. Left apical opacity with traction bronchiectasis may reflect subacute radiation pneumonitis with involving fibrosis, correlate with radiation field. Reference right upper lobe nodule measures 4 mm, decreased from prior 5 mm. Remaining bilateral pulmonary nodules are subjectively smaller in size. No significant pleural effusion. Filling defect in the left ventricle, likely representing thrombus. Post-operative changes noted within the thyroid bed. Overall improvement in lymphadenopathy. Level VI cervical lymph node is decreased in size from prior. Reference prevascular lymph node measures 29 x 30 mm, decreased from prior 45 x 47 mm. Reference left hilar lymph node measures 9 mm, slightly decreased from prior 10 mm. No cardiomegaly or pericardial effusion. Atherosclerotic disease of the aorta and its corresponding branches. The thoracic aorta is mildly ectatic, the ascending segment measures 44 mm in AP dimension. Mild. T4 vertebral body hemangioma unchanged from prior exams. Absence of enteric contrast material limits sensitivity for abdominal pathology. Stable hypodense hepatic lesion in the posterior portion of segment VII, which has been present since 2013 and is likely benign. No significant abnormality noted. No significant abnormality noted. Stable bilateral renal cysts. No significant abnormality noted. No significant abnormality noted. Absence of enteric contrast material limits sensitivity for GI pathology. No gross abnormalities noted. No significant abnormality noted. No significant abnormality noted.
imaging observation_fin: ['apical']location descriptor_fin: ['left']clinical findings_fin: {'left apical opacity': {'clinical finding': 'left apical opacity', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'left apical', 'observation': 'opacity'}, 'traction bronchiectasis': {'clinical finding': 'traction bronchiectasis', 'cf_snomed': {'traction bronchiectasis': 19325002}, 'existence': 'pos_dx', 'descriptive_term': 'traction', 'observation': 'bronchiectasis'}, 'subacute radiation pneumonitis': {'clinical finding': 'subacute radiation pneumonitis', 'cf_snomed': {'radiation pneumonitis': 84004001}, 'existence': 'unc_dx', 'descriptive_term': 'subacute radiation', 'observation': 'pneumonitis'}, 'involving fibrosis': {'clinical finding': 'involving fibrosis', 'existence': 'pos_dx', 'descriptive_term': 'involving', 'observation': 'fibrosis'}}size_fin: [{'size': '4 mm'}, {'size': '5 mm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right upper'}}location descriptor_fin: ['right', 'upper']clinical findings_fin: {'reference right upper lobe nodule': {'clinical finding': 'reference right upper lobe nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'reference right upper lobe', 'observation': 'nodule'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'remaining bilateral pulmonary nodules': {'clinical finding': 'remaining bilateral pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'remaining bilateral pulmonary', 'observation': 'nodule'}}clinical findings_fin: {'significant pleural effusion': {'clinical finding': 'significant pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'significant pleural', 'observation': 'effusion'}}anatomical entity_fin: {'left ventricle': {}}clinical findings_fin: {'filling defect': {'clinical finding': 'filling defect', 'cf_snomed': {'filling defect': 43468004}, 'existence': 'pos_dx', 'descriptive_term': 'filling', 'observation': 'defect'}, 'thrombus': {'clinical finding': 'thrombus', 'cf_snomed': {'thrombus': 396339007}, 'existence': 'pos_dx', 'observation': 'thrombus'}}clinical findings_fin: {'post-operative changes': {'clinical finding': 'post-operative changes', 'existence': 'pos_dx', 'descriptive_term': 'post-operative', 'observation': 'change'}}clinical findings_fin: {'lymphadenopathy': {'clinical finding': 'lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'pos_dx', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'level vi cervical lymph node': {'clinical finding': 'level vi cervical lymph node', 'existence': 'pos_dx', 'descriptive_term': 'level vi cervical lymph', 'observation': 'node'}}size_fin: [{'size': '29 x 30 mm'}, {'size': '45 x 47 mm'}]clinical findings_fin: {'reference prevascular lymph node': {'clinical finding': 'reference prevascular lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference prevascular