. Right upper lobe subpleural coarse reticular opacity has a location and appearance suggestive of radiation reaction given the patients history of treated right breast cancer this appears more apparent than on the 6/13/2015 chest radiograph, however. Nonspecific groundglass opacities and micronodules are present. There are small pleural effusions right larger than left. No lymphadenopathy. Mild heterogeneous thyroid enlargement. Heart size normal with a small pericardial fluid collection. Aortic root calcifications noted. Mild. Right chest wall breast implant. Mild degenerative abnormalities affect the thoracic spine. No significant axillary lymphadenopathy. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. Vascular calcifications and severely atrophic kidneys noted.
anatomical entity_fin: {'lobe': {'location descriptor': 'right upper'}, 'chest': {}}location descriptor_fin: ['right', 'upper']clinical findings_fin: {'right upper lobe subpleural coarse reticular opacity': {'clinical finding': 'right upper lobe subpleural coarse reticular opacity', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'right upper lobe subpleural coarse reticular', 'observation': 'opacity'}, 'treated right breast cancer': {'clinical finding': 'treated right breast cancer', 'existence': 'unc_dx', 'descriptive_term': 'treated right breast', 'observation': 'cancer'}}clinical findings_fin: {'nonspecific groundglass opacities': {'clinical finding': 'nonspecific groundglass opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'nonspecific groundglass', 'observation': 'opacity'}, 'micronodules': {'clinical finding': 'micronodules', 'existence': 'pos_dx', 'observation': 'micronodule'}}location descriptor_fin: ['right', 'left']clinical findings_fin: {'small pleural effusions': {'clinical finding': 'small pleural effusions', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'small pleural', 'observation': 'effusion', 'strength_term': 'small'}}clinical findings_fin: {'lymphadenopathy': {'clinical finding': 'lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'mild heterogeneous thyroid enlargement': {'clinical finding': 'mild heterogeneous thyroid enlargement', 'cf_snomed': {'enlargement': 442021009}}}anatomical entity_fin: {'heart': {}}clinical findings_fin: {'small pericardial fluid collection': {'clinical finding': 'small pericardial fluid collection', 'existence': 'pos_dx', 'descriptive_term': 'small pericardial fluid', 'observation': 'collection', 'strength_term': 'small'}}clinical findings_fin: {'aortic root calcifications': {'clinical finding': 'aortic root calcifications', 'existence': 'pos_dx', 'descriptive_term': 'aortic root', 'observation': 'calcification'}}anatomical entity_fin: {'chest wall': {'location descriptor': 'right'}}location descriptor_fin: ['right']object_fin: ['breast implant']clinical findings_fin: {'right chest wall breast implant': {'clinical finding': 'right chest wall breast implant', 'existence': 'pos_dx', 'descriptive_term': 'right chest wall breast', 'observation': 'implant'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'mild degenerative abnormalities': {'clinical finding': 'mild degenerative abnormalities', 'cf_snomed': {'degenerative abnormality': 107669003}, 'existence': 'pos_dx', 'descriptive_term': 'mild degenerative', 'observation': 'abnormality', 'strength_term': 'mild'}}clinical findings_fin: {'significant axillary lymphadenopathy': {'clinical finding': 'significant axillary lymphadenopathy', 'cf_snomed': {'axillary lymphadenopathy': 127189005}, 'existence': 'neg_dx', 'descriptive_term': 'significant axillary', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}anatomical entity_fin: {'kidneys': {}}clinical findings_fin: {'vascular calcifications': {'clinical finding': 'vascular calcifications', 'cf_snomed': {'vascular calcification': 237897009}, 'existence': 'pos_dx', 'descriptive_term': 'vascular', 'observation': 'calcification'}, 'severely atrophic': {'clinical finding': 'severely atrophic', 'existence': 'pos_dx', 'descriptive_term': 'severely', 'observation': 'atrophic'}}
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'lobe': {'location descriptor': 'right upper'}, 'chest': {}}location descriptor_fin: ['right', 'upper']clinical findings_fin: {'right upper lobe subpleural coarse reticular opacity': {'clinical finding': 'right upper lobe subpleural coarse reticular opacity', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'right upper lobe subpleural coarse reticular', 'observation': 'opacity'}, 'treated right breast cancer': {'clinical finding': 'treated right breast cancer', 'existence': 'unc_dx', 'descriptive_term': 'treated right breast', 'observation': 'cancer'}}clinical findings_fin: {'nonspecific groundglass opacities': {'clinical finding': 'nonspecific groundglass opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'nonspecific groundglass', 'observation': 'opacity'}, 'micronodules': {'clinical finding': 'micronodules', 'existence': 'pos_dx', 'observation': 'micronodule'}}location descriptor_fin: ['right', 'left']clinical findings_fin: {'small pleural effusions': {'clinical finding': 'small pleural effusions', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'small pleural', 'observation': 'effusion', 'strength_term': 'small'}}clinical findings_fin: {'lymphadenopathy': {'clinical finding': 'lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'mild heterogeneous thyroid enlargement': {'clinical finding': 'mild heterogeneous thyroid enlargement', 'cf_snomed': {'enlargement': 442021009}}}anatomical entity_fin: {'heart': {}}clinical findings_fin: {'small pericardial fluid collection': {'clinical finding': 'small pericardial fluid collection', 'existence': 'pos_dx', 'descriptive_term': 'small pericardial fluid', 'observation': 'collection', 'strength_term': 'small'}}clinical findings_fin: {'aortic root calcifications': {'clinical finding': 'aortic root calcifications', 'existence': 'pos_dx', 'descriptive_term': 'aortic root', 'observation': 'calcification'}}anatomical entity_fin: {'chest wall': {'location descriptor': 'right'}}location descriptor_fin: ['right']object_fin: ['breast implant']clinical findings_fin: {'right chest wall breast implant': {'clinical finding': 'right chest wall breast implant', 'existence': 'pos_dx', 'descriptive_term': 'right chest wall breast', 'observation': 'implant'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'mild degenerative abnormalities': {'clinical finding': 'mild degenerative abnormalities', 'cf_snomed': {'degenerative abnormality': 107669003}, 'existence': 'pos_dx', 'descriptive_term': 'mild degenerative', 'observation': 'abnormality', 'strength_term': 'mild'}}clinical findings_fin: {'significant axillary lymphadenopathy': {'clinical finding': 'significant axillary lymphadenopathy', 'cf_snomed': {'axillary lymphadenopathy': 127189005}, 'existence': 'neg_dx', 'descriptive_term': 'significant axillary', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}anatomical entity_fin: {'kidneys': {}}clinical findings_fin: {'vascular calcifications': {'clinical finding': 'vascular calcifications', 'cf_snomed': {'vascular calcification': 237897009}, 'existence': 'pos_dx', 'descriptive_term': 'vascular', 'observation': 'calcification'}, 'severely atrophic': {'clinical finding': 'severely atrophic', 'existence': 'pos_dx', 'descriptive_term': 'severely', 'observation': 'atrophic'}} [/INST] . Right upper lobe subpleural coarse reticular opacity has a location and appearance suggestive of radiation reaction given the patients history of treated right breast cancer this appears more apparent than on the 6/13/2015 chest radiograph, however. Nonspecific groundglass opacities and micronodules are present. There are small pleural effusions right larger than left. No lymphadenopathy. Mild heterogeneous thyroid enlargement. Heart size normal with a small pericardial fluid collection. Aortic root calcifications noted. Mild. Right chest wall breast implant. Mild degenerative abnormalities affect the thoracic spine. No significant axillary lymphadenopathy. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. Vascular calcifications and severely atrophic kidneys noted. </s>