. There is mild left ventricular hypertrophy with normal left ventricular size. There is a moderate sigmoid septum. The right ventricle qualitatively appears to be mildly dilated. The left atrium is mild to moderately dilated, qualitatively. There is no evidence of left atrial appendage thrombus. The right atrium is mild to moderately dilated, qualitatively. A right atrial mass is noted but not well visualized due to poor contrast opacification of the right-sided chambers. The superior and inferior vena cavae are grossly normal. The coronary sinus is normal in size. The aortic valve is trileaflet with normal leaflet excursion. No mitral annular calcification is noted. Thoracic Aorta. There is a left-sided thoracic aorta. The thoracic aorta is very tortuous. The aortic root is mildly calcified. The aortic arch and descending thoracic aorta have mild calcified plaque and a moderate burden of non-calcified plaque. No thoracic aortic dissection or aneurysm is noted but the aortic root is mildly dilated. The brachiocephalic arteries are very tortuous and the left subclavian artery has a mild proximal stenosis. 40 x42 mmST Junction. 37 x40 mmPulmonary Artery. The pericardium is normal in thickness. There is no pericardial effusion. The left main coronary artery arises normally from the left sinus of valsalva and bifurcates into the left anterior descending and left circumflex coronary arteries. There is mild, non-obstructive calcification of the left main coronary artery. The left anterior descending coronary artery courses normally in the anterior interventricular groove, supplying the diagonal and septal branches. There is severe calcification of the proximal LAD and consequently the lumen in this segment can not be visualized. The mid LAD is without significant obstruction. The distal LAD is not well seen. The left circumflex coronary artery courses normally in the the left AV groove. It gives rise to the obtuse marginal branches and a small AV circumflex branch. There is a densely calcified plaque in the proximal LCx preventing adequate visualization of the coronary segment. The mid LCx and major obtuse marginal are free of significant obstruction. The distal LCx is not well visualized. The right coronary artery arises normally from the right sinus of valsalva. It is the dominant coronary artery supplying a posterior descending artery and a posterolateral branch. There is a partially calcified plaque in the proximal RCA resulting in a 25-49% stenosis. None present.
location descriptor_fin: ['left']clinical findings_fin: {'mild left ventricular hypertrophy': {'clinical finding': 'mild left ventricular hypertrophy', 'cf_snomed': {'mild left ventricular hypertrophy': 840303004}, 'existence': 'pos_dx', 'descriptive_term': 'mild left ventricular', 'observation': 'hypertrophy', 'strength_term': 'mild'}}clinical findings_fin: {'moderate sigmoid septum': {'clinical finding': 'moderate sigmoid septum', 'existence': 'pos_dx', 'descriptive_term': 'moderate sigmoid', 'observation': 'septum', 'strength_term': 'moderate'}}anatomical entity_fin: {'right ventricle': {}}clinical findings_fin: {'dilated': {'clinical finding': 'dilated', 'existence': 'pos_dx', 'observation': 'dilated'}}anatomical entity_fin: {'left atrium': {}}clinical findings_fin: {'mild': {'clinical finding': 'mild', 'existence': 'pos_dx', 'observation': 'mild'}, 'dilated': {'clinical finding': 'dilated', 'existence': 'pos_dx', 'observation': 'dilated'}}anatomical entity_fin: {'left atrial appendage': {}}clinical findings_fin: {'left atrial appendage thrombus': {'clinical finding': 'left atrial appendage thrombus', 'cf_snomed': {'thrombus': 396339007}, 'existence': 'neg_dx', 'descriptive_term': 'left atrial appendage', 'observation': 'thrombus'}}anatomical entity_fin: {'right atrium': {}}clinical findings_fin: {'mild': {'clinical finding': 'mild', 'existence': 'pos_dx', 'observation': 'mild'}, 'dilated': {'clinical finding': 'dilated', 'existence': 'pos_dx', 'observation': 'dilated'}}location descriptor_fin: ['right']clinical findings_fin: {'right atrial mass': {'clinical finding': 'right atrial mass', 'existence': 'neg_dx', 'descriptive_term': 'right atrial', 'observation': 'mass'}, 'poor contrast opacification': {'clinical finding': 