. Technically adequate study to the subsegmental level. No evidence of acute pulmonary embolus. The main pulmonary artery is of normal caliber. Extensive centrilobular and paraseptal emphysema with large apical bulla. Bilateral pleural effusions and associated atelectasis. No suspicious pulmonary nodule or mass is identified. No definite pneumothorax is identified. Heart size is normal without significant pericardial effusion. Moderate pneumomediastinum tracking superiorly and out of field of view. Subcentimeter mediastinal nodes which are not enlarged by size criteria, nonspecific. Patulous esophagus and small hiatal hernia. Moderate. Extensive subcutaneous emphysema predominantly along the right chest wall, but more inferiorly also involves the left lateral body wall, likely postsurgical in nature, although somewhat greater than expected. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. Foci of pneumoperitoneum in the upper abdomen is likely postsurgical in nature.
location descriptor_fin: ['subsegmental']clinical findings_fin: {'acute pulmonary embolus': {'clinical finding': 'acute pulmonary embolus', 'cf_snomed': {'embolus': 55584005}, 'existence': 'neg_dx', 'descriptive_term': 'acute pulmonary', 'observation': 'embolus', 'strength_term': 'acute', 'temporal_term': 'acute'}}anatomical entity_fin: {'main pulmonary artery': {}}clinical findings_fin: {'main pulmonary artery is of normal caliber': {'clinical finding': 'main pulmonary artery is of normal caliber'}}anatomical entity_fin: {'bulla': {}}imaging observation_fin: ['apical']location descriptor_fin: ['centrilobular']clinical findings_fin: {'extensive centrilobular and paraseptal emphysema': {'clinical finding': 'extensive centrilobular and paraseptal emphysema', 'cf_snomed': {'paraseptal emphysema': 31898008}, 'existence': 'pos_dx', 'descriptive_term': 'extensive centrilobular and paraseptal', 'observation': 'emphysema', 'strength_term': 'extensive'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral pleural effusions': {'clinical finding': 'bilateral pleural effusions', 'cf_snomed': {'bilateral pleural effusion': 425802001}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral pleural', 'observation': 'effusion'}, 'associated atelectasis': {'clinical finding': 'associated atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'associated', 'observation': 'atelectasis'}}clinical findings_fin: {'suspicious pulmonary nodule': {'clinical finding': 'suspicious pulmonary nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious pulmonary', 'observation': 'nodule'}, 'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}}clinical findings_fin: {'definite pneumothorax': {'clinical finding': 'definite pneumothorax', 'cf_snomed': {'pneumothorax': 36118008}, 'existence': 'neg_dx', 'descriptive_term': 'definite', 'observation': 'pneumothorax'}}anatomical entity_fin: {'heart': {}}clinical findings_fin: {'significant pericardial effusion': {'clinical finding': 'significant pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'pos_dx', 'descriptive_term': 'significant pericardial', 'observation': 'effusion'}}clinical findings_fin: {'moderate pneumomediastinum': {'clinical finding': 'moderate pneumomediastinum', 'existence': 'pos_dx', 'descriptive_term': 'moderate', 'observation': 'pneumomediastinum', 'strength_term': 'moderate'}}clinical findings_fin: {'subcentimeter mediastinal nodes': {'clinical finding': 'subcentimeter mediastinal nodes', 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter mediastinal', 'observation': 'node'}, 'enlarged': {'clinical finding': 'enlarged', 'existence': 'neg_dx', 'observation': 'enlarged'}}anatomical entity_fin: {'esophagus': {}}clinical findings_fin: {'small hiatal hernia': {'clinical finding': 'small hiatal hernia', 'cf_snomed': {'hiatal hernia': 84089009}, 'existence': 'pos_dx', 'descriptive_term': 'small hiatal', 'observation': 'hernia', 'strength_term': 'small'}}anatomical entity_fin: {'chest wall': {'location descriptor': 'right'}, 'body wall': {'location descriptor': 'left lateral'}}location descriptor_fin: ['right', 'left', 'lateral']clinical findings_fin: {'extensive subcutaneous emphysema': {'clinical finding': 'extensive subcutaneous emphysema', 'cf_snomed': {'subcutaneous emphysema': 3830001}, 'existence': 'pos_dx', 'descriptive_term': 'extensive subcutaneous', 'observation': 'emphysema', 'strength_term': 'extensive'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}anatomical entity_fin: {'upper abdomen': {}}imaging observation_fin: ['foci']clinical findings_fin: {'pneumoperitoneum': {'clinical finding': 'pneumoperitoneum', 'cf_snomed': {'pneumoperitoneum': 17204006}, 'existence': 'pos_dx', 'observation': 'pneumoperitoneum'}}
