. Small bilateral pneumothoraces. Left-sided chest tube identified with its tip in the region of the fissure. Diffuse emphysema within the right of left lung compatible with known alpha-1 antitrypsin deficiency. Small left pleural effusion. Mild bronchial plugging involving the right lower lobe with areas of basilar subsegmental atelectasis. Small right pleural effusion and scattered areas of right pleural thickening. No hilar or mediastinal lymphadenopathy. Mild enlargement of pulmonary artery compatible with pulmonary arterial hypertension. Cardiac size is normal without evidence of pericardial effusion. Right central venous catheter with its tip in the SVC. Mild. Bilateral chest wall subcutaneous emphysema. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. No significant abnormality noted.
location descriptor_fin: ['bilateral']clinical findings_fin: {'small bilateral pneumothoraces': {'clinical finding': 'small bilateral pneumothoraces', 'existence': 'pos_dx', 'descriptive_term': 'small bilateral', 'observation': 'pneumothorace', 'strength_term': 'small'}}location descriptor_fin: ['left']object_fin: ['chest tube']clinical findings_fin: {'left-sided chest tube': {'clinical finding': 'left-sided chest tube', 'existence': 'pos_dx', 'descriptive_term': 'left-sided chest', 'observation': 'tube'}, 'fissure': {'clinical finding': 'fissure', 'cf_snomed': {'fissure': 47393002}, 'existence': 'pos_dx', 'observation': 'fissure'}}anatomical entity_fin: {'left lung': {}}location descriptor_fin: ['right']clinical findings_fin: {'diffuse emphysema': {'clinical finding': 'diffuse emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'descriptive_term': 'diffuse', 'observation': 'emphysema'}, 'known alpha-1 antitrypsin deficiency': {'clinical finding': 'known alpha-1 antitrypsin deficiency', 'existence': 'pos_dx', 'descriptive_term': 'known alpha-1 antitrypsin', 'observation': 'deficiency'}}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'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower', 'subsegmental']clinical findings_fin: {'mild bronchial plugging': {'clinical finding': 'mild bronchial plugging', 'existence': 'pos_dx', 'descriptive_term': 'mild bronchial', 'observation': 'plugging', 'strength_term': 'mild'}, 'basilar subsegmental atelectasis': {'clinical finding': 'basilar subsegmental atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'basilar subsegmental', 'observation': 'atelectasis'}}location descriptor_fin: ['right']clinical findings_fin: {'small right pleural effusion': {'clinical finding': 'small right pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'small right pleural', 'observation': 'effusion', 'strength_term': 'small'}, 'right pleural thickening': {'clinical finding': 'right pleural thickening', 'existence': 'pos_dx', 'descriptive_term': 'right pleural', 'observation': 'thickening'}}clinical findings_fin: {'hilar or mediastinal lymphadenopathy': {'clinical finding': 'hilar or mediastinal lymphadenopathy', 'cf_snomed': {'mediastinal lymphadenopathy': 52324001}, 'existence': 'neg_dx', 'descriptive_term': 'hilar or mediastinal', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'pulmonary artery': {}}clinical findings_fin: {'pulmonary': {'clinical finding': 'pulmonary', 'existence': 'pos_dx', 'observation': 'pulmonary'}, 'pulmonary arterial hypertension': {'clinical finding': 'pulmonary arterial hypertension', 'cf_snomed': {'pulmonary arterial hypertension': 11399002}, 'existence': 'pos_dx', 'descriptive_term': 'pulmonary arterial', 'observation': 'hypertension'}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}location descriptor_fin: ['right']object_fin: ['central venous catheter']clinical findings_fin: {'right central venous catheter': {'clinical finding': 'right central venous catheter', 'existence': 'pos_dx', 'descriptive_term': 'right central venous', 'observation': 'catheter'}}anatomical entity_fin: {'chest wall': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral chest wall subcutaneous emphysema': {'clinical finding': 'bilateral chest wall subcutaneous emphysema', 'cf_snomed': {'subcutaneous emphysema': 3830001}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral chest wall subcutaneous', 'observation': 'emphysema'}}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: location descriptor_fin: ['bilateral']clinical findings_fin: {'small bilateral pneumothoraces': {'clinical finding': 'small bilateral pneumothoraces', 'existence': 'pos_dx', 'descriptive_term': 'small bilateral', 'observation': 'pneumothorace', 'strength_term': 'small'}}location descriptor_fin: ['left']object_fin: ['chest tube']clinical findings_fin: {'left-sided chest tube': {'clinical finding': 'left-sided chest tube', 'existence': 'pos_dx', 'descriptive_term': 'left-sided chest', 'observation': 'tube'}, 'fissure': {'clinical finding': 'fissure', 'cf_snomed': {'fissure': 47393002}, 'existence': 'pos_dx', 'observation': 'fissure'}}anatomical entity_fin: {'left lung': {}}location descriptor_fin: ['right']clinical findings_fin: {'diffuse emphysema': {'clinical finding': 'diffuse emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'descriptive_term': 'diffuse', 'observation': 'emphysema'}, 'known alpha-1 antitrypsin deficiency': {'clinical finding': 'known alpha-1 antitrypsin deficiency', 'existence': 'pos_dx', 'descriptive_term': 'known alpha-1 antitrypsin', 'observation': 'deficiency'}}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'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower', 'subsegmental']clinical findings_fin: {'mild bronchial plugging': {'clinical finding': 'mild bronchial plugging', 'existence': 'pos_dx', 'descriptive_term': 'mild bronchial', 'observation': 'plugging', 'strength_term': 'mild'}, 'basilar subsegmental atelectasis': {'clinical finding': 'basilar subsegmental atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'basilar subsegmental', 'observation': 'atelectasis'}}location descriptor_fin: ['right']clinical findings_fin: {'small right pleural effusion': {'clinical finding': 'small right pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'small right pleural', 'observation': 'effusion', 'strength_term': 'small'}, 'right pleural thickening': {'clinical finding': 'right pleural thickening', 'existence': 'pos_dx', 'descriptive_term': 'right pleural', 'observation': 'thickening'}}clinical findings_fin: {'hilar or mediastinal lymphadenopathy': {'clinical finding': 'hilar or mediastinal lymphadenopathy', 'cf_snomed': {'mediastinal lymphadenopathy': 52324001}, 'existence': 'neg_dx', 'descriptive_term': 'hilar or mediastinal', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'pulmonary artery': {}}clinical findings_fin: {'pulmonary': {'clinical finding': 'pulmonary', 'existence': 'pos_dx', 'observation': 'pulmonary'}, 'pulmonary arterial hypertension': {'clinical finding': 'pulmonary arterial hypertension', 'cf_snomed': {'pulmonary arterial hypertension': 11399002}, 'existence': 'pos_dx', 'descriptive_term': 'pulmonary arterial', 'observation': 'hypertension'}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}location descriptor_fin: ['right']object_fin: ['central venous catheter']clinical findings_fin: {'right central venous catheter': {'clinical finding': 'right central venous catheter', 'existence': 'pos_dx', 'descriptive_term': 'right central venous', 'observation': 'catheter'}}anatomical entity_fin: {'chest wall': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral chest wall subcutaneous emphysema': {'clinical finding': 'bilateral chest wall subcutaneous emphysema', 'cf_snomed': {'subcutaneous emphysema': 3830001}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral chest wall subcutaneous', 'observation': 'emphysema'}}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] . Small bilateral pneumothoraces. Left-sided chest tube identified with its tip in the region of the fissure. Diffuse emphysema within the right of left lung compatible with known alpha-1 antitrypsin deficiency. Small left pleural effusion. Mild bronchial plugging involving the right lower lobe with areas of basilar subsegmental atelectasis. Small right pleural effusion and scattered areas of right pleural thickening. No hilar or mediastinal lymphadenopathy. Mild enlargement of pulmonary artery compatible with pulmonary arterial hypertension. Cardiac size is normal without evidence of pericardial effusion. Right central venous catheter with its tip in the SVC. Mild. Bilateral chest wall subcutaneous emphysema. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. No significant abnormality noted. </s>