This study is limited due to lack of intravenous contrast. Paraseptal emphysema. Scattered subcentimeter nodules and predominantly left lobe bronchiectasis, unchanged. Radiation fibrosis noted on the left along with numerous mediastinal clips. Small mediastinal lymph nodes, unchanged. No significant abnormality noted. Cholelithiasis. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Previously described left upper pole renal lesion is now increased in size and measures 1.7 cm in diameter image #88, series #3. However this time the lesion is fat density. Lack of intravenous contrast limits optimal evaluation of this lesion. No significant abnormality noted. Severe. 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. Nonspecific sclerotic lesions in the thoracic and lumbar vertebral bodies are stable. No significant abnormality noted.
clinical findings_fin: {'paraseptal emphysema': {'clinical finding': 'paraseptal emphysema', 'cf_snomed': {'paraseptal emphysema': 31898008}, 'existence': 'pos_dx', 'descriptive_term': 'paraseptal', 'observation': 'emphysema'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'scattered subcentimeter nodules': {'clinical finding': 'scattered subcentimeter nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'scattered subcentimeter', 'observation': 'nodule'}, 'predominantly left lobe bronchiectasis': {'clinical finding': 'predominantly left lobe bronchiectasis', 'cf_snomed': {'bronchiectasis': 12295008}, 'existence': 'pos_dx', 'descriptive_term': 'predominantly left lobe', 'observation': 'bronchiectasis'}}location descriptor_fin: ['left']object_fin: ['clips']clinical findings_fin: {'radiation fibrosis': {'clinical finding': 'radiation fibrosis', 'existence': 'pos_dx', 'descriptive_term': 'radiation', 'observation': 'fibrosis'}}anatomical entity_fin: {'mediastinal lymph nodes': {}}clinical findings_fin: {'small mediastinal lymph nodes': {'clinical finding': 'small mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small mediastinal lymph', 'observation': 'node', 'strength_term': 'small'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'cholelithiasis': {'clinical finding': 'cholelithiasis', 'existence': 'pos_dx', 'observation': 'cholelithiasis'}}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'}}size_fin: [{'size': '1.7 cm'}]anatomical entity_fin: {'pole': {'location descriptor': 'left upper'}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'previously described left upper pole renal lesion': {'clinical finding': 'previously described left upper pole renal lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'previously described left upper pole renal', 'observation': 'lesion'}}imaging observation_fin: ['fat']clinical findings_fin: {'lesion': {'clinical finding': 'lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'observation': 'lesion'}, 'fat density': {'clinical finding': 'fat density', 'existence': 'pos_dx', 'descriptive_term': 'fat', 'observation': 'density'}}clinical findings_fin: {'intravenous contrast': {'clinical finding': 'intravenous contrast', 'existence': 'neg_dx', 'descriptive_term': 'intravenous', 'observation': 'contrast'}, 'this lesion': {'clinical finding': 'this lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'this', 'observation': 'lesion'}}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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'lumbar vertebral bodies': {}}clinical findings_fin: {'nonspecific sclerotic lesions': {'clinical finding': 'nonspecific sclerotic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'nonspecific sclerotic', 'observation': 'lesion'}}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: clinical findings_fin: {'paraseptal emphysema': {'clinical finding': 'paraseptal emphysema', 'cf_snomed': {'paraseptal emphysema': 31898008}, 'existence': 'pos_dx', 'descriptive_term': 'paraseptal', 'observation': 'emphysema'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'scattered subcentimeter nodules': {'clinical finding': 'scattered subcentimeter nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'scattered subcentimeter', 'observation': 'nodule'}, 'predominantly left lobe bronchiectasis': {'clinical finding': 'predominantly left lobe bronchiectasis', 'cf_snomed': {'bronchiectasis': 12295008}, 'existence': 'pos_dx', 'descriptive_term': 'predominantly left lobe', 'observation': 'bronchiectasis'}}location descriptor_fin: ['left']object_fin: ['clips']clinical findings_fin: {'radiation fibrosis': {'clinical finding': 'radiation fibrosis', 'existence': 'pos_dx', 'descriptive_term': 'radiation', 'observation': 'fibrosis'}}anatomical entity_fin: {'mediastinal lymph nodes': {}}clinical findings_fin: {'small mediastinal lymph nodes': {'clinical finding': 'small mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small mediastinal lymph', 'observation': 'node', 'strength_term': 'small'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'cholelithiasis': {'clinical finding': 'cholelithiasis', 'existence': 'pos_dx', 'observation': 'cholelithiasis'}}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'}}size_fin: [{'size': '1.7 cm'}]anatomical entity_fin: {'pole': {'location descriptor': 'left upper'}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'previously described left upper pole renal lesion': {'clinical finding': 'previously described left upper pole renal lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'previously described left upper pole renal', 'observation': 'lesion'}}imaging observation_fin: ['fat']clinical findings_fin: {'lesion': {'clinical finding': 'lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'observation': 'lesion'}, 'fat density': {'clinical finding': 'fat density', 'existence': 'pos_dx', 'descriptive_term': 'fat', 'observation': 'density'}}clinical findings_fin: {'intravenous contrast': {'clinical finding': 'intravenous contrast', 'existence': 'neg_dx', 'descriptive_term': 'intravenous', 'observation': 'contrast'}, 'this lesion': {'clinical finding': 'this lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'this', 'observation': 'lesion'}}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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'lumbar vertebral bodies': {}}clinical findings_fin: {'nonspecific sclerotic lesions': {'clinical finding': 'nonspecific sclerotic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'nonspecific sclerotic', 'observation': 'lesion'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] This study is limited due to lack of intravenous contrast. Paraseptal emphysema. Scattered subcentimeter nodules and predominantly left lobe bronchiectasis, unchanged. Radiation fibrosis noted on the left along with numerous mediastinal clips. Small mediastinal lymph nodes, unchanged. No significant abnormality noted. Cholelithiasis. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Previously described left upper pole renal lesion is now increased in size and measures 1.7 cm in diameter image #88, series #3. However this time the lesion is fat density. Lack of intravenous contrast limits optimal evaluation of this lesion. No significant abnormality noted. Severe. 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. Nonspecific sclerotic lesions in the thoracic and lumbar vertebral bodies are stable. No significant abnormality noted. </s>