. Right-sided loculated pleural effusion decreased from the prior exam in the presence of a chest tube in the right hemithorax. Complete collapse of the right upper lobe and right middle lobe atelectasis with narrowing of the right upper lobe bronchus and bronchus intermedius presumably secondary to lymphadenopathy and or or underlying mass which cannot be delineated. Previously noted pulmonary emboli are not identified on this nondedicated CT exam. Septal thickening noted within the visualized portion of the right lung. Numerous new micronodules in both lungs compatible with progression of metastatic disease. Right hilar lymphadenopathy cannot be well-defined however there is again significant narrowing of the right upper lobe bronchus and bronchus intermedius. Subcarinal lymphadenopathy also poorly defined. Prominent prevascular lymph nodes are better defined on this exam with short axis measuring 8 mm. Cardiac size is normal with evidence of a small pericardial effusion. Mild. Left supraclavicular enlarged lymph node measuring 13 mm. Degenerative changes within the thoracic spine. Absence of enteric contrast material limits sensitivity for abdominal pathology. Left adrenal nodule stable in size measuring 18 mm x 22 mm.
anatomical entity_fin: {'right hemithorax': {}}location descriptor_fin: ['right']object_fin: ['chest tube']clinical findings_fin: {'right-sided loculated pleural effusion': {'clinical finding': 'right-sided loculated pleural effusion', 'cf_snomed': {'loculated pleural effusion': 427895005}, 'existence': 'pos_dx', 'descriptive_term': 'right-sided loculated pleural', 'observation': 'effusion'}, 'chest tube': {'clinical finding': 'chest tube', 'existence': 'pos_dx', 'descriptive_term': 'chest', 'observation': 'tube'}}anatomical entity_fin: {'lobe': {}, 'middle': {'location descriptor': 'right'}, 'right upper lobe bronchus': {}, 'bronchus': {}}location descriptor_fin: ['right', 'upper']clinical findings_fin: {'complete collapse': {'clinical finding': 'complete collapse', 'cf_snomed': {'collapse': 271787007}, 'existence': 'pos_dx', 'descriptive_term': 'complete', 'observation': 'collapse'}, 'right upper lobe and right middle lobe atelectasis': {'clinical finding': 'right upper lobe and right middle lobe atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'right upper lobe and right middle lobe', 'observation': 'atelectasis'}, 'narrowing': {'clinical finding': 'narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'observation': 'narrowing'}, 'lymphadenopathy': {'clinical finding': 'lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'unc_dx', 'observation': 'lymphadenopathy'}, 'underlying mass': {'clinical finding': 'underlying mass', 'existence': 'unc_dx', 'descriptive_term': 'underlying', 'observation': 'mass'}}clinical findings_fin: {'previously noted pulmonary emboli': {'clinical finding': 'previously noted pulmonary emboli', 'existence': 'neg_dx', 'descriptive_term': 'previously noted pulmonary', 'observation': 'emboli'}}anatomical entity_fin: {'right lung': {}}clinical findings_fin: {'septal thickening': {'clinical finding': 'septal thickening', 'existence': 'pos_dx', 'descriptive_term': 'septal', 'observation': 'thickening'}}anatomical entity_fin: {'lungs': {}}clinical findings_fin: {'numerous new micronodules': {'clinical finding': 'numerous new micronodules', 'existence': 'pos_dx', 'descriptive_term': 'numerous new', 'observation': 'micronodule', 'quantity_term': 'numerous', 'temporal_term': 'new'}, 'progression': {'clinical finding': 'progression', 'existence': 'pos_dx', 'observation': 'progression'}, 'metastatic disease': {'clinical finding': 'metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'metastatic', 'observation': 'disease'}}anatomical entity_fin: {'right upper lobe bronchus': {}, 'bronchus': {}}location descriptor_fin: ['right']clinical findings_fin: {'right hilar lymphadenopathy': {'clinical finding': 'right hilar lymphadenopathy', 'cf_snomed': {'hilar lymphadenopathy': 87500009}, 'existence': 'neg_dx', 'descriptive_term': 'right hilar', 'observation': 'lymphadenopathy'}, 'significant narrowing': {'clinical finding': 'significant narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'significant', 'observation': 'narrowing'}}clinical findings_fin: {'subcarinal lymphadenopathy': {'clinical finding': 'subcarinal lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'pos_dx', 'descriptive_term': 'subcarinal', 'observation': 'lymphadenopathy'}}size_fin: [{'size': '8 mm'}]anatomical entity_fin: {'axis': {}}clinical findings_fin: {'prominent prevascular lymph nodes': {'clinical finding': 'prominent prevascular lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'prominent prevascular lymph', 'observation': 'node', 'strength_term': 'prominent'}}clinical findings_fin: {'small pericardial effusion': {'clinical finding': 'small pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'pos_dx', 'descriptive_term': 'small pericardial', 'observation': 'effusion', 'strength_term': 'small'}}size_fin: [{'size': '13 mm'}]location descriptor_fin: ['left']clinical findings_fin: {'left supraclavicular enlarged lymph node': {'clinical finding': 'left supraclavicular enlarged lymph node', 'existence': 'pos_dx', 'descriptive_term': 'left supraclavicular enlarged lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'degenerative changes': {'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}size_fin: [{'size': '18 mm x 22 mm'}]location descriptor_fin: ['left']clinical findings_fin: {'left adrenal nodule': {'clinical finding': 'left adrenal nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'left adrenal', 'observation': 'nodule'}}
