. Maturing radiation reaction in the right lung anteriorly, now with areas of distal bronchiolectasis. Previously seen large acute areas of radiation pneumonitis have nearly resolved. No pleural fluid or pneumothorax. No suspicious nodules or masses. Thymic hyperplasia, likely reactive, unchanged. No significant lymphadenopathy. No pericardial fluid. Mild prominence of the right atrium and ventricle compared to the prior study. The interatrial septum is not well visualized by this noncardiac-gated technique and is not seen in its entirety an atrial septal defect cannot be excluded. None visible. Very small fluid density collection associated with the surgical site, similar to previous and incompletely assessed by CT. Right axillary dissection clips. Absence of enteric contrast material limits sensitivity for abdominal pathology. Subcentimeter hypoattenuating focus in the anterior liver present previously. Although this is atypical for a cyst, the lack of change from the 3/13/2014 examination favors a benign lesion. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. 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. No significant abnormality noted.
anatomical entity_fin: {'right lung': {}}location descriptor_fin: ['distal']clinical findings_fin: {'distal bronchiolectasis': {'clinical finding': 'distal bronchiolectasis', 'cf_snomed': {'bronchiolectasis': 29424000}, 'existence': 'pos_dx', 'descriptive_term': 'distal', 'observation': 'bronchiolectasis'}}clinical findings_fin: {'radiation pneumonitis': {'clinical finding': 'radiation pneumonitis', 'cf_snomed': {'radiation pneumonitis': 84004001}, 'existence': 'pos_dx', 'descriptive_term': 'radiation', 'observation': 'pneumonitis'}}clinical findings_fin: {'pleural fluid': {'clinical finding': 'pleural fluid', 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'fluid'}, 'pneumothorax': {'clinical finding': 'pneumothorax', 'cf_snomed': {'pneumothorax': 36118008}, 'existence': 'neg_dx', 'observation': 'pneumothorax'}}clinical findings_fin: {'suspicious nodules': {'clinical finding': 'suspicious nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious', 'observation': 'nodule'}, 'masses': {'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass'}}clinical findings_fin: {'thymic hyperplasia': {'clinical finding': 'thymic hyperplasia', 'cf_snomed': {'hyperplasia': 76197007}, 'existence': 'pos_dx', 'descriptive_term': 'thymic', 'observation': 'hyperplasia'}}clinical findings_fin: {'significant lymphadenopathy': {'clinical finding': 'significant lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'fluid': {}}anatomical entity_fin: {'right atrium': {}}clinical findings_fin: {'mild prominence of the right atrium and ventricle compared to the prior study': {'clinical finding': 'mild prominence of the right atrium and ventricle compared to the prior study'}}anatomical entity_fin: {'interatrial septum': {}}clinical findings_fin: {'atrial septal defect': {'clinical finding': 'atrial septal defect', 'cf_snomed': {'atrial septal defect': 70142008}, 'existence': 'unc_dx', 'descriptive_term': 'atrial septal', 'observation': 'defect'}}anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'surgical site': {'clinical finding': 'surgical site', 'existence': 'pos_dx', 'descriptive_term': 'surgical', 'observation': 'site'}}location descriptor_fin: ['right']object_fin: ['clips']clinical findings_fin: {'right axillary dissection': {'clinical finding': 'right axillary dissection', 'existence': 'pos_dx', 'descriptive_term': 'right axillary', 'observation': 'dissection'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}anatomical entity_fin: {'liver': {'location descriptor': 'anterior'}}location descriptor_fin: ['anterior']clinical findings_fin: {'subcentimeter hypoattenuating focus': {'clinical finding': 'subcentimeter hypoattenuating focus', 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter hypoattenuating', 'observation': 'focus'}}clinical findings_fin: {'cyst': {'clinical finding': 'cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'unc_dx', 'observation': 'cyst'}, 'change': {'clinical finding': 'change', 'existence': 'neg_dx', 'observation': 'change'}, 'benign lesion': {'clinical finding': 'benign lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'unc_dx', 'descriptive_term': 'benign', 'observation': 'lesion', 'strength_term': 'benign'}}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: {'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'}}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: anatomical entity_fin: {'right lung': {}}location descriptor_fin: ['distal']clinical findings_fin: {'distal bronchiolectasis': {'clinical finding': 'distal bronchiolectasis', 'cf_snomed': {'bronchiolectasis': 29424000}, 'existence': 'pos_dx', 'descriptive_term': 'distal', 'observation': 'bronchiolectasis'}}clinical findings_fin: {'radiation pneumonitis': {'clinical finding': 'radiation pneumonitis', 'cf_snomed': {'radiation pneumonitis': 84004001}, 'existence': 'pos_dx', 'descriptive_term': 'radiation', 'observation': 'pneumonitis'}}clinical findings_fin: {'pleural fluid': {'clinical finding': 'pleural fluid', 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'fluid'}, 'pneumothorax': {'clinical finding': 'pneumothorax', 'cf_snomed': {'pneumothorax': 36118008}, 'existence': 'neg_dx', 'observation': 'pneumothorax'}}clinical findings_fin: {'suspicious nodules': {'clinical finding': 'suspicious nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious', 'observation': 'nodule'}, 'masses': {'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass'}}clinical findings_fin: {'thymic hyperplasia': {'clinical finding': 'thymic hyperplasia', 'cf_snomed': {'hyperplasia': 76197007}, 'existence': 'pos_dx', 'descriptive_term': 'thymic', 'observation': 'hyperplasia'}}clinical findings_fin: {'significant lymphadenopathy': {'clinical finding': 'significant lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'fluid': {}}anatomical entity_fin: {'right atrium': {}}clinical findings_fin: {'mild prominence of the right atrium and ventricle compared to the prior study': {'clinical finding': 'mild prominence of the right atrium and ventricle compared to the prior study'}}anatomical entity_fin: {'interatrial septum': {}}clinical findings_fin: {'atrial septal defect': {'clinical finding': 'atrial septal defect', 'cf_snomed': {'atrial septal defect': 70142008}, 'existence': 'unc_dx', 'descriptive_term': 'atrial septal', 'observation': 'defect'}}anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'surgical site': {'clinical finding': 'surgical site', 'existence': 'pos_dx', 'descriptive_term': 'surgical', 'observation': 'site'}}location descriptor_fin: ['right']object_fin: ['clips']clinical findings_fin: {'right axillary dissection': {'clinical finding': 'right axillary dissection', 'existence': 'pos_dx', 'descriptive_term': 'right axillary', 'observation': 'dissection'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}anatomical entity_fin: {'liver': {'location descriptor': 'anterior'}}location descriptor_fin: ['anterior']clinical findings_fin: {'subcentimeter hypoattenuating focus': {'clinical finding': 'subcentimeter hypoattenuating focus', 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter hypoattenuating', 'observation': 'focus'}}clinical findings_fin: {'cyst': {'clinical finding': 'cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'unc_dx', 'observation': 'cyst'}, 'change': {'clinical finding': 'change', 'existence': 'neg_dx', 'observation': 'change'}, 'benign lesion': {'clinical finding': 'benign lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'unc_dx', 'descriptive_term': 'benign', 'observation': 'lesion', 'strength_term': 'benign'}}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: {'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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . Maturing radiation reaction in the right lung anteriorly, now with areas of distal bronchiolectasis. Previously seen large acute areas of radiation pneumonitis have nearly resolved. No pleural fluid or pneumothorax. No suspicious nodules or masses. Thymic hyperplasia, likely reactive, unchanged. No significant lymphadenopathy. No pericardial fluid. Mild prominence of the right atrium and ventricle compared to the prior study. The interatrial septum is not well visualized by this noncardiac-gated technique and is not seen in its entirety an atrial septal defect cannot be excluded. None visible. Very small fluid density collection associated with the surgical site, similar to previous and incompletely assessed by CT. Right axillary dissection clips. Absence of enteric contrast material limits sensitivity for abdominal pathology. Subcentimeter hypoattenuating focus in the anterior liver present previously. Although this is atypical for a cyst, the lack of change from the 3/13/2014 examination favors a benign lesion. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. 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. No significant abnormality noted. </s>