. No evidence of pulmonary embolism to the subsegmental level. No CT evidence of right heart strain or pulmonary hypertension. The previously seen emboli in the right upper lobe pulmonary arteries are no longer visualized. Moderate upper lobe centrilobular and paraseptal emphysema. Minimal left pleural effusion. Bibasilar subsegmental atelectasis and scarring are again noted. The left lower lobe subpleural consolidation is slightly decreased, likely reflecting atelectasis, aspiration, or resolving infarct. No new opacities. Postsurgical changes in the left lung base with associated volume loss are similar to prior, without definite evidence of recurrence. Scattered nonspecific micronodules are again noted. The reference right middle lobe nodule is unchanged at 4 mm. The reference mass inferior to the anterior interatrial septum is unchanged at 3.8 x 4.1 cm. The reference lymph node adjacent to the hepatic IVC is unchanged at 5 mm in short axis. Normal sized heart with slightly increased small pericardial effusion. Mild. No lymphadenopathy. Right chest port tip at the superior cavoatrial junction. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. The reference hepatic mass adjacent to the gallbladder fossa is difficult to measure accurately for comparison due to phase of contrast, however appears grossly similar to prior.
location descriptor_fin: ['subsegmental']clinical findings_fin: {'pulmonary embolism': {'clinical finding': 'pulmonary embolism', 'cf_snomed': {'pulmonary embolism': 59282003}, 'existence': 'neg_dx', 'descriptive_term': 'pulmonary', 'observation': 'embolism'}}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'}, 'pulmonary hypertension': {'clinical finding': 'pulmonary hypertension', 'cf_snomed': {'pulmonary hypertension': 70995007}, 'existence': 'neg_dx', 'descriptive_term': 'pulmonary', 'observation': 'hypertension'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right upper'}, 'pulmonary arteries': {}}location descriptor_fin: ['right', 'upper']clinical findings_fin: {'previously seen emboli': {'clinical finding': 'previously seen emboli', 'existence': 'neg_dx', 'descriptive_term': 'previously seen', 'observation': 'emboli'}}anatomical entity_fin: {'lobe': {'location descriptor': 'upper'}}location descriptor_fin: ['upper', 'centrilobular']clinical findings_fin: {'moderate upper lobe centrilobular and paraseptal emphysema': {'clinical finding': 'moderate upper lobe centrilobular and paraseptal emphysema', 'cf_snomed': {'paraseptal emphysema': 31898008}, 'existence': 'pos_dx', 'descriptive_term': 'moderate upper lobe centrilobular and paraseptal', 'observation': 'emphysema', 'strength_term': 'moderate'}}location descriptor_fin: ['left']clinical findings_fin: {'minimal left pleural effusion': {'clinical finding': 'minimal left pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'minimal left pleural', 'observation': 'effusion', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}location descriptor_fin: ['subsegmental']clinical findings_fin: {'bibasilar subsegmental atelectasis': {'clinical finding': 'bibasilar subsegmental atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'bibasilar subsegmental', 'observation': 'atelectasis'}, 'scarring': {'clinical finding': 'scarring', 'existence': 'pos_dx', 'observation': 'scarr'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'left lower lobe subpleural consolidation': {'clinical finding': 'left lower lobe subpleural consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'pos_dx', 'descriptive_term': 'left lower lobe subpleural', 'observation': 'consolidation'}, 'atelectasis': {'clinical finding': 'atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'unc_dx', 'observation': 'atelectasis'}, 'aspiration': {'clinical finding': 'aspiration', 'existence': 'unc_dx', 'observation': 'aspiration'}, 'infarct': {'clinical finding': 'infarct', 'cf_snomed': {'infarct': 55641003}, 'existence': 'pos_dx', 'observation': 'infarct'}}clinical findings_fin: {'new opacities': {'clinical finding': 'new opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'neg_dx', 'descriptive_term': 'new', 'observation': 'opacity', 'temporal_term': 'new'}}anatomical entity_fin: {'left lung': {}, 'base': {}}clinical findings_fin: {'postsurgical changes': {'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'}, 'associated volume loss': {'clinical finding': 'associated volume loss', 'existence': 'pos_dx', 'descriptive_term': 'associated volume', 'observation': 'loss'}, 'recurrence': {'clinical finding': 'recurrence', 'existence': 'neg_dx', 'observation': 