. Technically adequate to the segmental level. No acute pulmonary embolus. The main pulmonary in caliber. Reflux of contrast into the intrahepatic IVC and hepatic veins suggestive of right heart strain. Evaluation of fine parenchymal detail is limited by motion artifact. Interstitial edema. Small bilateral pleural effusions. Prominent paratracheal and right hilar lymph nodes, likely reactive. Heart size is enlarged with left atrial and ventricular enlargement. No pericardial effusion. No visible coronary calcifications. Mild degenerative in the visualized lower thoracolumbar spine. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. No significant abnormality noted.
clinical findings_fin: {'acute pulmonary embolus': {'clinical finding': 'acute pulmonary embolus', 'cf_snomed': {'embolus': 55584005}, 'existence': 'neg_dx', 'descriptive_term': 'acute pulmonary', 'observation': 'embolus', 'strength_term': 'acute', 'temporal_term': 'acute'}}clinical findings_fin: {'main pulmonary': {'clinical finding': 'main pulmonary', 'existence': 'pos_dx', 'descriptive_term': 'main', 'observation': 'pulmonary'}}anatomical entity_fin: {'hepatic veins': {}, 'heart': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'reflux': {'clinical finding': 'reflux', 'existence': 'pos_dx', 'observation': 'reflux'}, 'contrast': {'clinical finding': 'contrast', 'existence': 'pos_dx', 'observation': 'contrast'}, 'right heart strain': {'clinical finding': 'right heart strain', 'existence': 'unc_dx', 'descriptive_term': 'right heart', 'observation': 'strain'}}artifact_fin: ['motion artifact']clinical findings_fin: {'motion artifact': {'clinical finding': 'motion artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'pos_dx', 'descriptive_term': 'motion', 'observation': 'artifact'}}clinical findings_fin: {'interstitial edema': {'clinical finding': 'interstitial edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'descriptive_term': 'interstitial', 'observation': 'edema'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'small bilateral pleural effusions': {'clinical finding': 'small bilateral pleural effusions', 'cf_snomed': {'bilateral pleural effusion': 425802001}, 'existence': 'pos_dx', 'descriptive_term': 'small bilateral pleural', 'observation': 'effusion', 'strength_term': 'small'}}location descriptor_fin: ['right']clinical findings_fin: {'prominent paratracheal and right hilar lymph nodes': {'clinical finding': 'prominent paratracheal and right hilar lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'prominent paratracheal and right hilar lymph', 'observation': 'node', 'strength_term': 'prominent'}}anatomical entity_fin: {'heart': {}}location descriptor_fin: ['left']clinical findings_fin: {'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}}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: {'visible coronary calcifications': {'clinical finding': 'visible coronary calcifications', 'existence': 'neg_dx', 'descriptive_term': 'visible coronary', 'observation': 'calcification'}}anatomical entity_fin: {'spine': {}}location descriptor_fin: ['lower']clinical findings_fin: {'mild degenerative in the visualized lower thoracolumbar spine': {'clinical finding': 'mild degenerative in the visualized lower thoracolumbar spine'}}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'}}
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'acute pulmonary embolus': {'clinical finding': 'acute pulmonary embolus', 'cf_snomed': {'embolus': 55584005}, 'existence': 'neg_dx', 'descriptive_term': 'acute pulmonary', 'observation': 'embolus', 'strength_term': 'acute', 'temporal_term': 'acute'}}clinical findings_fin: {'main pulmonary': {'clinical finding': 'main pulmonary', 'existence': 'pos_dx', 'descriptive_term': 'main', 'observation': 'pulmonary'}}anatomical entity_fin: {'hepatic veins': {}, 'heart': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'reflux': {'clinical finding': 'reflux', 'existence': 'pos_dx', 'observation': 'reflux'}, 'contrast': {'clinical finding': 'contrast', 'existence': 'pos_dx', 'observation': 'contrast'}, 'right heart strain': {'clinical finding': 'right heart strain', 'existence': 'unc_dx', 'descriptive_term': 'right heart', 'observation': 'strain'}}artifact_fin: ['motion artifact']clinical findings_fin: {'motion artifact': {'clinical finding': 'motion artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'pos_dx', 'descriptive_term': 'motion', 'observation': 'artifact'}}clinical findings_fin: {'interstitial edema': {'clinical finding': 'interstitial edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'descriptive_term': 'interstitial', 'observation': 'edema'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'small bilateral pleural effusions': {'clinical finding': 'small bilateral pleural effusions', 'cf_snomed': {'bilateral pleural effusion': 425802001}, 'existence': 'pos_dx', 'descriptive_term': 'small bilateral pleural', 'observation': 'effusion', 'strength_term': 'small'}}location descriptor_fin: ['right']clinical findings_fin: {'prominent paratracheal and right hilar lymph nodes': {'clinical finding': 'prominent paratracheal and right hilar lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'prominent paratracheal and right hilar lymph', 'observation': 'node', 'strength_term': 'prominent'}}anatomical entity_fin: {'heart': {}}location descriptor_fin: ['left']clinical findings_fin: {'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}}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: {'visible coronary calcifications': {'clinical finding': 'visible coronary calcifications', 'existence': 'neg_dx', 'descriptive_term': 'visible coronary', 'observation': 'calcification'}}anatomical entity_fin: {'spine': {}}location descriptor_fin: ['lower']clinical findings_fin: {'mild degenerative in the visualized lower thoracolumbar spine': {'clinical finding': 'mild degenerative in the visualized lower thoracolumbar spine'}}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'}} [/INST] . Technically adequate to the segmental level. No acute pulmonary embolus. The main pulmonary in caliber. Reflux of contrast into the intrahepatic IVC and hepatic veins suggestive of right heart strain. Evaluation of fine parenchymal detail is limited by motion artifact. Interstitial edema. Small bilateral pleural effusions. Prominent paratracheal and right hilar lymph nodes, likely reactive. Heart size is enlarged with left atrial and ventricular enlargement. No pericardial effusion. No visible coronary calcifications. Mild degenerative in the visualized lower thoracolumbar spine. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. No significant abnormality noted. </s>