. Tubular filling defect in the left lower lobe pulmonary artery extending to the segmental branches, compatible with acute pulmonary embolus. The main pulmonary artery is normal in caliber. No evidence of right heart strain. No focal airspace consolidation. No pleural effusions. No suspicious pulmonary nodules or masses. The heart is normal in size, without pericardial effusion. No mediastinal or hilar lymphadenopathy. No significant abnormality noted. There is irregular contrast opacification of the left internal jugular vein. The other systemic veins are not evaluated due to phase of contrast. No significant abnormality noted.
anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}, 'pulmonary artery': {}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'tubular filling defect': {'clinical finding': 'tubular filling defect', 'cf_snomed': {'filling defect': 43468004}, 'existence': 'pos_dx', 'descriptive_term': 'tubular filling', 'observation': 'defect'}, 'left lower lobe pulmonary': {'clinical finding': 'left lower lobe pulmonary', 'existence': 'pos_dx', 'descriptive_term': 'left lower lobe', 'observation': 'pulmonary'}, 'acute pulmonary embolus': {'clinical finding': 'acute pulmonary embolus', 'cf_snomed': {'embolus': 55584005}, 'existence': 'pos_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 normal in caliber': {'clinical finding': 'main pulmonary artery is normal in caliber'}}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'}}anatomical entity_fin: {'airspace': {}}clinical findings_fin: {'focal airspace consolidation': {'clinical finding': 'focal airspace consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'neg_dx', 'descriptive_term': 'focal airspace', 'observation': 'consolidation'}}clinical findings_fin: {'pleural effusions': {'clinical finding': 'pleural effusions', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}}clinical findings_fin: {'suspicious pulmonary nodules': {'clinical finding': 'suspicious pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious pulmonary', 'observation': 'nodule'}, 'masses': {'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass'}}anatomical entity_fin: {'heart': {}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'pos_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}clinical findings_fin: {'mediastinal or hilar lymphadenopathy': {'clinical finding': 'mediastinal or hilar lymphadenopathy', 'cf_snomed': {'hilar lymphadenopathy': 87500009}, 'existence': 'neg_dx', 'descriptive_term': 'mediastinal or hilar', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'internal jugular vein': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'irregular contrast opacification': {'clinical finding': 'irregular contrast opacification', 'existence': 'pos_dx', 'descriptive_term': 'irregular contrast', 'observation': 'opacification'}}anatomical entity_fin: {'systemic veins': {}}clinical findings_fin: {'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'}}
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}, 'pulmonary artery': {}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'tubular filling defect': {'clinical finding': 'tubular filling defect', 'cf_snomed': {'filling defect': 43468004}, 'existence': 'pos_dx', 'descriptive_term': 'tubular filling', 'observation': 'defect'}, 'left lower lobe pulmonary': {'clinical finding': 'left lower lobe pulmonary', 'existence': 'pos_dx', 'descriptive_term': 'left lower lobe', 'observation': 'pulmonary'}, 'acute pulmonary embolus': {'clinical finding': 'acute pulmonary embolus', 'cf_snomed': {'embolus': 55584005}, 'existence': 'pos_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 normal in caliber': {'clinical finding': 'main pulmonary artery is normal in caliber'}}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'}}anatomical entity_fin: {'airspace': {}}clinical findings_fin: {'focal airspace consolidation': {'clinical finding': 'focal airspace consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'neg_dx', 'descriptive_term': 'focal airspace', 'observation': 'consolidation'}}clinical findings_fin: {'pleural effusions': {'clinical finding': 'pleural effusions', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}}clinical findings_fin: {'suspicious pulmonary nodules': {'clinical finding': 'suspicious pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious pulmonary', 'observation': 'nodule'}, 'masses': {'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass'}}anatomical entity_fin: {'heart': {}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'pos_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}clinical findings_fin: {'mediastinal or hilar lymphadenopathy': {'clinical finding': 'mediastinal or hilar lymphadenopathy', 'cf_snomed': {'hilar lymphadenopathy': 87500009}, 'existence': 'neg_dx', 'descriptive_term': 'mediastinal or hilar', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'internal jugular vein': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'irregular contrast opacification': {'clinical finding': 'irregular contrast opacification', 'existence': 'pos_dx', 'descriptive_term': 'irregular contrast', 'observation': 'opacification'}}anatomical entity_fin: {'systemic veins': {}}clinical findings_fin: {'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'}} [/INST] . Tubular filling defect in the left lower lobe pulmonary artery extending to the segmental branches, compatible with acute pulmonary embolus. The main pulmonary artery is normal in caliber. No evidence of right heart strain. No focal airspace consolidation. No pleural effusions. No suspicious pulmonary nodules or masses. The heart is normal in size, without pericardial effusion. No mediastinal or hilar lymphadenopathy. No significant abnormality noted. There is irregular contrast opacification of the left internal jugular vein. The other systemic veins are not evaluated due to phase of contrast. No significant abnormality noted. </s>