. Right upper lobe. Fissural nodule now measuring 12 mm x 9 mm previously measuring 17 mm x 17 mm. Adjacent satellite nodule now measuring 8 mm x 12 mm previously measuring 10 mm x 15 mm. Again identified is regional bronchial wall thickening and intrabronchial debris within the segmental bronchus extending to this region. No new pulmonary nodules identified. Trace right pleural effusion. Stable minimally prominent mediastinal lymph nodes without definite evidence of hilar or mediastinal lymphadenopathy. Cardiac size is normal without evidence of pericardial effusion. LAD stent is identified. Mild enlargement of the pulmonary artery compatible pulmonary arterial hypertension. Severe. No axillary lymphadenopathy. Mild degenerative changes throughout the thoracic spine. Absence of enteric contrast material limits sensitivity for abdominal pathology. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Left renal capsular calcification may represent prior trauma or infarction. 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. Extensive atherosclerotic changes of the abdominal aorta with moderate intramural thrombus noted in the infrarenal portions.
anatomical entity_fin: {'lobe': {'location descriptor': 'right upper'}}location descriptor_fin: ['right', 'upper']size_fin: [{'size': '12 mm x 9 mm'}, {'size': '17 mm x 17 mm'}]clinical findings_fin: {'fissural nodule': {'clinical finding': 'fissural nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'fissural', 'observation': 'nodule'}}size_fin: [{'size': '8 mm x 12 mm'}, {'size': '10 mm x 15 mm'}]imaging observation_fin: ['satellite nodule']location descriptor_fin: ['adjacent']clinical findings_fin: {'adjacent satellite nodule': {'clinical finding': 'adjacent satellite nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'adjacent satellite', 'observation': 'nodule'}}anatomical entity_fin: {'segmental bronchus': {}}clinical findings_fin: {'regional bronchial wall thickening': {'clinical finding': 'regional bronchial wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'regional bronchial wall', 'observation': 'thickening'}, 'intrabronchial debris': {'clinical finding': 'intrabronchial debris', 'existence': 'pos_dx', 'descriptive_term': 'intrabronchial', 'observation': 'debris'}}clinical findings_fin: {'new pulmonary nodules': {'clinical finding': 'new pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'new pulmonary', 'observation': 'nodule', 'temporal_term': 'new'}}location descriptor_fin: ['right']clinical findings_fin: {'trace right pleural effusion': {'clinical finding': 'trace right pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'trace right pleural', 'observation': 'effusion'}}anatomical entity_fin: {'mediastinal lymph nodes': {}}clinical findings_fin: {'stable minimally prominent mediastinal lymph nodes': {'clinical finding': 'stable minimally prominent mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'stable minimally prominent mediastinal lymph', 'observation': 'node', 'strength_term': 'stable - prominent', 'change_term': 'stable'}, 'hilar or mediastinal lymphadenopathy': {'clinical finding': 'hilar or mediastinal lymphadenopathy', 'cf_snomed': {'mediastinal lymphadenopathy': 52324001}, 'existence': 'neg_dx', 'descriptive_term': 'hilar or mediastinal', 'observation': 'lymphadenopathy'}}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: {'lad stent': {'clinical finding': 'lad stent', 'existence': 'pos_dx', 'descriptive_term': 'lad', 'observation': 'stent'}}anatomical entity_fin: {'pulmonary artery': {}}clinical findings_fin: {'pulmonary': {'clinical finding': 'pulmonary', 'existence': 'pos_dx', 'observation': 'pulmonary'}, 'compatible pulmonary arterial hypertension': {'clinical finding': 'compatible pulmonary arterial hypertension', 'cf_snomed': {'pulmonary arterial hypertension': 11399002}, 'existence': 'pos_dx', 'descriptive_term': 'compatible pulmonary arterial', 'observation': 'hypertension'}}clinical findings_fin: {'axillary lymphadenopathy': {'clinical finding': 'axillary lymphadenopathy', 'cf_snomed': {'axillary lymphadenopathy': 127189005}, 'existence': 'neg_dx', 'descriptive_term': 'axillary', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'mild degenerative changes': {'clinical finding': 'mild degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'mild degenerative', 'observation': 'change', 'strength_term': 'mild'}}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'}}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: ['left']clinical findings_fin: {'left renal capsular calcification': {'clinical finding': 'left renal capsular calcification', 'existence': 'pos_dx', 'descriptive_term': 'left renal capsular', 'observation': 'calcification'}, 'prior trauma': {'clinical finding': 'prior trauma', 'existence': 'unc_dx', 'descriptive_term': 'prior', 'observation': 'trauma'}, 'infarction': {'clinical finding': 'infarction', 'existence': 'unc_dx', 'observation': 'infarction'}}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: {'gi': {'clinical finding': 'gi', 'existence': 'unc_dx', 'observation': 'gi'}}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'}}anatomical entity_fin: {'abdominal aorta': {}}clinical findings_fin: {'extensive atherosclerotic changes': {'clinical finding': 'extensive atherosclerotic changes', 'existence': 'pos_dx', 'descriptive_term': 'extensive atherosclerotic', 'observation': 'change', 'strength_term': 'extensive'}, 'abdominal aorta': {'clinical finding': 'abdominal aorta', 'existence': 'pos_dx', 'descriptive_term': 'abdominal', 'observation': 'aorta'}, 'moderate intramural thrombus': {'clinical finding': 'moderate intramural thrombus', 'cf_snomed': {'thrombus': 396339007}, 'existence': 'pos_dx', 'descriptive_term': 'moderate intramural', 'observation': 'thrombus', 'strength_term': 'moderate'}}
