. Extensive bronchiectasis involving the left upper lobe, slightly worse. Interval improvement in appearance of previously seen irregularly thin-walled cavity in the left upper lobe, with near complete resolution of internal fluid and associated consolidation. This cavity communicates with bronchiectatic airways of the left upper lobe. Scarring in the left upper lobe extends to the lung periphery. Small residual volume of pleural fluid on the left with stable pleural thickening. Scarring and rounded atelectasis seen at the left lung base. Mild cardiomegaly. Ascending aortic segment upper normal in caliber for age, 38 mm in AP dimension. Thoracic esophagus is mildly dilated and air-filled in its mid-portion. Mild. Mild left internal mammary chain lymphadenopathy and mildly prominent intercostal lymph nodes on the left. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. Gaseous distention of left upper quadrant bowel incompletely assessed but was present previously. Vascular calcifications involving the left kidney.
anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'extensive bronchiectasis': {'clinical finding': 'extensive bronchiectasis', 'cf_snomed': {'bronchiectasis': 12295008}, 'existence': 'pos_dx', 'descriptive_term': 'extensive', 'observation': 'bronchiectasis', 'strength_term': 'extensive'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}, 'fluid': {}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'near complete resolution': {'clinical finding': 'near complete resolution', 'existence': 'pos_dx', 'descriptive_term': 'near complete', 'observation': 'resolution'}, 'associated consolidation': {'clinical finding': 'associated consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'pos_dx', 'descriptive_term': 'associated', 'observation': 'consolidation'}}anatomical entity_fin: {'airways': {}, 'lobe': {'location descriptor': 'left upper'}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'bronchiectatic': {'clinical finding': 'bronchiectatic', 'existence': 'pos_dx', 'observation': 'bronchiectatic'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}, 'lung': {}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'scarring in the left upper lobe extends to the lung periphery': {'clinical finding': 'scarring in the left upper lobe extends to the lung periphery'}}location descriptor_fin: ['left']clinical findings_fin: {'small residual': {'clinical finding': 'small residual', 'existence': 'pos_dx', 'descriptive_term': 'small', 'observation': 'residual', 'strength_term': 'small'}, 'pleural fluid': {'clinical finding': 'pleural fluid', 'existence': 'pos_dx', 'descriptive_term': 'pleural', 'observation': 'fluid'}, 'stable pleural thickening': {'clinical finding': 'stable pleural thickening', 'existence': 'pos_dx', 'descriptive_term': 'stable pleural', 'observation': 'thickening', 'strength_term': 'stable', 'change_term': 'stable'}}anatomical entity_fin: {'left lung': {}, 'base': {}}clinical findings_fin: {'scarring and rounded atelectasis': {'clinical finding': 'scarring and rounded atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'scarring and rounded', 'observation': 'atelectasis'}}clinical findings_fin: {'mild cardiomegaly': {'clinical finding': 'mild cardiomegaly', 'cf_snomed': {'cardiomegaly': 8186001}, 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'cardiomegaly', 'strength_term': 'mild'}}size_fin: [{'size': '38 mm', 'size_descriptor': 'segment'}]location descriptor_fin: ['upper']clinical findings_fin: {'ascending aortic segment upper normal in caliber for age': {'clinical finding': 'ascending aortic segment upper normal in caliber for age'}}anatomical entity_fin: {'esophagus': {}}clinical findings_fin: {'thoracic': {'clinical finding': 'thoracic', 'existence': 'pos_dx', 'observation': 'thoracic'}, 'dilated': {'clinical finding': 'dilated', 'existence': 'pos_dx', 'observation': 'dilated'}}location descriptor_fin: ['left']clinical findings_fin: {'mild left internal mammary chain lymphadenopathy': {'clinical finding': 'mild left internal mammary chain lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'pos_dx', 'descriptive_term': 'mild left internal mammary chain', 'observation': 'lymphadenopathy', 'strength_term': 'mild'}, 'mildly prominent intercostal lymph nodes': {'clinical finding': 'mildly prominent intercostal lymph nodes', 'cf_snomed': {'intercostal lymph node': 64038003}, 'existence': 'pos_dx', 'descriptive_term': 'mildly prominent intercostal lymph', 'observation': 'node', 'strength_term': 'mildly - prominent'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}anatomical entity_fin: {'quadrant': {'location descriptor': 'left upper'}, 'bowel': {}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'gaseous distention': {'clinical finding': 'gaseous distention', 'existence': 'pos_dx', 'descriptive_term': 'gaseous', 'observation': 'distention'}}anatomical entity_fin: {'left kidney': {}}clinical findings_fin: {'vascular calcifications': {'clinical finding': 'vascular calcifications', 'cf_snomed': {'vascular calcification': 237897009}, 'existence': 'pos_dx', 'descriptive_term': 'vascular', 'observation': 'calcification'}}
