Note that absence of oral contrast limits evaluation of bowel. Moderate centrilobular emphysema predominantly affecting the upper lobes. No suspicious pulmonary nodules or masses. Thin-walled right pulmonary cysts unchanged. Unchanged lingular streaky opacities likely atelectasis. Normal sized heart with no pericardial effusion. Persistent mild aneurysmal dilatation of the left ventricular apex noted. Reference right paratracheal lymph node measures 2.5 cm x 1.0 cm previously 1.9 cm x 1.4 cm. Referenced left hilar lymph node has decreased in size measuring 1.7 cm x 1.4 cm previously 2.2 cm x 1.4 cm. Large hiatal hernia. Mild. No significant abnormality noted. Punctate hepatic granuloma. Continued evolution of wedge-shaped infarct in the posterior superior lateral spleen. Hyperdense focus in the spleen unchanged, likely a hemangioma. No significant abnormality noted. No significant abnormality noted. Right ureteral stent with no right-sided hydroureteronephrosis. Contrast is seen in the renal pelves and proximal ureters bilaterally on delayed images unchanged from prior study. Unchanged Intraluminal filling defect in the left ureter with stable left hydroureteronephrosis. Left renal hypodensities unchanged. Reference left retroperitoneal lymph node measures 1.4 cm x 1.2 cm previously 1.4 x 1.1 cm. Moderate. Stable postsurgical changes in the right lower quadrant related to ileal conduit formation with minimal if any residual pelvic fluid. No significant abnormality noted. No significant abnormality noted. Status post hysterectomy. Status post cystectomy with right lower quadrant ileal conduit urinary diversion. Right inguinal lymph node measures 1.8 cm x 1.5 cm unchanged when measured in a similar fashion. Postsurgical changes as above. Sclerotic lesion in the right atrium unchanged. Right external iliac dissection unchanged.
anatomical entity_fin: {'bowel': {}}non-anatomical substance_fin: ['oral contrast']anatomical entity_fin: {'lobes': {'location descriptor': 'upper'}}location descriptor_fin: ['upper']clinical findings_fin: {'moderate centrilobular emphysema': {'clinical finding': 'moderate centrilobular emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'descriptive_term': 'moderate centrilobular', 'observation': 'emphysema', 'strength_term': 'moderate'}}clinical findings_fin: {'suspicious pulmonary nodules': {'clinical finding': 'suspicious pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious pulmonary', 'observation': 'nodule'}, 'masses': {'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass'}}location descriptor_fin: ['right']clinical findings_fin: {'thin-walled right pulmonary cysts': {'clinical finding': 'thin-walled right pulmonary cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'thin-walled right pulmonary', 'observation': 'cyst'}}clinical findings_fin: {'unchanged lingular streaky opacities': {'clinical finding': 'unchanged lingular streaky opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'unc_dx', 'descriptive_term': 'unchanged lingular streaky', 'observation': 'opacity', 'strength_term': 'unchanged', 'change_term': 'unchanged'}, 'atelectasis': {'clinical finding': 'atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'observation': 'atelectasis'}}anatomical entity_fin: {'heart': {}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}anatomical entity_fin: {'apex': {}}location descriptor_fin: ['left']clinical findings_fin: {'persistent mild aneurysmal dilatation': {'clinical finding': 'persistent mild aneurysmal dilatation', 'cf_snomed': {'dilatation': 25322007}, 'existence': 'pos_dx', 'descriptive_term': 'persistent mild aneurysmal', 'observation': 'dilatation', 'strength_term': 'mild', 'temporal_term': 'persistent'}}size_fin: [{'size': '2.5 cm x 1.0 cm'}, {'size': '1.9 cm x 1.4 cm'}]location descriptor_fin: ['right']clinical findings_fin: {'reference right paratracheal lymph node': {'clinical finding': 'reference right paratracheal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference right paratracheal lymph', 'observation': 'node'}}size_fin: [{'size': '1.7 cm x 1.4 cm'}, {'size': '2.2 cm x 1.4 cm'}]location descriptor_fin: ['left']clinical findings_fin: {'referenced left hilar lymph node': {'clinical finding': 'referenced left hilar lymph node', 'existence': 'pos_dx', 'descriptive_term': 'referenced left hilar lymph', 'observation': 'node'}}clinical findings_fin: {'large hiatal hernia': {'clinical finding': 'large hiatal hernia', 'cf_snomed': {'hiatal hernia': 84089009}, 'existence': 'pos_dx', 'descriptive_term': 'large hiatal', 'observation': 'hernia', 'strength_term': 'large'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'punctate hepatic granuloma': {'clinical finding': 'punctate hepatic granuloma', 'cf_snomed': {'hepatic granuloma': 