. Persistent and not significantly changed large and loculated right pleural effusion with associated compressive atelectasis in the right lower lobe. Again seen are postsurgical changes related to partial right middle lobectomy. Mild right pleural thickening is stable. No new pulmonary nodule or mass is identified. Postsurgical changes again seen within the mediastinum. The heart size is within normal limits, no significant pericardial effusion. Stable appearance of right paratracheal lymph node measuring 5x 7 mm , unchanged. Additional small mediastinal, hilar, and cardiophrenic lymph nodes are not enlarged by size criteria and are not significantly changed. Moderate. Status post sternotomy. Scattered multilevel degenerative changes of the thoracolumbar spine. Absence of enteric contrast material limits sensitivity for abdominal pathology. Status post cholecystectomy. Hypoattenuation along the falciform ligament represents focal fat deposition. The additional hypoattenuating lesion in segment 4b is unchanged and may represent a perfusion defect. No significant abnormality noted. No significant abnormality noted. Atrophic appearing kidneys with cortical scarring suggestive of chronic kidney disease. Additional subcentimeter hypoattenuating lesions are unchanged and likely represent small cysts. No significant abnormality noted. No significant abnormality noted. Absence of enteric contrast material limits sensitivity for GI pathology. The bowel is of normal caliber, without evidence of obstruction. Scattered multilevel degenerative changes of the thoracolumbar spine. Small fat-containing umbilical hernia.
anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'persistent and not significantly changed large and loculated right pleural effusion': {'clinical finding': 'persistent and not significantly changed large and loculated right pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'persistent and not significantly changed large and loculated right pleural', 'observation': 'effusion', 'strength_term': 'large', 'temporal_term': 'persistent', 'change_term': 'changed'}, 'associated compressive atelectasis': {'clinical finding': 'associated compressive atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'associated compressive', 'observation': 'atelectasis'}}anatomical entity_fin: {'middle': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'postsurgical changes': {'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'}, 'partial right middle lobectomy': {'clinical finding': 'partial right middle lobectomy', 'existence': 'pos_dx', 'descriptive_term': 'partial right middle', 'observation': 'lobectomy', 'strength_term': 'partial'}}location descriptor_fin: ['right']clinical findings_fin: {'mild right pleural thickening': {'clinical finding': 'mild right pleural thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild right pleural', 'observation': 'thickening', 'strength_term': 'mild'}}clinical findings_fin: {'new pulmonary nodule': {'clinical finding': 'new pulmonary nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'new pulmonary', 'observation': 'nodule', 'temporal_term': 'new'}, 'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}}anatomical entity_fin: {'mediastinum': {}}clinical findings_fin: {'postsurgical changes': {'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'}}anatomical entity_fin: {'heart': {}}clinical findings_fin: {'significant pericardial effusion': {'clinical finding': 'significant pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'significant pericardial', 'observation': 'effusion'}}size_fin: [{'size': '5x 7 mm', 'size_descriptor': 'appearance'}]location descriptor_fin: ['right']clinical findings_fin: {'right paratracheal lymph node': {'clinical finding': 'right paratracheal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'right paratracheal lymph', 'observation': 'node'}}clinical findings_fin: {'additional small mediastinal, hilar, and cardiophrenic lymph nodes': {'clinical finding': 'additional small mediastinal, hilar, and cardiophrenic lymph nodes', 'existence': 'neg_dx', 'descriptive_term': 'additional small mediastinal hilar and cardiophrenic lymph', 'observation': 'node', 'strength_term': 'small'}, 'enlarged': {'clinical finding': 'enlarged', 'existence': 'neg_dx', 'observation': 'enlarged'}}clinical findings_fin: {'sternotomy': {'clinical finding': 'sternotomy', 'existence': 'pos_dx', 'observation': 'sternotomy'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'scattered multilevel degenerative changes': {'clinical finding': 'scattered multilevel degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'scattered multilevel degenerative', 'observation': 'change'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}procedure_fin: ['cholecystectomy']imaging observation_fin: ['falciform