. Again seen is aneurysmal dilatation of the ascending thoracic aorta measuring approximately 4.6 cm in a nonorthogonal plane, utilizing similar measuring technique as the prior examination, when it measured 4.5 cm. There is no evidence of arterial dissection. There is good peripheral contrast opacification consistent with appropriate blood flow. The celiac trunk demonstrates nonvariant anatomy. Streaky or groundglass left basilar opacity may reflect atelectasis or aspiration. No significant mediastinal or hilar lymphadenopathy is evident. The heart size is normal and there is no pericardial effusion. None. No significant lymphadenopathy noted. Absence of enteric contrast material limits sensitivity for abdominal pathology. Focal area of avid enhancement in the right hepatic lobe is nonspecific and may reflect an arteriovenous malformation among other differential considerations. There is ectasia of the splenic and portal veins, which is nonspecific, but may reflect portal hypertension. The liver is the upper limit of normal in size. Splenomegaly and ectasia of the splenic vein may reflect portal hypertension. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. There are scattered nonspecific slightly prominent mesenteric lymph nodes. No significant abnormality noted. No significant abnormality noted.
size_fin: [{'size': '4.6 cm'}, {'size': '4.5 cm'}]anatomical entity_fin: {'thoracic aorta': {}}clinical findings_fin: {'aneurysmal dilatation': {'clinical finding': 'aneurysmal dilatation', 'cf_snomed': {'dilatation': 25322007}, 'existence': 'pos_dx', 'descriptive_term': 'aneurysmal', 'observation': 'dilatation'}}clinical findings_fin: {'arterial dissection': {'clinical finding': 'arterial dissection', 'existence': 'neg_dx', 'descriptive_term': 'arterial', 'observation': 'dissection'}}imaging observation_fin: ['blood']location descriptor_fin: ['peripheral']clinical findings_fin: {'good peripheral contrast opacification': {'clinical finding': 'good peripheral contrast opacification', 'existence': 'pos_dx', 'descriptive_term': 'good peripheral contrast', 'observation': 'opacification'}, 'appropriate blood flow': {'clinical finding': 'appropriate blood flow', 'existence': 'pos_dx', 'descriptive_term': 'appropriate blood', 'observation': 'flow'}}anatomical entity_fin: {'trunk': {}}location descriptor_fin: ['left']clinical findings_fin: {'streaky or groundglass left basilar opacity': {'clinical finding': 'streaky or groundglass left basilar opacity', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'streaky or groundglass left basilar', 'observation': 'opacity'}, 'atelectasis': {'clinical finding': 'atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'unc_dx', 'observation': 'atelectasis'}, 'aspiration': {'clinical finding': 'aspiration', 'existence': 'unc_dx', 'observation': 'aspiration'}}clinical findings_fin: {'significant mediastinal or hilar lymphadenopathy': {'clinical finding': 'significant mediastinal or hilar lymphadenopathy', 'cf_snomed': {'hilar lymphadenopathy': 87500009}, 'existence': 'neg_dx', 'descriptive_term': 'significant mediastinal or hilar', 'observation': 'lymphadenopathy'}}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'}}clinical findings_fin: {'significant lymphadenopathy': {'clinical finding': 'significant lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}anatomical entity_fin: {'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'avid enhancement': {'clinical finding': 'avid enhancement', 'existence': 'pos_dx', 'descriptive_term': 'avid', 'observation': 'enhancement'}, 'arteriovenous malformation': {'clinical finding': 'arteriovenous malformation', 'cf_snomed': {'arteriovenous malformation': 24551003}, 'existence': 'unc_dx', 'descriptive_term': 'arteriovenous', 'observation': 'malformation'}}anatomical entity_fin: {'portal veins': {}}clinical findings_fin: {'ectasia': {'clinical finding': 'ectasia', 'existence': 'pos_dx', 'observation': 'ectasia'}, 'portal hypertension': {'clinical finding': 'portal hypertension', 'cf_snomed': {'portal hypertension': 34742003}, 'existence': 'unc_dx', 'descriptive_term': 'portal', 'observation': 'hypertension'}}anatomical entity_fin: {'liver': {}}location descriptor_fin: ['upper']clinical findings_fin: {'upper limit of normal in size': {'clinical finding': 'upper limit of normal in size'}}anatomical entity_fin: {'splenic vein': {}}clinical findings_fin: {'splenomegaly': {'clinical finding': 'splenomegaly', 'cf_snomed': {'splenomegaly': 16294009}, 'existence': 'pos_dx', 'observation': 'splenomegaly'}, 'ectasia': {'clinical finding': 'ectasia', 'existence': 'pos_dx', 'observation': 'ectasia'}, 'portal hypertension': {'clinical finding': 'portal hypertension', 'cf_snomed': {'portal hypertension': 34742003}, 'existence': 'unc_dx', 'descriptive_term': 'portal', 'observation': 'hypertension'}}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: {'mesenteric lymph nodes': {}}clinical findings_fin: {'scattered nonspecific slightly prominent mesenteric lymph nodes': {'clinical finding': 'scattered nonspecific slightly prominent mesenteric lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'scattered nonspecific slightly prominent mesenteric lymph', 'observation': 'node', 'strength_term': 'prominent'}}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'}}