714253009}, 'existence': 'pos_dx', 'descriptive_term': 'punctate hepatic', 'observation': 'granuloma'}}anatomical entity_fin: {'spleen': {'location descriptor': 'superior lateral'}}imaging observation_fin: ['wedge']location descriptor_fin: ['posterior', 'superior', 'lateral']clinical findings_fin: {'wedge-shaped infarct': {'clinical finding': 'wedge-shaped infarct', 'cf_snomed': {'infarct': 55641003}, 'existence': 'pos_dx', 'descriptive_term': 'wedge-shaped', 'observation': 'infarct'}}anatomical entity_fin: {'spleen': {}}clinical findings_fin: {'hyperdense focus': {'clinical finding': 'hyperdense focus', 'existence': 'pos_dx', 'descriptive_term': 'hyperdense', 'observation': 'focus'}, 'hemangioma': {'clinical finding': 'hemangioma', 'cf_snomed': {'hemangioma': 400210000}, 'existence': 'unc_dx', 'observation': 'hemangioma'}}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'}}location descriptor_fin: ['right']clinical findings_fin: {'right ureteral stent': {'clinical finding': 'right ureteral stent', 'existence': 'pos_dx', 'descriptive_term': 'right ureteral', 'observation': 'stent'}, 'right-sided hydroureteronephrosis': {'clinical finding': 'right-sided hydroureteronephrosis', 'cf_snomed': {'hydroureteronephrosis': 40068008}, 'existence': 'neg_dx', 'descriptive_term': 'right-sided', 'observation': 'hydroureteronephrosis'}}anatomical entity_fin: {'ureters': {'location descriptor': 'proximal'}}location descriptor_fin: ['proximal']clinical findings_fin: {'contrast': {'clinical finding': 'contrast', 'existence': 'pos_dx', 'observation': 'contrast'}}anatomical entity_fin: {'left ureter': {}}location descriptor_fin: ['left']clinical findings_fin: {'unchanged intraluminal filling defect': {'clinical finding': 'unchanged intraluminal filling defect', 'cf_snomed': {'filling defect': 43468004}, 'existence': 'pos_dx', 'descriptive_term': 'unchanged intraluminal filling', 'observation': 'defect', 'strength_term': 'unchanged', 'change_term': 'unchanged'}, 'stable left hydroureteronephrosis': {'clinical finding': 'stable left hydroureteronephrosis', 'cf_snomed': {'hydroureteronephrosis': 40068008}, 'existence': 'pos_dx', 'descriptive_term': 'stable left', 'observation': 'hydroureteronephrosis', 'strength_term': 'stable', 'change_term': 'stable'}}location descriptor_fin: ['left']clinical findings_fin: {'left renal hypodensities': {'clinical finding': 'left renal hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'left renal', 'observation': 'hypodensity'}}size_fin: [{'size': '1.4 cm x 1.2 cm'}, {'size': '1.4 x 1.1 cm'}]location descriptor_fin: ['left']clinical findings_fin: {'reference left retroperitoneal lymph node': {'clinical finding': 'reference left retroperitoneal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference left retroperitoneal lymph', 'observation': 'node'}}anatomical entity_fin: {'quadrant': {'location descriptor': 'right lower'}, 'fluid': {}}location descriptor_fin: ['right', 'lower']procedure_fin: ['ileal conduit']clinical findings_fin: {'stable postsurgical changes': {'clinical finding': 'stable postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'stable postsurgical', 'observation': 'change', 'strength_term': 'stable', 'change_term': 'stable'}, 'minimal if any residual': {'clinical finding': 'minimal if any residual', 'existence': 'pos_dx', 'descriptive_term': 'minimal if any', 'observation': 'residual', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}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'}}procedure_fin: ['hysterectomy']anatomical entity_fin: {'quadrant': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']procedure_fin: ['cystectomy', 'ileal conduit', 'urinary diversion']clinical findings_fin: {'right lower quadrant ileal conduit urinary diversion': {'clinical finding': 'right lower quadrant ileal conduit urinary diversion', 'existence': 'pos_dx', 'descriptive_term': 'right lower quadrant ileal conduit urinary', 'observation': 'diversion'}}size_fin: [{'size': '1.8 cm x 1.5 cm', 'size_descriptor': 'node'}]anatomical entity_fin: {'inguinal lymph node': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'right inguinal lymph node': {'clinical finding': 'right inguinal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'right inguinal lymph', 'observation': 'node'}}anatomical entity_fin: {'right atrium': {}}clinical findings_fin: {'sclerotic lesion': {'clinical finding': 'sclerotic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'sclerotic', 'observation': 'lesion'}}location descriptor_fin: ['right', 'external']clinical findings_fin: {'right external iliac dissection': {'clinical finding': 'right external iliac dissection', 'existence': 'pos_dx', 'descriptive_term': 'right external iliac', 'observation': 'dissection'}}