ligament']clinical findings_fin: {'focal fat deposition': {'clinical finding': 'focal fat deposition', 'cf_snomed': {'deposition': 46595003}, 'existence': 'pos_dx', 'descriptive_term': 'focal fat', 'observation': 'deposition'}}clinical findings_fin: {'additional hypoattenuating lesion': {'clinical finding': 'additional hypoattenuating lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'additional hypoattenuating', 'observation': 'lesion'}, 'perfusion defect': {'clinical finding': 'perfusion defect', 'cf_snomed': {'defect': 6920004}, 'existence': 'unc_dx', 'descriptive_term': 'perfusion', 'observation': 'defect'}}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'}}anatomical entity_fin: {'kidneys': {}, 'kidney': {}}clinical findings_fin: {'atrophic': {'clinical finding': 'atrophic', 'existence': 'pos_dx', 'observation': 'atrophic'}, 'cortical scarring': {'clinical finding': 'cortical scarring', 'existence': 'pos_dx', 'descriptive_term': 'cortical', 'observation': 'scarr'}, 'chronic kidney disease': {'clinical finding': 'chronic kidney disease', 'cf_snomed': {'chronic kidney disease': 709044004}, 'existence': 'unc_dx', 'descriptive_term': 'chronic kidney', 'observation': 'disease', 'temporal_term': 'chronic'}}clinical findings_fin: {'additional subcentimeter hypoattenuating lesions': {'clinical finding': 'additional subcentimeter hypoattenuating lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'additional subcentimeter hypoattenuating', 'observation': 'lesion'}, 'small cysts': {'clinical finding': 'small cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'unc_dx', 'descriptive_term': 'small', 'observation': 'cyst', 'strength_term': 'small'}}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'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'observation': 'obstruction'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'scattered multilevel degenerative changes': {'clinical finding': 'scattered multilevel degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'scattered multilevel degenerative', 'observation': 'change'}}imaging observation_fin: ['fat']clinical findings_fin: {'small fat-containing umbilical hernia': {'clinical finding': 'small fat-containing umbilical hernia', 'cf_snomed': {'umbilical hernia': 396347007}, 'existence': 'pos_dx', 'descriptive_term': 'small fat-containing umbilical', 'observation': 'hernia', 'strength_term': 'small'}}
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'persistent and not significantly changed large and loculated right pleural effusion': {'clinical finding': 'persistent and not significantly changed large and loculated right pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'persistent and not significantly changed large and loculated right pleural', 'observation': 'effusion', 'strength_term': 'large', 'temporal_term': 'persistent', 'change_term': 'changed'}, 'associated compressive atelectasis': {'clinical finding': 'associated compressive atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'associated compressive', 'observation': 'atelectasis'}}anatomical entity_fin: {'middle': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'postsurgical changes': {'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'}, 'partial right middle lobectomy': {'clinical finding': 'partial right middle lobectomy', 'existence': 'pos_dx', 'descriptive_term': 'partial right middle', 'observation': 'lobectomy', 'strength_term': 'partial'}}location descriptor_fin: ['right']clinical findings_fin: {'mild right pleural thickening': {'clinical finding': 'mild right pleural thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild right pleural', 'observation': 'thickening', 'strength_term': 'mild'}}clinical findings_fin: {'new pulmonary nodule': {'clinical finding': 'new pulmonary nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'new pulmonary', 'observation': 'nodule', 'temporal_term': 'new'}, 'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}}anatomical entity_fin: {'mediastinum': {}}clinical findings_fin: {'postsurgical changes': {'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'}}anatomical entity_fin: {'heart': {}}clinical findings_fin: {'significant pericardial effusion': {'clinical finding': 'significant pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'significant pericardial', 'observation': 'effusion'}}size_fin: [{'size': '5x 7 mm', 'size_descriptor': 'appearance'}]location descriptor_fin: ['right']clinical findings_fin: {'right paratracheal lymph node': {'clinical finding': 'right paratracheal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'right paratracheal lymph', 'observation': 'node'}}clinical findings_fin: {'additional small mediastinal, hilar, and cardiophrenic lymph nodes': {'clinical finding': 'additional small mediastinal, hilar, and cardiophrenic