. Severe upper lung zone predominant centrilobular emphysema. Changes from right talc pleurodesis are noted at the right lung base. Nodular changes of the right pulmonary fissures are likely related to this procedure. A right upper lobe subpleural heterogeneously enhancing mass containing small foci of calcification has a maximum thickness of 2.2 cm. There is infiltration of the mediastinum by this tumor with approximately one third circumferential direct contact of the right subclavian artery. The azygos vein appears enlarged along its posterior and superior margins where the tumor abuts it, suggesting probable invasion of this vessel. Scattered cardiophrenic, mediastinal and right hilar lymph nodes are seen which do not meet RECIST measurement criteria. None. No destructive bony changes are seen. Superior endplate depression of the T5 and T10 vertebral bodies of unknown chronicity. The thoracic aorta is of normal size and contour. The origins of the great vessels are all normal in appearance without abnormality seen in their peripheral distribution.
anatomical entity_fin: {'upper lung zone': {}}clinical findings_fin: {'severe upper lung zone predominant centrilobular emphysema': {'clinical finding': 'severe upper lung zone predominant centrilobular emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'descriptive_term': 'severe upper lung zone predominant centrilobular', 'observation': 'emphysema', 'strength_term': 'severe'}}anatomical entity_fin: {'right lung': {}, 'base': {}}location descriptor_fin: ['right']clinical findings_fin: {'changes': {'clinical finding': 'changes', 'existence': 'pos_dx', 'observation': 'change'}, 'right talc pleurodesis': {'clinical finding': 'right talc pleurodesis', 'existence': 'pos_dx', 'descriptive_term': 'right talc', 'observation': 'pleurodesis'}}anatomical entity_fin: {'pulmonary fissures': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'nodular changes': {'clinical finding': 'nodular changes', 'existence': 'unc_dx', 'descriptive_term': 'nodular', 'observation': 'change'}, 'right pulmonary fissures': {'clinical finding': 'right pulmonary fissures', 'cf_snomed': {'fissure': 47393002}, 'existence': 'unc_dx', 'descriptive_term': 'right pulmonary', 'observation': 'fissure'}}size_fin: [{'size': '2.2 cm', 'size_descriptor': 'mass'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right upper'}}imaging observation_fin: ['enhancing', 'foci']location descriptor_fin: ['right', 'upper']clinical findings_fin: {'right upper lobe subpleural heterogeneously enhancing mass': {'clinical finding': 'right upper lobe subpleural heterogeneously enhancing mass', 'existence': 'pos_dx', 'descriptive_term': 'right upper lobe subpleural heterogeneously enhancing', 'observation': 'mass'}, 'calcification': {'clinical finding': 'calcification', 'existence': 'pos_dx', 'observation': 'calcification'}}anatomical entity_fin: {'mediastinum': {}, 'right subclavian artery': {}}clinical findings_fin: {'this tumor': {'clinical finding': 'this tumor', 'existence': 'pos_dx', 'descriptive_term': 'this', 'observation': 'tumor'}, 'approximately one third circumferential direct contact': {'clinical finding': 'approximately one third circumferential direct contact', 'existence': 'pos_dx', 'descriptive_term': 'approximately one third circumferential direct', 'observation': 'contact'}}anatomical entity_fin: {'azygos vein': {}}imaging observation_fin: ['margins']location descriptor_fin: ['posterior', 'superior']clinical findings_fin: {'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}, 'tumor': {'clinical finding': 'tumor', 'existence': 'pos_dx', 'observation': 'tumor'}, 'probable invasion': {'clinical finding': 'probable invasion', 'existence': 'unc_dx', 'descriptive_term': 'probable', 'observation': 'invasion'}}location descriptor_fin: ['right']clinical findings_fin: {'scattered cardiophrenic, mediastinal and right hilar lymph nodes': {'clinical finding': 'scattered cardiophrenic, mediastinal and right hilar lymph nodes', 'existence': 'neg_dx', 'descriptive_term': 'scattered cardiophrenic mediastinal and right hilar lymph', 'observation': 'node'}}clinical findings_fin: {'destructive bony changes': {'clinical finding': 'destructive bony changes', 'existence': 'neg_dx', 'descriptive_term': 'destructive bony', 'observation': 'change'}}anatomical entity_fin: {'endplate': {'location descriptor': 'superior'}, 't10 vertebral bodies': {}}location descriptor_fin: ['superior']clinical findings_fin: {'superior endplate depression': {'clinical finding': 'superior endplate depression', 'existence': 'pos_dx', 'descriptive_term': 'superior endplate', 'observation': 'depression', 'strength_term': 'superior'}, 'unknown chronicity': {'clinical finding': 'unknown chronicity', 'existence': 'pos_dx', 'descriptive_term': 'unknown', 'observation': 'chronicity'}}anatomical entity_fin: {'thoracic aorta': {}}clinical findings_fin: {'contour': {'clinical finding': 'contour', 'existence': 'pos_dx', 'observation': 'contour'}}anatomical entity_fin: {'origins': {}}location descriptor_fin: ['peripheral']clinical findings_fin: {'abnormality': {'clinical finding': 'abnormality', 'existence': 'neg_dx', 'observation': 'abnormality'}}