<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: ['right', 'upper']size_fin: [{'size': '12 mm x 9 mm'}, {'size': '17 mm x 17 mm'}]clinical findings_fin: {'fissural nodule': {'clinical finding': 'fissural nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'fissural', 'observation': 'nodule'}}size_fin: [{'size': '8 mm x 12 mm'}, {'size': '10 mm x 15 mm'}]imaging observation_fin: ['satellite nodule']location descriptor_fin: ['adjacent']clinical findings_fin: {'adjacent satellite nodule': {'clinical finding': 'adjacent satellite nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'adjacent satellite', 'observation': 'nodule'}}anatomical entity_fin: {'segmental bronchus': {}}clinical findings_fin: {'regional bronchial wall thickening': {'clinical finding': 'regional bronchial wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'regional bronchial wall', 'observation': 'thickening'}, 'intrabronchial debris': {'clinical finding': 'intrabronchial debris', 'existence': 'pos_dx', 'descriptive_term': 'intrabronchial', 'observation': 'debris'}}clinical findings_fin: {'new pulmonary nodules': {'clinical finding': 'new pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'new pulmonary', 'observation': 'nodule', 'temporal_term': 'new'}}location descriptor_fin: ['right']clinical findings_fin: {'trace right pleural effusion': {'clinical finding': 'trace right pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'trace right pleural', 'observation': 'effusion'}}anatomical entity_fin: {'mediastinal lymph nodes': {}}clinical findings_fin: {'stable minimally prominent mediastinal lymph nodes': {'clinical finding': 'stable minimally prominent mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'stable minimally prominent mediastinal lymph', 'observation': 'node', 'strength_term': 'stable - prominent', 'change_term': 'stable'}, 'hilar or mediastinal lymphadenopathy': {'clinical finding': 'hilar or mediastinal lymphadenopathy', 'cf_snomed': {'mediastinal lymphadenopathy': 52324001}, 'existence': 'neg_dx', 'descriptive_term': 'hilar or mediastinal', 'observation': 'lymphadenopathy'}}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: {'lad stent': {'clinical finding': 'lad stent', 'existence': 'pos_dx', 'descriptive_term': 'lad', 'observation': 'stent'}}anatomical entity_fin: {'pulmonary artery': {}}clinical findings_fin: {'pulmonary': {'clinical finding': 'pulmonary', 'existence': 'pos_dx', 'observation': 'pulmonary'}, 'compatible pulmonary arterial hypertension': {'clinical finding': 'compatible pulmonary arterial hypertension', 'cf_snomed': {'pulmonary arterial hypertension': 11399002}, 'existence': 'pos_dx', 'descriptive_term': 'compatible pulmonary arterial', 'observation': 'hypertension'}}clinical findings_fin: {'axillary lymphadenopathy': {'clinical finding': 'axillary lymphadenopathy', 'cf_snomed': {'axillary lymphadenopathy': 127189005}, 'existence': 'neg_dx', 'descriptive_term': 'axillary', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'mild degenerative changes': {'clinical finding': 'mild degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'mild degenerative', 'observation': 'change', 'strength_term': 'mild'}}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'}}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: ['left']clinical findings_fin: {'left renal capsular calcification': {'clinical finding': 'left renal capsular calcification', 'existence': 'pos_dx', 'descriptive_term': 'left renal capsular', 'observation': 'calcification'}, 'prior trauma': {'clinical finding': 'prior trauma', 'existence': 'unc_dx', 'descriptive_term': 'prior', 'observation': 'trauma'}, 'infarction': {'clinical finding': 'infarction', 'existence': 'unc_dx', 'observation': 'infarction'}}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: {'gi': {'clinical finding': 'gi', 'existence': 'unc_dx', 'observation': 'gi'}}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'}}anatomical entity_fin: {'abdominal aorta': {}}clinical findings_fin: {'extensive atherosclerotic changes': {'clinical finding': 'extensive atherosclerotic changes', 'existence': 'pos_dx', 'descriptive_term': 'extensive atherosclerotic', 'observation': 'change', 'strength_term': 'extensive'}, 'abdominal aorta': {'clinical finding': 'abdominal aorta', 'existence': 'pos_dx', 'descriptive_term': 'abdominal', 'observation': 'aorta'}, 'moderate intramural thrombus': {'clinical finding': 'moderate intramural thrombus', 'cf_snomed': {'thrombus': 396339007}, 'existence': 'pos_dx', 'descriptive_term': 'moderate intramural', 'observation': 'thrombus', 'strength_term': 'moderate'}} [/INST] . Right upper lobe. Fissural nodule now measuring 12 mm x 9 mm previously measuring 17 mm x 17 mm. Adjacent satellite nodule now measuring 8 mm x 12 mm previously measuring 10 mm x 15 mm. Again identified is regional bronchial wall thickening and intrabronchial debris within the segmental bronchus extending to this region. No new pulmonary nodules identified. Trace right pleural effusion. Stable minimally prominent mediastinal lymph nodes without definite evidence of hilar or mediastinal lymphadenopathy. Cardiac size is normal without evidence of pericardial effusion. LAD stent is identified. Mild enlargement of the pulmonary artery compatible pulmonary arterial hypertension. Severe. No axillary lymphadenopathy. Mild degenerative changes throughout the thoracic spine. Absence of enteric contrast material limits sensitivity for abdominal pathology. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Left renal capsular calcification may represent prior trauma or infarction. 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. Extensive atherosclerotic changes of the abdominal aorta with moderate intramural thrombus noted in the infrarenal portions. </s>