. Subpleural fibrosis high density material in the periphery may reflect associated dendriform ossification. Postoperative appearance on the right consistent with pleurectomy and decortication. Small loculated posterior medial pneumothorax, chronic and unchanged in size. Right diaphragmatic patch with small amount of associated fluid near the hepatic dome. Stable small volume of loculated pleural fluid anteromedially in the right. At the right cardiophrenic angle , there is a multi septated-appearing complex collection which appears new from the prior examination. Immediately above this level, pleural thickening measuring up to 22 mm is noted, previously 21 mm and not present on scans prior to that time. Localized pleural thickening adjacent to the ninth lateral rib, best appreciated on coronal series image 33 also appears to be more pronounced. Mild smooth pleural thickening elsewhere on the right without significant change and may be postoperative. Subcentimeter left low cervical lymph node, unchanged. Mildly prominent lymphatic tissue in the right hilum unchanged. Small lymph nodes elsewhere appear similar to prior studies. No pericardial fluid. Moderate cardiomegaly. Moderate. Degenerative changes of the spine with osteophyte formation. No significant intercostal or internal mammary lymphadenopathy. Postoperative changes on the right. Absence of enteric contrast material limits sensitivity for abdominal pathology. Small volume of fluid along the dome of the liver. Cholecystectomy clips. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Atherosclerotic calcifications of the abdominal aorta and its branches. Absence of enteric contrast material limits sensitivity for GI pathology. No gross abnormalities noted. No significant abnormality noted. Questionable subcentimeter focus in the anterior aspect of the left hemidiaphragm may be monitored on subsequent exams, too small to characterize.
clinical findings_fin: {'subpleural fibrosis high density material': {'clinical finding': 'subpleural fibrosis high density material', 'existence': 'pos_dx', 'descriptive_term': 'subpleural fibrosis high density', 'observation': 'material'}, 'associated dendriform ossification': {'clinical finding': 'associated dendriform ossification', 'existence': 'unc_dx', 'descriptive_term': 'associated dendriform', 'observation': 'ossification'}}location descriptor_fin: ['right']clinical findings_fin: {'postoperative appearance on the right consistent with pleurectomy and decortication': {'clinical finding': 'postoperative appearance on the right consistent with pleurectomy and decortication'}}location descriptor_fin: ['posterior', 'medial']clinical findings_fin: {'small loculated posterior medial pneumothorax': {'clinical finding': 'small loculated posterior medial pneumothorax', 'cf_snomed': {'pneumothorax': 36118008}, 'existence': 'pos_dx', 'descriptive_term': 'small loculated posterior medial', 'observation': 'pneumothorax', 'strength_term': 'small'}}anatomical entity_fin: {'fluid': {}}location descriptor_fin: ['right']clinical findings_fin: {'right diaphragmatic patch': {'clinical finding': 'right diaphragmatic patch', 'existence': 'pos_dx', 'descriptive_term': 'right diaphragmatic', 'observation': 'patch'}}location descriptor_fin: ['right']clinical findings_fin: {'loculated pleural fluid': {'clinical finding': 'loculated pleural fluid', 'existence': 'pos_dx', 'descriptive_term': 'loculated pleural', 'observation': 'fluid'}}imaging observation_fin: ['angle']location descriptor_fin: ['right']clinical findings_fin: {'right cardiophrenic angle , there is a multi septated -appearing complex collection which appears': {'clinical finding': 'right cardiophrenic angle , there is a multi septated -appearing complex collection which appears'}}size_fin: [{'size': '22 mm'}, {'size': '21 mm'}]clinical findings_fin: {'pleural thickening': {'clinical finding': 'pleural thickening', 'existence': 'pos_dx', 'descriptive_term': 'pleural', 'observation': 'thickening'}}anatomical entity_fin: {'rib': {'location descriptor': 'lateral'}}location descriptor_fin: ['adjacent', 'lateral']clinical findings_fin: {'localized pleural thickening': {'clinical finding': 'localized pleural thickening', 'existence': 'pos_dx', 'descriptive_term': 'localized pleural', 'observation': 'thickening'}}location descriptor_fin: ['right']clinical findings_fin: {'mild smooth pleural thickening': {'clinical finding': 'mild smooth pleural thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild smooth pleural', 'observation': 'thickening', 'strength_term': 'mild'}, 'significant change': {'clinical finding': 'significant change', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'change'}}location descriptor_fin: ['left']clinical findings_fin: {'low cervical lymph node': {'clinical finding': 'low cervical lymph node', 'existence': 'pos_dx', 'descriptive_term': 'low cervical lymph', 'observation': 'node'}}anatomical entity_fin: {'hilum': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'mildly prominent lymphatic tissue': {'clinical finding': 'mildly prominent lymphatic tissue', 'cf_snomed': {'lymphatic tissue': 181768009}, 'existence': 'pos_dx', 'descriptive_term': 'mildly prominent lymphatic', 'observation': 