'recurrence'}}clinical findings_fin: {'scattered nonspecific micronodules': {'clinical finding': 'scattered nonspecific micronodules', 'existence': 'pos_dx', 'descriptive_term': 'scattered nonspecific', 'observation': 'micronodule'}}size_fin: [{'size': '4 mm', 'size_descriptor': 'nodule'}]anatomical entity_fin: {'middle': {'location descriptor': 'right'}, 'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'reference right middle lobe nodule': {'clinical finding': 'reference right middle lobe nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'reference right middle lobe', 'observation': 'nodule'}}size_fin: [{'size': '3.8 x 4.1 cm', 'size_descriptor': 'mass'}]anatomical entity_fin: {'interatrial septum': {'location descriptor': 'anterior'}}location descriptor_fin: ['inferior', 'anterior']clinical findings_fin: {'reference mass': {'clinical finding': 'reference mass', 'existence': 'pos_dx', 'descriptive_term': 'reference', 'observation': 'mass'}}size_fin: [{'size': '5 mm', 'size_descriptor': 'node'}]anatomical entity_fin: {'axis': {}}location descriptor_fin: ['adjacent']clinical findings_fin: {'reference lymph node': {'clinical finding': 'reference lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference lymph', 'observation': 'node'}}anatomical entity_fin: {'heart': {}}clinical findings_fin: {'slightly increased small pericardial effusion': {'clinical finding': 'slightly increased small pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'pos_dx', 'descriptive_term': 'slightly increased small pericardial', 'observation': 'effusion', 'strength_term': 'increased - small', 'change_term': 'increased'}}clinical findings_fin: {'lymphadenopathy': {'clinical finding': 'lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'chest': {'location descriptor': 'right'}}location descriptor_fin: ['right', 'superior']object_fin: ['port']anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}anatomical entity_fin: {'gallbladder': {}}location descriptor_fin: ['adjacent']clinical findings_fin: {'reference hepatic mass': {'clinical finding': 'reference hepatic mass', 'existence': 'pos_dx', 'descriptive_term': 'reference hepatic', 'observation': 'mass'}, 'contrast': {'clinical finding': 'contrast', 'existence': 'pos_dx', 'observation': 'contrast'}}
<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['subsegmental']clinical findings_fin: {'pulmonary embolism': {'clinical finding': 'pulmonary embolism', 'cf_snomed': {'pulmonary embolism': 59282003}, 'existence': 'neg_dx', 'descriptive_term': 'pulmonary', 'observation': 'embolism'}}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'}, 'pulmonary hypertension': {'clinical finding': 'pulmonary hypertension', 'cf_snomed': {'pulmonary hypertension': 70995007}, 'existence': 'neg_dx', 'descriptive_term': 'pulmonary', 'observation': 'hypertension'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right upper'}, 'pulmonary arteries': {}}location descriptor_fin: ['right', 'upper']clinical findings_fin: {'previously seen emboli': {'clinical finding': 'previously seen emboli', 'existence': 'neg_dx', 'descriptive_term': 'previously seen', 'observation': 'emboli'}}anatomical entity_fin: {'lobe': {'location descriptor': 'upper'}}location descriptor_fin: ['upper', 'centrilobular']clinical findings_fin: {'moderate upper lobe centrilobular and paraseptal emphysema': {'clinical finding': 'moderate upper lobe centrilobular and paraseptal emphysema', 'cf_snomed': {'paraseptal emphysema': 31898008}, 'existence': 'pos_dx', 'descriptive_term': 'moderate upper lobe centrilobular and paraseptal', 'observation': 'emphysema', 'strength_term': 'moderate'}}location descriptor_fin: ['left']clinical findings_fin: {'minimal left pleural effusion': {'clinical finding': 'minimal left pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'minimal left pleural', 'observation': 'effusion', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}location descriptor_fin: ['subsegmental']clinical findings_fin: {'bibasilar subsegmental atelectasis': {'clinical finding': 'bibasilar subsegmental atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'bibasilar subsegmental', 'observation': 'atelectasis'}, 'scarring': {'clinical finding': 'scarring', 'existence': 'pos_dx', 'observation': 'scarr'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'left lower lobe subpleural consolidation': {'clinical finding': 'left lower lobe subpleural consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'pos_dx', 'descriptive_term': 'left lower lobe subpleural', 'observation': 'consolidation'}, 'atelectasis': {'clinical