. Bilateral pulmonary nodules are not substantially different compared to 2013 many of these nodules have imaging characteristics suggestive of parenchymal lymph nodes in keeping with given history of sarcoidosis. Mild to moderate mosaic attenuation which may represent air-trapping which has been described in setting of sarcoidosis. Patchy areas of subsegmental atelectasis or scarring again noted. Mild left-sided pleural thickening again noted. Patent central airways. Mild osteophyte fibrosis in the medial aspect of the right lower lobe. Mild mediastinal lymphadenopathy, partially calcified, unchanged compared to 2013. Mild left atrial dilation again noted. Mild aortic calcification again noted. Mild. 00 in the inferior aspect of the left breast on image 55 of series 3, increased from 2013 when it measured 1.3 x 1.1 cm. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. Tiny hepatic hypodensity in the right lobe, again noted, too small to characterize.
location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral pulmonary nodules': {'clinical finding': 'bilateral pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'bilateral pulmonary', 'observation': 'nodule'}, 'these nodules': {'clinical finding': 'these nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'these', 'observation': 'nodule'}, 'parenchymal lymph nodes': {'clinical finding': 'parenchymal lymph nodes', 'existence': 'unc_dx', 'descriptive_term': 'parenchymal lymph', 'observation': 'node'}, 'sarcoidosis': {'clinical finding': 'sarcoidosis', 'cf_snomed': {'sarcoidosis': 31541009}, 'existence': 'pos_dx', 'observation': 'sarcoidosis'}}clinical findings_fin: {'mild to moderate mosaic attenuation': {'clinical finding': 'mild to moderate mosaic attenuation', 'existence': 'pos_dx', 'descriptive_term': 'mild to moderate mosaic', 'observation': 'attenuation', 'strength_term': 'mild - moderate'}, 'air-trapping': {'clinical finding': 'air-trapping', 'existence': 'unc_dx', 'observation': 'air'}, 'sarcoidosis': {'clinical finding': 'sarcoidosis', 'cf_snomed': {'sarcoidosis': 31541009}, 'existence': 'pos_dx', 'observation': 'sarcoidosis'}}location descriptor_fin: ['subsegmental']clinical findings_fin: {'subsegmental atelectasis': {'clinical finding': 'subsegmental atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'subsegmental', 'observation': 'atelectasis'}, 'scarring': {'clinical finding': 'scarring', 'existence': 'unc_dx', 'observation': 'scarr'}}location descriptor_fin: ['left']clinical findings_fin: {'mild left-sided pleural thickening': {'clinical finding': 'mild left-sided pleural thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild left-sided pleural', 'observation': 'thickening', 'strength_term': 'mild'}}anatomical entity_fin: {'airways': {'location descriptor': 'central'}}location descriptor_fin: ['central']clinical findings_fin: {'patent central airways': {'clinical finding': 'patent central airways', 'change_term': 'patent'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['medial', 'right', 'lower']clinical findings_fin: {'mild osteophyte fibrosis': {'clinical finding': 'mild osteophyte fibrosis', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'mild osteophyte', 'observation': 'fibrosis', 'strength_term': 'mild'}}clinical findings_fin: {'mild mediastinal lymphadenopathy': {'clinical finding': 'mild mediastinal lymphadenopathy', 'cf_snomed': {'mediastinal lymphadenopathy': 52324001}, 'existence': 'pos_dx', 'descriptive_term': 'mild mediastinal', 'observation': 'lymphadenopathy', 'strength_term': 'mild'}}location descriptor_fin: ['left']clinical findings_fin: {'mild left atrial dilation': {'clinical finding': 'mild left atrial dilation', 'existence': 'pos_dx', 'descriptive_term': 'mild left atrial', 'observation': 'dilation', 'strength_term': 'mild'}}clinical findings_fin: {'mild aortic calcification': {'clinical finding': 'mild aortic calcification', 'existence': 'pos_dx', 'descriptive_term': 'mild aortic', 'observation': 'calcification', 'strength_term': 'mild'}}size_fin: [{'size': '1.3 x 1.1 cm'}]anatomical entity_fin: {'breast': {'location descriptor': 'left'}}location descriptor_fin: ['inferior', 'left']clinical findings_fin: {'00 in the inferior aspect of the left breast on image 55 of series 3 , increased from 2013': {'clinical finding': '00 in the inferior aspect of the left breast on image 55 of series 3 , increased from 2013', 'change_term': 'increased'}}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': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'tiny hepatic hypodensity': {'clinical finding': 'tiny hepatic hypodensity', 'existence': 'pos_dx', 'descriptive_term': 'tiny hepatic', 'observation': 'hypodensity', 'strength_term': 'tiny'}}
