. Technically adequate examination. Central filling defect in a segmental branch of the right upper lobe. Although the filling defect is has a small cross-sectional diameter and is nonocclusive it occurs over a long segment of the vessel. Main pulmonary artery caliber is within normal limits. Central airways are incompletely collapsed with a endotracheal tube noted. Dependent debris noted in the trachea. Moderate to severe bilateral centrilobular emphysema. Bilateral lower lobe dependent opacities with associated bronchial wall thickening. Cardiac size within normal limits. No evidence of right heart strain. Mild lymph node enlargement along the airways of the lower lobes, likely reactive. No significant calcification identified. No significant abnormality noted. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. No significant abnormality noted. Enteric tube is present within the stomach.
anatomical entity_fin: {'lobe': {'location descriptor': 'right upper'}}location descriptor_fin: ['central', 'right', 'upper']clinical findings_fin: {'central filling defect': {'clinical finding': 'central filling defect', 'cf_snomed': {'filling defect': 43468004}, 'existence': 'pos_dx', 'descriptive_term': 'central filling', 'observation': 'defect'}}clinical findings_fin: {'filling defect': {'clinical finding': 'filling defect', 'cf_snomed': {'filling defect': 43468004}, 'existence': 'pos_dx', 'descriptive_term': 'filling', 'observation': 'defect'}, 'nonocclusive': {'clinical finding': 'nonocclusive', 'existence': 'pos_dx', 'observation': 'nonocclusive'}}anatomical entity_fin: {'main pulmonary artery': {}}clinical findings_fin: {'main pulmonary artery caliber is within normal limits': {'clinical finding': 'main pulmonary artery caliber is within normal limits'}}anatomical entity_fin: {'airways': {'location descriptor': 'central'}}location descriptor_fin: ['central']object_fin: ['endotracheal tube']clinical findings_fin: {'collapsed': {'clinical finding': 'collapsed', 'cf_snomed': {'collapse': 271787007}, 'existence': 'pos_dx', 'observation': 'collapse'}, 'endotracheal tube': {'clinical finding': 'endotracheal tube', 'existence': 'pos_dx', 'descriptive_term': 'endotracheal', 'observation': 'tube'}}anatomical entity_fin: {'trachea': {}}clinical findings_fin: {'dependent debris': {'clinical finding': 'dependent debris', 'existence': 'pos_dx', 'descriptive_term': 'dependent', 'observation': 'debris'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'moderate to severe bilateral centrilobular emphysema': {'clinical finding': 'moderate to severe bilateral centrilobular emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'descriptive_term': 'moderate to severe bilateral centrilobular', 'observation': 'emphysema', 'strength_term': 'moderate - severe'}}anatomical entity_fin: {'lobe': {'location descriptor': 'bilateral lower'}}location descriptor_fin: ['bilateral', 'lower']clinical findings_fin: {'bilateral lower lobe dependent opacities': {'clinical finding': 'bilateral lower lobe dependent opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral lower lobe dependent', 'observation': 'opacity'}, 'associated bronchial wall thickening': {'clinical finding': 'associated bronchial wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'associated bronchial wall', 'observation': 'thickening'}}clinical findings_fin: {'cardiac size within normal limits': {'clinical finding': 'cardiac size within normal limits'}}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: {'airways': {}, 'lobes': {'location descriptor': 'lower'}}location descriptor_fin: ['lower']clinical findings_fin: {'mild lymph node': {'clinical finding': 'mild lymph node', 'existence': 'pos_dx', 'descriptive_term': 'mild lymph', 'observation': 'node', 'strength_term': 'mild'}}clinical findings_fin: {'significant calcification': {'clinical finding': 'significant calcification', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'calcification'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'stomach': {}}object_fin: ['tube']clinical findings_fin: {'enteric tube is present within the stomach': {'clinical finding': 'enteric tube is present within the stomach'}}
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'lobe': {'location descriptor': 'right upper'}}location descriptor_fin: ['central', 'right', 'upper']clinical findings_fin: {'central filling defect': {'clinical finding': 'central filling defect', 'cf_snomed': {'filling defect': 43468004}, 'existence': 'pos_dx', 'descriptive_term': 'central filling', 'observation': 'defect'}}clinical findings_fin: {'filling defect': {'clinical finding': 'filling defect', 'cf_snomed': {'filling defect': 43468004}, 'existence': 'pos_dx', 'descriptive_term': 'filling', 'observation': 'defect'}, 'nonocclusive': {'clinical finding': 'nonocclusive', 'existence': 'pos_dx', 'observation': 'nonocclusive'}}anatomical entity_fin: {'main pulmonary artery': {}}clinical findings_fin: {'main pulmonary artery caliber is within normal limits': {'clinical finding': 'main pulmonary artery caliber is within normal limits'}}anatomical entity_fin: {'airways': {'location descriptor': 'central'}}location descriptor_fin: ['central']object_fin: ['endotracheal tube']clinical findings_fin: {'collapsed': {'clinical finding': 'collapsed', 'cf_snomed': {'collapse': 271787007}, 'existence': 'pos_dx', 'observation': 'collapse'}, 'endotracheal tube': {'clinical finding': 'endotracheal tube', 'existence': 'pos_dx', 'descriptive_term': 'endotracheal', 'observation': 'tube'}}anatomical entity_fin: {'trachea': {}}clinical findings_fin: {'dependent debris': {'clinical finding': 'dependent debris', 'existence': 'pos_dx', 'descriptive_term': 'dependent', 'observation': 'debris'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'moderate to severe bilateral centrilobular emphysema': {'clinical finding': 'moderate to severe bilateral centrilobular emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'descriptive_term': 'moderate to severe bilateral centrilobular', 'observation': 'emphysema', 'strength_term': 'moderate - severe'}}anatomical entity_fin: {'lobe': {'location descriptor': 'bilateral lower'}}location descriptor_fin: ['bilateral', 'lower']clinical findings_fin: {'bilateral lower lobe dependent opacities': {'clinical finding': 'bilateral lower lobe dependent opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral lower lobe dependent', 'observation': 'opacity'}, 'associated bronchial wall thickening': {'clinical finding': 'associated bronchial wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'associated bronchial wall', 'observation': 'thickening'}}clinical findings_fin: {'cardiac size within normal limits': {'clinical finding': 'cardiac size within normal limits'}}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: {'airways': {}, 'lobes': {'location descriptor': 'lower'}}location descriptor_fin: ['lower']clinical findings_fin: {'mild lymph node': {'clinical finding': 'mild lymph node', 'existence': 'pos_dx', 'descriptive_term': 'mild lymph', 'observation': 'node', 'strength_term': 'mild'}}clinical findings_fin: {'significant calcification': {'clinical finding': 'significant calcification', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'calcification'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'stomach': {}}object_fin: ['tube']clinical findings_fin: {'enteric tube is present within the stomach': {'clinical finding': 'enteric tube is present within the stomach'}} [/INST] . Technically adequate examination. Central filling defect in a segmental branch of the right upper lobe. Although the filling defect is has a small cross-sectional diameter and is nonocclusive it occurs over a long segment of the vessel. Main pulmonary artery caliber is within normal limits. Central airways are incompletely collapsed with a endotracheal tube noted. Dependent debris noted in the trachea. Moderate to severe bilateral centrilobular emphysema. Bilateral lower lobe dependent opacities with associated bronchial wall thickening. Cardiac size within normal limits. No evidence of right heart strain. Mild lymph node enlargement along the airways of the lower lobes, likely reactive. No significant calcification identified. No significant abnormality noted. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. No significant abnormality noted. Enteric tube is present within the stomach. </s>