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'bowel': {}}non-anatomical substance_fin: ['oral contrast']anatomical entity_fin: {'lobes': {'location descriptor': 'upper'}}location descriptor_fin: ['upper']clinical findings_fin: {'moderate centrilobular emphysema': {'clinical finding': 'moderate centrilobular emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'descriptive_term': 'moderate centrilobular', 'observation': 'emphysema', 'strength_term': 'moderate'}}clinical findings_fin: {'suspicious pulmonary nodules': {'clinical finding': 'suspicious pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious pulmonary', 'observation': 'nodule'}, 'masses': {'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass'}}location descriptor_fin: ['right']clinical findings_fin: {'thin-walled right pulmonary cysts': {'clinical finding': 'thin-walled right pulmonary cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'thin-walled right pulmonary', 'observation': 'cyst'}}clinical findings_fin: {'unchanged lingular streaky opacities': {'clinical finding': 'unchanged lingular streaky opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'unc_dx', 'descriptive_term': 'unchanged lingular streaky', 'observation': 'opacity', 'strength_term': 'unchanged', 'change_term': 'unchanged'}, 'atelectasis': {'clinical finding': 'atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'observation': 'atelectasis'}}anatomical entity_fin: {'heart': {}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}anatomical entity_fin: {'apex': {}}location descriptor_fin: ['left']clinical findings_fin: {'persistent mild aneurysmal dilatation': {'clinical finding': 'persistent mild aneurysmal dilatation', 'cf_snomed': {'dilatation': 25322007}, 'existence': 'pos_dx', 'descriptive_term': 'persistent mild aneurysmal', 'observation': 'dilatation', 'strength_term': 'mild', 'temporal_term': 'persistent'}}size_fin: [{'size': '2.5 cm x 1.0 cm'}, {'size': '1.9 cm x 1.4 cm'}]location descriptor_fin: ['right']clinical findings_fin: {'reference right paratracheal lymph node': {'clinical finding': 'reference right paratracheal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference right paratracheal lymph', 'observation': 'node'}}size_fin: [{'size': '1.7 cm x 1.4 cm'}, {'size': '2.2 cm x 1.4 cm'}]location descriptor_fin: ['left']clinical findings_fin: {'referenced left hilar lymph node': {'clinical finding': 'referenced left hilar lymph node', 'existence': 'pos_dx', 'descriptive_term': 'referenced left hilar lymph', 'observation': 'node'}}clinical findings_fin: {'large hiatal hernia': {'clinical finding': 'large hiatal hernia', 'cf_snomed': {'hiatal hernia': 84089009}, 'existence': 'pos_dx', 'descriptive_term': 'large hiatal', 'observation': 'hernia', 'strength_term': 'large'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'punctate hepatic granuloma': {'clinical finding': 'punctate hepatic granuloma', 'cf_snomed': {'hepatic granuloma': 714253009}, 'existence': 'pos_dx', 'descriptive_term': 'punctate hepatic', 'observation': 'granuloma'}}anatomical entity_fin: {'spleen': {'location descriptor': 'superior lateral'}}imaging observation_fin: ['wedge']location descriptor_fin: ['posterior', 'superior', 'lateral']clinical findings_fin: {'wedge-shaped infarct': {'clinical finding': 'wedge-shaped infarct', 'cf_snomed': {'infarct': 55641003}, 'existence': 'pos_dx', 'descriptive_term': 'wedge-shaped', 'observation': 'infarct'}}anatomical entity_fin: {'spleen': {}}clinical findings_fin: {'hyperdense focus': {'clinical finding': 'hyperdense focus', 'existence': 'pos_dx', 'descriptive_term': 'hyperdense', 'observation': 'focus'}, 'hemangioma': {'clinical finding': 'hemangioma', 'cf_snomed': {'hemangioma': 400210000}, 'existence': 'unc_dx', 'observation': 'hemangioma'}}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'}}location descriptor_fin: ['right']clinical findings_fin: {'right ureteral stent': {'clinical finding': 'right ureteral stent', 'existence': 'pos_dx', 'descriptive_term': 'right ureteral', 'observation': 'stent'}, 'right-sided hydroureteronephrosis': {'clinical finding': 'right-sided hydroureteronephrosis', 'cf_snomed': {'hydroureteronephrosis': 40068008}, 'existence': 'neg_dx', 'descriptive_term': 'right-sided', 'observation': 'hydroureteronephrosis'}}anatomical entity_fin: {'ureters': {'location descriptor': 'proximal'}}location descriptor_fin: ['proximal']clinical findings_fin: {'contrast': {'clinical finding': 'contrast', 'existence': 'pos_dx', 'observation': 'contrast'}}anatomical entity_fin: {'left ureter': {}}location descriptor_fin: ['left']clinical findings_fin: {'unchanged intraluminal filling defect': {'clinical finding': 'unchanged intraluminal filling defect', 'cf_snomed': {'filling defect': 43468004}, 'existence': 'pos_dx', 