'tissue', 'strength_term': 'mildly - prominent'}}clinical findings_fin: {'small lymph nodes': {'clinical finding': 'small lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small lymph', 'observation': 'node', 'strength_term': 'small'}}anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'moderate cardiomegaly': {'clinical finding': 'moderate cardiomegaly', 'cf_snomed': {'cardiomegaly': 8186001}, 'existence': 'pos_dx', 'descriptive_term': 'moderate', 'observation': 'cardiomegaly', 'strength_term': 'moderate'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'degenerative changes': {'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'}, 'osteophyte': {'clinical finding': 'osteophyte', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'observation': 'osteophyte'}}clinical findings_fin: {'significant intercostal or internal mammary lymphadenopathy': {'clinical finding': 'significant intercostal or internal mammary lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'descriptive_term': 'significant intercostal or internal mammary', 'observation': 'lymphadenopathy'}}location descriptor_fin: ['right']clinical findings_fin: {'postoperative changes': {'clinical finding': 'postoperative changes', 'existence': 'pos_dx', 'descriptive_term': 'postoperative', 'observation': 'change'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}anatomical entity_fin: {'fluid': {}, 'liver': {}}clinical findings_fin: {'small volume of fluid along the dome of the liver': {'clinical finding': 'small volume of fluid along the dome of the liver'}}object_fin: ['cholecystectomy clips']clinical findings_fin: {'cholecystectomy clips': {'clinical finding': 'cholecystectomy clips', 'existence': 'pos_dx', 'descriptive_term': 'cholecystectomy', 'observation': 'clip'}}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: {'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: {'abdominal aorta': {}}clinical findings_fin: {'atherosclerotic calcifications': {'clinical finding': 'atherosclerotic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'}}clinical findings_fin: {'gi': {'clinical finding': 'gi', 'existence': 'unc_dx', 'observation': 'gi'}}clinical findings_fin: {'gross abnormalities': {'clinical finding': 'gross abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'gross', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'left hemidiaphragm': {}}location descriptor_fin: ['anterior']clinical findings_fin: {'subcentimeter focus': {'clinical finding': 'subcentimeter focus', 'existence': 'unc_dx', 'descriptive_term': 'subcentimeter', 'observation': 'focus'}}
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'subpleural fibrosis high density material': {'clinical finding': 'subpleural fibrosis high density material', 'existence': 'pos_dx', 'descriptive_term': 'subpleural fibrosis high density', 'observation': 'material'}, 'associated dendriform ossification': {'clinical finding': 'associated dendriform ossification', 'existence': 'unc_dx', 'descriptive_term': 'associated dendriform', 'observation': 'ossification'}}location descriptor_fin: ['right']clinical findings_fin: {'postoperative appearance on the right consistent with pleurectomy and decortication': {'clinical finding': 'postoperative appearance on the right consistent with pleurectomy and decortication'}}location descriptor_fin: ['posterior', 'medial']clinical findings_fin: {'small loculated posterior medial pneumothorax': {'clinical finding': 'small loculated posterior medial pneumothorax', 'cf_snomed': {'pneumothorax': 36118008}, 'existence': 'pos_dx', 'descriptive_term': 'small loculated posterior medial', 'observation': 'pneumothorax', 'strength_term': 'small'}}anatomical entity_fin: {'fluid': {}}location descriptor_fin: ['right']clinical findings_fin: {'right diaphragmatic patch': {'clinical finding': 'right diaphragmatic patch', 'existence': 'pos_dx', 'descriptive_term': 'right diaphragmatic', 'observation': 'patch'}}location descriptor_fin: ['right']clinical findings_fin: {'loculated pleural fluid': {'clinical finding': 'loculated pleural fluid', 'existence': 'pos_dx', 'descriptive_term': 'loculated pleural', 'observation': 'fluid'}}imaging observation_fin: ['angle']location descriptor_fin: ['right']clinical findings_fin: {'right cardiophrenic angle , there is a multi septated -appearing complex collection which appears': {'clinical finding': 'right cardiophrenic angle , there is a multi septated -appearing complex collection which appears'}}size_fin: [{'size': '22 mm'}, {'size': '21 mm'}]clinical findings_fin: {'pleural thickening': {'clinical finding': 'pleural thickening', 'existence': 'pos_dx', 'descriptive_term': 'pleural', 'observation': 'thickening'}}anatomical entity_fin: {'rib': {'location descriptor': 'lateral'}}location descriptor_fin: ['adjacent', 'lateral']clinical findings_fin: {'localized pleural thickening': {'clinical finding': 'localized pleural thickening', 'existence': 'pos_dx', 'descriptive_term': 'localized pleural', 'observation': 'thickening'}}location descriptor_fin: ['right']clinical findings_fin: {'mild smooth pleural thickening': {'clinical finding': 'mild smooth pleural thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild smooth pleural', 