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'upper lung zone': {}}clinical findings_fin: {'severe upper lung zone predominant centrilobular emphysema': {'clinical finding': 'severe upper lung zone predominant centrilobular emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'descriptive_term': 'severe upper lung zone predominant centrilobular', 'observation': 'emphysema', 'strength_term': 'severe'}}anatomical entity_fin: {'right lung': {}, 'base': {}}location descriptor_fin: ['right']clinical findings_fin: {'changes': {'clinical finding': 'changes', 'existence': 'pos_dx', 'observation': 'change'}, 'right talc pleurodesis': {'clinical finding': 'right talc pleurodesis', 'existence': 'pos_dx', 'descriptive_term': 'right talc', 'observation': 'pleurodesis'}}anatomical entity_fin: {'pulmonary fissures': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'nodular changes': {'clinical finding': 'nodular changes', 'existence': 'unc_dx', 'descriptive_term': 'nodular', 'observation': 'change'}, 'right pulmonary fissures': {'clinical finding': 'right pulmonary fissures', 'cf_snomed': {'fissure': 47393002}, 'existence': 'unc_dx', 'descriptive_term': 'right pulmonary', 'observation': 'fissure'}}size_fin: [{'size': '2.2 cm', 'size_descriptor': 'mass'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right upper'}}imaging observation_fin: ['enhancing', 'foci']location descriptor_fin: ['right', 'upper']clinical findings_fin: {'right upper lobe subpleural heterogeneously enhancing mass': {'clinical finding': 'right upper lobe subpleural heterogeneously enhancing mass', 'existence': 'pos_dx', 'descriptive_term': 'right upper lobe subpleural heterogeneously enhancing', 'observation': 'mass'}, 'calcification': {'clinical finding': 'calcification', 'existence': 'pos_dx', 'observation': 'calcification'}}anatomical entity_fin: {'mediastinum': {}, 'right subclavian artery': {}}clinical findings_fin: {'this tumor': {'clinical finding': 'this tumor', 'existence': 'pos_dx', 'descriptive_term': 'this', 'observation': 'tumor'}, 'approximately one third circumferential direct contact': {'clinical finding': 'approximately one third circumferential direct contact', 'existence': 'pos_dx', 'descriptive_term': 'approximately one third circumferential direct', 'observation': 'contact'}}anatomical entity_fin: {'azygos vein': {}}imaging observation_fin: ['margins']location descriptor_fin: ['posterior', 'superior']clinical findings_fin: {'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}, 'tumor': {'clinical finding': 'tumor', 'existence': 'pos_dx', 'observation': 'tumor'}, 'probable invasion': {'clinical finding': 'probable invasion', 'existence': 'unc_dx', 'descriptive_term': 'probable', 'observation': 'invasion'}}location descriptor_fin: ['right']clinical findings_fin: {'scattered cardiophrenic, mediastinal and right hilar lymph nodes': {'clinical finding': 'scattered cardiophrenic, mediastinal and right hilar lymph nodes', 'existence': 'neg_dx', 'descriptive_term': 'scattered cardiophrenic mediastinal and right hilar lymph', 'observation': 'node'}}clinical findings_fin: {'destructive bony changes': {'clinical finding': 'destructive bony changes', 'existence': 'neg_dx', 'descriptive_term': 'destructive bony', 'observation': 'change'}}anatomical entity_fin: {'endplate': {'location descriptor': 'superior'}, 't10 vertebral bodies': {}}location descriptor_fin: ['superior']clinical findings_fin: {'superior endplate depression': {'clinical finding': 'superior endplate depression', 'existence': 'pos_dx', 'descriptive_term': 'superior endplate', 'observation': 'depression', 'strength_term': 'superior'}, 'unknown chronicity': {'clinical finding': 'unknown chronicity', 'existence': 'pos_dx', 'descriptive_term': 'unknown', 'observation': 'chronicity'}}anatomical entity_fin: {'thoracic aorta': {}}clinical findings_fin: {'contour': {'clinical finding': 'contour', 'existence': 'pos_dx', 'observation': 'contour'}}anatomical entity_fin: {'origins': {}}location descriptor_fin: ['peripheral']clinical findings_fin: {'abnormality': {'clinical finding': 'abnormality', 'existence': 'neg_dx', 'observation': 'abnormality'}} [/INST] . Severe upper lung zone predominant centrilobular emphysema. Changes from right talc pleurodesis are noted at the right lung base. Nodular changes of the right pulmonary fissures are likely related to this procedure. A right upper lobe subpleural heterogeneously enhancing mass containing small foci of calcification has a maximum thickness of 2.2 cm. There is infiltration of the mediastinum by this tumor with approximately one third circumferential direct contact of the right subclavian artery. The azygos vein appears enlarged along its posterior and superior margins where the tumor abuts it, suggesting probable invasion of this vessel. Scattered cardiophrenic, mediastinal and right hilar lymph nodes are seen which do not meet RECIST measurement criteria. None. No destructive bony changes are seen. Superior endplate depression of the T5 and T10 vertebral bodies of unknown chronicity. The thoracic aorta is of normal size and contour. The origins of the great vessels are all normal in appearance without abnormality seen in their peripheral distribution. </s>