'poor contrast opacification', 'existence': 'pos_dx', 'descriptive_term': 'poor contrast', 'observation': 'opacification'}}location descriptor_fin: ['superior', 'inferior']clinical findings_fin: {'superior and inferior vena cavae are grossly normal': {'clinical finding': 'superior and inferior vena cavae are grossly normal'}}anatomical entity_fin: {'coronary sinus': {}}clinical findings_fin: {'coronary sinus is normal in size': {'clinical finding': 'coronary sinus is normal in size', 'cf_snomed': {'sinus': 419351001}}}anatomical entity_fin: {'aortic valve': {}}clinical findings_fin: {'normal leaflet excursion': {'clinical finding': 'normal leaflet excursion', 'existence': 'pos_dx', 'descriptive_term': 'normal leaflet', 'observation': 'excursion', 'strength_term': 'normal'}}clinical findings_fin: {'mitral annular calcification': {'clinical finding': 'mitral annular calcification', 'existence': 'neg_dx', 'descriptive_term': 'mitral annular', 'observation': 'calcification'}}anatomical entity_fin: {'thoracic aorta': {}}clinical findings_fin: {'thoracic aorta': {'clinical finding': 'thoracic aorta', 'existence': 'pos_dx', 'descriptive_term': 'thoracic', 'observation': 'aorta'}}anatomical entity_fin: {'thoracic aorta': {}}location descriptor_fin: ['left']clinical findings_fin: {'left-sided thoracic aorta': {'clinical finding': 'left-sided thoracic aorta', 'existence': 'pos_dx', 'descriptive_term': 'left-sided thoracic', 'observation': 'aorta'}}anatomical entity_fin: {'thoracic aorta': {}}clinical findings_fin: {'tortuous': {'clinical finding': 'tortuous', 'existence': 'pos_dx', 'observation': 'tortuous'}}clinical findings_fin: {'calcified': {'clinical finding': 'calcified', 'existence': 'pos_dx', 'observation': 'calcified'}}anatomical entity_fin: {'aortic arch': {}, 'descending thoracic aorta': {}}clinical findings_fin: {'aortic arch and descending thoracic aorta have mild calcified plaque and a moderate burden': {'clinical finding': 'aortic arch and descending thoracic aorta have mild calcified plaque and a moderate burden', 'cf_snomed': {'plaque': 1522000}, 'change_term': 'calcified'}}clinical findings_fin: {'thoracic aortic dissection': {'clinical finding': 'thoracic aortic dissection', 'existence': 'neg_dx', 'descriptive_term': 'thoracic aortic', 'observation': 'dissection'}, 'aneurysm': {'clinical finding': 'aneurysm', 'cf_snomed': {'aneurysm': 432119003}, 'existence': 'neg_dx', 'observation': 'aneurysm'}, 'aortic': {'clinical finding': 'aortic', 'existence': 'pos_dx', 'observation': 'aortic'}, 'dilated': {'clinical finding': 'dilated', 'existence': 'pos_dx', 'observation': 'dilated'}}anatomical entity_fin: {'brachiocephalic arteries': {}, 'left subclavian artery': {}}location descriptor_fin: ['proximal']clinical findings_fin: {'brachiocephalic': {'clinical finding': 'brachiocephalic', 'existence': 'pos_dx', 'observation': 'brachiocephalic'}, 'tortuous': {'clinical finding': 'tortuous', 'existence': 'pos_dx', 'observation': 'tortuous'}, 'mild proximal stenosis': {'clinical finding': 'mild proximal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'mild proximal', 'observation': 'stenosis', 'strength_term': 'mild'}}size_fin: [{'size': '40 x42 mm', 'size_descriptor': 'junction'}]size_fin: [{'size': '37 x40 mm', 'size_descriptor': 'artery'}]anatomical entity_fin: {'artery': {}}anatomical entity_fin: {'pericardium': {}}clinical findings_fin: {'pericardium is normal in thickness': {'clinical finding': 'pericardium is normal in thickness'}}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: {'coronary artery': {}, 'circumflex coronary arteries': {'location descriptor': 'left'}}location descriptor_fin: ['left', 'anterior']clinical findings_fin: {'valsalva': {'clinical finding': 'valsalva', 'existence': 'pos_dx', 'observation': 'valsalva'}}anatomical entity_fin: {'coronary artery': {}}location descriptor_fin: ['left']clinical findings_fin: {'mild, non-obstructive calcification': {'clinical finding': 'mild, non-obstructive calcification', 'existence': 'pos_dx', 'descriptive_term': 'mild non-obstructive', 'observation': 'calcification', 'strength_term': 'mild'}, 'left main coronary': {'clinical finding': 'left main coronary', 'existence': 'pos_dx', 'descriptive_term': 'left main', 'observation': 