lymph', 'observation': 'node'}}size_fin: [{'size': '9 mm'}, {'size': '10 mm'}]location descriptor_fin: ['left']clinical findings_fin: {'reference left hilar lymph node': {'clinical finding': 'reference left hilar lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference left hilar lymph', 'observation': 'node'}}clinical findings_fin: {'cardiomegaly': {'clinical finding': 'cardiomegaly', 'cf_snomed': {'cardiomegaly': 8186001}, 'existence': 'neg_dx', 'observation': 'cardiomegaly'}, 'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}anatomical entity_fin: {'aorta': {}}clinical findings_fin: {'atherosclerotic disease': {'clinical finding': 'atherosclerotic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'disease'}}size_fin: [{'size': '44 mm'}]anatomical entity_fin: {'thoracic aorta': {}}clinical findings_fin: {'ectatic': {'clinical finding': 'ectatic', 'existence': 'pos_dx', 'observation': 'ectatic'}}anatomical entity_fin: {'t4 vertebral body': {}}clinical findings_fin: {'vertebral body hemangioma': {'clinical finding': 'vertebral body hemangioma', 'cf_snomed': {'hemangioma': 400210000}, 'existence': 'pos_dx', 'descriptive_term': 'vertebral body', 'observation': 'hemangioma'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}location descriptor_fin: ['posterior']clinical findings_fin: {'stable hypodense hepatic lesion': {'clinical finding': 'stable hypodense hepatic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'stable hypodense hepatic', 'observation': 'lesion', 'strength_term': 'stable', 'change_term': 'stable'}}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'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'stable bilateral renal cysts': {'clinical finding': 'stable bilateral renal cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'stable bilateral renal', 'observation': 'cyst', 'strength_term': 'stable', 'change_term': 'stable'}}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: {'gross abnormalities': {'clinical finding': 'gross abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'gross', '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'}}
<s>[INST] Write the finding section for a radiology report based on the following information: imaging observation_fin: ['apical']location descriptor_fin: ['left']clinical findings_fin: {'left apical opacity': {'clinical finding': 'left apical opacity', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'left apical', 'observation': 'opacity'}, 'traction bronchiectasis': {'clinical finding': 'traction bronchiectasis', 'cf_snomed': {'traction bronchiectasis': 19325002}, 'existence': 'pos_dx', 'descriptive_term': 'traction', 'observation': 'bronchiectasis'}, 'subacute radiation pneumonitis': {'clinical finding': 'subacute radiation pneumonitis', 'cf_snomed': {'radiation pneumonitis': 84004001}, 'existence': 'unc_dx', 'descriptive_term': 'subacute radiation', 'observation': 'pneumonitis'}, 'involving fibrosis': {'clinical finding': 'involving fibrosis', 'existence': 'pos_dx', 'descriptive_term': 'involving', 'observation': 'fibrosis'}}size_fin: [{'size': '4 mm'}, {'size': '5 mm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right upper'}}location descriptor_fin: ['right', 'upper']clinical findings_fin: {'reference right upper lobe nodule': {'clinical finding': 'reference right upper lobe nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'reference right upper lobe', 'observation': 'nodule'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'remaining bilateral pulmonary nodules': {'clinical finding': 'remaining bilateral pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'remaining bilateral pulmonary', 'observation': 'nodule'}}clinical findings_fin: {'significant pleural effusion': {'clinical finding': 'significant pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'significant pleural', 'observation': 'effusion'}}anatomical entity_fin: {'left ventricle': {}}clinical findings_fin: {'filling defect': {'clinical finding': 'filling defect', 'cf_snomed': {'filling defect': 43468004}, 'existence': 'pos_dx', 'descriptive_term': 'filling', 'observation': 'defect'}, 'thrombus': {'clinical finding': 'thrombus', 'cf_snomed': {'thrombus': 396339007}, 'existence': 'pos_dx', 'observation': 'thrombus'}}clinical findings_fin: {'post-operative changes': {'clinical finding': 'post-operative changes', 