. Multiple subpleural non-calcified nodules and micronodules are unchanged over the course of 2 years with exception to one new nodule in the left lower lobe periphery. Reference left lower lobe subpleural nodule measures 9 mm, unchanged from prior. Mild lower lobe predominant bronchiectasis not significantly changed from prior exam. Bibasilar atelectasis and or or scarring slightly increased from prior. No pleural effusion. Stable mediastinal lymphadenopathy. Reference left upper paratracheal lymph node measures 11 x 16 mm, similar in size to prior 11 x 17 mm. No cardiomegaly or pericardial effusion. Moderate. Degenerative changes of the spine. Absence of enteric contrast material limits sensitivity for abdominal pathology. No significant abnormality noted.
anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'multiple subpleural non-calcified nodules': {'clinical finding': 'multiple subpleural non-calcified nodules', 'cf_snomed': {'calcified nodule': 255003}, 'existence': 'pos_dx', 'descriptive_term': 'multiple subpleural non-calcified', 'observation': 'nodule', 'quantity_term': 'multiple', 'change_term': 'calcified'}, 'micronodules': {'clinical finding': 'micronodules', 'existence': 'pos_dx', 'observation': 'micronodule'}, 'one new nodule': {'clinical finding': 'one new nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'one new', 'observation': 'nodule', 'temporal_term': 'new'}}size_fin: [{'size': '9 mm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'reference left lower lobe subpleural nodule': {'clinical finding': 'reference left lower lobe subpleural nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'reference left lower lobe subpleural', 'observation': 'nodule'}}anatomical entity_fin: {'lobe': {'location descriptor': 'lower'}}location descriptor_fin: ['lower']clinical findings_fin: {'mild lower lobe predominant bronchiectasis': {'clinical finding': 'mild lower lobe predominant bronchiectasis', 'cf_snomed': {'bronchiectasis': 12295008}, 'existence': 'neg_dx', 'descriptive_term': 'mild lower lobe predominant', 'observation': 'bronchiectasis', 'strength_term': 'mild'}}clinical findings_fin: {'bibasilar atelectasis': {'clinical finding': 'bibasilar atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'bibasilar', 'observation': 'atelectasis'}, 'scarring': {'clinical finding': 'scarring', 'existence': 'unc_dx', 'observation': 'scarr'}}clinical findings_fin: {'pleural effusion': {'clinical finding': 'pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}}clinical findings_fin: {'stable mediastinal lymphadenopathy': {'clinical finding': 'stable mediastinal lymphadenopathy', 'cf_snomed': {'mediastinal lymphadenopathy': 52324001}, 'existence': 'pos_dx', 'descriptive_term': 'stable mediastinal', 'observation': 'lymphadenopathy', 'strength_term': 'stable', 'change_term': 'stable'}}size_fin: [{'size': '11 x 16 mm'}, {'size': '11 x 17 mm'}]anatomical entity_fin: {'left upper paratracheal lymph node': {}}clinical findings_fin: {'reference left upper paratracheal lymph node': {'clinical finding': 'reference left upper paratracheal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference left upper paratracheal lymph', 'observation': 'node'}}clinical findings_fin: {'cardiomegaly': {'clinical finding': 'cardiomegaly', 'cf_snomed': {'cardiomegaly': 8186001}, 'existence': 'neg_dx', 'observation': 'cardiomegaly'}, '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: {'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': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'multiple subpleural non-calcified nodules': {'clinical finding': 'multiple subpleural non-calcified nodules', 'cf_snomed': {'calcified nodule': 255003}, 'existence': 'pos_dx', 'descriptive_term': 'multiple subpleural non-calcified', 'observation': 'nodule', 'quantity_term': 'multiple', 'change_term': 'calcified'}, 'micronodules': {'clinical finding': 'micronodules', 'existence': 'pos_dx', 'observation': 'micronodule'}, 'one new nodule': {'clinical finding': 'one new nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'one new', 'observation': 'nodule', 'temporal_term': 'new'}}size_fin: [{'size': '9 mm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'reference left lower lobe subpleural nodule': {'clinical finding': 'reference left lower lobe subpleural nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'reference left lower lobe subpleural', 'observation': 'nodule'}}anatomical entity_fin: {'lobe': {'location descriptor': 'lower'}}location descriptor_fin: ['lower']clinical findings_fin: {'mild lower lobe predominant bronchiectasis': {'clinical finding': 'mild lower lobe predominant bronchiectasis', 'cf_snomed': {'bronchiectasis': 12295008}, 'existence': 'neg_dx', 'descriptive_term': 'mild lower lobe predominant', 'observation': 'bronchiectasis', 'strength_term': 'mild'}}clinical findings_fin: {'bibasilar atelectasis': {'clinical finding': 'bibasilar atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'bibasilar', 'observation': 'atelectasis'}, 'scarring': {'clinical finding': 'scarring', 'existence': 'unc_dx', 'observation': 'scarr'}}clinical findings_fin: {'pleural effusion': {'clinical finding': 'pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}}clinical findings_fin: {'stable mediastinal lymphadenopathy': {'clinical finding': 'stable mediastinal lymphadenopathy', 'cf_snomed': {'mediastinal lymphadenopathy': 52324001}, 'existence': 'pos_dx', 'descriptive_term': 'stable mediastinal', 'observation': 'lymphadenopathy', 'strength_term': 'stable', 'change_term': 'stable'}}size_fin: [{'size': '11 x 16 mm'}, {'size': '11 x 17 mm'}]anatomical entity_fin: {'left upper paratracheal lymph node': {}}clinical findings_fin: {'reference left upper paratracheal lymph node': {'clinical finding': 'reference left upper paratracheal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference left upper paratracheal lymph', 'observation': 'node'}}clinical findings_fin: {'cardiomegaly': {'clinical finding': 'cardiomegaly', 'cf_snomed': {'cardiomegaly': 8186001}, 'existence': 'neg_dx', 'observation': 'cardiomegaly'}, '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: {'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': '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] . Multiple subpleural non-calcified nodules and micronodules are unchanged over the course of 2 years with exception to one new nodule in the left lower lobe periphery. Reference left lower lobe subpleural nodule measures 9 mm, unchanged from prior. Mild lower lobe predominant bronchiectasis not significantly changed from prior exam. Bibasilar atelectasis and or or scarring slightly increased from prior. No pleural effusion. Stable mediastinal lymphadenopathy. Reference left upper paratracheal lymph node measures 11 x 16 mm, similar in size to prior 11 x 17 mm. No cardiomegaly or pericardial effusion. Moderate. Degenerative changes of the spine. Absence of enteric contrast material limits sensitivity for abdominal pathology. No significant abnormality noted. </s>