. No evidence of pulmonary embolus. The pulmonary arteries are of normal size. No evidence of right ventricular strain. Partially loculated large left pleural effusion with adjacent atelectasis. No other areas of consolidation. Decrease in size of the right hilar node measuring 13 mm x 7 mm compared to 17 mm x 14 mm on previous study. The other nodes in the chest appears smaller as well. Heart is normal sized. There is a small right calcified thyroid nodule. None. Interval increase in sclerosis of vertebral bodies at C7, T6, T7 and new focal area of sclerosis at the level of T4. Interval placement of fixation hardware in T12 vertebral body. No rib fractures. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. Multiple small cystic appearing lesions noted in the liver. The left kidney mass previously noted in the CT abdomen is redemonstrated, but only partially imaged.
clinical findings_fin: {'pulmonary embolus': {'clinical finding': 'pulmonary embolus', 'cf_snomed': {'embolus': 55584005}, 'existence': 'neg_dx', 'descriptive_term': 'pulmonary', 'observation': 'embolus'}}anatomical entity_fin: {'pulmonary arteries': {}}clinical findings_fin: {'pulmonary arteries are of normal size': {'clinical finding': 'pulmonary arteries are of normal size', 'cf_snomed': {'normal size': 53461003}}}location descriptor_fin: ['right']clinical findings_fin: {'right ventricular strain': {'clinical finding': 'right ventricular strain', 'existence': 'neg_dx', 'descriptive_term': 'right ventricular', 'observation': 'strain'}}location descriptor_fin: ['left', 'adjacent']clinical findings_fin: {'large left pleural effusion': {'clinical finding': 'large left pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'large left pleural', 'observation': 'effusion', 'strength_term': 'large'}, 'adjacent atelectasis': {'clinical finding': 'adjacent atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'adjacent', 'observation': 'atelectasis'}}clinical findings_fin: {'consolidation': {'clinical finding': 'consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'neg_dx', 'observation': 'consolidation'}}size_fin: [{'size': '13 mm x 7 mm'}, {'size': '17 mm x 14 mm'}]location descriptor_fin: ['right']clinical findings_fin: {'right hilar node': {'clinical finding': 'right hilar node', 'existence': 'pos_dx', 'descriptive_term': 'right hilar', 'observation': 'node'}}anatomical entity_fin: {'chest': {}}clinical findings_fin: {'other nodes': {'clinical finding': 'other nodes', 'existence': 'pos_dx', 'descriptive_term': 'other', 'observation': 'node'}, 'smaller': {'clinical finding': 'smaller', 'existence': 'pos_dx', 'observation': 'small'}}anatomical entity_fin: {'heart': {}}clinical findings_fin: {'heart is normal sized': {'clinical finding': 'heart is normal sized'}}location descriptor_fin: ['right']clinical findings_fin: {'small right calcified thyroid nodule': {'clinical finding': 'small right calcified thyroid nodule', 'cf_snomed': {'thyroid nodule': 237495005}, 'existence': 'pos_dx', 'descriptive_term': 'small right calcified thyroid', 'observation': 'nodule', 'strength_term': 'small', 'change_term': 'calcified'}}anatomical entity_fin: {'vertebral bodies': {}}clinical findings_fin: {'sclerosis_1': {'clinical finding': 'sclerosis', 'cf_snomed': {'sclerosis': 43846000}, 'existence': 'pos_dx', 'observation': 'sclerosis'}, 'sclerosis_2': {'clinical finding': 'sclerosis', 'cf_snomed': {'sclerosis': 43846000}, 'existence': 'pos_dx', 'observation': 'sclerosis'}}anatomical entity_fin: {'t12 vertebral body': {}}clinical findings_fin: {'fixation hardware': {'clinical finding': 'fixation hardware', 'existence': 'pos_dx', 'descriptive_term': 'fixation', 'observation': 'hardware'}}anatomical entity_fin: {'rib': {}}clinical findings_fin: {'rib fractures': {'clinical finding': 'rib fractures', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'descriptive_term': 'rib', 'observation': 'fracture'}}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: {'multiple small cystic appearing lesions': {'clinical finding': 'multiple small cystic appearing lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'multiple small cystic appearing', 'observation': 'lesion', 'strength_term': 'small', 'quantity_term': 'multiple'}}anatomical entity_fin: {'left kidney': {}, 'abdomen': {}}clinical findings_fin: {'left kidney mass': {'clinical finding': 'left kidney mass', 'existence': 'pos_dx', 'descriptive_term': 'left kidney', 'observation': 'mass'}}
