. Flat scarlike right upper lobe nodule is unchanged, likely benign. Left upper lobe subsolid nodule remains 9 x 9 mm and continues to contain a punctate internal sub-solid component. Suspicious appearing nodule in the posterior medial right lower lobe increased in density and now with irregularity of the borders, 10 x 10 mm, previously 9 x 8 mm. This remains compatible with a primary pulmonary neoplasm. Well-circumscribed solid left lower lobe 6 mm nodule is stable and benign in appearance. 5 mm nodular opacity in the right lower lobe abutting the cardiac border increased in density, though not in size and should continue to be monitored. Paramediastinal scarring on the right, mild and unchanged. Very mild subpleural fibrosis in the anterior left lung consistent with prior chest wall radiation therapy. Mild emphysema. Small right greater than left pleural fluid collections. Neoesophagus remains dilated and contains a moderate volume of fluid. No signs of localized recurrence. No significant lymphadenopathy. Cardiomegaly with left atrial enlargement. Heavily calcified mitral annulus. Moderate. Left mastectomy and axillary dissection. Multiple dissection clips in the region of the thyroid bed. Severe kyphosis. Absence of enteric contrast material limits sensitivity for abdominal pathology. Cholecystectomy. Cirrhotic appearing liver. No significant abnormality noted. No significant abnormality noted. Bilateral cortical thinning, numerous cysts and a left interpolar 9 x 10 mm collecting system calculus noted. No hydronephrosis. No significant abnormality noted. Severe atherosclerotic calcification of the aorta and its branches. Small left splenic artery aneurysm, partially calcified and unchanged measuring around 9 mm. 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: {'lobe': {'location descriptor': 'right upper'}}location descriptor_fin: ['right', 'upper']clinical findings_fin: {'flat scarlike right upper lobe nodule': {'clinical finding': 'flat scarlike right upper lobe nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'flat scarlike right upper lobe', 'observation': 'nodule'}}size_fin: [{'size': '9 x 9 mm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'left upper lobe subsolid nodule': {'clinical finding': 'left upper lobe subsolid nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'left upper lobe subsolid', 'observation': 'nodule'}}size_fin: [{'size': '10 x 10 mm'}, {'size': '9 x 8 mm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}imaging observation_fin: ['borders']location descriptor_fin: ['posterior', 'medial', 'right', 'lower']clinical findings_fin: {'suspicious appearing nodule': {'clinical finding': 'suspicious appearing nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'suspicious appearing', 'observation': 'nodule'}, 'density': {'clinical finding': 'density', 'existence': 'pos_dx', 'observation': 'density'}}clinical findings_fin: {'primary pulmonary neoplasm': {'clinical finding': 'primary pulmonary neoplasm', 'cf_snomed': {'neoplasm': 108369006}, 'existence': 'pos_dx', 'descriptive_term': 'primary pulmonary', 'observation': 'neoplasm'}}size_fin: [{'size': '6 mm', 'size_descriptor': 'nodule'}]anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'well-circumscribed solid left lower lobe 6 mm nodule': {'clinical finding': 'well-circumscribed solid left lower lobe 6 mm nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'well-circumscribed solid left lower lobe 6 mm', 'observation': 'nodule'}}size_fin: [{'size': '5 mm', 'size_descriptor': 'opacity'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}imaging observation_fin: ['border']location descriptor_fin: ['right', 'lower']clinical findings_fin: {'5 mm nodular opacity': {'clinical finding': '5 mm nodular opacity', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': '5 mm nodular', 'observation': 'opacity'}, 'density': {'clinical finding': 'density', 'existence': 'pos_dx', 'observation': 'density'}}location descriptor_fin: ['right']clinical findings_fin: {'paramediastinal scarring': {'clinical finding': 'paramediastinal scarring', 'existence': 'pos_dx', 'descriptive_term': 'paramediastinal', 'observation': 'scarr'}}anatomical entity_fin: {'left lung': {'location descriptor': 'anterior'}, 'chest wall': {}}location descriptor_fin: ['anterior']clinical findings_fin: {'very mild subpleural fibrosis': {'clinical finding': 'very mild subpleural fibrosis', 'existence': 'pos_dx', 'descriptive_term': 