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'extensive bronchiectasis': {'clinical finding': 'extensive bronchiectasis', 'cf_snomed': {'bronchiectasis': 12295008}, 'existence': 'pos_dx', 'descriptive_term': 'extensive', 'observation': 'bronchiectasis', 'strength_term': 'extensive'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}, 'fluid': {}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'near complete resolution': {'clinical finding': 'near complete resolution', 'existence': 'pos_dx', 'descriptive_term': 'near complete', 'observation': 'resolution'}, 'associated consolidation': {'clinical finding': 'associated consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'pos_dx', 'descriptive_term': 'associated', 'observation': 'consolidation'}}anatomical entity_fin: {'airways': {}, 'lobe': {'location descriptor': 'left upper'}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'bronchiectatic': {'clinical finding': 'bronchiectatic', 'existence': 'pos_dx', 'observation': 'bronchiectatic'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}, 'lung': {}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'scarring in the left upper lobe extends to the lung periphery': {'clinical finding': 'scarring in the left upper lobe extends to the lung periphery'}}location descriptor_fin: ['left']clinical findings_fin: {'small residual': {'clinical finding': 'small residual', 'existence': 'pos_dx', 'descriptive_term': 'small', 'observation': 'residual', 'strength_term': 'small'}, 'pleural fluid': {'clinical finding': 'pleural fluid', 'existence': 'pos_dx', 'descriptive_term': 'pleural', 'observation': 'fluid'}, 'stable pleural thickening': {'clinical finding': 'stable pleural thickening', 'existence': 'pos_dx', 'descriptive_term': 'stable pleural', 'observation': 'thickening', 'strength_term': 'stable', 'change_term': 'stable'}}anatomical entity_fin: {'left lung': {}, 'base': {}}clinical findings_fin: {'scarring and rounded atelectasis': {'clinical finding': 'scarring and rounded atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'scarring and rounded', 'observation': 'atelectasis'}}clinical findings_fin: {'mild cardiomegaly': {'clinical finding': 'mild cardiomegaly', 'cf_snomed': {'cardiomegaly': 8186001}, 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'cardiomegaly', 'strength_term': 'mild'}}size_fin: [{'size': '38 mm', 'size_descriptor': 'segment'}]location descriptor_fin: ['upper']clinical findings_fin: {'ascending aortic segment upper normal in caliber for age': {'clinical finding': 'ascending aortic segment upper normal in caliber for age'}}anatomical entity_fin: {'esophagus': {}}clinical findings_fin: {'thoracic': {'clinical finding': 'thoracic', 'existence': 'pos_dx', 'observation': 'thoracic'}, 'dilated': {'clinical finding': 'dilated', 'existence': 'pos_dx', 'observation': 'dilated'}}location descriptor_fin: ['left']clinical findings_fin: {'mild left internal mammary chain lymphadenopathy': {'clinical finding': 'mild left internal mammary chain lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'pos_dx', 'descriptive_term': 'mild left internal mammary chain', 'observation': 'lymphadenopathy', 'strength_term': 'mild'}, 'mildly prominent intercostal lymph nodes': {'clinical finding': 'mildly prominent intercostal lymph nodes', 'cf_snomed': {'intercostal lymph node': 64038003}, 'existence': 'pos_dx', 'descriptive_term': 'mildly prominent intercostal lymph', 'observation': 'node', 'strength_term': 'mildly - prominent'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}anatomical entity_fin: {'quadrant': {'location descriptor': 'left upper'}, 'bowel': {}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'gaseous distention': {'clinical finding': 'gaseous distention', 'existence': 'pos_dx', 'descriptive_term': 'gaseous', 'observation': 'distention'}}anatomical entity_fin: {'left kidney': {}}clinical findings_fin: {'vascular calcifications': {'clinical finding': 'vascular calcifications', 'cf_snomed': {'vascular calcification': 237897009}, 'existence': 'pos_dx', 'descriptive_term': 'vascular', 'observation': 'calcification'}} [/INST] . Extensive bronchiectasis involving the left upper lobe, slightly worse. Interval improvement in appearance of previously seen irregularly thin-walled cavity in the left upper lobe, with near complete resolution of internal fluid and associated consolidation. This cavity communicates with bronchiectatic airways of the left upper lobe. Scarring in the left upper lobe extends to the lung periphery. Small residual volume of pleural fluid on the left with stable pleural thickening. Scarring and rounded atelectasis seen at the left lung base. Mild cardiomegaly. Ascending aortic segment upper normal in caliber for age, 38 mm in AP dimension. Thoracic esophagus is mildly dilated and air-filled in its mid-portion. Mild. Mild left internal mammary chain lymphadenopathy and mildly prominent intercostal lymph nodes on the left. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. Gaseous distention of left upper quadrant bowel incompletely assessed but was present previously. Vascular calcifications involving the left kidney. </s>