'coronary'}}anatomical entity_fin: {'coronary artery': {}}location descriptor_fin: ['left', 'anterior']anatomical entity_fin: {'lumen': {}}location descriptor_fin: ['proximal']clinical findings_fin: {'severe calcification': {'clinical finding': 'severe calcification', 'existence': 'pos_dx', 'descriptive_term': 'severe', 'observation': 'calcification', 'strength_term': 'severe'}}clinical findings_fin: {'significant obstruction': {'clinical finding': 'significant obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'pos_dx', 'descriptive_term': 'significant', 'observation': 'obstruction'}}location descriptor_fin: ['distal']clinical findings_fin: {'distal lad is not well seen': {'clinical finding': 'distal lad is not well seen'}}anatomical entity_fin: {'circumflex coronary artery': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'obtuse marginal branches and a small av circumflex branch': {'clinical finding': 'obtuse marginal branches and a small av circumflex branch'}}location descriptor_fin: ['proximal']clinical findings_fin: {'adequate visualization': {'clinical finding': 'adequate visualization', 'existence': 'unc_dx', 'descriptive_term': 'adequate', 'observation': 'visualization'}}clinical findings_fin: {'major obtuse marginal': {'clinical finding': 'major obtuse marginal', 'existence': 'pos_dx', 'descriptive_term': 'major obtuse', 'observation': 'marginal'}, 'significant obstruction': {'clinical finding': 'significant obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'pos_dx', 'descriptive_term': 'significant', 'observation': 'obstruction'}}location descriptor_fin: ['distal']clinical findings_fin: {'distal lcx is not well visualized': {'clinical finding': 'distal lcx is not well visualized'}}anatomical entity_fin: {'right coronary artery': {}}location descriptor_fin: ['right']anatomical entity_fin: {'coronary artery': {}, 'posterior descending artery': {}}location descriptor_fin: ['proximal']clinical findings_fin: {'25-49% stenosis': {'clinical finding': '25-49% stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': '25-49 ', 'observation': 'stenosis'}}
<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['left']clinical findings_fin: {'mild left ventricular hypertrophy': {'clinical finding': 'mild left ventricular hypertrophy', 'cf_snomed': {'mild left ventricular hypertrophy': 840303004}, 'existence': 'pos_dx', 'descriptive_term': 'mild left ventricular', 'observation': 'hypertrophy', 'strength_term': 'mild'}}clinical findings_fin: {'moderate sigmoid septum': {'clinical finding': 'moderate sigmoid septum', 'existence': 'pos_dx', 'descriptive_term': 'moderate sigmoid', 'observation': 'septum', 'strength_term': 'moderate'}}anatomical entity_fin: {'right ventricle': {}}clinical findings_fin: {'dilated': {'clinical finding': 'dilated', 'existence': 'pos_dx', 'observation': 'dilated'}}anatomical entity_fin: {'left atrium': {}}clinical findings_fin: {'mild': {'clinical finding': 'mild', 'existence': 'pos_dx', 'observation': 'mild'}, 'dilated': {'clinical finding': 'dilated', 'existence': 'pos_dx', 'observation': 'dilated'}}anatomical entity_fin: {'left atrial appendage': {}}clinical findings_fin: {'left atrial appendage thrombus': {'clinical finding': 'left atrial appendage thrombus', 'cf_snomed': {'thrombus': 396339007}, 'existence': 'neg_dx', 'descriptive_term': 'left atrial appendage', 'observation': 'thrombus'}}anatomical entity_fin: {'right atrium': {}}clinical findings_fin: {'mild': {'clinical finding': 'mild', 'existence': 'pos_dx', 'observation': 'mild'}, 'dilated': {'clinical finding': 'dilated', 'existence': 'pos_dx', 'observation': 'dilated'}}location descriptor_fin: ['right']clinical findings_fin: {'right atrial mass': {'clinical finding': 'right atrial mass', 'existence': 'neg_dx', 'descriptive_term': 'right atrial', 'observation': 'mass'}, 'poor contrast opacification': {'clinical finding': 'poor contrast opacification', 'existence': 'pos_dx', 'descriptive_term': 'poor contrast', 'observation': 'opacification'}}location descriptor_fin: ['superior', 'inferior']clinical findings_fin: {'superior and inferior vena cavae are grossly normal': {'clinical finding': 'superior and inferior vena cavae are grossly normal'}}anatomical entity_fin: {'coronary