. Moderate upper lobe predominant centrilobular emphysema. In the left upper lobe there is a 1.8 x 1.1 cm cavitary nodule with spiculation and tethering of the adjacent fissure highly suspicious for primary lung cancer. No additional suspicious pulmonary mass or nodule. No focal consolidation pleural effusions or pneumothorax. Aspirate is noted in the distal trachea. There is no mediastinal or hilar lymphadenopathy measuring greater than 1 cm in short axis. There is however mild asymmetric lymphoid tissue prominence in the left hilum. Normal cardiac size without pericardial effusion. Mild. No significant abnormality noted. Normal liver morphology. Right hepatic lobe benign hemangioma. No focal suspicious liver lesion, biliary ductal dilatation or vascular abnormality. Normally distended gallbladder. No significant abnormality noted. There is mild peripancreatic fluid along the body and tail of the pancreas with adjacent peritoneal fascial thickening consistent with acute pancreatitis. The pancreas enhances homogeneously. No associated discrete fluid collection, arterial or venous complication. No significant abnormality noted. No significant abnormality noted. Moderate atherosclerotic calcification of the infrarenal abdominal aorta without aneurysmal dilatation. Moderate. The small and large bowel is normal in appearance. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Trace pelvic fluid is likely related to the fracture mentioned pancreatitis. Moderate atherosclerotic calcification of the common iliac arteries. Mild aneurysmal dilatation of the right common iliac artery measuring 1.3 cm.
anatomical entity_fin: {'lobe': {'location descriptor': 'upper'}}location descriptor_fin: ['upper']clinical findings_fin: {'moderate upper lobe predominant centrilobular emphysema': {'clinical finding': 'moderate upper lobe predominant centrilobular emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'descriptive_term': 'moderate upper lobe predominant centrilobular', 'observation': 'emphysema', 'strength_term': 'moderate'}}size_fin: [{'size': '1.8 x 1.1 cm', 'size_descriptor': 'nodule'}]anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}}location descriptor_fin: ['left', 'upper', 'adjacent']clinical findings_fin: {'1.8 x 1.1 cm cavitary nodule': {'clinical finding': '1.8 x 1.1 cm cavitary nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': '1 8 x 1 1 cm cavitary', 'observation': 'nodule'}, 'spiculation': {'clinical finding': 'spiculation', 'existence': 'pos_dx', 'observation': 'spiculation'}, 'adjacent fissure': {'clinical finding': 'adjacent fissure', 'cf_snomed': {'fissure': 47393002}, 'existence': 'pos_dx', 'descriptive_term': 'adjacent', 'observation': 'fissure'}, 'primary lung cancer': {'clinical finding': 'primary lung cancer', 'existence': 'unc_dx', 'descriptive_term': 'primary lung', 'observation': 'cancer'}}clinical findings_fin: {'additional suspicious pulmonary mass': {'clinical finding': 'additional suspicious pulmonary mass', 'existence': 'neg_dx', 'descriptive_term': 'additional suspicious pulmonary', 'observation': 'mass'}, 'nodule': {'clinical finding': 'nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'observation': 'nodule'}}clinical findings_fin: {'focal consolidation pleural effusions': {'clinical finding': 'focal consolidation pleural effusions', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'neg_dx', 'descriptive_term': 'focal consolidation pleural', 'observation': 'effusion'}, 'pneumothorax': {'clinical finding': 'pneumothorax', 'cf_snomed': {'pneumothorax': 36118008}, 'existence': 'neg_dx', 'observation': 'pneumothorax'}}anatomical entity_fin: {'trachea': {'location descriptor': 'distal'}}location descriptor_fin: ['distal']clinical findings_fin: {'aspirate is noted in the distal trachea': {'clinical finding': 'aspirate is noted in the distal trachea'}}size_fin: [{'size': '1 cm', 'size_descriptor': 'lymphadenopathy'}]anatomical entity_fin: {'axis': {}}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'}}anatomical entity_fin: {'lymphoid tissue': {}, 'hilum': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'mild asymmetric lymphoid tissue': {'clinical finding': 'mild asymmetric lymphoid tissue', 'existence': 'pos_dx', 'descriptive_term': 'mild asymmetric lymphoid', 'observation': 'tissue', 'strength_term': 'mild'}}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: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'normal liver morphology': {'clinical finding': 'normal liver morphology'}}anatomical entity_fin: {'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'right hepatic lobe benign hemangioma': {'clinical finding': 'right hepatic lobe benign hemangioma', 'cf_snomed': {'benign hemangioma': 253053003}, 'existence': 'pos_dx', 'descriptive_term': 'right hepatic lobe benign', 'observation': 'hemangioma', 'strength_term': 'benign'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'focal suspicious liver lesion': {'clinical finding': 'focal suspicious liver lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'focal suspicious liver', 'observation': 'lesion'}, 'vascular abnormality': {'clinical finding': 'vascular abnormality', 'existence': 'neg_dx', 'descriptive_term': 'vascular', 'observation': 'abnormality'}}anatomical entity_fin: {'gallbladder': {}}clinical findings_fin: {'normally distended': {'clinical finding': 