'very mild subpleural', 'observation': 'fibrosis', 'strength_term': 'mild'}}clinical findings_fin: {'mild emphysema': {'clinical finding': 'mild emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'emphysema', 'strength_term': 'mild'}}location descriptor_fin: ['right', 'left']clinical findings_fin: {'small right greater than left pleural fluid collections': {'clinical finding': 'small right greater than left pleural fluid collections', 'existence': 'pos_dx', 'descriptive_term': 'small right greater than left pleural fluid', 'observation': 'collection', 'strength_term': 'small', 'change_term': 'greater'}}anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'dilated': {'clinical finding': 'dilated', 'existence': 'pos_dx', 'observation': 'dilated'}}clinical findings_fin: {'localized recurrence': {'clinical finding': 'localized recurrence', 'existence': 'neg_dx', 'descriptive_term': 'localized', 'observation': 'recurrence'}}clinical findings_fin: {'significant lymphadenopathy': {'clinical finding': 'significant lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'lymphadenopathy'}}location descriptor_fin: ['left']clinical findings_fin: {'cardiomegaly': {'clinical finding': 'cardiomegaly', 'cf_snomed': {'cardiomegaly': 8186001}, 'existence': 'pos_dx', 'observation': 'cardiomegaly'}, 'left atrial enlargement': {'clinical finding': 'left atrial enlargement', 'cf_snomed': {'left atrial enlargement': 67741000119109}, 'existence': 'pos_dx', 'descriptive_term': 'left atrial', 'observation': 'enlargement'}}clinical findings_fin: {'heavily calcified': {'clinical finding': 'heavily calcified', 'existence': 'pos_dx', 'descriptive_term': 'heavily', 'observation': 'calcified', 'strength_term': 'heavily'}}location descriptor_fin: ['left']procedure_fin: ['mastectomy']clinical findings_fin: {'axillary dissection': {'clinical finding': 'axillary dissection', 'existence': 'pos_dx', 'descriptive_term': 'axillary', 'observation': 'dissection'}}object_fin: ['clips']clinical findings_fin: {'multiple dissection': {'clinical finding': 'multiple dissection', 'existence': 'pos_dx', 'descriptive_term': 'multiple', 'observation': 'dissection', 'quantity_term': 'multiple'}}clinical findings_fin: {'severe kyphosis': {'clinical finding': 'severe kyphosis', 'existence': 'pos_dx', 'descriptive_term': 'severe', 'observation': 'kyphosis', 'strength_term': 'severe'}}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': {}}clinical findings_fin: {'cirrhotic': {'clinical finding': 'cirrhotic', 'existence': 'pos_dx', 'observation': 'cirrhotic'}}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'}}size_fin: [{'size': '9 x 10 mm', 'size_descriptor': 'calculus'}]location descriptor_fin: ['bilateral', 'left']clinical findings_fin: {'bilateral cortical thinning': {'clinical finding': 'bilateral cortical thinning', 'existence': 'pos_dx', 'descriptive_term': 'bilateral cortical', 'observation': 'thinning'}, 'numerous cysts': {'clinical finding': 'numerous cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'numerous', 'observation': 'cyst', 'quantity_term': 'numerous'}, 'left interpolar 9 x 10 mm collecting system calculus': {'clinical finding': 'left interpolar 9 x 10 mm collecting system calculus', 'cf_snomed': {'calculus': 56381008}, 'existence': 'pos_dx', 'descriptive_term': 'left interpolar 9 x 10 mm collecting system', 'observation': 'calculus'}}clinical findings_fin: {'hydronephrosis': {'clinical finding': 'hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'neg_dx', 'observation': 'hydronephrosis'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'aorta': {}}clinical findings_fin: {'severe atherosclerotic calcification': {'clinical finding': 'severe atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'severe atherosclerotic', 'observation': 'calcification', 'strength_term': 'severe'}}size_fin: [{'size': '9 mm', 'size_descriptor': 'aneurysm'}]anatomical entity_fin: {'splenic artery': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'small left splenic artery aneurysm': {'clinical finding': 'small left splenic artery aneurysm', 'cf_snomed': {'aneurysm': 432119003}, 'existence': 'pos_dx', 'descriptive_term': 'small left splenic artery', 'observation': 'aneurysm', 'strength_term': 'small'}, 'calcified': {'clinical finding': 'calcified', 'existence': 'pos_dx', 'observation': 'calcified'}}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: {'lobe': {'location descriptor': 'right upper'}}location