. There is aneurysmal dilatation of the aortic arch, with a pseudoaneurysm measuring approximately 6.4 x 3.5 cm, and the neck measuring 2.0 cm at its widest point. The pseudoaneurysm is contained by a large surrounding hematoma. More distally along the aortic arch, is a penetrating ulcer, measuring approximately 1.7 x 0.9 cm. The left vertebral artery originates directly from the aortic arch. Evaluation of solid organ pathology is limited by lack of a portal venous phase. No significant abnormality noted. Cardiomegaly without significant pericardial effusion. Single lead pacemaker tip at the right ventricular apex. Significantly tortuous aorta and aneurysmal dilatation as detailed above. The main pulmonary artery is enlarged suggestive of pulmonary arterial hypertension. Moderate. Status post sternotomy. Pacemaker in the left chest wall. No significant abnormality noted. Subcentimeter splenule. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Aneurysmal dilatation of the bilateral common iliac arteries as well as the abdominal aorta measuring up to 3.1 cm in diameter. Tortuous aortic course continues in the abdomen. The bowel is of normal caliber, without evidence of obstruction. No significant abnormality noted. No significant abnormality noted. Please note the inferior most portion of the pelvis is not included in the field-of-view. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Scattered degenerative disease of the visualized spine. No significant abnormality noted.
size_fin: [{'size': '6.4 x 3.5 cm'}, {'size': '2.0 cm'}]anatomical entity_fin: {'aortic arch': {}, 'neck': {}}clinical findings_fin: {'pseudoaneurysm': {'clinical finding': 'pseudoaneurysm', 'cf_snomed': {'pseudoaneurysm': 443089001}, 'existence': 'pos_dx', 'observation': 'pseudoaneurysm'}}imaging observation_fin: ['hematoma']clinical findings_fin: {'pseudoaneurysm': {'clinical finding': 'pseudoaneurysm', 'cf_snomed': {'pseudoaneurysm': 443089001}, 'existence': 'pos_dx', 'observation': 'pseudoaneurysm'}, 'large surrounding hematoma': {'clinical finding': 'large surrounding hematoma', 'cf_snomed': {'hematoma': 385494008}, 'existence': 'pos_dx', 'descriptive_term': 'large surrounding', 'observation': 'hematoma', 'strength_term': 'large'}}size_fin: [{'size': '1.7 x 0.9 cm', 'size_descriptor': 'ulcer'}]anatomical entity_fin: {'aortic arch': {}}imaging observation_fin: ['ulcer']clinical findings_fin: {'penetrating ulcer': {'clinical finding': 'penetrating ulcer', 'cf_snomed': {'penetrating ulcer': 125314004}, 'existence': 'pos_dx', 'descriptive_term': 'penetrating', 'observation': 'ulcer', 'strength_term': 'penetrating'}}anatomical entity_fin: {'left vertebral artery': {}, 'aortic arch': {}}anatomical entity_fin: {'solid organ': {}}clinical findings_fin: {'evaluation of solid organ pathology is limited by lack of a portal venous phase': {'clinical finding': 'evaluation of solid organ pathology is limited by lack of a portal venous phase'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'cardiomegaly': {'clinical finding': 'cardiomegaly', 'cf_snomed': {'cardiomegaly': 8186001}, 'existence': 'pos_dx', 'observation': 'cardiomegaly'}, 'significant pericardial effusion': {'clinical finding': 'significant pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'pos_dx', 'descriptive_term': 'significant pericardial', 'observation': 'effusion'}}anatomical entity_fin: {'apex': {}}location descriptor_fin: ['right']non-anatomical substance_fin: ['lead']object_fin: ['pacemaker']anatomical entity_fin: {'aorta': {}}clinical findings_fin: {'significantly tortuous': {'clinical finding': 'significantly tortuous', 'existence': 'pos_dx', 'descriptive_term': 'significantly', 'observation': 'tortuous'}}anatomical entity_fin: {'main pulmonary artery': {}}clinical findings_fin: {'main pulmonary': {'clinical finding': 'main pulmonary', 'existence': 'pos_dx', 'descriptive_term': 'main', 'observation': 'pulmonary'}, 'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}, '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: {'sternotomy': {'clinical finding': 'sternotomy', 'existence': 'pos_dx', 'observation': 'sternotomy'}}anatomical entity_fin: {'chest wall': {'location descriptor': 'left'}}location descriptor_fin: ['left']object_fin: ['pacemaker']clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'subcentimeter splenule': {'clinical finding': 'subcentimeter splenule'}}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'}}size_fin: [{'size': '3.1 cm', 'size_descriptor': 'dilatation'}]anatomical entity_fin: {'common iliac arteries': {'location descriptor': 'bilateral'}, 'abdominal aorta': {}}location descriptor_fin: ['bilateral']anatomical entity_fin: {'abdomen': {}}clinical findings_fin: {'tortuous aortic course': {'clinical finding': 'tortuous aortic course', 'existence': 'pos_dx', 'descriptive_term': 'tortuous aortic', 'observation': 'course'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'observation': 'obstruction'}}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: {'pelvis': {}}location descriptor_fin: ['inferior']clinical findings_fin: {'note the inferior most portion of the pelvis is not included in the field - of - view': {'clinical finding': 'note the inferior most portion of the pelvis is not included in the field - of - view'}}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: {'spine': {}}clinical findings_fin: {'scattered degenerative disease': {'clinical finding': 'scattered degenerative disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'scattered degenerative', 'observation': 'disease'}}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': '6.4 