. Technically adequate study without evidence of acute pulmonary embolus. The main pulmonary artery is of normal caliber, measuring 2.5 cm in diameter. Grossly stable appearance of innumerable pulmonary metastases, in a miliary pattern. A reference nodule in the right lower lobe is unchanged, measuring 8 x 8 mm. Again seen are postoperative changes in the neck, not significantly changed when compared to previous. A reference left upper paratracheal node measures 14 mm , previously 14 mm. A reference paraesophageal lymph node near the hiatus measures 11 mm , previously 11 mm. Other lymphadenopathy is not significantly changed. Persistent mild nonspecific esophageal thickening. The left ventricle is upper limits of normal. There are aortic and mitral valve annular calcifications, likely secondary to chronic renal disease. Severe. No significant abnormality noted. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. Osseous changes likely related to renal osteodystrophy. There is mild soft tissue edema as well as periportal edema in the liver. There is apparent slight prominence of the right renal collecting system, new when compared to prior study, and incompletely characterized on this study.
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'}}size_fin: [{'size': '2.5 cm', 'size_descriptor': 'artery'}]anatomical entity_fin: {'main pulmonary artery': {}}clinical findings_fin: {'main pulmonary artery is of normal caliber': {'clinical finding': 'main pulmonary artery is of normal caliber'}}imaging observation_fin: ['miliary pattern']clinical findings_fin: {'innumerable pulmonary metastases': {'clinical finding': 'innumerable pulmonary metastases', 'existence': 'pos_dx', 'descriptive_term': 'innumerable pulmonary', 'observation': 'metastase'}, 'miliary pattern': {'clinical finding': 'miliary pattern', 'existence': 'pos_dx', 'descriptive_term': 'miliary', 'observation': 'pattern'}}size_fin: [{'size': '8 x 8 mm', 'size_descriptor': 'nodule'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'reference nodule': {'clinical finding': 'reference nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'reference', 'observation': 'nodule'}}anatomical entity_fin: {'neck': {}}clinical findings_fin: {'postoperative changes': {'clinical finding': 'postoperative changes', 'existence': 'pos_dx', 'descriptive_term': 'postoperative', 'observation': 'change'}}size_fin: [{'size': '14 mm'}, {'size': '14 mm'}]location descriptor_fin: ['left', 'upper']clinical findings_fin: {'reference left upper paratracheal node': {'clinical finding': 'reference left upper paratracheal node', 'existence': 'pos_dx', 'descriptive_term': 'reference left upper paratracheal', 'observation': 'node'}}size_fin: [{'size': '11 mm'}, {'size': '11 mm'}]clinical findings_fin: {'reference paraesophageal lymph node': {'clinical finding': 'reference paraesophageal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference paraesophageal lymph', 'observation': 'node'}}clinical findings_fin: {'other lymphadenopathy': {'clinical finding': 'other lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'descriptive_term': 'other', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'persistent mild nonspecific esophageal thickening': {'clinical finding': 'persistent mild nonspecific esophageal thickening', 'existence': 'pos_dx', 'descriptive_term': 'persistent mild nonspecific esophageal', 'observation': 'thickening', 'strength_term': 'mild', 'temporal_term': 'persistent'}}anatomical entity_fin: {'left ventricle': {}}location descriptor_fin: ['upper']clinical findings_fin: {'upper limits of normal': {'clinical finding': 'upper limits of normal'}}anatomical entity_fin: {'mitral valve': {}}clinical findings_fin: {'aortic and mitral valve annular calcifications': {'clinical finding': 'aortic and mitral valve annular calcifications', 'cf_snomed': {'mitral valve annular calcification': 251002009}, 'existence': 'pos_dx', 'descriptive_term': 'aortic and mitral valve annular', 'observation': 'calcification'}, 'chronic renal disease': {'clinical finding': 'chronic renal disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'unc_dx', 'descriptive_term': 'chronic renal', 'observation': 'disease', 'temporal_term': 'chronic'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'osseous changes': {'clinical finding': 'osseous changes', 'existence': 'unc_dx', 'descriptive_term': 'osseous', 'observation': 'change'}, 'renal osteodystrophy': {'clinical finding': 'renal osteodystrophy', 'cf_snomed': {'renal osteodystrophy': 16726004}, 'existence': 'unc_dx', 'descriptive_term': 'renal', 'observation': 'osteodystrophy'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'mild soft tissue edema': {'clinical finding': 'mild soft tissue edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'descriptive_term': 'mild soft tissue', 'observation': 'edema', 'strength_term': 'mild'}, 'periportal edema': {'clinical finding': 'periportal edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'descriptive_term': 'periportal', 'observation': 'edema'}}anatomical entity_fin: {'renal collecting system': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'apparent slight prominence of the right renal collecting system , new when compared to prior study': {'clinical finding': 'apparent slight prominence of the right renal collecting system , new when compared to prior study'}}