'observation': 'thickening', 'strength_term': 'mild'}, 'significant change': {'clinical finding': 'significant change', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'change'}}location descriptor_fin: ['left']clinical findings_fin: {'low cervical lymph node': {'clinical finding': 'low cervical lymph node', 'existence': 'pos_dx', 'descriptive_term': 'low cervical lymph', 'observation': 'node'}}anatomical entity_fin: {'hilum': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'mildly prominent lymphatic tissue': {'clinical finding': 'mildly prominent lymphatic tissue', 'cf_snomed': {'lymphatic tissue': 181768009}, 'existence': 'pos_dx', 'descriptive_term': 'mildly prominent lymphatic', 'observation': 'tissue', 'strength_term': 'mildly - prominent'}}clinical findings_fin: {'small lymph nodes': {'clinical finding': 'small lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small lymph', 'observation': 'node', 'strength_term': 'small'}}anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'moderate cardiomegaly': {'clinical finding': 'moderate cardiomegaly', 'cf_snomed': {'cardiomegaly': 8186001}, 'existence': 'pos_dx', 'descriptive_term': 'moderate', 'observation': 'cardiomegaly', 'strength_term': 'moderate'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'degenerative changes': {'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'}, 'osteophyte': {'clinical finding': 'osteophyte', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'observation': 'osteophyte'}}clinical findings_fin: {'significant intercostal or internal mammary lymphadenopathy': {'clinical finding': 'significant intercostal or internal mammary lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'descriptive_term': 'significant intercostal or internal mammary', 'observation': 'lymphadenopathy'}}location descriptor_fin: ['right']clinical findings_fin: {'postoperative changes': {'clinical finding': 'postoperative changes', 'existence': 'pos_dx', 'descriptive_term': 'postoperative', 'observation': 'change'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}anatomical entity_fin: {'fluid': {}, 'liver': {}}clinical findings_fin: {'small volume of fluid along the dome of the liver': {'clinical finding': 'small volume of fluid along the dome of the liver'}}object_fin: ['cholecystectomy clips']clinical findings_fin: {'cholecystectomy clips': {'clinical finding': 'cholecystectomy clips', 'existence': 'pos_dx', 'descriptive_term': 'cholecystectomy', 'observation': 'clip'}}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: {'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: {'abdominal aorta': {}}clinical findings_fin: {'atherosclerotic calcifications': {'clinical finding': 'atherosclerotic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'}}clinical findings_fin: {'gi': {'clinical finding': 'gi', 'existence': 'unc_dx', 'observation': 'gi'}}clinical findings_fin: {'gross abnormalities': {'clinical finding': 'gross abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'gross', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'left hemidiaphragm': {}}location descriptor_fin: ['anterior']clinical findings_fin: {'subcentimeter focus': {'clinical finding': 'subcentimeter focus', 'existence': 'unc_dx', 'descriptive_term': 'subcentimeter', 'observation': 'focus'}} [/INST] . Subpleural fibrosis high density material in the periphery may reflect associated dendriform ossification. Postoperative appearance on the right consistent with pleurectomy and decortication. Small loculated posterior medial pneumothorax, chronic and unchanged in size. Right diaphragmatic patch with small amount of associated fluid near the hepatic dome. Stable small volume of loculated pleural fluid anteromedially in the right. At the right cardiophrenic angle , there is a multi septated-appearing complex collection which appears new from the prior examination. Immediately above this level, pleural thickening measuring up to 22 mm is noted, previously 21 mm and not present on scans prior to that time. Localized pleural thickening adjacent to the ninth lateral rib, best appreciated on coronal series image 33 also appears to be more pronounced. Mild smooth pleural thickening elsewhere on the right without significant change and may be postoperative. Subcentimeter left low cervical lymph node, unchanged. Mildly prominent lymphatic tissue in the right hilum unchanged. Small lymph nodes elsewhere appear similar to prior studies. No pericardial fluid. Moderate cardiomegaly. Moderate. Degenerative changes of the spine with osteophyte formation. No significant intercostal or internal mammary lymphadenopathy. Postoperative changes on the right. Absence of enteric contrast material limits sensitivity for abdominal pathology. Small volume of fluid along the dome of the liver. Cholecystectomy clips. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Atherosclerotic calcifications of the abdominal aorta and its branches. Absence of enteric contrast material limits sensitivity for GI pathology. No gross abnormalities noted. No significant abnormality noted. Questionable subcentimeter focus in the anterior aspect of the left hemidiaphragm may be monitored on subsequent exams, too small to characterize. </s>