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'pulmonary embolus': {'clinical finding': 'pulmonary embolus', 'cf_snomed': {'embolus': 55584005}, 'existence': 'neg_dx', 'descriptive_term': 'pulmonary', 'observation': 'embolus'}}anatomical entity_fin: {'pulmonary arteries': {}}clinical findings_fin: {'pulmonary arteries are of normal size': {'clinical finding': 'pulmonary arteries are of normal size', 'cf_snomed': {'normal size': 53461003}}}location descriptor_fin: ['right']clinical findings_fin: {'right ventricular strain': {'clinical finding': 'right ventricular strain', 'existence': 'neg_dx', 'descriptive_term': 'right ventricular', 'observation': 'strain'}}location descriptor_fin: ['left', 'adjacent']clinical findings_fin: {'large left pleural effusion': {'clinical finding': 'large left pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'large left pleural', 'observation': 'effusion', 'strength_term': 'large'}, 'adjacent atelectasis': {'clinical finding': 'adjacent atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'adjacent', 'observation': 'atelectasis'}}clinical findings_fin: {'consolidation': {'clinical finding': 'consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'neg_dx', 'observation': 'consolidation'}}size_fin: [{'size': '13 mm x 7 mm'}, {'size': '17 mm x 14 mm'}]location descriptor_fin: ['right']clinical findings_fin: {'right hilar node': {'clinical finding': 'right hilar node', 'existence': 'pos_dx', 'descriptive_term': 'right hilar', 'observation': 'node'}}anatomical entity_fin: {'chest': {}}clinical findings_fin: {'other nodes': {'clinical finding': 'other nodes', 'existence': 'pos_dx', 'descriptive_term': 'other', 'observation': 'node'}, 'smaller': {'clinical finding': 'smaller', 'existence': 'pos_dx', 'observation': 'small'}}anatomical entity_fin: {'heart': {}}clinical findings_fin: {'heart is normal sized': {'clinical finding': 'heart is normal sized'}}location descriptor_fin: ['right']clinical findings_fin: {'small right calcified thyroid nodule': {'clinical finding': 'small right calcified thyroid nodule', 'cf_snomed': {'thyroid nodule': 237495005}, 'existence': 'pos_dx', 'descriptive_term': 'small right calcified thyroid', 'observation': 'nodule', 'strength_term': 'small', 'change_term': 'calcified'}}anatomical entity_fin: {'vertebral bodies': {}}clinical findings_fin: {'sclerosis_1': {'clinical finding': 'sclerosis', 'cf_snomed': {'sclerosis': 43846000}, 'existence': 'pos_dx', 'observation': 'sclerosis'}, 'sclerosis_2': {'clinical finding': 'sclerosis', 'cf_snomed': {'sclerosis': 43846000}, 'existence': 'pos_dx', 'observation': 'sclerosis'}}anatomical entity_fin: {'t12 vertebral body': {}}clinical findings_fin: {'fixation hardware': {'clinical finding': 'fixation hardware', 'existence': 'pos_dx', 'descriptive_term': 'fixation', 'observation': 'hardware'}}anatomical entity_fin: {'rib': {}}clinical findings_fin: {'rib fractures': {'clinical finding': 'rib fractures', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'descriptive_term': 'rib', 'observation': 'fracture'}}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: {'multiple small cystic appearing lesions': {'clinical finding': 'multiple small cystic appearing lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'multiple small cystic appearing', 'observation': 'lesion', 'strength_term': 'small', 'quantity_term': 'multiple'}}anatomical entity_fin: {'left kidney': {}, 'abdomen': {}}clinical findings_fin: {'left kidney mass': {'clinical finding': 'left kidney mass', 'existence': 'pos_dx', 'descriptive_term': 'left kidney', 'observation': 'mass'}} [/INST] . No evidence of pulmonary embolus. The pulmonary arteries are of normal size. No evidence of right ventricular strain. Partially loculated large left pleural effusion with adjacent atelectasis. No other areas of consolidation. Decrease in size of the right hilar node measuring 13 mm x 7 mm compared to 17 mm x 14 mm on previous study. The other nodes in the chest appears smaller as well. Heart is normal sized. There is a small right calcified thyroid nodule. None. Interval increase in sclerosis of vertebral bodies at C7, T6, T7 and new focal area of sclerosis at the level of T4. Interval placement of fixation hardware in T12 vertebral body. No rib fractures. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. Multiple small cystic appearing lesions noted in the liver. The left kidney mass previously noted in the CT abdomen is redemonstrated, but only partially imaged. </s>