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'right hemithorax': {}}location descriptor_fin: ['right']object_fin: ['chest tube']clinical findings_fin: {'right-sided loculated pleural effusion': {'clinical finding': 'right-sided loculated pleural effusion', 'cf_snomed': {'loculated pleural effusion': 427895005}, 'existence': 'pos_dx', 'descriptive_term': 'right-sided loculated pleural', 'observation': 'effusion'}, 'chest tube': {'clinical finding': 'chest tube', 'existence': 'pos_dx', 'descriptive_term': 'chest', 'observation': 'tube'}}anatomical entity_fin: {'lobe': {}, 'middle': {'location descriptor': 'right'}, 'right upper lobe bronchus': {}, 'bronchus': {}}location descriptor_fin: ['right', 'upper']clinical findings_fin: {'complete collapse': {'clinical finding': 'complete collapse', 'cf_snomed': {'collapse': 271787007}, 'existence': 'pos_dx', 'descriptive_term': 'complete', 'observation': 'collapse'}, 'right upper lobe and right middle lobe atelectasis': {'clinical finding': 'right upper lobe and right middle lobe atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'right upper lobe and right middle lobe', 'observation': 'atelectasis'}, 'narrowing': {'clinical finding': 'narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'observation': 'narrowing'}, 'lymphadenopathy': {'clinical finding': 'lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'unc_dx', 'observation': 'lymphadenopathy'}, 'underlying mass': {'clinical finding': 'underlying mass', 'existence': 'unc_dx', 'descriptive_term': 'underlying', 'observation': 'mass'}}clinical findings_fin: {'previously noted pulmonary emboli': {'clinical finding': 'previously noted pulmonary emboli', 'existence': 'neg_dx', 'descriptive_term': 'previously noted pulmonary', 'observation': 'emboli'}}anatomical entity_fin: {'right lung': {}}clinical findings_fin: {'septal thickening': {'clinical finding': 'septal thickening', 'existence': 'pos_dx', 'descriptive_term': 'septal', 'observation': 'thickening'}}anatomical entity_fin: {'lungs': {}}clinical findings_fin: {'numerous new micronodules': {'clinical finding': 'numerous new micronodules', 'existence': 'pos_dx', 'descriptive_term': 'numerous new', 'observation': 'micronodule', 'quantity_term': 'numerous', 'temporal_term': 'new'}, 'progression': {'clinical finding': 'progression', 'existence': 'pos_dx', 'observation': 'progression'}, 'metastatic disease': {'clinical finding': 'metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'metastatic', 'observation': 'disease'}}anatomical entity_fin: {'right upper lobe bronchus': {}, 'bronchus': {}}location descriptor_fin: ['right']clinical findings_fin: {'right hilar lymphadenopathy': {'clinical finding': 'right hilar lymphadenopathy', 'cf_snomed': {'hilar lymphadenopathy': 87500009}, 'existence': 'neg_dx', 'descriptive_term': 'right hilar', 'observation': 'lymphadenopathy'}, 'significant narrowing': {'clinical finding': 'significant narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'significant', 'observation': 'narrowing'}}clinical findings_fin: {'subcarinal lymphadenopathy': {'clinical finding': 'subcarinal lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'pos_dx', 'descriptive_term': 'subcarinal', 'observation': 'lymphadenopathy'}}size_fin: [{'size': '8 mm'}]anatomical entity_fin: {'axis': {}}clinical findings_fin: {'prominent prevascular lymph nodes': {'clinical finding': 'prominent prevascular lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'prominent prevascular lymph', 'observation': 'node', 'strength_term': 'prominent'}}clinical findings_fin: {'small pericardial effusion': {'clinical finding': 'small pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'pos_dx', 'descriptive_term': 'small pericardial', 'observation': 'effusion', 'strength_term': 'small'}}size_fin: [{'size': '13 mm'}]location descriptor_fin: ['left']clinical findings_fin: {'left supraclavicular enlarged lymph node': {'clinical finding': 'left supraclavicular enlarged lymph node', 'existence': 'pos_dx', 'descriptive_term': 'left supraclavicular enlarged lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'degenerative changes': {'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}size_fin: [{'size': '18 mm x 22 mm'}]location descriptor_fin: ['left']clinical findings_fin: {'left adrenal nodule': {'clinical finding': 'left adrenal nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'left adrenal', 'observation': 'nodule'}} [/INST] . Right-sided loculated pleural effusion decreased from the prior exam in the presence of a chest tube in the right hemithorax. Complete collapse of the right upper lobe and right middle lobe atelectasis with narrowing of the right upper lobe bronchus and bronchus intermedius presumably secondary to lymphadenopathy and or or underlying mass which cannot be delineated. Previously noted pulmonary emboli are not identified on this nondedicated CT exam. Septal thickening noted within the visualized portion of the right lung. Numerous new micronodules in both lungs compatible with progression of metastatic disease. Right hilar lymphadenopathy cannot be well-defined however there is again significant narrowing of the right upper lobe bronchus and bronchus intermedius. Subcarinal lymphadenopathy also poorly defined. Prominent prevascular lymph nodes are better defined on this exam with short axis measuring 8 mm. Cardiac size is normal with evidence of a small pericardial effusion. Mild. Left supraclavicular enlarged lymph node measuring 13 mm. Degenerative changes within the thoracic spine. Absence of enteric contrast material limits sensitivity for abdominal pathology. Left adrenal nodule stable in size measuring 18 mm x 22 mm. </s>