. No evidence of pulmonary embolism to the subsegmental level. The main pulmonary artery is mildly enlarged, though stable, measuring 35 mm in diameter. The right hilar mass measures 24 x 18 mm , previously 23 x 18 mm. Scattered bilateral pulmonary nodules are again seen. The lingular lesion measures 15 mm , previously 13 mm. The referenced right lower lobe measures 9 mm , previously 7 mm. Mild centrilobular emphysema. No pleural effusions. Normal sized heart with mild pericardial effusion. Unchanged mediastinal and hilar lymphadenopathy. The referenced lymph node adjacent to the aortic arch is unchanged at 10 mm. A reference subcarinal lymph node measures 16 mm , previously 15 mm. The reference lymph node adjacent to the pulmonary vein is unchanged at 19 mm. Esophageal clips noted. Moderate. Unchanged necrotic right lower cervical lymph node measuring 22 mm. Right chest port with catheter tip in the SVC. Right axillary dissection clips noted. Moderate degenerative and scoliotic changes of the thoracic spine, without suspicious osseous lesions. Absence of enteric contrast material and pulmonary arterial phase of contrast markedly limits sensitivity for abdominal pathology. No significant abnormality noted. The previously described hypodensity adjacent to the hepatic dome is likely volume averaging from the diaphragm.
location descriptor_fin: ['subsegmental']clinical findings_fin: {'pulmonary embolism': {'clinical finding': 'pulmonary embolism', 'cf_snomed': {'pulmonary embolism': 59282003}, 'existence': 'neg_dx', 'descriptive_term': 'pulmonary', 'observation': 'embolism'}}size_fin: [{'size': '35 mm'}]anatomical entity_fin: {'main pulmonary artery': {}}clinical findings_fin: {'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}}size_fin: [{'size': '24 x 18 mm'}, {'size': '23 x 18 mm'}]location descriptor_fin: ['right']clinical findings_fin: {'right hilar mass': {'clinical finding': 'right hilar mass', 'cf_snomed': {'hilar mass': 309530007}, 'existence': 'pos_dx', 'descriptive_term': 'right hilar', 'observation': 'mass'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'scattered bilateral pulmonary nodules': {'clinical finding': 'scattered bilateral pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'scattered bilateral pulmonary', 'observation': 'nodule'}}size_fin: [{'size': '15 mm'}, {'size': '13 mm'}]clinical findings_fin: {'lingular lesion': {'clinical finding': 'lingular lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'lingular', 'observation': 'lesion'}}size_fin: [{'size': '9 mm'}, {'size': '7 mm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'mild centrilobular emphysema': {'clinical finding': 'mild centrilobular emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'descriptive_term': 'mild centrilobular', 'observation': 'emphysema', 'strength_term': 'mild'}}clinical findings_fin: {'pleural effusions': {'clinical finding': 'pleural effusions', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}}anatomical entity_fin: {'heart': {}}clinical findings_fin: {'mild pericardial effusion': {'clinical finding': 'mild pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'pos_dx', 'descriptive_term': 'mild pericardial', 'observation': 'effusion', 'strength_term': 'mild'}}clinical findings_fin: {'unchanged mediastinal and hilar lymphadenopathy': {'clinical finding': 'unchanged mediastinal and hilar lymphadenopathy', 'cf_snomed': {'hilar lymphadenopathy': 87500009}, 'existence': 'pos_dx', 'descriptive_term': 'unchanged mediastinal and hilar', 'observation': 'lymphadenopathy', 'strength_term': 'unchanged', 'change_term': 'unchanged'}}size_fin: [{'size': '10 mm', 'size_descriptor': 'node'}]anatomical entity_fin: {'aortic arch': {}}location descriptor_fin: ['adjacent']clinical findings_fin: {'referenced lymph node': {'clinical finding': 'referenced lymph node', 'existence': 'pos_dx', 'descriptive_term': 'referenced lymph', 'observation': 'node'}}size_fin: [{'size': '16 mm'}, {'size': '15 mm'}]anatomical entity_fin: {'subcarinal lymph node': {}}clinical findings_fin: {'reference subcarinal lymph node': {'clinical finding': 'reference subcarinal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference subcarinal lymph', 'observation': 'node'}}size_fin: [{'size': '19 mm', 'size_descriptor': 'node'}]anatomical entity_fin: {'pulmonary vein': {}}location descriptor_fin: ['adjacent']clinical findings_fin: {'reference lymph node': {'clinical finding': 'reference lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference lymph', 'observation': 'node'}}object_fin: ['clips']clinical findings_fin: {'esophageal clips noted': {'clinical finding': 'esophageal clips noted'}}size_fin: [{'size': '22 mm', 'size_descriptor': 'node'}]location descriptor_fin: ['right', 'lower']clinical findings_fin: {'unchanged necrotic right lower cervical lymph node': {'clinical finding': 'unchanged necrotic right lower cervical lymph node', 'existence': 'pos_dx', 'descriptive_term': 'unchanged necrotic right lower cervical lymph', 'observation': 'node', 'strength_term': 'unchanged', 'change_term': 'unchanged'}}anatomical entity_fin: {'chest': {'location descriptor': 'right'}}location descriptor_fin: ['right']object_fin: ['port', 'catheter']location descriptor_fin: ['right']object_fin: ['clips']clinical findings_fin: {'right axillary dissection': {'clinical finding': 'right axillary dissection', 'existence': 'pos_dx', 'descriptive_term': 'right axillary', 'observation': 'dissection'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'moderate degenerative and scoliotic changes': {'clinical finding': 'moderate degenerative and scoliotic changes', 'existence': 'pos_dx', 'descriptive_term': 'moderate degenerative and scoliotic', 'observation': 'change', 'strength_term': 'moderate'}, 'suspicious osseous lesions': {'clinical finding': 'suspicious osseous lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'suspicious osseous', 'observation': 'lesion'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast material': {'clinical finding': 'enteric contrast material', 'existence': 'neg_dx', 'descriptive_term': 'enteric contrast', 'observation': 'material'}, 'pulmonary': {'clinical finding': 'pulmonary', 'existence': 'pos_dx', 'observation': 'pulmonary'}, 'contrast': {'clinical finding': 'contrast', 'existence': 'pos_dx', 'observation': 'contrast'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'diaphragm': {}}location descriptor_fin: ['adjacent']clinical findings_fin: {'previously described hypodensity': {'clinical finding': 'previously described hypodensity', 'existence': 'pos_dx', 'descriptive_term': 'previously described', 'observation': 'hypodensity'}, 'volume averaging': {'clinical finding': 'volume averaging', 'existence': 'unc_dx', 'descriptive_term': 'volume', 'observation': 'average'}}
<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['subsegmental']clinical findings_fin: {'pulmonary embolism': {'clinical finding': 'pulmonary embolism', 'cf_snomed': {'pulmonary embolism': 59282003}, 'existence': 'neg_dx', 'descriptive_term': 'pulmonary', 'observation': 'embolism'}}size_fin: [{'size': '35 mm'}]anatomical entity_fin: {'main pulmonary artery': {}}clinical findings_fin: {'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}}size_fin: [{'size': '24 x 18 mm'}, {'size': '23 x 18 mm'}]location descriptor_fin: ['right']clinical findings_fin: {'right hilar mass': {'clinical finding': 'right hilar mass', 'cf_snomed': {'hilar mass': 309530007}, 'existence': 'pos_dx', 'descriptive_term': 'right hilar', 'observation': 'mass'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'scattered bilateral pulmonary nodules': {'clinical finding': 'scattered bilateral pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'scattered bilateral pulmonary', 'observation': 'nodule'}}size_fin: [{'size': '15 mm'}, {'size': '13 mm'}]clinical findings_fin: {'lingular lesion': {'clinical finding': 'lingular lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'lingular', 'observation': 'lesion'}}size_fin: [{'size': '9 mm'}, {'size': '7 mm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'mild centrilobular emphysema': {'clinical finding': 'mild centrilobular emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'descriptive_term': 'mild centrilobular', 'observation': 'emphysema', 'strength_term': 'mild'}}clinical findings_fin: {'pleural effusions': {'clinical finding': 'pleural effusions', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}}anatomical entity_fin: {'heart': {}}clinical findings_fin: {'mild pericardial effusion': {'clinical finding': 'mild pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'pos_dx', 'descriptive_term': 'mild pericardial', 'observation': 'effusion', 'strength_term': 'mild'}}clinical findings_fin: {'unchanged mediastinal and hilar lymphadenopathy': {'clinical finding': 'unchanged mediastinal and hilar lymphadenopathy', 'cf_snomed': {'hilar lymphadenopathy': 87500009}, 'existence': 'pos_dx', 'descriptive_term': 'unchanged mediastinal and hilar', 'observation': 'lymphadenopathy', 'strength_term': 'unchanged', 'change_term': 