descriptor_fin: ['right', 'upper']clinical findings_fin: {'flat scarlike right upper lobe nodule': {'clinical finding': 'flat scarlike right upper lobe nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'flat scarlike right upper lobe', 'observation': 'nodule'}}size_fin: [{'size': '9 x 9 mm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'left upper lobe subsolid nodule': {'clinical finding': 'left upper lobe subsolid nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'left upper lobe subsolid', 'observation': 'nodule'}}size_fin: [{'size': '10 x 10 mm'}, {'size': '9 x 8 mm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}imaging observation_fin: ['borders']location descriptor_fin: ['posterior', 'medial', 'right', 'lower']clinical findings_fin: {'suspicious appearing nodule': {'clinical finding': 'suspicious appearing nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'suspicious appearing', 'observation': 'nodule'}, 'density': {'clinical finding': 'density', 'existence': 'pos_dx', 'observation': 'density'}}clinical findings_fin: {'primary pulmonary neoplasm': {'clinical finding': 'primary pulmonary neoplasm', 'cf_snomed': {'neoplasm': 108369006}, 'existence': 'pos_dx', 'descriptive_term': 'primary pulmonary', 'observation': 'neoplasm'}}size_fin: [{'size': '6 mm', 'size_descriptor': 'nodule'}]anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'well-circumscribed solid left lower lobe 6 mm nodule': {'clinical finding': 'well-circumscribed solid left lower lobe 6 mm nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'well-circumscribed solid left lower lobe 6 mm', 'observation': 'nodule'}}size_fin: [{'size': '5 mm', 'size_descriptor': 'opacity'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}imaging observation_fin: ['border']location descriptor_fin: ['right', 'lower']clinical findings_fin: {'5 mm nodular opacity': {'clinical finding': '5 mm nodular opacity', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': '5 mm nodular', 'observation': 'opacity'}, 'density': {'clinical finding': 'density', 'existence': 'pos_dx', 'observation': 'density'}}location descriptor_fin: ['right']clinical findings_fin: {'paramediastinal scarring': {'clinical finding': 'paramediastinal scarring', 'existence': 'pos_dx', 'descriptive_term': 'paramediastinal', 'observation': 'scarr'}}anatomical entity_fin: {'left lung': {'location descriptor': 'anterior'}, 'chest wall': {}}location descriptor_fin: ['anterior']clinical findings_fin: {'very mild subpleural fibrosis': {'clinical finding': 'very mild subpleural fibrosis', 'existence': 'pos_dx', 'descriptive_term': 'very mild subpleural', 'observation': 'fibrosis', 'strength_term': 'mild'}}clinical findings_fin: {'mild emphysema': {'clinical finding': 'mild emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'emphysema', 'strength_term': 'mild'}}location descriptor_fin: ['right', 'left']clinical findings_fin: {'small right greater than left pleural fluid collections': {'clinical finding': 'small right greater than left pleural fluid collections', 'existence': 'pos_dx', 'descriptive_term': 'small right greater than left pleural fluid', 'observation': 'collection', 'strength_term': 'small', 'change_term': 'greater'}}anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'dilated': {'clinical finding': 'dilated', 'existence': 'pos_dx', 'observation': 'dilated'}}clinical findings_fin: {'localized recurrence': {'clinical finding': 'localized recurrence', 'existence': 'neg_dx', 'descriptive_term': 'localized', 'observation': 'recurrence'}}clinical findings_fin: {'significant lymphadenopathy': {'clinical finding': 'significant lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'lymphadenopathy'}}location descriptor_fin: ['left']clinical findings_fin: {'cardiomegaly': {'clinical finding': 'cardiomegaly', 'cf_snomed': {'cardiomegaly': 8186001}, 'existence': 'pos_dx', 'observation': 'cardiomegaly'}, 'left atrial enlargement': {'clinical finding': 'left atrial enlargement', 'cf_snomed': {'left atrial enlargement': 67741000119109}, 'existence': 'pos_dx', 'descriptive_term': 'left atrial', 'observation': 'enlargement'}}clinical findings_fin: {'heavily calcified': {'clinical finding': 'heavily calcified', 'existence': 'pos_dx', 'descriptive_term': 'heavily', 'observation': 'calcified', 'strength_term': 'heavily'}}location descriptor_fin: ['left']procedure_fin: ['mastectomy']clinical findings_fin: {'axillary dissection': {'clinical finding': 