. Bilateral apical scarring associated with mild bronchiectasis. There is also bronchiectasis in the right middle lobe associated with volume loss. The right lower lobe nodule measures 13 x 7 mm, previously 13 x 9 mm subjectively the nodule appears similar in size and differences may be related to scan variability. The density of the nodule has again increased since the last study, from a prior measurement of 27 Hounsfield units to greater than 70 Hounsfield units on the current exam. 3 mm groundglass nodule occurs near the lesion, unchanged over several prior studies. Additional groundglass density micronodules in the right lung, some of which are clustered, are also unchanged. Calcified subpleural micronodule right lower lobe, no additional suspicious lesions. Right thyroid lobe resection. Left subclavian pacemaker with leads in the right atrial appendage and right ventricular apex. Left atrium is enlarged. Main pulmonary artery is enlarged, suggesting pulmonary hypertension. Calcified subcarinal and right paratracheal lymph nodes unchanged. Mild. Left chest wall pacemaker generator. Absence of enteric contrast material limits sensitivity for abdominal pathology. Cholecystectomy. No significant abnormality noted. No significant abnormality noted. Subcentimeter hypoattenuating lesions too small to accurately characterize. Hyperattenuating hemorrhagic or proteinaceous cyst at the apex of the left kidney. No significant abnormality noted. No significant abnormality noted. Absence of enteric contrast material limits sensitivity for GI pathology. Suture line in the right hemicolon incompletely included within the scanning range. There are few adjacent small lymph nodes near the right paracolic gutter. No significant abnormality noted. No significant abnormality noted.
imaging observation_fin: ['apical']location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral apical scarring': {'clinical finding': 'bilateral apical scarring', 'existence': 'pos_dx', 'descriptive_term': 'bilateral apical', 'observation': 'scarr'}, 'mild bronchiectasis': {'clinical finding': 'mild bronchiectasis', 'cf_snomed': {'bronchiectasis': 12295008}, 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'bronchiectasis', 'strength_term': 'mild'}}anatomical entity_fin: {'middle': {'location descriptor': 'right'}, 'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'bronchiectasis': {'clinical finding': 'bronchiectasis', 'cf_snomed': {'bronchiectasis': 12295008}, 'existence': 'pos_dx', 'observation': 'bronchiectasis'}, 'volume loss': {'clinical finding': 'volume loss', 'existence': 'pos_dx', 'descriptive_term': 'volume', 'observation': 'loss'}}size_fin: [{'size': '13 x 7 mm', 'size_descriptor': 'nodule'}, {'size': '13 x 9 mm', 'size_descriptor': 'nodule'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'right lower lobe nodule': {'clinical finding': 'right lower lobe nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'right lower lobe', 'observation': 'nodule'}, 'nodule': {'clinical finding': 'nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'observation': 'nodule'}}clinical findings_fin: {'nodule': {'clinical finding': 'nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'observation': 'nodule'}}size_fin: [{'size': '3 mm', 'size_descriptor': 'nodule'}]clinical findings_fin: {'3 mm groundglass nodule': {'clinical finding': '3 mm groundglass nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': '3 mm groundglass', 'observation': 'nodule'}, 'lesion': {'clinical finding': 'lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'observation': 'lesion'}}anatomical entity_fin: {'right lung': {}}clinical findings_fin: {'additional groundglass density micronodules': {'clinical finding': 'additional groundglass density micronodules', 'existence': 'pos_dx', 'descriptive_term': 'additional groundglass density', 'observation': 'micronodule'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'calcified subpleural micronodule': {'clinical finding': 'calcified subpleural micronodule', 'existence': 'pos_dx', 'descriptive_term': 'calcified subpleural', 'observation': 'micronodule', 'change_term': 'calcified'}, 'additional suspicious lesions': {'clinical finding': 'additional suspicious lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'additional suspicious', 'observation': 'lesion'}}anatomical entity_fin: {'lobe': {}}location descriptor_fin: ['right']anatomical entity_fin: {'right atrial appendage': {}, 'apex': {}}location descriptor_fin: ['left', 'right']non-anatomical substance_fin: ['leads']object_fin: ['pacemaker']anatomical entity_fin: {'left atrium': {}}clinical findings_fin: {'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}}anatomical entity_fin: {'main pulmonary artery': {}}clinical findings_fin: {'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}, 'pulmonary hypertension': {'clinical finding': 'pulmonary hypertension', 'cf_snomed': {'pulmonary hypertension': 70995007}, 'existence': 'unc_dx', 'descriptive_term': 'pulmonary', 'observation': 'hypertension'}}location descriptor_fin: ['right']clinical findings_fin: {'calcified subcarinal and right paratracheal lymph nodes': {'clinical finding': 'calcified subcarinal and right paratracheal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'calcified subcarinal and right paratracheal lymph', 'observation': 'node', 'change_term': 'calcified'}}anatomical entity_fin: {'chest wall': {'location descriptor': 'left'}}location descriptor_fin: ['left']object_fin: ['pacemaker']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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'subcentimeter hypoattenuating lesions': {'clinical finding': 'subcentimeter hypoattenuating lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter hypoattenuating', 'observation': 'lesion'}}anatomical entity_fin: {'apex': {}, 'left kidney': {}}clinical findings_fin: {'hyperattenuating hemorrhagic or proteinaceous cyst': {'clinical finding': 'hyperattenuating hemorrhagic or proteinaceous cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'hyperattenuating hemorrhagic or proteinaceous', 'observation': 'cyst'}}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'}}location descriptor_fin: ['right']object_fin: ['suture']clinical findings_fin: {'incompletely included within the scanning range': {'clinical finding': 'incompletely included within the scanning range'}}anatomical entity_fin: {'paracolic gutter': {'location descriptor': 'right'}}location descriptor_fin: ['adjacent', 'right']clinical findings_fin: {'few adjacent small lymph nodes': {'clinical finding': 'few adjacent small lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'few adjacent small lymph', 'observation': 'node', 'strength_term': 'small', 'quantity_term': 'few'}}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: imaging observation_fin: ['apical']location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral apical scarring': {'clinical finding': 'bilateral apical scarring', 'existence': 'pos_dx', 'descriptive_term': 'bilateral apical', 'observation': 'scarr'}, 'mild bronchiectasis': {'clinical finding': 'mild bronchiectasis', 'cf_snomed': {'bronchiectasis': 12295008}, 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'bronchiectasis', 'strength_term': 'mild'}}anatomical entity_fin: {'middle': {'location descriptor': 'right'}, 'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'bronchiectasis': {'clinical finding': 'bronchiectasis', 'cf_snomed': {'bronchiectasis': 12295008}, 'existence': 'pos_dx', 'observation': 'bronchiectasis'}, 'volume loss': {'clinical finding': 'volume loss', 'existence': 'pos_dx', 'descriptive_term': 'volume', 'observation': 'loss'}}size_fin: [{'size': '13 x 7 mm', 'size_descriptor': 'nodule'}, {'size': '13 x 9 mm', 'size_descriptor': 'nodule'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'right lower lobe nodule': {'clinical finding': 'right lower lobe nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'right lower lobe', 'observation': 'nodule'}, 'nodule': {'clinical finding': 'nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'observation': 'nodule'}}clinical findings_fin: {'nodule': {'clinical finding': 'nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'observation': 'nodule'}}size_fin: [{'size': '3 mm', 'size_descriptor': 'nodule'}]clinical findings_fin: {'3 mm groundglass nodule': {'clinical finding': '3 mm groundglass nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': '3 mm groundglass', 'observation': 'nodule'}, 'lesion': {'clinical finding': 'lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'observation': 'lesion'}}anatomical entity_fin: {'right lung': {}}clinical findings_fin: {'additional groundglass density micronodules': {'clinical finding': 'additional groundglass density micronodules', 'existence': 'pos_dx', 'descriptive_term': 'additional groundglass density', 'observation': 'micronodule'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'calcified subpleural micronodule': {'clinical finding': 'calcified subpleural micronodule', 'existence': 'pos_dx', 'descriptive_term': 