'normally distended', 'existence': 'pos_dx', 'descriptive_term': 'normally', 'observation': 'distended'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'fluid': {}, 'body': {}, 'pancreas': {}}location descriptor_fin: ['adjacent']clinical findings_fin: {'tail': {'clinical finding': 'tail', 'existence': 'pos_dx', 'observation': 'tail'}, 'adjacent peritoneal fascial thickening': {'clinical finding': 'adjacent peritoneal fascial thickening', 'existence': 'pos_dx', 'descriptive_term': 'adjacent peritoneal fascial', 'observation': 'thickening'}, 'acute pancreatitis': {'clinical finding': 'acute pancreatitis', 'cf_snomed': {'acute pancreatitis': 197456007}, 'existence': 'pos_dx', 'descriptive_term': 'acute', 'observation': 'pancreatitis', 'strength_term': 'acute', 'temporal_term': 'acute'}}anatomical entity_fin: {'pancreas': {}}clinical findings_fin: {'associated discrete fluid collection': {'clinical finding': 'associated discrete fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'associated discrete fluid', 'observation': 'collection'}, 'arterial or venous complication': {'clinical finding': 'arterial or venous complication', 'existence': 'neg_dx', 'descriptive_term': 'arterial or venous', 'observation': 'complication'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'abdominal aorta': {}}clinical findings_fin: {'moderate atherosclerotic calcification': {'clinical finding': 'moderate atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'moderate atherosclerotic', 'observation': 'calcification', 'strength_term': 'moderate'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'small and large bowel is normal': {'clinical finding': 'small and large bowel is normal'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'fracture': {'clinical finding': 'fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'unc_dx', 'observation': 'fracture'}, 'pancreatitis': {'clinical finding': 'pancreatitis', 'cf_snomed': {'pancreatitis': 75694006}, 'existence': 'pos_dx', 'observation': 'pancreatitis'}}anatomical entity_fin: {'common iliac arteries': {}}clinical findings_fin: {'moderate atherosclerotic calcification': {'clinical finding': 'moderate atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'moderate atherosclerotic', 'observation': 'calcification', 'strength_term': 'moderate'}}size_fin: [{'size': '1.3 cm', 'size_descriptor': 'dilatation'}]anatomical entity_fin: {'common iliac artery': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'mild aneurysmal dilatation of the right common iliac artery': {'clinical finding': 'mild aneurysmal dilatation of the right common iliac artery', 'cf_snomed': {'dilatation': 25322007}}}
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'lobe': {'location descriptor': 'upper'}}location descriptor_fin: ['upper']clinical findings_fin: {'moderate upper lobe predominant centrilobular emphysema': {'clinical finding': 'moderate upper lobe predominant centrilobular emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'descriptive_term': 'moderate upper lobe predominant centrilobular', 'observation': 'emphysema', 'strength_term': 'moderate'}}size_fin: [{'size': '1.8 x 1.1 cm', 'size_descriptor': 'nodule'}]anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}}location descriptor_fin: ['left', 'upper', 'adjacent']clinical findings_fin: {'1.8 x 1.1 cm cavitary nodule': {'clinical finding': '1.8 x 1.1 cm cavitary nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': '1 8 x 1 1 cm cavitary', 'observation': 'nodule'}, 'spiculation': {'clinical finding': 'spiculation', 'existence': 'pos_dx', 'observation': 'spiculation'}, 'adjacent fissure': {'clinical finding': 'adjacent fissure', 'cf_snomed': {'fissure': 47393002}, 'existence': 'pos_dx', 'descriptive_term': 'adjacent', 'observation': 'fissure'}, 'primary lung cancer': {'clinical finding': 'primary lung cancer', 'existence': 'unc_dx', 'descriptive_term': 'primary lung', 'observation': 'cancer'}}clinical findings_fin: {'additional suspicious pulmonary mass': {'clinical finding': 'additional suspicious pulmonary mass', 'existence': 'neg_dx', 'descriptive_term': 'additional suspicious pulmonary', 'observation': 'mass'}, 'nodule': {'clinical finding': 'nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'observation': 'nodule'}}clinical findings_fin: {'focal consolidation pleural effusions': {'clinical finding': 'focal consolidation pleural effusions', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'neg_dx', 'descriptive_term': 'focal consolidation pleural', 'observation': 'effusion'}, 'pneumothorax': {'clinical finding': 'pneumothorax', 'cf_snomed': {'pneumothorax': 36118008}, 'existence': 'neg_dx', 'observation': 'pneumothorax'}}anatomical entity_fin: {'trachea': {'location descriptor': 'distal'}}location descriptor_fin: ['distal']clinical findings_fin: {'aspirate is noted in the distal trachea': {'clinical finding': 'aspirate is noted in the distal trachea'}}size_fin: [{'size': '1 cm', 'size_descriptor': 'lymphadenopathy'}]anatomical entity_fin: {'axis': {}}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'}}anatomical entity_fin: {'lymphoid tissue': {}, 'hilum': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'mild asymmetric lymphoid tissue': {'clinical finding': 'mild asymmetric lymphoid tissue', 'existence': 'pos_dx', 'descriptive_term': 'mild asymmetric lymphoid', 'observation': 