x 3.5 cm'}, {'size': '2.0 cm'}]anatomical entity_fin: {'aortic arch': {}, 'neck': {}}clinical findings_fin: {'pseudoaneurysm': {'clinical finding': 'pseudoaneurysm', 'cf_snomed': {'pseudoaneurysm': 443089001}, 'existence': 'pos_dx', 'observation': 'pseudoaneurysm'}}imaging observation_fin: ['hematoma']clinical findings_fin: {'pseudoaneurysm': {'clinical finding': 'pseudoaneurysm', 'cf_snomed': {'pseudoaneurysm': 443089001}, 'existence': 'pos_dx', 'observation': 'pseudoaneurysm'}, 'large surrounding hematoma': {'clinical finding': 'large surrounding hematoma', 'cf_snomed': {'hematoma': 385494008}, 'existence': 'pos_dx', 'descriptive_term': 'large surrounding', 'observation': 'hematoma', 'strength_term': 'large'}}size_fin: [{'size': '1.7 x 0.9 cm', 'size_descriptor': 'ulcer'}]anatomical entity_fin: {'aortic arch': {}}imaging observation_fin: ['ulcer']clinical findings_fin: {'penetrating ulcer': {'clinical finding': 'penetrating ulcer', 'cf_snomed': {'penetrating ulcer': 125314004}, 'existence': 'pos_dx', 'descriptive_term': 'penetrating', 'observation': 'ulcer', 'strength_term': 'penetrating'}}anatomical entity_fin: {'left vertebral artery': {}, 'aortic arch': {}}anatomical entity_fin: {'solid organ': {}}clinical findings_fin: {'evaluation of solid organ pathology is limited by lack of a portal venous phase': {'clinical finding': 'evaluation of solid organ pathology is limited by lack of a portal venous phase'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'cardiomegaly': {'clinical finding': 'cardiomegaly', 'cf_snomed': {'cardiomegaly': 8186001}, 'existence': 'pos_dx', 'observation': 'cardiomegaly'}, 'significant pericardial effusion': {'clinical finding': 'significant pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'pos_dx', 'descriptive_term': 'significant pericardial', 'observation': 'effusion'}}anatomical entity_fin: {'apex': {}}location descriptor_fin: ['right']non-anatomical substance_fin: ['lead']object_fin: ['pacemaker']anatomical entity_fin: {'aorta': {}}clinical findings_fin: {'significantly tortuous': {'clinical finding': 'significantly tortuous', 'existence': 'pos_dx', 'descriptive_term': 'significantly', 'observation': 'tortuous'}}anatomical entity_fin: {'main pulmonary artery': {}}clinical findings_fin: {'main pulmonary': {'clinical finding': 'main pulmonary', 'existence': 'pos_dx', 'descriptive_term': 'main', 'observation': 'pulmonary'}, 'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}, '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: {'sternotomy': {'clinical finding': 'sternotomy', 'existence': 'pos_dx', 'observation': 'sternotomy'}}anatomical entity_fin: {'chest wall': {'location descriptor': 'left'}}location descriptor_fin: ['left']object_fin: ['pacemaker']clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'subcentimeter splenule': {'clinical finding': 'subcentimeter splenule'}}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'}}size_fin: [{'size': '3.1 cm', 'size_descriptor': 'dilatation'}]anatomical entity_fin: {'common iliac arteries': {'location descriptor': 'bilateral'}, 'abdominal aorta': {}}location descriptor_fin: ['bilateral']anatomical entity_fin: {'abdomen': {}}clinical findings_fin: {'tortuous aortic course': {'clinical finding': 'tortuous aortic course', 'existence': 'pos_dx', 'descriptive_term': 'tortuous aortic', 'observation': 'course'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'observation': 'obstruction'}}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: {'pelvis': {}}location descriptor_fin: ['inferior']clinical findings_fin: {'note the inferior most portion of the pelvis is not included in the field - of - view': {'clinical finding': 'note the inferior most portion of the pelvis is not included in the field - of - view'}}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: {'spine': {}}clinical findings_fin: {'scattered degenerative disease': {'clinical finding': 'scattered degenerative disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'scattered degenerative', 'observation': 'disease'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . There is aneurysmal dilatation of the aortic arch, with a pseudoaneurysm measuring approximately 6.4 x 3.5 cm, and the neck measuring 2.0 cm at its widest point. The pseudoaneurysm is contained by a large surrounding hematoma. More distally along the aortic arch, is a penetrating ulcer, measuring approximately 1.7 x 0.9 cm. The left vertebral artery originates directly from the aortic arch. Evaluation of solid organ pathology is limited by lack of a portal venous phase. No significant abnormality noted. Cardiomegaly without significant pericardial effusion. Single lead pacemaker tip at the right ventricular apex. Significantly tortuous aorta and aneurysmal dilatation as detailed above. The main pulmonary artery is enlarged suggestive of pulmonary arterial hypertension. Moderate. Status post sternotomy. Pacemaker in the left chest wall. No significant abnormality noted. Subcentimeter splenule. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Aneurysmal dilatation of the bilateral common iliac arteries as well as the abdominal aorta measuring up to 3.1 cm in diameter. Tortuous aortic course continues in the abdomen. The bowel is of normal caliber, without evidence of obstruction. No significant abnormality noted. No significant abnormality noted. Please note the inferior most portion of the pelvis is not included in the field-of-view. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Scattered degenerative disease of the visualized spine. No significant abnormality noted. </s>