'calcified subpleural', 'observation': 'micronodule', 'change_term': 'calcified'}, 'additional suspicious lesions': {'clinical finding': 'additional suspicious lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'additional suspicious', 'observation': 'lesion'}}anatomical entity_fin: {'lobe': {}}location descriptor_fin: ['right']anatomical entity_fin: {'right atrial appendage': {}, 'apex': {}}location descriptor_fin: ['left', 'right']non-anatomical substance_fin: ['leads']object_fin: ['pacemaker']anatomical entity_fin: {'left atrium': {}}clinical findings_fin: {'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}}anatomical entity_fin: {'main pulmonary artery': {}}clinical findings_fin: {'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}, 'pulmonary hypertension': {'clinical finding': 'pulmonary hypertension', 'cf_snomed': {'pulmonary hypertension': 70995007}, 'existence': 'unc_dx', 'descriptive_term': 'pulmonary', 'observation': 'hypertension'}}location descriptor_fin: ['right']clinical findings_fin: {'calcified subcarinal and right paratracheal lymph nodes': {'clinical finding': 'calcified subcarinal and right paratracheal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'calcified subcarinal and right paratracheal lymph', 'observation': 'node', 'change_term': 'calcified'}}anatomical entity_fin: {'chest wall': {'location descriptor': 'left'}}location descriptor_fin: ['left']object_fin: ['pacemaker']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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'subcentimeter hypoattenuating lesions': {'clinical finding': 'subcentimeter hypoattenuating lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter hypoattenuating', 'observation': 'lesion'}}anatomical entity_fin: {'apex': {}, 'left kidney': {}}clinical findings_fin: {'hyperattenuating hemorrhagic or proteinaceous cyst': {'clinical finding': 'hyperattenuating hemorrhagic or proteinaceous cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'hyperattenuating hemorrhagic or proteinaceous', 'observation': 'cyst'}}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'}}location descriptor_fin: ['right']object_fin: ['suture']clinical findings_fin: {'incompletely included within the scanning range': {'clinical finding': 'incompletely included within the scanning range'}}anatomical entity_fin: {'paracolic gutter': {'location descriptor': 'right'}}location descriptor_fin: ['adjacent', 'right']clinical findings_fin: {'few adjacent small lymph nodes': {'clinical finding': 'few adjacent small lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'few adjacent small lymph', 'observation': 'node', 'strength_term': 'small', 'quantity_term': 'few'}}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] . Bilateral apical scarring associated with mild bronchiectasis. There is also bronchiectasis in the right middle lobe associated with volume loss. The right lower lobe nodule measures 13 x 7 mm, previously 13 x 9 mm subjectively the nodule appears similar in size and differences may be related to scan variability. The density of the nodule has again increased since the last study, from a prior measurement of 27 Hounsfield units to greater than 70 Hounsfield units on the current exam. 3 mm groundglass nodule occurs near the lesion, unchanged over several prior studies. Additional groundglass density micronodules in the right lung, some of which are clustered, are also unchanged. Calcified subpleural micronodule right lower lobe, no additional suspicious lesions. Right thyroid lobe resection. Left subclavian pacemaker with leads in the right atrial appendage and right ventricular apex. Left atrium is enlarged. Main pulmonary artery is enlarged, suggesting pulmonary hypertension. Calcified subcarinal and right paratracheal lymph nodes unchanged. Mild. Left chest wall pacemaker generator. Absence of enteric contrast material limits sensitivity for abdominal pathology. Cholecystectomy. No significant abnormality noted. No significant abnormality noted. Subcentimeter hypoattenuating lesions too small to accurately characterize. Hyperattenuating hemorrhagic or proteinaceous cyst at the apex of the left kidney. No significant abnormality noted. No significant abnormality noted. Absence of enteric contrast material limits sensitivity for GI pathology. Suture line in the right hemicolon incompletely included within the scanning range. There are few adjacent small lymph nodes near the right paracolic gutter. No significant abnormality noted. No significant abnormality noted. </s>