sinus': {}}clinical findings_fin: {'coronary sinus is normal in size': {'clinical finding': 'coronary sinus is normal in size', 'cf_snomed': {'sinus': 419351001}}}anatomical entity_fin: {'aortic valve': {}}clinical findings_fin: {'normal leaflet excursion': {'clinical finding': 'normal leaflet excursion', 'existence': 'pos_dx', 'descriptive_term': 'normal leaflet', 'observation': 'excursion', 'strength_term': 'normal'}}clinical findings_fin: {'mitral annular calcification': {'clinical finding': 'mitral annular calcification', 'existence': 'neg_dx', 'descriptive_term': 'mitral annular', 'observation': 'calcification'}}anatomical entity_fin: {'thoracic aorta': {}}clinical findings_fin: {'thoracic aorta': {'clinical finding': 'thoracic aorta', 'existence': 'pos_dx', 'descriptive_term': 'thoracic', 'observation': 'aorta'}}anatomical entity_fin: {'thoracic aorta': {}}location descriptor_fin: ['left']clinical findings_fin: {'left-sided thoracic aorta': {'clinical finding': 'left-sided thoracic aorta', 'existence': 'pos_dx', 'descriptive_term': 'left-sided thoracic', 'observation': 'aorta'}}anatomical entity_fin: {'thoracic aorta': {}}clinical findings_fin: {'tortuous': {'clinical finding': 'tortuous', 'existence': 'pos_dx', 'observation': 'tortuous'}}clinical findings_fin: {'calcified': {'clinical finding': 'calcified', 'existence': 'pos_dx', 'observation': 'calcified'}}anatomical entity_fin: {'aortic arch': {}, 'descending thoracic aorta': {}}clinical findings_fin: {'aortic arch and descending thoracic aorta have mild calcified plaque and a moderate burden': {'clinical finding': 'aortic arch and descending thoracic aorta have mild calcified plaque and a moderate burden', 'cf_snomed': {'plaque': 1522000}, 'change_term': 'calcified'}}clinical findings_fin: {'thoracic aortic dissection': {'clinical finding': 'thoracic aortic dissection', 'existence': 'neg_dx', 'descriptive_term': 'thoracic aortic', 'observation': 'dissection'}, 'aneurysm': {'clinical finding': 'aneurysm', 'cf_snomed': {'aneurysm': 432119003}, 'existence': 'neg_dx', 'observation': 'aneurysm'}, 'aortic': {'clinical finding': 'aortic', 'existence': 'pos_dx', 'observation': 'aortic'}, 'dilated': {'clinical finding': 'dilated', 'existence': 'pos_dx', 'observation': 'dilated'}}anatomical entity_fin: {'brachiocephalic arteries': {}, 'left subclavian artery': {}}location descriptor_fin: ['proximal']clinical findings_fin: {'brachiocephalic': {'clinical finding': 'brachiocephalic', 'existence': 'pos_dx', 'observation': 'brachiocephalic'}, 'tortuous': {'clinical finding': 'tortuous', 'existence': 'pos_dx', 'observation': 'tortuous'}, 'mild proximal stenosis': {'clinical finding': 'mild proximal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'mild proximal', 'observation': 'stenosis', 'strength_term': 'mild'}}size_fin: [{'size': '40 x42 mm', 'size_descriptor': 'junction'}]size_fin: [{'size': '37 x40 mm', 'size_descriptor': 'artery'}]anatomical entity_fin: {'artery': {}}anatomical entity_fin: {'pericardium': {}}clinical findings_fin: {'pericardium is normal in thickness': {'clinical finding': 'pericardium is normal in thickness'}}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: {'coronary artery': {}, 'circumflex coronary arteries': {'location descriptor': 'left'}}location descriptor_fin: ['left', 'anterior']clinical findings_fin: {'valsalva': {'clinical finding': 'valsalva', 'existence': 'pos_dx', 'observation': 'valsalva'}}anatomical entity_fin: {'coronary artery': {}}location descriptor_fin: ['left']clinical findings_fin: {'mild, non-obstructive calcification': {'clinical finding': 'mild, non-obstructive calcification', 'existence': 'pos_dx', 'descriptive_term': 'mild non-obstructive', 'observation': 'calcification', 'strength_term': 'mild'}, 'left main coronary': {'clinical finding': 'left main coronary', 'existence': 'pos_dx', 'descriptive_term': 'left main', 'observation': 'coronary'}}anatomical entity_fin: {'coronary artery': {}}location descriptor_fin: ['left', 'anterior']anatomical entity_fin: {'lumen': {}}location descriptor_fin: ['proximal']clinical findings_fin: {'severe calcification': {'clinical finding': 'severe calcification', 'existence': 'pos_dx', 'descriptive_term': 'severe', 'observation': 'calcification', 'strength_term': 