lymph nodes', 'existence': 'neg_dx', 'descriptive_term': 'additional small mediastinal hilar and cardiophrenic lymph', 'observation': 'node', 'strength_term': 'small'}, 'enlarged': {'clinical finding': 'enlarged', 'existence': 'neg_dx', 'observation': 'enlarged'}}clinical findings_fin: {'sternotomy': {'clinical finding': 'sternotomy', 'existence': 'pos_dx', 'observation': 'sternotomy'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'scattered multilevel degenerative changes': {'clinical finding': 'scattered multilevel degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'scattered multilevel degenerative', 'observation': 'change'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}procedure_fin: ['cholecystectomy']imaging observation_fin: ['falciform ligament']clinical findings_fin: {'focal fat deposition': {'clinical finding': 'focal fat deposition', 'cf_snomed': {'deposition': 46595003}, 'existence': 'pos_dx', 'descriptive_term': 'focal fat', 'observation': 'deposition'}}clinical findings_fin: {'additional hypoattenuating lesion': {'clinical finding': 'additional hypoattenuating lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'additional hypoattenuating', 'observation': 'lesion'}, 'perfusion defect': {'clinical finding': 'perfusion defect', 'cf_snomed': {'defect': 6920004}, 'existence': 'unc_dx', 'descriptive_term': 'perfusion', 'observation': 'defect'}}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'}}anatomical entity_fin: {'kidneys': {}, 'kidney': {}}clinical findings_fin: {'atrophic': {'clinical finding': 'atrophic', 'existence': 'pos_dx', 'observation': 'atrophic'}, 'cortical scarring': {'clinical finding': 'cortical scarring', 'existence': 'pos_dx', 'descriptive_term': 'cortical', 'observation': 'scarr'}, 'chronic kidney disease': {'clinical finding': 'chronic kidney disease', 'cf_snomed': {'chronic kidney disease': 709044004}, 'existence': 'unc_dx', 'descriptive_term': 'chronic kidney', 'observation': 'disease', 'temporal_term': 'chronic'}}clinical findings_fin: {'additional subcentimeter hypoattenuating lesions': {'clinical finding': 'additional subcentimeter hypoattenuating lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'additional subcentimeter hypoattenuating', 'observation': 'lesion'}, 'small cysts': {'clinical finding': 'small cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'unc_dx', 'descriptive_term': 'small', 'observation': 'cyst', 'strength_term': 'small'}}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'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'observation': 'obstruction'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'scattered multilevel degenerative changes': {'clinical finding': 'scattered multilevel degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'scattered multilevel degenerative', 'observation': 'change'}}imaging observation_fin: ['fat']clinical findings_fin: {'small fat-containing umbilical hernia': {'clinical finding': 'small fat-containing umbilical hernia', 'cf_snomed': {'umbilical hernia': 396347007}, 'existence': 'pos_dx', 'descriptive_term': 'small fat-containing umbilical', 'observation': 'hernia', 'strength_term': 'small'}} [/INST] . Persistent and not significantly changed large and loculated right pleural effusion with associated compressive atelectasis in the right lower lobe. Again seen are postsurgical changes related to partial right middle lobectomy. Mild right pleural thickening is stable. No new pulmonary nodule or mass is identified. Postsurgical changes again seen within the mediastinum. The heart size is within normal limits, no significant pericardial effusion. Stable appearance of right paratracheal lymph node measuring 5x 7 mm , unchanged. Additional small mediastinal, hilar, and cardiophrenic lymph nodes are not enlarged by size criteria and are not significantly changed. Moderate. Status post sternotomy. Scattered multilevel degenerative changes of the thoracolumbar spine. Absence of enteric contrast material limits sensitivity for abdominal pathology. Status post cholecystectomy. Hypoattenuation along the falciform ligament represents focal fat deposition. The additional hypoattenuating lesion in segment 4b is unchanged and may represent a perfusion defect. No significant abnormality noted. No significant abnormality noted. Atrophic appearing kidneys with cortical scarring suggestive of chronic kidney disease. Additional subcentimeter hypoattenuating lesions are unchanged and likely represent small cysts. No significant abnormality noted. No significant abnormality noted. Absence of enteric contrast material limits sensitivity for GI pathology. The bowel is of normal caliber, without evidence of obstruction. Scattered multilevel degenerative changes of the thoracolumbar spine. Small fat-containing umbilical hernia. </s>