. Irregular left apical opacity measures 3.7 x 1.8 cm , previously 4.0 x 2.8 cm, now with central cavitation. Multiple new irregular airspace opacities are noted predominantly at the apices. Small left pleural effusion is largely unchanged. Basilar atelectasis appears slightly increased in the prior exam. Scattered calcified micronodules is compatible with previous granulomatous infection. Large prevascular lymph node measures 1.5 cm , previously 1.4 cm. Additional prominent mediastinal lymph nodes are noted. Moderate cardiomegaly with an moderate pericardial effusion is unchanged since prior exam. Right IJ pulmonary arterial catheter tip in the right descending pulmonary artery. Left chest wall ICD. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. No significant abnormality noted.
size_fin: [{'size': '3.7 x 1.8 cm'}, {'size': '4.0 x 2.8 cm'}]imaging observation_fin: ['apical']location descriptor_fin: ['left', 'central']clinical findings_fin: {'irregular left apical opacity': {'clinical finding': 'irregular left apical opacity', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'irregular left apical', 'observation': 'opacity'}, 'central cavitation': {'clinical finding': 'central cavitation', 'existence': 'pos_dx', 'descriptive_term': 'central', 'observation': 'cavitation'}}anatomical entity_fin: {'airspace': {}, 'apices': {}}clinical findings_fin: {'multiple new irregular airspace opacities': {'clinical finding': 'multiple new irregular airspace opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'multiple new irregular airspace', 'observation': 'opacity', 'quantity_term': 'multiple', 'temporal_term': 'new'}}location descriptor_fin: ['left']clinical findings_fin: {'small left pleural effusion': {'clinical finding': 'small left pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'small left pleural', 'observation': 'effusion', 'strength_term': 'small'}}clinical findings_fin: {'basilar atelectasis': {'clinical finding': 'basilar atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'basilar', 'observation': 'atelectasis'}}clinical findings_fin: {'scattered calcified micronodules': {'clinical finding': 'scattered calcified micronodules', 'existence': 'pos_dx', 'descriptive_term': 'scattered calcified', 'observation': 'micronodule', 'change_term': 'calcified'}, 'previous granulomatous infection': {'clinical finding': 'previous granulomatous infection', 'existence': 'pos_dx', 'descriptive_term': 'previous granulomatous', 'observation': 'infection', 'temporal_term': 'previous'}}size_fin: [{'size': '1.5 cm'}, {'size': '1.4 cm'}]clinical findings_fin: {'large prevascular lymph node': {'clinical finding': 'large prevascular lymph node', 'existence': 'pos_dx', 'descriptive_term': 'large prevascular lymph', 'observation': 'node', 'strength_term': 'large'}}anatomical entity_fin: {'mediastinal lymph nodes': {}}clinical findings_fin: {'additional prominent mediastinal lymph nodes': {'clinical finding': 'additional prominent mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'additional prominent mediastinal lymph', 'observation': 'node', 'strength_term': 'prominent'}}clinical findings_fin: {'moderate cardiomegaly': {'clinical finding': 'moderate cardiomegaly', 'cf_snomed': {'cardiomegaly': 8186001}, 'existence': 'pos_dx', 'descriptive_term': 'moderate', 'observation': 'cardiomegaly', 'strength_term': 'moderate'}, 'moderate pericardial effusion': {'clinical finding': 'moderate pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'pos_dx', 'descriptive_term': 'moderate pericardial', 'observation': 'effusion', 'strength_term': 'moderate'}}anatomical entity_fin: {'pulmonary artery': {}}location descriptor_fin: ['right']object_fin: ['catheter']clinical findings_fin: {'right ij pulmonary': {'clinical finding': 'right ij pulmonary', 'existence': 'pos_dx', 'descriptive_term': 'right ij', 'observation': 'pulmonary'}, 'right descending pulmonary': {'clinical finding': 'right descending pulmonary', 'existence': 'pos_dx', 'descriptive_term': 'right descending', 'observation': 'pulmonary'}}anatomical entity_fin: {'chest wall': {'location descriptor': 'left'}}location descriptor_fin: ['left']anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'pos_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: size_fin: [{'size': '3.7 x 1.8 cm'}, {'size': '4.0 x 2.8 cm'}]imaging observation_fin: ['apical']location descriptor_fin: ['left', 'central']clinical findings_fin: {'irregular left apical opacity': {'clinical finding': 'irregular left apical opacity', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'irregular left apical', 'observation': 'opacity'}, 'central cavitation': {'clinical finding': 'central cavitation', 'existence': 'pos_dx', 'descriptive_term': 'central', 'observation': 'cavitation'}}anatomical entity_fin: {'airspace': {}, 'apices': {}}clinical findings_fin: {'multiple new irregular airspace opacities': {'clinical finding': 'multiple new irregular airspace opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'multiple new irregular airspace', 'observation': 'opacity', 'quantity_term': 'multiple', 'temporal_term': 'new'}}location descriptor_fin: ['left']clinical findings_fin: {'small left pleural effusion': {'clinical finding': 'small left pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'small left pleural', 'observation': 'effusion', 'strength_term': 'small'}}clinical findings_fin: {'basilar atelectasis': {'clinical finding': 'basilar atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'basilar', 'observation': 'atelectasis'}}clinical findings_fin: {'scattered calcified micronodules': {'clinical finding': 'scattered calcified micronodules', 'existence': 'pos_dx', 'descriptive_term': 'scattered calcified', 'observation': 'micronodule', 'change_term': 'calcified'}, 'previous granulomatous infection': {'clinical finding': 'previous granulomatous infection', 'existence': 'pos_dx', 'descriptive_term': 'previous granulomatous', 'observation': 'infection', 'temporal_term': 'previous'}}size_fin: [{'size': '1.5 cm'}, {'size': '1.4 cm'}]clinical findings_fin: {'large prevascular lymph node': {'clinical finding': 'large prevascular lymph node', 'existence': 'pos_dx', 'descriptive_term': 'large prevascular lymph', 'observation': 'node', 'strength_term': 'large'}}anatomical entity_fin: {'mediastinal lymph nodes': {}}clinical findings_fin: {'additional prominent mediastinal lymph nodes': {'clinical finding': 'additional prominent mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'additional prominent mediastinal lymph', 'observation': 'node', 'strength_term': 'prominent'}}clinical findings_fin: {'moderate cardiomegaly': {'clinical finding': 'moderate cardiomegaly', 'cf_snomed': {'cardiomegaly': 8186001}, 'existence': 'pos_dx', 'descriptive_term': 'moderate', 'observation': 'cardiomegaly', 'strength_term': 'moderate'}, 'moderate pericardial effusion': {'clinical finding': 'moderate pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'pos_dx', 'descriptive_term': 'moderate pericardial', 'observation': 'effusion', 'strength_term': 'moderate'}}anatomical entity_fin: {'pulmonary artery': {}}location descriptor_fin: ['right']object_fin: ['catheter']clinical findings_fin: {'right ij pulmonary': {'clinical finding': 'right ij pulmonary', 'existence': 'pos_dx', 'descriptive_term': 'right ij', 'observation': 'pulmonary'}, 'right descending pulmonary': {'clinical finding': 'right descending pulmonary', 'existence': 'pos_dx', 'descriptive_term': 'right descending', 'observation': 'pulmonary'}}anatomical entity_fin: {'chest wall': {'location descriptor': 'left'}}location descriptor_fin: ['left']anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . Irregular left apical opacity measures 3.7 x 1.8 cm , previously 4.0 x 2.8 cm, now with central cavitation. Multiple new irregular airspace opacities are noted predominantly at the apices. Small left pleural effusion is largely unchanged. Basilar atelectasis appears slightly increased in the prior exam. Scattered calcified micronodules is compatible with previous granulomatous infection. Large prevascular lymph node measures 1.5 cm , previously 1.4 cm. Additional prominent mediastinal lymph nodes are noted. Moderate cardiomegaly with an moderate pericardial effusion is unchanged since prior exam. Right IJ pulmonary arterial catheter tip in the right descending pulmonary artery. Left chest wall ICD. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. No significant abnormality noted. </s>