'descriptive_term': 'unchanged intraluminal filling', 'observation': 'defect', 'strength_term': 'unchanged', 'change_term': 'unchanged'}, 'stable left hydroureteronephrosis': {'clinical finding': 'stable left hydroureteronephrosis', 'cf_snomed': {'hydroureteronephrosis': 40068008}, 'existence': 'pos_dx', 'descriptive_term': 'stable left', 'observation': 'hydroureteronephrosis', 'strength_term': 'stable', 'change_term': 'stable'}}location descriptor_fin: ['left']clinical findings_fin: {'left renal hypodensities': {'clinical finding': 'left renal hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'left renal', 'observation': 'hypodensity'}}size_fin: [{'size': '1.4 cm x 1.2 cm'}, {'size': '1.4 x 1.1 cm'}]location descriptor_fin: ['left']clinical findings_fin: {'reference left retroperitoneal lymph node': {'clinical finding': 'reference left retroperitoneal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference left retroperitoneal lymph', 'observation': 'node'}}anatomical entity_fin: {'quadrant': {'location descriptor': 'right lower'}, 'fluid': {}}location descriptor_fin: ['right', 'lower']procedure_fin: ['ileal conduit']clinical findings_fin: {'stable postsurgical changes': {'clinical finding': 'stable postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'stable postsurgical', 'observation': 'change', 'strength_term': 'stable', 'change_term': 'stable'}, 'minimal if any residual': {'clinical finding': 'minimal if any residual', 'existence': 'pos_dx', 'descriptive_term': 'minimal if any', 'observation': 'residual', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}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'}}procedure_fin: ['hysterectomy']anatomical entity_fin: {'quadrant': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']procedure_fin: ['cystectomy', 'ileal conduit', 'urinary diversion']clinical findings_fin: {'right lower quadrant ileal conduit urinary diversion': {'clinical finding': 'right lower quadrant ileal conduit urinary diversion', 'existence': 'pos_dx', 'descriptive_term': 'right lower quadrant ileal conduit urinary', 'observation': 'diversion'}}size_fin: [{'size': '1.8 cm x 1.5 cm', 'size_descriptor': 'node'}]anatomical entity_fin: {'inguinal lymph node': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'right inguinal lymph node': {'clinical finding': 'right inguinal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'right inguinal lymph', 'observation': 'node'}}anatomical entity_fin: {'right atrium': {}}clinical findings_fin: {'sclerotic lesion': {'clinical finding': 'sclerotic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'sclerotic', 'observation': 'lesion'}}location descriptor_fin: ['right', 'external']clinical findings_fin: {'right external iliac dissection': {'clinical finding': 'right external iliac dissection', 'existence': 'pos_dx', 'descriptive_term': 'right external iliac', 'observation': 'dissection'}} [/INST] Note that absence of oral contrast limits evaluation of bowel. Moderate centrilobular emphysema predominantly affecting the upper lobes. No suspicious pulmonary nodules or masses. Thin-walled right pulmonary cysts unchanged. Unchanged lingular streaky opacities likely atelectasis. Normal sized heart with no pericardial effusion. Persistent mild aneurysmal dilatation of the left ventricular apex noted. Reference right paratracheal lymph node measures 2.5 cm x 1.0 cm previously 1.9 cm x 1.4 cm. Referenced left hilar lymph node has decreased in size measuring 1.7 cm x 1.4 cm previously 2.2 cm x 1.4 cm. Large hiatal hernia. Mild. No significant abnormality noted. Punctate hepatic granuloma. Continued evolution of wedge-shaped infarct in the posterior superior lateral spleen. Hyperdense focus in the spleen unchanged, likely a hemangioma. No significant abnormality noted. No significant abnormality noted. Right ureteral stent with no right-sided hydroureteronephrosis. Contrast is seen in the renal pelves and proximal ureters bilaterally on delayed images unchanged from prior study. Unchanged Intraluminal filling defect in the left ureter with stable left hydroureteronephrosis. Left renal hypodensities unchanged. Reference left retroperitoneal lymph node measures 1.4 cm x 1.2 cm previously 1.4 x 1.1 cm. Moderate. Stable postsurgical changes in the right lower quadrant related to ileal conduit formation with minimal if any residual pelvic fluid. No significant abnormality noted. No significant abnormality noted. Status post hysterectomy. Status post cystectomy with right lower quadrant ileal conduit urinary diversion. Right inguinal lymph node measures 1.8 cm x 1.5 cm unchanged when measured in a similar fashion. Postsurgical changes as above. Sclerotic lesion in the right atrium unchanged. Right external iliac dissection unchanged. </s>