finding': 'atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'unc_dx', 'observation': 'atelectasis'}, 'aspiration': {'clinical finding': 'aspiration', 'existence': 'unc_dx', 'observation': 'aspiration'}, 'infarct': {'clinical finding': 'infarct', 'cf_snomed': {'infarct': 55641003}, 'existence': 'pos_dx', 'observation': 'infarct'}}clinical findings_fin: {'new opacities': {'clinical finding': 'new opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'neg_dx', 'descriptive_term': 'new', 'observation': 'opacity', 'temporal_term': 'new'}}anatomical entity_fin: {'left lung': {}, 'base': {}}clinical findings_fin: {'postsurgical changes': {'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'}, 'associated volume loss': {'clinical finding': 'associated volume loss', 'existence': 'pos_dx', 'descriptive_term': 'associated volume', 'observation': 'loss'}, 'recurrence': {'clinical finding': 'recurrence', 'existence': 'neg_dx', 'observation': 'recurrence'}}clinical findings_fin: {'scattered nonspecific micronodules': {'clinical finding': 'scattered nonspecific micronodules', 'existence': 'pos_dx', 'descriptive_term': 'scattered nonspecific', 'observation': 'micronodule'}}size_fin: [{'size': '4 mm', 'size_descriptor': 'nodule'}]anatomical entity_fin: {'middle': {'location descriptor': 'right'}, 'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'reference right middle lobe nodule': {'clinical finding': 'reference right middle lobe nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'reference right middle lobe', 'observation': 'nodule'}}size_fin: [{'size': '3.8 x 4.1 cm', 'size_descriptor': 'mass'}]anatomical entity_fin: {'interatrial septum': {'location descriptor': 'anterior'}}location descriptor_fin: ['inferior', 'anterior']clinical findings_fin: {'reference mass': {'clinical finding': 'reference mass', 'existence': 'pos_dx', 'descriptive_term': 'reference', 'observation': 'mass'}}size_fin: [{'size': '5 mm', 'size_descriptor': 'node'}]anatomical entity_fin: {'axis': {}}location descriptor_fin: ['adjacent']clinical findings_fin: {'reference lymph node': {'clinical finding': 'reference lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference lymph', 'observation': 'node'}}anatomical entity_fin: {'heart': {}}clinical findings_fin: {'slightly increased small pericardial effusion': {'clinical finding': 'slightly increased small pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'pos_dx', 'descriptive_term': 'slightly increased small pericardial', 'observation': 'effusion', 'strength_term': 'increased - small', 'change_term': 'increased'}}clinical findings_fin: {'lymphadenopathy': {'clinical finding': 'lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'chest': {'location descriptor': 'right'}}location descriptor_fin: ['right', 'superior']object_fin: ['port']anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}anatomical entity_fin: {'gallbladder': {}}location descriptor_fin: ['adjacent']clinical findings_fin: {'reference hepatic mass': {'clinical finding': 'reference hepatic mass', 'existence': 'pos_dx', 'descriptive_term': 'reference hepatic', 'observation': 'mass'}, 'contrast': {'clinical finding': 'contrast', 'existence': 'pos_dx', 'observation': 'contrast'}} [/INST] . No evidence of pulmonary embolism to the subsegmental level. No CT evidence of right heart strain or pulmonary hypertension. The previously seen emboli in the right upper lobe pulmonary arteries are no longer visualized. Moderate upper lobe centrilobular and paraseptal emphysema. Minimal left pleural effusion. Bibasilar subsegmental atelectasis and scarring are again noted. The left lower lobe subpleural consolidation is slightly decreased, likely reflecting atelectasis, aspiration, or resolving infarct. No new opacities. Postsurgical changes in the left lung base with associated volume loss are similar to prior, without definite evidence of recurrence. Scattered nonspecific micronodules are again noted. The reference right middle lobe nodule is unchanged at 4 mm. The reference mass inferior to the anterior interatrial septum is unchanged at 3.8 x 4.1 cm. The reference lymph node adjacent to the hepatic IVC is unchanged at 5 mm in short axis. Normal sized heart with slightly increased small pericardial effusion. Mild. No lymphadenopathy. Right chest port tip at the superior cavoatrial junction. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. The reference hepatic mass adjacent to the gallbladder fossa is difficult to measure accurately for comparison due to phase of contrast, however appears grossly similar to prior. </s>