. 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'}}
<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>