'severe'}}clinical findings_fin: {'significant obstruction': {'clinical finding': 'significant obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'pos_dx', 'descriptive_term': 'significant', 'observation': 'obstruction'}}location descriptor_fin: ['distal']clinical findings_fin: {'distal lad is not well seen': {'clinical finding': 'distal lad is not well seen'}}anatomical entity_fin: {'circumflex coronary artery': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'obtuse marginal branches and a small av circumflex branch': {'clinical finding': 'obtuse marginal branches and a small av circumflex branch'}}location descriptor_fin: ['proximal']clinical findings_fin: {'adequate visualization': {'clinical finding': 'adequate visualization', 'existence': 'unc_dx', 'descriptive_term': 'adequate', 'observation': 'visualization'}}clinical findings_fin: {'major obtuse marginal': {'clinical finding': 'major obtuse marginal', 'existence': 'pos_dx', 'descriptive_term': 'major obtuse', 'observation': 'marginal'}, 'significant obstruction': {'clinical finding': 'significant obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'pos_dx', 'descriptive_term': 'significant', 'observation': 'obstruction'}}location descriptor_fin: ['distal']clinical findings_fin: {'distal lcx is not well visualized': {'clinical finding': 'distal lcx is not well visualized'}}anatomical entity_fin: {'right coronary artery': {}}location descriptor_fin: ['right']anatomical entity_fin: {'coronary artery': {}, 'posterior descending artery': {}}location descriptor_fin: ['proximal']clinical findings_fin: {'25-49% stenosis': {'clinical finding': '25-49% stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': '25-49 ', 'observation': 'stenosis'}} [/INST] . There is mild left ventricular hypertrophy with normal left ventricular size. There is a moderate sigmoid septum. The right ventricle qualitatively appears to be mildly dilated. The left atrium is mild to moderately dilated, qualitatively. There is no evidence of left atrial appendage thrombus. The right atrium is mild to moderately dilated, qualitatively. A right atrial mass is noted but not well visualized due to poor contrast opacification of the right-sided chambers. The superior and inferior vena cavae are grossly normal. The coronary sinus is normal in size. The aortic valve is trileaflet with normal leaflet excursion. No mitral annular calcification is noted. Thoracic Aorta. There is a left-sided thoracic aorta. The thoracic aorta is very tortuous. The aortic root is mildly calcified. The aortic arch and descending thoracic aorta have mild calcified plaque and a moderate burden of non-calcified plaque. No thoracic aortic dissection or aneurysm is noted but the aortic root is mildly dilated. The brachiocephalic arteries are very tortuous and the left subclavian artery has a mild proximal stenosis. 40 x42 mmST Junction. 37 x40 mmPulmonary Artery. The pericardium is normal in thickness. There is no pericardial effusion. The left main coronary artery arises normally from the left sinus of valsalva and bifurcates into the left anterior descending and left circumflex coronary arteries. There is mild, non-obstructive calcification of the left main coronary artery. The left anterior descending coronary artery courses normally in the anterior interventricular groove, supplying the diagonal and septal branches. There is severe calcification of the proximal LAD and consequently the lumen in this segment can not be visualized. The mid LAD is without significant obstruction. The distal LAD is not well seen. The left circumflex coronary artery courses normally in the the left AV groove. It gives rise to the obtuse marginal branches and a small AV circumflex branch. There is a densely calcified plaque in the proximal LCx preventing adequate visualization of the coronary segment. The mid LCx and major obtuse marginal are free of significant obstruction. The distal LCx is not well visualized. The right coronary artery arises normally from the right sinus of valsalva. It is the dominant coronary artery supplying a posterior descending artery and a posterolateral branch. There is a partially calcified plaque in the proximal RCA resulting in a 25-49% stenosis. None present. </s>