf_snomed': {'filling defect': 43468004}, 'existence': 'pos_dx', 'descriptive_term': 'possible filling', 'observation': 'defect'}, 'contrast': {'clinical finding': 'contrast', 'existence': 'unc_dx', 'observation': 'contrast'}} [/INST] . Heart size is enlarged. There is a small left pleural effusion. Liver is normal in morphology. Progressive compression of the portal vein to near thrombosis. Right pectineus biliary catheter terminates within the biliary enteric anastomosis. The right hepatic ductal dilatation has decreased. There is expected pneumobilia within the left hepatic ducts. Reference subcapsular lesion measures 2.5 x 1.4 cm previously, 1.8 x 1.1 cm. Dominant central mass has increased in size. No significant abnormality noted. Surgical changes in the pancreatic head with a procedure. No significant abnormality noted. Multiple right renal cysts. No hydronephrosis in either kidney. Extensive soft tissue mass extends adjacent to the celiac and superior mesenteric vessels. Extensive nodularity of the omentum with ascites most suggestive of peritoneal carcinomatosis. No significant abnormality noted. No significant abnormality noted. PROSTATE/. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Left inguinal hernia containing fluid. Possible filling defect in the left common iliac vein suboptimally evaluated due to the phase of contrast. </s>