<s>[INST] Write the finding section for a radiology report based on the following information: size_fin: [{'size': '4.6 cm'}, {'size': '4.5 cm'}]anatomical entity_fin: {'thoracic aorta': {}}clinical findings_fin: {'aneurysmal dilatation': {'clinical finding': 'aneurysmal dilatation', 'cf_snomed': {'dilatation': 25322007}, 'existence': 'pos_dx', 'descriptive_term': 'aneurysmal', 'observation': 'dilatation'}}clinical findings_fin: {'arterial dissection': {'clinical finding': 'arterial dissection', 'existence': 'neg_dx', 'descriptive_term': 'arterial', 'observation': 'dissection'}}imaging observation_fin: ['blood']location descriptor_fin: ['peripheral']clinical findings_fin: {'good peripheral contrast opacification': {'clinical finding': 'good peripheral contrast opacification', 'existence': 'pos_dx', 'descriptive_term': 'good peripheral contrast', 'observation': 'opacification'}, 'appropriate blood flow': {'clinical finding': 'appropriate blood flow', 'existence': 'pos_dx', 'descriptive_term': 'appropriate blood', 'observation': 'flow'}}anatomical entity_fin: {'trunk': {}}location descriptor_fin: ['left']clinical findings_fin: {'streaky or groundglass left basilar opacity': {'clinical finding': 'streaky or groundglass left basilar opacity', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'streaky or groundglass left basilar', 'observation': 'opacity'}, 'atelectasis': {'clinical finding': 'atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'unc_dx', 'observation': 'atelectasis'}, 'aspiration': {'clinical finding': 'aspiration', 'existence': 'unc_dx', 'observation': 'aspiration'}}clinical findings_fin: {'significant mediastinal or hilar lymphadenopathy': {'clinical finding': 'significant mediastinal or hilar lymphadenopathy', 'cf_snomed': {'hilar lymphadenopathy': 87500009}, 'existence': 'neg_dx', 'descriptive_term': 'significant mediastinal or hilar', 'observation': 'lymphadenopathy'}}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'}}clinical findings_fin: {'significant lymphadenopathy': {'clinical finding': 'significant lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}anatomical entity_fin: {'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'avid enhancement': {'clinical finding': 'avid enhancement', 'existence': 'pos_dx', 'descriptive_term': 'avid', 'observation': 'enhancement'}, 'arteriovenous malformation': {'clinical finding': 'arteriovenous malformation', 'cf_snomed': {'arteriovenous malformation': 24551003}, 'existence': 'unc_dx', 'descriptive_term': 'arteriovenous', 'observation': 'malformation'}}anatomical entity_fin: {'portal veins': {}}clinical findings_fin: {'ectasia': {'clinical finding': 'ectasia', 'existence': 'pos_dx', 'observation': 'ectasia'}, 'portal hypertension': {'clinical finding': 'portal hypertension', 'cf_snomed': {'portal hypertension': 34742003}, 'existence': 'unc_dx', 'descriptive_term': 'portal', 'observation': 'hypertension'}}anatomical entity_fin: {'liver': {}}location descriptor_fin: ['upper']clinical findings_fin: {'upper limit of normal in size': {'clinical finding': 'upper limit of normal in size'}}anatomical entity_fin: {'splenic vein': {}}clinical findings_fin: {'splenomegaly': {'clinical finding': 'splenomegaly', 'cf_snomed': {'splenomegaly': 16294009}, 'existence': 'pos_dx', 'observation': 'splenomegaly'}, 'ectasia': {'clinical finding': 'ectasia', 'existence': 'pos_dx', 'observation': 'ectasia'}, 'portal hypertension': {'clinical finding': 'portal hypertension', 'cf_snomed': {'portal hypertension': 34742003}, 'existence': 'unc_dx', 'descriptive_term': 'portal', 'observation': 'hypertension'}}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: {'mesenteric lymph nodes': {}}clinical findings_fin: {'scattered nonspecific slightly prominent mesenteric lymph nodes': {'clinical finding': 'scattered nonspecific slightly prominent mesenteric lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'scattered nonspecific slightly prominent mesenteric lymph', 'observation': 'node', 'strength_term': 'prominent'}}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'}} [/INST] . Again seen is aneurysmal dilatation of the ascending thoracic aorta measuring approximately 4.6 cm in a nonorthogonal plane, utilizing similar measuring technique as the prior examination, when it measured 4.5 cm. There is no evidence of arterial dissection. There is good peripheral contrast opacification consistent with appropriate blood flow. The celiac trunk demonstrates nonvariant anatomy. Streaky or groundglass left basilar opacity may reflect atelectasis or aspiration. No significant mediastinal or hilar lymphadenopathy is evident. The heart size is normal and there is no pericardial effusion. None. No significant lymphadenopathy noted. Absence of enteric contrast material limits sensitivity for abdominal pathology. Focal area of avid enhancement in the right hepatic lobe is nonspecific and may reflect an arteriovenous malformation among other differential considerations. There is ectasia of the splenic and portal veins, which is nonspecific, but may reflect portal hypertension. The liver is the upper limit of normal in size. Splenomegaly and ectasia of the splenic vein may reflect portal hypertension. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. There are scattered nonspecific slightly prominent mesenteric lymph nodes. No significant abnormality noted. No significant abnormality noted. </s>