<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'}}size_fin: [{'size': '2.5 cm', 'size_descriptor': 'artery'}]anatomical entity_fin: {'main pulmonary artery': {}}clinical findings_fin: {'main pulmonary artery is of normal caliber': {'clinical finding': 'main pulmonary artery is of normal caliber'}}imaging observation_fin: ['miliary pattern']clinical findings_fin: {'innumerable pulmonary metastases': {'clinical finding': 'innumerable pulmonary metastases', 'existence': 'pos_dx', 'descriptive_term': 'innumerable pulmonary', 'observation': 'metastase'}, 'miliary pattern': {'clinical finding': 'miliary pattern', 'existence': 'pos_dx', 'descriptive_term': 'miliary', 'observation': 'pattern'}}size_fin: [{'size': '8 x 8 mm', 'size_descriptor': 'nodule'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'reference nodule': {'clinical finding': 'reference nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'reference', 'observation': 'nodule'}}anatomical entity_fin: {'neck': {}}clinical findings_fin: {'postoperative changes': {'clinical finding': 'postoperative changes', 'existence': 'pos_dx', 'descriptive_term': 'postoperative', 'observation': 'change'}}size_fin: [{'size': '14 mm'}, {'size': '14 mm'}]location descriptor_fin: ['left', 'upper']clinical findings_fin: {'reference left upper paratracheal node': {'clinical finding': 'reference left upper paratracheal node', 'existence': 'pos_dx', 'descriptive_term': 'reference left upper paratracheal', 'observation': 'node'}}size_fin: [{'size': '11 mm'}, {'size': '11 mm'}]clinical findings_fin: {'reference paraesophageal lymph node': {'clinical finding': 'reference paraesophageal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference paraesophageal lymph', 'observation': 'node'}}clinical findings_fin: {'other lymphadenopathy': {'clinical finding': 'other lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'descriptive_term': 'other', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'persistent mild nonspecific esophageal thickening': {'clinical finding': 'persistent mild nonspecific esophageal thickening', 'existence': 'pos_dx', 'descriptive_term': 'persistent mild nonspecific esophageal', 'observation': 'thickening', 'strength_term': 'mild', 'temporal_term': 'persistent'}}anatomical entity_fin: {'left ventricle': {}}location descriptor_fin: ['upper']clinical findings_fin: {'upper limits of normal': {'clinical finding': 'upper limits of normal'}}anatomical entity_fin: {'mitral valve': {}}clinical findings_fin: {'aortic and mitral valve annular calcifications': {'clinical finding': 'aortic and mitral valve annular calcifications', 'cf_snomed': {'mitral valve annular calcification': 251002009}, 'existence': 'pos_dx', 'descriptive_term': 'aortic and mitral valve annular', 'observation': 'calcification'}, 'chronic renal disease': {'clinical finding': 'chronic renal disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'unc_dx', 'descriptive_term': 'chronic renal', 'observation': 'disease', 'temporal_term': 'chronic'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'osseous changes': {'clinical finding': 'osseous changes', 'existence': 'unc_dx', 'descriptive_term': 'osseous', 'observation': 'change'}, 'renal osteodystrophy': {'clinical finding': 'renal osteodystrophy', 'cf_snomed': {'renal osteodystrophy': 16726004}, 'existence': 'unc_dx', 'descriptive_term': 'renal', 'observation': 'osteodystrophy'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'mild soft tissue edema': {'clinical finding': 'mild soft tissue edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'descriptive_term': 'mild soft tissue', 'observation': 'edema', 'strength_term': 'mild'}, 'periportal edema': {'clinical finding': 'periportal edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'descriptive_term': 'periportal', 'observation': 'edema'}}anatomical entity_fin: {'renal collecting system': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'apparent slight prominence of the right renal collecting system , new when compared to prior study': {'clinical finding': 'apparent slight prominence of the right renal collecting system , new when compared to prior study'}} [/INST] . Technically adequate study without evidence of acute pulmonary embolus. The main pulmonary artery is of normal caliber, measuring 2.5 cm in diameter. Grossly stable appearance of innumerable pulmonary metastases, in a miliary pattern. A reference nodule in the right lower lobe is unchanged, measuring 8 x 8 mm. Again seen are postoperative changes in the neck, not significantly changed when compared to previous. A reference left upper paratracheal node measures 14 mm , previously 14 mm. A reference paraesophageal lymph node near the hiatus measures 11 mm , previously 11 mm. Other lymphadenopathy is not significantly changed. Persistent mild nonspecific esophageal thickening. The left ventricle is upper limits of normal. There are aortic and mitral valve annular calcifications, likely secondary to chronic renal disease. Severe. No significant abnormality noted. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. Osseous changes likely related to renal osteodystrophy. There is mild soft tissue edema as well as periportal edema in the liver. There is apparent slight prominence of the right renal collecting system, new when compared to prior study, and incompletely characterized on this study. </s>