<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['subsegmental']clinical findings_fin: {'acute pulmonary embolus': {'clinical finding': 'acute pulmonary embolus', 'cf_snomed': {'embolus': 55584005}, 'existence': 'neg_dx', 'descriptive_term': 'acute pulmonary', 'observation': 'embolus', 'strength_term': 'acute', 'temporal_term': 'acute'}}anatomical entity_fin: {'main pulmonary artery': {}}clinical findings_fin: {'main pulmonary artery is of normal caliber': {'clinical finding': 'main pulmonary artery is of normal caliber'}}anatomical entity_fin: {'bulla': {}}imaging observation_fin: ['apical']location descriptor_fin: ['centrilobular']clinical findings_fin: {'extensive centrilobular and paraseptal emphysema': {'clinical finding': 'extensive centrilobular and paraseptal emphysema', 'cf_snomed': {'paraseptal emphysema': 31898008}, 'existence': 'pos_dx', 'descriptive_term': 'extensive centrilobular and paraseptal', 'observation': 'emphysema', 'strength_term': 'extensive'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral pleural effusions': {'clinical finding': 'bilateral pleural effusions', 'cf_snomed': {'bilateral pleural effusion': 425802001}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral pleural', 'observation': 'effusion'}, 'associated atelectasis': {'clinical finding': 'associated atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'associated', 'observation': 'atelectasis'}}clinical findings_fin: {'suspicious pulmonary nodule': {'clinical finding': 'suspicious pulmonary nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious pulmonary', 'observation': 'nodule'}, 'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}}clinical findings_fin: {'definite pneumothorax': {'clinical finding': 'definite pneumothorax', 'cf_snomed': {'pneumothorax': 36118008}, 'existence': 'neg_dx', 'descriptive_term': 'definite', 'observation': 'pneumothorax'}}anatomical entity_fin: {'heart': {}}clinical findings_fin: {'significant pericardial effusion': {'clinical finding': 'significant pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'pos_dx', 'descriptive_term': 'significant pericardial', 'observation': 'effusion'}}clinical findings_fin: {'moderate pneumomediastinum': {'clinical finding': 'moderate pneumomediastinum', 'existence': 'pos_dx', 'descriptive_term': 'moderate', 'observation': 'pneumomediastinum', 'strength_term': 'moderate'}}clinical findings_fin: {'subcentimeter mediastinal nodes': {'clinical finding': 'subcentimeter mediastinal nodes', 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter mediastinal', 'observation': 'node'}, 'enlarged': {'clinical finding': 'enlarged', 'existence': 'neg_dx', 'observation': 'enlarged'}}anatomical entity_fin: {'esophagus': {}}clinical findings_fin: {'small hiatal hernia': {'clinical finding': 'small hiatal hernia', 'cf_snomed': {'hiatal hernia': 84089009}, 'existence': 'pos_dx', 'descriptive_term': 'small hiatal', 'observation': 'hernia', 'strength_term': 'small'}}anatomical entity_fin: {'chest wall': {'location descriptor': 'right'}, 'body wall': {'location descriptor': 'left lateral'}}location descriptor_fin: ['right', 'left', 'lateral']clinical findings_fin: {'extensive subcutaneous emphysema': {'clinical finding': 'extensive subcutaneous emphysema', 'cf_snomed': {'subcutaneous emphysema': 3830001}, 'existence': 'pos_dx', 'descriptive_term': 'extensive subcutaneous', 'observation': 'emphysema', 'strength_term': 'extensive'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}anatomical entity_fin: {'upper abdomen': {}}imaging observation_fin: ['foci']clinical findings_fin: {'pneumoperitoneum': {'clinical finding': 'pneumoperitoneum', 'cf_snomed': {'pneumoperitoneum': 17204006}, 'existence': 'pos_dx', 'observation': 'pneumoperitoneum'}} [/INST] . Technically adequate study to the subsegmental level. No evidence of acute pulmonary embolus. The main pulmonary artery is of normal caliber. Extensive centrilobular and paraseptal emphysema with large apical bulla. Bilateral pleural effusions and associated atelectasis. No suspicious pulmonary nodule or mass is identified. No definite pneumothorax is identified. Heart size is normal without significant pericardial effusion. Moderate pneumomediastinum tracking superiorly and out of field of view. Subcentimeter mediastinal nodes which are not enlarged by size criteria, nonspecific. Patulous esophagus and small hiatal hernia. Moderate. Extensive subcutaneous emphysema predominantly along the right chest wall, but more inferiorly also involves the left lateral body wall, likely postsurgical in nature, although somewhat greater than expected. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. Foci of pneumoperitoneum in the upper abdomen is likely postsurgical in nature. </s>