. The previously seen nearly completely occlusive left main pulmonary artery embolus has progressed in size, now extending further proximally to the main pulmonary artery bifurcation and further distally into the left upper and lower lobe pulmonary arteries. There is complete occlusion of the interlobar pulmonary artery on the right, which appears chronic. The main pulmonary artery to aorta ratio is 1.1. The left ventricle to the right ventricle ratio is 1.2, which may indicate right heart strain. Paucity of vasculature in the left lung reflects the aforementioned embolism. Mosaic attenuation in the right lung likely reflects chronic thromboembolic disease. Moderate sized right pleural effusion, similar to prior. Subpleural opacity in the posterior left upper lobe likely represents an infarct. Normal sized heart without pericardial effusion. None. No significant abnormality noted. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. No significant abnormality noted.
anatomical entity_fin: {'main pulmonary artery': {}, 'lobe': {'location descriptor': 'lower'}, 'pulmonary arteries': {}}location descriptor_fin: ['left', 'upper', 'lower']clinical findings_fin: {'previously seen nearly completely occlusive left main pulmonary artery embolus': {'clinical finding': 'previously seen nearly completely occlusive left main pulmonary artery embolus', 'cf_snomed': {'embolus': 55584005}, 'existence': 'pos_dx', 'descriptive_term': 'previously seen nearly completely occlusive left main pulmonary artery', 'observation': 'embolus'}}anatomical entity_fin: {'pulmonary artery': {}}location descriptor_fin: ['right']clinical findings_fin: {'complete occlusion': {'clinical finding': 'complete occlusion', 'existence': 'pos_dx', 'descriptive_term': 'complete', 'observation': 'occlusion'}}anatomical entity_fin: {'main pulmonary artery': {}, 'aorta': {}}anatomical entity_fin: {'left ventricle': {}, 'right ventricle': {}, 'heart': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'right heart strain': {'clinical finding': 'right heart strain', 'existence': 'unc_dx', 'descriptive_term': 'right heart', 'observation': 'strain'}}anatomical entity_fin: {'vasculature': {}, 'left lung': {}}clinical findings_fin: {'aforementioned embolism': {'clinical finding': 'aforementioned embolism', 'cf_snomed': {'embolism': 414086009}, 'existence': 'pos_dx', 'descriptive_term': 'aforementioned', 'observation': 'embolism'}}anatomical entity_fin: {'right lung': {}}clinical findings_fin: {'mosaic attenuation': {'clinical finding': 'mosaic attenuation', 'existence': 'pos_dx', 'descriptive_term': 'mosaic', 'observation': 'attenuation'}, 'chronic thromboembolic disease': {'clinical finding': 'chronic thromboembolic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'chronic thromboembolic', 'observation': 'disease', 'temporal_term': 'chronic'}}location descriptor_fin: ['right']clinical findings_fin: {'moderate sized right pleural effusion': {'clinical finding': 'moderate sized right pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'moderate sized right pleural', 'observation': 'effusion', 'strength_term': 'moderate'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}}location descriptor_fin: ['posterior', 'left', 'upper']clinical findings_fin: {'subpleural opacity': {'clinical finding': 'subpleural opacity', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'subpleural', 'observation': 'opacity'}, 'infarct': {'clinical finding': 'infarct', 'cf_snomed': {'infarct': 55641003}, 'existence': 'unc_dx', 'observation': 'infarct'}}anatomical entity_fin: {'heart': {}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'pos_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}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: {'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: {'main pulmonary artery': {}, 'lobe': {'location descriptor': 'lower'}, 'pulmonary arteries': {}}location descriptor_fin: ['left', 'upper', 'lower']clinical findings_fin: {'previously seen nearly completely occlusive left main pulmonary artery embolus': {'clinical finding': 'previously seen nearly completely occlusive left main pulmonary artery embolus', 'cf_snomed': {'embolus': 55584005}, 'existence': 'pos_dx', 'descriptive_term': 'previously seen nearly completely occlusive left main pulmonary artery', 'observation': 'embolus'}}anatomical entity_fin: {'pulmonary artery': {}}location descriptor_fin: ['right']clinical findings_fin: {'complete occlusion': {'clinical finding': 'complete occlusion', 'existence': 'pos_dx', 'descriptive_term': 'complete', 'observation': 'occlusion'}}anatomical entity_fin: {'main pulmonary artery': {}, 'aorta': {}}anatomical entity_fin: {'left ventricle': {}, 'right ventricle': {}, 'heart': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'right heart strain': {'clinical finding': 'right heart strain', 'existence': 'unc_dx', 'descriptive_term': 'right heart', 'observation': 'strain'}}anatomical entity_fin: {'vasculature': {}, 'left lung': {}}clinical findings_fin: {'aforementioned embolism': {'clinical finding': 'aforementioned embolism', 'cf_snomed': {'embolism': 414086009}, 'existence': 'pos_dx', 'descriptive_term': 'aforementioned', 'observation': 'embolism'}}anatomical entity_fin: {'right lung': {}}clinical findings_fin: {'mosaic attenuation': {'clinical finding': 'mosaic attenuation', 'existence': 'pos_dx', 'descriptive_term': 'mosaic', 'observation': 'attenuation'}, 'chronic thromboembolic disease': {'clinical finding': 'chronic thromboembolic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'chronic thromboembolic', 'observation': 'disease', 'temporal_term': 'chronic'}}location descriptor_fin: ['right']clinical findings_fin: {'moderate sized right pleural effusion': {'clinical finding': 'moderate sized right pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'moderate sized right pleural', 'observation': 'effusion', 'strength_term': 'moderate'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}}location descriptor_fin: ['posterior', 'left', 'upper']clinical findings_fin: {'subpleural opacity': {'clinical finding': 'subpleural opacity', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'subpleural', 'observation': 'opacity'}, 'infarct': {'clinical finding': 'infarct', 'cf_snomed': {'infarct': 55641003}, 'existence': 'unc_dx', 'observation': 'infarct'}}anatomical entity_fin: {'heart': {}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'pos_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}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: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . The previously seen nearly completely occlusive left main pulmonary artery embolus has progressed in size, now extending further proximally to the main pulmonary artery bifurcation and further distally into the left upper and lower lobe pulmonary arteries. There is complete occlusion of the interlobar pulmonary artery on the right, which appears chronic. The main pulmonary artery to aorta ratio is 1.1. The left ventricle to the right ventricle ratio is 1.2, which may indicate right heart strain. Paucity of vasculature in the left lung reflects the aforementioned embolism. Mosaic attenuation in the right lung likely reflects chronic thromboembolic disease. Moderate sized right pleural effusion, similar to prior. Subpleural opacity in the posterior left upper lobe likely represents an infarct. Normal sized heart without pericardial effusion. None. No significant abnormality noted. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. No significant abnormality noted. </s>