'tissue', 'strength_term': 'mild'}}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: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'normal liver morphology': {'clinical finding': 'normal liver morphology'}}anatomical entity_fin: {'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'right hepatic lobe benign hemangioma': {'clinical finding': 'right hepatic lobe benign hemangioma', 'cf_snomed': {'benign hemangioma': 253053003}, 'existence': 'pos_dx', 'descriptive_term': 'right hepatic lobe benign', 'observation': 'hemangioma', 'strength_term': 'benign'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'focal suspicious liver lesion': {'clinical finding': 'focal suspicious liver lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'focal suspicious liver', 'observation': 'lesion'}, 'vascular abnormality': {'clinical finding': 'vascular abnormality', 'existence': 'neg_dx', 'descriptive_term': 'vascular', 'observation': 'abnormality'}}anatomical entity_fin: {'gallbladder': {}}clinical findings_fin: {'normally distended': {'clinical finding': 'normally distended', 'existence': 'pos_dx', 'descriptive_term': 'normally', 'observation': 'distended'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'fluid': {}, 'body': {}, 'pancreas': {}}location descriptor_fin: ['adjacent']clinical findings_fin: {'tail': {'clinical finding': 'tail', 'existence': 'pos_dx', 'observation': 'tail'}, 'adjacent peritoneal fascial thickening': {'clinical finding': 'adjacent peritoneal fascial thickening', 'existence': 'pos_dx', 'descriptive_term': 'adjacent peritoneal fascial', 'observation': 'thickening'}, 'acute pancreatitis': {'clinical finding': 'acute pancreatitis', 'cf_snomed': {'acute pancreatitis': 197456007}, 'existence': 'pos_dx', 'descriptive_term': 'acute', 'observation': 'pancreatitis', 'strength_term': 'acute', 'temporal_term': 'acute'}}anatomical entity_fin: {'pancreas': {}}clinical findings_fin: {'associated discrete fluid collection': {'clinical finding': 'associated discrete fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'associated discrete fluid', 'observation': 'collection'}, 'arterial or venous complication': {'clinical finding': 'arterial or venous complication', 'existence': 'neg_dx', 'descriptive_term': 'arterial or venous', 'observation': 'complication'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'abdominal aorta': {}}clinical findings_fin: {'moderate atherosclerotic calcification': {'clinical finding': 'moderate atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'moderate atherosclerotic', 'observation': 'calcification', 'strength_term': 'moderate'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'small and large bowel is normal': {'clinical finding': 'small and large bowel is normal'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'fracture': {'clinical finding': 'fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'unc_dx', 'observation': 'fracture'}, 'pancreatitis': {'clinical finding': 'pancreatitis', 'cf_snomed': {'pancreatitis': 75694006}, 'existence': 'pos_dx', 'observation': 'pancreatitis'}}anatomical entity_fin: {'common iliac arteries': {}}clinical findings_fin: {'moderate atherosclerotic calcification': {'clinical finding': 'moderate atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'moderate atherosclerotic', 'observation': 'calcification', 'strength_term': 'moderate'}}size_fin: [{'size': '1.3 cm', 'size_descriptor': 'dilatation'}]anatomical entity_fin: {'common iliac artery': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'mild aneurysmal dilatation of the right common iliac artery': {'clinical finding': 'mild aneurysmal dilatation of the right common iliac artery', 'cf_snomed': {'dilatation': 25322007}}} [/INST] . Moderate upper lobe predominant centrilobular emphysema. In the left upper lobe there is a 1.8 x 1.1 cm cavitary nodule with spiculation and tethering of the adjacent fissure highly suspicious for primary lung cancer. No additional suspicious pulmonary mass or nodule. No focal consolidation pleural effusions or pneumothorax. Aspirate is noted in the distal trachea. There is no mediastinal or hilar lymphadenopathy measuring greater than 1 cm in short axis. There is however mild asymmetric lymphoid tissue prominence in the left hilum. Normal cardiac size without pericardial effusion. Mild. No significant abnormality noted. Normal liver morphology. Right hepatic lobe benign hemangioma. No focal suspicious liver lesion, biliary ductal dilatation or vascular abnormality. Normally distended gallbladder. No significant abnormality noted. There is mild peripancreatic fluid along the body and tail of the pancreas with adjacent peritoneal fascial thickening consistent with acute pancreatitis. The pancreas enhances homogeneously. No associated discrete fluid collection, arterial or venous complication. No significant abnormality noted. No significant abnormality noted. Moderate atherosclerotic calcification of the infrarenal abdominal aorta without aneurysmal dilatation. Moderate. The small and large bowel is normal in appearance. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Trace pelvic fluid is likely related to the fracture mentioned pancreatitis. Moderate atherosclerotic calcification of the common iliac arteries. Mild aneurysmal dilatation of the right common iliac artery measuring 1.3 cm. </s>