. No evidence of pulmonary embolism. No main pulmonary artery enlargement or right ventricular strain. Right upper lobe and middle lobe post-operative lobectomy changes. Improved right basilar opacities with right lower lobe mucous plugging suggestive of aspiration. Upper paramediastinal post radiation changes stable from prior exam. Left basilar atelectasis and or or scarring also stable from prior exam. No pleural effusion. No cardiomegaly or pericardial effusion. No mediastinal lymphadenopathy. Severe. Calcifications of aorta and its corresponding branches. Mild degenerative changes of the spine. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. Right medial hypodense renal lesion not significantly changed from 2012.
clinical findings_fin: {'pulmonary embolism': {'clinical finding': 'pulmonary embolism', 'cf_snomed': {'pulmonary embolism': 59282003}, 'existence': 'neg_dx', 'descriptive_term': 'pulmonary', 'observation': 'embolism'}}anatomical entity_fin: {'main pulmonary artery': {}}location descriptor_fin: ['right']clinical findings_fin: {'right ventricular strain': {'clinical finding': 'right ventricular strain', 'existence': 'neg_dx', 'descriptive_term': 'right ventricular', 'observation': 'strain'}}anatomical entity_fin: {'lobe': {}, 'middle': {}}location descriptor_fin: ['right', 'upper']clinical findings_fin: {'right upper lobe and middle lobe post-operative lobectomy changes': {'clinical finding': 'right upper lobe and middle lobe post-operative lobectomy changes', 'existence': 'pos_dx', 'descriptive_term': 'right upper lobe and middle lobe post-operative lobectomy', 'observation': 'change'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'improved right basilar opacities': {'clinical finding': 'improved right basilar opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'improved right basilar', 'observation': 'opacity'}, 'aspiration': {'clinical finding': 'aspiration', 'existence': 'unc_dx', 'observation': 'aspiration'}}location descriptor_fin: ['upper']clinical findings_fin: {'upper paramediastinal post radiation changes': {'clinical finding': 'upper paramediastinal post radiation changes', 'existence': 'pos_dx', 'descriptive_term': 'upper paramediastinal post radiation', 'observation': 'change'}}location descriptor_fin: ['left']clinical findings_fin: {'left basilar atelectasis': {'clinical finding': 'left basilar atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'left basilar', '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: {'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'}}clinical findings_fin: {'mediastinal lymphadenopathy': {'clinical finding': 'mediastinal lymphadenopathy', 'cf_snomed': {'mediastinal lymphadenopathy': 52324001}, 'existence': 'neg_dx', 'descriptive_term': 'mediastinal', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'aorta': {}}clinical findings_fin: {'calcifications': {'clinical finding': 'calcifications', 'existence': 'pos_dx', 'observation': 'calcification'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'mild degenerative changes': {'clinical finding': 'mild degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'mild degenerative', 'observation': 'change', 'strength_term': 'mild'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}location descriptor_fin: ['right', 'medial']clinical findings_fin: {'right medial hypodense renal lesion': {'clinical finding': 'right medial hypodense renal lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'right medial hypodense renal', 'observation': 'lesion'}}
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'pulmonary embolism': {'clinical finding': 'pulmonary embolism', 'cf_snomed': {'pulmonary embolism': 59282003}, 'existence': 'neg_dx', 'descriptive_term': 'pulmonary', 'observation': 'embolism'}}anatomical entity_fin: {'main pulmonary artery': {}}location descriptor_fin: ['right']clinical findings_fin: {'right ventricular strain': {'clinical finding': 'right ventricular strain', 'existence': 'neg_dx', 'descriptive_term': 'right ventricular', 'observation': 'strain'}}anatomical entity_fin: {'lobe': {}, 'middle': {}}location descriptor_fin: ['right', 'upper']clinical findings_fin: {'right upper lobe and middle lobe post-operative lobectomy changes': {'clinical finding': 'right upper lobe and middle lobe post-operative lobectomy changes', 'existence': 'pos_dx', 'descriptive_term': 'right upper lobe and middle lobe post-operative lobectomy', 'observation': 'change'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'improved right basilar opacities': {'clinical finding': 'improved right basilar opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'improved right basilar', 'observation': 'opacity'}, 'aspiration': {'clinical finding': 'aspiration', 'existence': 'unc_dx', 'observation': 'aspiration'}}location descriptor_fin: ['upper']clinical findings_fin: {'upper paramediastinal post radiation changes': {'clinical finding': 'upper paramediastinal post radiation changes', 'existence': 'pos_dx', 'descriptive_term': 'upper paramediastinal post radiation', 'observation': 'change'}}location descriptor_fin: ['left']clinical findings_fin: {'left basilar atelectasis': {'clinical finding': 'left basilar atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'left basilar', '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: {'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'}}clinical findings_fin: {'mediastinal lymphadenopathy': {'clinical finding': 'mediastinal lymphadenopathy', 'cf_snomed': {'mediastinal lymphadenopathy': 52324001}, 'existence': 'neg_dx', 'descriptive_term': 'mediastinal', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'aorta': {}}clinical findings_fin: {'calcifications': {'clinical finding': 'calcifications', 'existence': 'pos_dx', 'observation': 'calcification'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'mild degenerative changes': {'clinical finding': 'mild degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'mild degenerative', 'observation': 'change', 'strength_term': 'mild'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}location descriptor_fin: ['right', 'medial']clinical findings_fin: {'right medial hypodense renal lesion': {'clinical finding': 'right medial hypodense renal lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'right medial hypodense renal', 'observation': 'lesion'}} [/INST] . No evidence of pulmonary embolism. No main pulmonary artery enlargement or right ventricular strain. Right upper lobe and middle lobe post-operative lobectomy changes. Improved right basilar opacities with right lower lobe mucous plugging suggestive of aspiration. Upper paramediastinal post radiation changes stable from prior exam. Left basilar atelectasis and or or scarring also stable from prior exam. No pleural effusion. No cardiomegaly or pericardial effusion. No mediastinal lymphadenopathy. Severe. Calcifications of aorta and its corresponding branches. Mild degenerative changes of the spine. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. Right medial hypodense renal lesion not significantly changed from 2012. </s>