'existence': 'pos_dx', 'descriptive_term': 'post-operative', 'observation': 'change'}}clinical findings_fin: {'lymphadenopathy': {'clinical finding': 'lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'pos_dx', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'level vi cervical lymph node': {'clinical finding': 'level vi cervical lymph node', 'existence': 'pos_dx', 'descriptive_term': 'level vi cervical lymph', 'observation': 'node'}}size_fin: [{'size': '29 x 30 mm'}, {'size': '45 x 47 mm'}]clinical findings_fin: {'reference prevascular lymph node': {'clinical finding': 'reference prevascular lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference prevascular lymph', 'observation': 'node'}}size_fin: [{'size': '9 mm'}, {'size': '10 mm'}]location descriptor_fin: ['left']clinical findings_fin: {'reference left hilar lymph node': {'clinical finding': 'reference left hilar lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference left hilar lymph', 'observation': 'node'}}clinical findings_fin: {'cardiomegaly': {'clinical finding': 'cardiomegaly', 'cf_snomed': {'cardiomegaly': 8186001}, 'existence': 'neg_dx', 'observation': 'cardiomegaly'}, 'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}anatomical entity_fin: {'aorta': {}}clinical findings_fin: {'atherosclerotic disease': {'clinical finding': 'atherosclerotic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'disease'}}size_fin: [{'size': '44 mm'}]anatomical entity_fin: {'thoracic aorta': {}}clinical findings_fin: {'ectatic': {'clinical finding': 'ectatic', 'existence': 'pos_dx', 'observation': 'ectatic'}}anatomical entity_fin: {'t4 vertebral body': {}}clinical findings_fin: {'vertebral body hemangioma': {'clinical finding': 'vertebral body hemangioma', 'cf_snomed': {'hemangioma': 400210000}, 'existence': 'pos_dx', 'descriptive_term': 'vertebral body', 'observation': 'hemangioma'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}location descriptor_fin: ['posterior']clinical findings_fin: {'stable hypodense hepatic lesion': {'clinical finding': 'stable hypodense hepatic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'stable hypodense hepatic', 'observation': 'lesion', 'strength_term': 'stable', 'change_term': 'stable'}}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'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'stable bilateral renal cysts': {'clinical finding': 'stable bilateral renal cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'stable bilateral renal', 'observation': 'cyst', 'strength_term': 'stable', 'change_term': 'stable'}}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: {'gross abnormalities': {'clinical finding': 'gross abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'gross', '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'}} [/INST] . Left apical opacity with traction bronchiectasis may reflect subacute radiation pneumonitis with involving fibrosis, correlate with radiation field. Reference right upper lobe nodule measures 4 mm, decreased from prior 5 mm. Remaining bilateral pulmonary nodules are subjectively smaller in size. No significant pleural effusion. Filling defect in the left ventricle, likely representing thrombus. Post-operative changes noted within the thyroid bed. Overall improvement in lymphadenopathy. Level VI cervical lymph node is decreased in size from prior. Reference prevascular lymph node measures 29 x 30 mm, decreased from prior 45 x 47 mm. Reference left hilar lymph node measures 9 mm, slightly decreased from prior 10 mm. No cardiomegaly or pericardial effusion. Atherosclerotic disease of the aorta and its corresponding branches. The thoracic aorta is mildly ectatic, the ascending segment measures 44 mm in AP dimension. Mild. T4 vertebral body hemangioma unchanged from prior exams. Absence of enteric contrast material limits sensitivity for abdominal pathology. Stable hypodense hepatic lesion in the posterior portion of segment VII, which has been present since 2013 and is likely benign. No significant abnormality noted. No significant abnormality noted. Stable bilateral renal cysts. No significant abnormality noted. No significant abnormality noted. Absence of enteric contrast material limits sensitivity for GI pathology. No gross abnormalities noted. No significant abnormality noted. No significant abnormality noted. </s>