<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral pulmonary nodules': {'clinical finding': 'bilateral pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'bilateral pulmonary', 'observation': 'nodule'}, 'these nodules': {'clinical finding': 'these nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'these', 'observation': 'nodule'}, 'parenchymal lymph nodes': {'clinical finding': 'parenchymal lymph nodes', 'existence': 'unc_dx', 'descriptive_term': 'parenchymal lymph', 'observation': 'node'}, 'sarcoidosis': {'clinical finding': 'sarcoidosis', 'cf_snomed': {'sarcoidosis': 31541009}, 'existence': 'pos_dx', 'observation': 'sarcoidosis'}}clinical findings_fin: {'mild to moderate mosaic attenuation': {'clinical finding': 'mild to moderate mosaic attenuation', 'existence': 'pos_dx', 'descriptive_term': 'mild to moderate mosaic', 'observation': 'attenuation', 'strength_term': 'mild - moderate'}, 'air-trapping': {'clinical finding': 'air-trapping', 'existence': 'unc_dx', 'observation': 'air'}, 'sarcoidosis': {'clinical finding': 'sarcoidosis', 'cf_snomed': {'sarcoidosis': 31541009}, 'existence': 'pos_dx', 'observation': 'sarcoidosis'}}location descriptor_fin: ['subsegmental']clinical findings_fin: {'subsegmental atelectasis': {'clinical finding': 'subsegmental atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'subsegmental', 'observation': 'atelectasis'}, 'scarring': {'clinical finding': 'scarring', 'existence': 'unc_dx', 'observation': 'scarr'}}location descriptor_fin: ['left']clinical findings_fin: {'mild left-sided pleural thickening': {'clinical finding': 'mild left-sided pleural thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild left-sided pleural', 'observation': 'thickening', 'strength_term': 'mild'}}anatomical entity_fin: {'airways': {'location descriptor': 'central'}}location descriptor_fin: ['central']clinical findings_fin: {'patent central airways': {'clinical finding': 'patent central airways', 'change_term': 'patent'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['medial', 'right', 'lower']clinical findings_fin: {'mild osteophyte fibrosis': {'clinical finding': 'mild osteophyte fibrosis', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'mild osteophyte', 'observation': 'fibrosis', 'strength_term': 'mild'}}clinical findings_fin: {'mild mediastinal lymphadenopathy': {'clinical finding': 'mild mediastinal lymphadenopathy', 'cf_snomed': {'mediastinal lymphadenopathy': 52324001}, 'existence': 'pos_dx', 'descriptive_term': 'mild mediastinal', 'observation': 'lymphadenopathy', 'strength_term': 'mild'}}location descriptor_fin: ['left']clinical findings_fin: {'mild left atrial dilation': {'clinical finding': 'mild left atrial dilation', 'existence': 'pos_dx', 'descriptive_term': 'mild left atrial', 'observation': 'dilation', 'strength_term': 'mild'}}clinical findings_fin: {'mild aortic calcification': {'clinical finding': 'mild aortic calcification', 'existence': 'pos_dx', 'descriptive_term': 'mild aortic', 'observation': 'calcification', 'strength_term': 'mild'}}size_fin: [{'size': '1.3 x 1.1 cm'}]anatomical entity_fin: {'breast': {'location descriptor': 'left'}}location descriptor_fin: ['inferior', 'left']clinical findings_fin: {'00 in the inferior aspect of the left breast on image 55 of series 3 , increased from 2013': {'clinical finding': '00 in the inferior aspect of the left breast on image 55 of series 3 , increased from 2013', 'change_term': 'increased'}}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': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'tiny hepatic hypodensity': {'clinical finding': 'tiny hepatic hypodensity', 'existence': 'pos_dx', 'descriptive_term': 'tiny hepatic', 'observation': 'hypodensity', 'strength_term': 'tiny'}} [/INST] . Bilateral pulmonary nodules are not substantially different compared to 2013 many of these nodules have imaging characteristics suggestive of parenchymal lymph nodes in keeping with given history of sarcoidosis. Mild to moderate mosaic attenuation which may represent air-trapping which has been described in setting of sarcoidosis. Patchy areas of subsegmental atelectasis or scarring again noted. Mild left-sided pleural thickening again noted. Patent central airways. Mild osteophyte fibrosis in the medial aspect of the right lower lobe. Mild mediastinal lymphadenopathy, partially calcified, unchanged compared to 2013. Mild left atrial dilation again noted. Mild aortic calcification again noted. Mild. 00 in the inferior aspect of the left breast on image 55 of series 3, increased from 2013 when it measured 1.3 x 1.1 cm. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. Tiny hepatic hypodensity in the right lobe, again noted, too small to characterize. </s>