. Examination performed during expiration. Basilar atelectasis is noted. There is a left apical pulmonary micronodule measuring 4 mm. Circumferential tracheal narrowing extending inferiorly to the level of the left brachiocephalic vein. Correlate with history of intubation. No evidence of ingested or aspirated foreign body in the thorax. No pneumomediastinum. Heart size is normal. Caseous necrosis of the mitral valve annulus. No pericardial effusion. Prominent mediastinal and hilar lymph nodes. For reference, a right hilar lymph node measures 11 mm in short axis. Severe. Degenerative changes of the thoracic spine. Absence of enteric contrast material limits sensitivity for abdominal pathology. Diastases of the rectus abdominis with central protrusion of the left hepatic lobe and stomach. Multiple hypodense splenic lesions are noted.
clinical findings_fin: {'basilar atelectasis': {'clinical finding': 'basilar atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'basilar', 'observation': 'atelectasis'}}size_fin: [{'size': '4 mm', 'size_descriptor': 'micronodule'}]imaging observation_fin: ['apical']location descriptor_fin: ['left']clinical findings_fin: {'left apical pulmonary micronodule': {'clinical finding': 'left apical pulmonary micronodule', 'existence': 'pos_dx', 'descriptive_term': 'left apical pulmonary', 'observation': 'micronodule'}}anatomical entity_fin: {'brachiocephalic vein': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'circumferential tracheal narrowing': {'clinical finding': 'circumferential tracheal narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'circumferential tracheal', 'observation': 'narrowing'}, 'left brachiocephalic': {'clinical finding': 'left brachiocephalic', 'existence': 'pos_dx', 'descriptive_term': 'left', 'observation': 'brachiocephalic'}}anatomical entity_fin: {'thorax': {}}object_fin: ['foreign body']clinical findings_fin: {'ingested or aspirated foreign body': {'clinical finding': 'ingested or aspirated foreign body', 'cf_snomed': {'foreign body': 125670008}, 'existence': 'neg_dx', 'descriptive_term': 'ingested or aspirated foreign', 'observation': 'body'}}clinical findings_fin: {'pneumomediastinum': {'clinical finding': 'pneumomediastinum', 'existence': 'neg_dx', 'observation': 'pneumomediastinum'}}anatomical entity_fin: {'heart': {}}clinical findings_fin: {'heart size is normal': {'clinical finding': 'heart size is normal'}}anatomical entity_fin: {'mitral valve': {}}clinical findings_fin: {'caseous necrosis': {'clinical finding': 'caseous necrosis', 'cf_snomed': {'caseous necrosis': 33940009}, 'existence': 'pos_dx', 'descriptive_term': 'caseous', 'observation': 'necrosis'}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}clinical findings_fin: {'prominent mediastinal and hilar lymph nodes': {'clinical finding': 'prominent mediastinal and hilar lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'prominent mediastinal and hilar lymph', 'observation': 'node', 'strength_term': 'prominent'}}size_fin: [{'size': '11 mm', 'size_descriptor': 'node'}]anatomical entity_fin: {'axis': {}}location descriptor_fin: ['right']clinical findings_fin: {'right hilar lymph node': {'clinical finding': 'right hilar lymph node', 'existence': 'pos_dx', 'descriptive_term': 'right hilar lymph', 'observation': 'node'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'degenerative changes': {'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}anatomical entity_fin: {'rectus abdominis': {}, 'lobe': {}, 'stomach': {}}location descriptor_fin: ['central', 'left']clinical findings_fin: {'diastases': {'clinical finding': 'diastases', 'existence': 'pos_dx', 'observation': 'diastase'}}clinical findings_fin: {'multiple hypodense splenic lesions': {'clinical finding': 'multiple hypodense splenic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'multiple hypodense splenic', 'observation': 'lesion', 'quantity_term': 'multiple'}}
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'basilar atelectasis': {'clinical finding': 'basilar atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'basilar', 'observation': 'atelectasis'}}size_fin: [{'size': '4 mm', 'size_descriptor': 'micronodule'}]imaging observation_fin: ['apical']location descriptor_fin: ['left']clinical findings_fin: {'left apical pulmonary micronodule': {'clinical finding': 'left apical pulmonary micronodule', 'existence': 'pos_dx', 'descriptive_term': 'left apical pulmonary', 'observation': 'micronodule'}}anatomical entity_fin: {'brachiocephalic vein': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'circumferential tracheal narrowing': {'clinical finding': 'circumferential tracheal narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'circumferential tracheal', 'observation': 'narrowing'}, 'left brachiocephalic': {'clinical finding': 'left brachiocephalic', 'existence': 'pos_dx', 'descriptive_term': 'left', 'observation': 'brachiocephalic'}}anatomical entity_fin: {'thorax': {}}object_fin: ['foreign body']clinical findings_fin: {'ingested or aspirated foreign body': {'clinical finding': 'ingested or aspirated foreign body', 'cf_snomed': {'foreign body': 125670008}, 'existence': 'neg_dx', 'descriptive_term': 'ingested or aspirated foreign', 'observation': 'body'}}clinical findings_fin: {'pneumomediastinum': {'clinical finding': 'pneumomediastinum', 'existence': 'neg_dx', 'observation': 'pneumomediastinum'}}anatomical entity_fin: {'heart': {}}clinical findings_fin: {'heart size is normal': {'clinical finding': 'heart size is normal'}}anatomical entity_fin: {'mitral valve': {}}clinical findings_fin: {'caseous necrosis': {'clinical finding': 'caseous necrosis', 'cf_snomed': {'caseous necrosis': 33940009}, 'existence': 'pos_dx', 'descriptive_term': 'caseous', 'observation': 'necrosis'}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}clinical findings_fin: {'prominent mediastinal and hilar lymph nodes': {'clinical finding': 'prominent mediastinal and hilar lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'prominent mediastinal and hilar lymph', 'observation': 'node', 'strength_term': 'prominent'}}size_fin: [{'size': '11 mm', 'size_descriptor': 'node'}]anatomical entity_fin: {'axis': {}}location descriptor_fin: ['right']clinical findings_fin: {'right hilar lymph node': {'clinical finding': 'right hilar lymph node', 'existence': 'pos_dx', 'descriptive_term': 'right hilar lymph', 'observation': 'node'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'degenerative changes': {'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}anatomical entity_fin: {'rectus abdominis': {}, 'lobe': {}, 'stomach': {}}location descriptor_fin: ['central', 'left']clinical findings_fin: {'diastases': {'clinical finding': 'diastases', 'existence': 'pos_dx', 'observation': 'diastase'}}clinical findings_fin: {'multiple hypodense splenic lesions': {'clinical finding': 'multiple hypodense splenic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'multiple hypodense splenic', 'observation': 'lesion', 'quantity_term': 'multiple'}} [/INST] . Examination performed during expiration. Basilar atelectasis is noted. There is a left apical pulmonary micronodule measuring 4 mm. Circumferential tracheal narrowing extending inferiorly to the level of the left brachiocephalic vein. Correlate with history of intubation. No evidence of ingested or aspirated foreign body in the thorax. No pneumomediastinum. Heart size is normal. Caseous necrosis of the mitral valve annulus. No pericardial effusion. Prominent mediastinal and hilar lymph nodes. For reference, a right hilar lymph node measures 11 mm in short axis. Severe. Degenerative changes of the thoracic spine. Absence of enteric contrast material limits sensitivity for abdominal pathology. Diastases of the rectus abdominis with central protrusion of the left hepatic lobe and stomach. Multiple hypodense splenic lesions are noted. </s>