'axillary dissection', 'existence': 'pos_dx', 'descriptive_term': 'axillary', 'observation': 'dissection'}}object_fin: ['clips']clinical findings_fin: {'multiple dissection': {'clinical finding': 'multiple dissection', 'existence': 'pos_dx', 'descriptive_term': 'multiple', 'observation': 'dissection', 'quantity_term': 'multiple'}}clinical findings_fin: {'severe kyphosis': {'clinical finding': 'severe kyphosis', 'existence': 'pos_dx', 'descriptive_term': 'severe', 'observation': 'kyphosis', 'strength_term': 'severe'}}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': {}}clinical findings_fin: {'cirrhotic': {'clinical finding': 'cirrhotic', 'existence': 'pos_dx', 'observation': 'cirrhotic'}}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'}}size_fin: [{'size': '9 x 10 mm', 'size_descriptor': 'calculus'}]location descriptor_fin: ['bilateral', 'left']clinical findings_fin: {'bilateral cortical thinning': {'clinical finding': 'bilateral cortical thinning', 'existence': 'pos_dx', 'descriptive_term': 'bilateral cortical', 'observation': 'thinning'}, 'numerous cysts': {'clinical finding': 'numerous cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'numerous', 'observation': 'cyst', 'quantity_term': 'numerous'}, 'left interpolar 9 x 10 mm collecting system calculus': {'clinical finding': 'left interpolar 9 x 10 mm collecting system calculus', 'cf_snomed': {'calculus': 56381008}, 'existence': 'pos_dx', 'descriptive_term': 'left interpolar 9 x 10 mm collecting system', 'observation': 'calculus'}}clinical findings_fin: {'hydronephrosis': {'clinical finding': 'hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'neg_dx', 'observation': 'hydronephrosis'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'aorta': {}}clinical findings_fin: {'severe atherosclerotic calcification': {'clinical finding': 'severe atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'severe atherosclerotic', 'observation': 'calcification', 'strength_term': 'severe'}}size_fin: [{'size': '9 mm', 'size_descriptor': 'aneurysm'}]anatomical entity_fin: {'splenic artery': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'small left splenic artery aneurysm': {'clinical finding': 'small left splenic artery aneurysm', 'cf_snomed': {'aneurysm': 432119003}, 'existence': 'pos_dx', 'descriptive_term': 'small left splenic artery', 'observation': 'aneurysm', 'strength_term': 'small'}, 'calcified': {'clinical finding': 'calcified', 'existence': 'pos_dx', 'observation': 'calcified'}}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] . Flat scarlike right upper lobe nodule is unchanged, likely benign. Left upper lobe subsolid nodule remains 9 x 9 mm and continues to contain a punctate internal sub-solid component. Suspicious appearing nodule in the posterior medial right lower lobe increased in density and now with irregularity of the borders, 10 x 10 mm, previously 9 x 8 mm. This remains compatible with a primary pulmonary neoplasm. Well-circumscribed solid left lower lobe 6 mm nodule is stable and benign in appearance. 5 mm nodular opacity in the right lower lobe abutting the cardiac border increased in density, though not in size and should continue to be monitored. Paramediastinal scarring on the right, mild and unchanged. Very mild subpleural fibrosis in the anterior left lung consistent with prior chest wall radiation therapy. Mild emphysema. Small right greater than left pleural fluid collections. Neoesophagus remains dilated and contains a moderate volume of fluid. No signs of localized recurrence. No significant lymphadenopathy. Cardiomegaly with left atrial enlargement. Heavily calcified mitral annulus. Moderate. Left mastectomy and axillary dissection. Multiple dissection clips in the region of the thyroid bed. Severe kyphosis. Absence of enteric contrast material limits sensitivity for abdominal pathology. Cholecystectomy. Cirrhotic appearing liver. No significant abnormality noted. No significant abnormality noted. Bilateral cortical thinning, numerous cysts and a left interpolar 9 x 10 mm collecting system calculus noted. No hydronephrosis. No significant abnormality noted. Severe atherosclerotic calcification of the aorta and its branches. Small left splenic artery aneurysm, partially calcified and unchanged measuring around 9 mm. Absence of enteric contrast material limits sensitivity for GI pathology. No gross abnormalities noted. No significant abnormality noted. No significant abnormality noted. </s>