'unchanged'}}size_fin: [{'size': '10 mm', 'size_descriptor': 'node'}]anatomical entity_fin: {'aortic arch': {}}location descriptor_fin: ['adjacent']clinical findings_fin: {'referenced lymph node': {'clinical finding': 'referenced lymph node', 'existence': 'pos_dx', 'descriptive_term': 'referenced lymph', 'observation': 'node'}}size_fin: [{'size': '16 mm'}, {'size': '15 mm'}]anatomical entity_fin: {'subcarinal lymph node': {}}clinical findings_fin: {'reference subcarinal lymph node': {'clinical finding': 'reference subcarinal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference subcarinal lymph', 'observation': 'node'}}size_fin: [{'size': '19 mm', 'size_descriptor': 'node'}]anatomical entity_fin: {'pulmonary vein': {}}location descriptor_fin: ['adjacent']clinical findings_fin: {'reference lymph node': {'clinical finding': 'reference lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference lymph', 'observation': 'node'}}object_fin: ['clips']clinical findings_fin: {'esophageal clips noted': {'clinical finding': 'esophageal clips noted'}}size_fin: [{'size': '22 mm', 'size_descriptor': 'node'}]location descriptor_fin: ['right', 'lower']clinical findings_fin: {'unchanged necrotic right lower cervical lymph node': {'clinical finding': 'unchanged necrotic right lower cervical lymph node', 'existence': 'pos_dx', 'descriptive_term': 'unchanged necrotic right lower cervical lymph', 'observation': 'node', 'strength_term': 'unchanged', 'change_term': 'unchanged'}}anatomical entity_fin: {'chest': {'location descriptor': 'right'}}location descriptor_fin: ['right']object_fin: ['port', 'catheter']location descriptor_fin: ['right']object_fin: ['clips']clinical findings_fin: {'right axillary dissection': {'clinical finding': 'right axillary dissection', 'existence': 'pos_dx', 'descriptive_term': 'right axillary', 'observation': 'dissection'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'moderate degenerative and scoliotic changes': {'clinical finding': 'moderate degenerative and scoliotic changes', 'existence': 'pos_dx', 'descriptive_term': 'moderate degenerative and scoliotic', 'observation': 'change', 'strength_term': 'moderate'}, 'suspicious osseous lesions': {'clinical finding': 'suspicious osseous lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'suspicious osseous', 'observation': 'lesion'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast material': {'clinical finding': 'enteric contrast material', 'existence': 'neg_dx', 'descriptive_term': 'enteric contrast', 'observation': 'material'}, 'pulmonary': {'clinical finding': 'pulmonary', 'existence': 'pos_dx', 'observation': 'pulmonary'}, 'contrast': {'clinical finding': 'contrast', 'existence': 'pos_dx', 'observation': 'contrast'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'diaphragm': {}}location descriptor_fin: ['adjacent']clinical findings_fin: {'previously described hypodensity': {'clinical finding': 'previously described hypodensity', 'existence': 'pos_dx', 'descriptive_term': 'previously described', 'observation': 'hypodensity'}, 'volume averaging': {'clinical finding': 'volume averaging', 'existence': 'unc_dx', 'descriptive_term': 'volume', 'observation': 'average'}} [/INST] . No evidence of pulmonary embolism to the subsegmental level. The main pulmonary artery is mildly enlarged, though stable, measuring 35 mm in diameter. The right hilar mass measures 24 x 18 mm , previously 23 x 18 mm. Scattered bilateral pulmonary nodules are again seen. The lingular lesion measures 15 mm , previously 13 mm. The referenced right lower lobe measures 9 mm , previously 7 mm. Mild centrilobular emphysema. No pleural effusions. Normal sized heart with mild pericardial effusion. Unchanged mediastinal and hilar lymphadenopathy. The referenced lymph node adjacent to the aortic arch is unchanged at 10 mm. A reference subcarinal lymph node measures 16 mm , previously 15 mm. The reference lymph node adjacent to the pulmonary vein is unchanged at 19 mm. Esophageal clips noted. Moderate. Unchanged necrotic right lower cervical lymph node measuring 22 mm. Right chest port with catheter tip in the SVC. Right axillary dissection clips noted. Moderate degenerative and scoliotic changes of the thoracic spine, without suspicious osseous lesions. Absence of enteric contrast material and pulmonary arterial phase of contrast markedly limits sensitivity for abdominal pathology. No significant abnormality noted. The previously described hypodensity adjacent to the hepatic dome is likely volume averaging from the diaphragm. </s>