Aortic and Aortic Root. There is a left sided aortic arch with pseudo bovine brachiocephalic branching pattern. All three brachiocephalic vessels are significantly tortuous. There is additionally a mild stenosis in the proximal left subclavian artery. No thoracic aortic dissection is noted. There is an area of aneurysmal dilatation of the descending thoracic aorta just before the diaphragm measuring 54 mm x 44 mm and lines with a significant amount of either thrombus or atheromatous debris. There is also mild protruding aortic atheroma noted in the thoracic aorta. The thoracic aorta has moderate tortuosity. There is mild calcification of the aortic root. There is mild calcification of the aortic arch. There is mild calcification of the descending aorta. No aortic coarctation is noted. Dimension. 7. Width. 22 mmSinotubular Junction: 36 mm x 38 mmAscending Aorta. 39 mm x 37 mmDescending Aorta. 17 mmAnnulus to RCA Height. 18 mmFluoroscopic Angle. The aortic valve is trileaflet. There is severe aortic valve calcification, which predominantly involves the right and left coronary cusps. No mitral annular calcification is noted. There is mild concentric left ventricular hypertrophy with a moderately sigmoid septum. The left ventricular end-systolic volume is normal. There is no thrombus noted in the left ventricle. No LV thrombus is noted. Visually the right ventricular end-systolic volume is within normal limits. The left atrium is dilated. There are four distinct pulmonary veins which drain normally into the left atrium. There is no evidence of left atrial appendage thrombus. The right atrium is normal in size. The superior and inferior vena cavae are grossly normal. The coronary sinus is normal in size. Mildly dilated. The pericardium is normal in thickness. There is no pericardial effusion. Because heart rate management was not attempted and nitroglycerin was not administered, this exam was not performed to optimally visualize the coronary arteries. 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 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 mild calcification throughout the LAD. 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 mild calcification of the native LCx and a stent in the large first obtuse marginal branch. 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. None present.
anatomical entity_fin: {'aortic arch': {}}location descriptor_fin: ['left']clinical findings_fin: {'pseudo bovine': {'clinical finding': 'pseudo bovine', 'existence': 'pos_dx', 'descriptive_term': 'pseudo', 'observation': 'bovine'}}clinical findings_fin: {'tortuous': {'clinical finding': 'tortuous', 'existence': 'pos_dx', 'observation': 'tortuous'}}anatomical entity_fin: {'left subclavian artery': {'location descriptor': 'proximal'}}location descriptor_fin: ['proximal']clinical findings_fin: {'mild stenosis': {'clinical finding': 'mild stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'stenosis', 'strength_term': 'mild'}}clinical findings_fin: {'thoracic aortic dissection': {'clinical finding': 'thoracic aortic dissection', 'existence': 'neg_dx', 'descriptive_term': 'thoracic aortic', 'observation': 'dissection'}}size_fin: [{'size': '54 mm x 44 mm', 'size_descriptor': 'area'}]anatomical entity_fin: {'descending thoracic aorta': {}, 'diaphragm': {}}clinical findings_fin: {'either thrombus or atheromatous debris': {'clinical finding': 'either thrombus or atheromatous debris', 'cf_snomed': {'thrombus': 396339007}, 'existence': 'pos_dx', 'descriptive_term': 'either thrombus or atheromatous', 'observation': 'debris'}}anatomical entity_fin: {'thoracic aorta': {}}clinical findings_fin: {'mild protruding aortic atheroma': {'clinical finding': 'mild protruding aortic atheroma', 'cf_snomed': {'atheroma': 48434008}, 'existence': 'pos_dx', 'descriptive_term': 'mild protruding aortic', 'observation': 'atheroma', 'strength_term': 'mild'}}anatomical entity_fin: {'thoracic aorta': {}}clinical findings_fin: {'mild calcification': {'clinical finding': 'mild calcification', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'calcification', 'strength_term': 'mild'}}anatomical entity_fin: {'aortic arch': {}}clinical findings_fin: {'mild calcification': {'clinical finding': 'mild calcification', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'calcification', 'strength_term': 'mild'}}anatomical entity_fin: {'descending aorta': {}}clinical findings_fin: {'mild calcification': {'clinical finding': 'mild calcification', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'calcification', 'strength_term': 'mild'}}clinical findings_fin: {'aortic coarctation': {'clinical finding': 'aortic coarctation', 'cf_snomed': {'coarctation': 81409000}, 'existence': 'neg_dx', 'descriptive_term': 'aortic', 'observation': 'coarctation'}}size_fin: [{'size': '22 mm'}, {'size': '36 mm x 38 mm'}]anatomical entity_fin: {'aorta': {}}size_fin: [{'size': '39 mm x 37 mm', 'size_descriptor': 'aorta'}]anatomical entity_fin: {'aorta': {}}size_fin: [{'size': '17 mm', 'size_descriptor': 'mmannulus'}]size_fin: [{'size': '18 mm', 'size_descriptor': 'angle'}]anatomical entity_fin: {'aortic valve': {}}anatomical entity_fin: {'aortic valve': {}}location descriptor_fin: ['right', 'left']clinical findings_fin: {'severe aortic valve calcification': {'clinical finding': 'severe aortic valve calcification', 'cf_snomed': {'aortic valve calcification': 250978003}, 'existence': 'pos_dx', 'descriptive_term': 'severe aortic valve', 'observation': 'calcification', 'strength_term': 'severe'}}clinical findings_fin: {'mitral annular calcification': {'clinical finding': 'mitral annular calcification', 'existence': 'neg_dx', 'descriptive_term': 'mitral annular', 'observation': 'calcification'}}location descriptor_fin: ['left']clinical findings_fin: {'mild concentric left ventricular hypertrophy': {'clinical finding': 'mild concentric left ventricular hypertrophy', 'cf_snomed': {'left ventricular hypertrophy': 55827005}, 'existence': 'pos_dx', 'descriptive_term': 'mild concentric left ventricular', 'observation': 'hypertrophy', 'strength_term': 'mild'}}location descriptor_fin: ['left']clinical findings_fin: {'left ventricular end-systolic volume is normal': {'clinical finding': 'left ventricular end-systolic volume is normal'}}anatomical entity_fin: {'left ventricle': {}}clinical findings_fin: {'thrombus': {'clinical finding': 'thrombus', 'cf_snomed': {'thrombus': 396339007}, 'existence': 'neg_dx', 'observation': 'thrombus'}}clinical findings_fin: {'lv thrombus': {'clinical finding': 'lv thrombus', 'cf_snomed': {'thrombus': 396339007}, 'existence': 'neg_dx', 'descriptive_term': 'lv', 'observation': 'thrombus'}}location descriptor_fin: ['right']clinical findings_fin: {'right ventricular end-systolic volume': {'clinical finding': 'right ventricular end-systolic volume', 'existence': 'pos_dx', 'descriptive_term': 'right ventricular end-systolic', 'observation': 'volume'}}anatomical entity_fin: {'left atrium': {}}clinical findings_fin: {'dilated': {'clinical finding': 'dilated', 'existence': 'pos_dx', 'observation': 'dilated'}}anatomical entity_fin: {'pulmonary veins': {}, 'left atrium': {}}clinical findings_fin: {'are four distinct pulmonary veins which drain': {'clinical finding': 'are four distinct pulmonary veins which drain'}}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: {'right atrium is normal in size': {'clinical finding': 'right atrium is normal in size'}}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}}}clinical findings_fin: {'dilated': {'clinical finding': 'dilated', 'existence': 'pos_dx', 'observation': 'dilated'}}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: {'heart': {}, 'coronary arteries': {}}clinical findings_fin: {'not attempted and nitroglycerin was not administered , this exam was not performed': {'clinical finding': 'not attempted and nitroglycerin was not administered , this exam was not performed'}}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 calcification': {'clinical finding': 'mild calcification', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'calcification', 'strength_term': 'mild'}}anatomical entity_fin: {'coronary artery': {}}location descriptor_fin: ['left', 'anterior']clinical findings_fin: {'mild calcification': {'clinical finding': 'mild calcification', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'calcification', 'strength_term': 'mild'}}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'}}clinical findings_fin: {'mild calcification': {'clinical finding': 'mild calcification', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'calcification', 'strength_term': 'mild'}, 'stent': {'clinical finding': 'stent', 'existence': 'pos_dx', 'observation': 'stent'}}anatomical entity_fin: {'right coronary artery': {}}location descriptor_fin: ['right']anatomical entity_fin: {'coronary artery': {}, 'posterior descending artery': {}}
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'aortic arch': {}}location descriptor_fin: ['left']clinical findings_fin: {'pseudo bovine': {'clinical finding': 'pseudo bovine', 'existence': 'pos_dx', 'descriptive_term': 'pseudo', 'observation': 'bovine'}}clinical findings_fin: {'tortuous': {'clinical finding': 'tortuous', 'existence': 'pos_dx', 'observation': 'tortuous'}}anatomical entity_fin: {'left subclavian artery': {'location descriptor': 'proximal'}}location descriptor_fin: ['proximal']clinical findings_fin: {'mild stenosis': {'clinical finding': 'mild stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'stenosis', 'strength_term': 'mild'}}clinical findings_fin: {'thoracic aortic dissection': {'clinical finding': 'thoracic aortic dissection', 'existence': 'neg_dx', 'descriptive_term': 'thoracic aortic', 'observation': 'dissection'}}size_fin: [{'size': '54 mm x 44 mm', 'size_descriptor': 'area'}]anatomical entity_fin: {'descending thoracic aorta': {}, 'diaphragm': {}}clinical findings_fin: {'either thrombus or atheromatous debris': {'clinical finding': 'either thrombus or atheromatous debris', 'cf_snomed': {'thrombus': 396339007}, 'existence': 'pos_dx', 'descriptive_term': 'either thrombus or atheromatous', 'observation': 'debris'}}anatomical entity_fin: {'thoracic aorta': {}}clinical findings_fin: {'mild protruding aortic atheroma': {'clinical finding': 'mild protruding aortic atheroma', 'cf_snomed': {'atheroma': 48434008}, 'existence': 'pos_dx', 'descriptive_term': 'mild protruding aortic', 'observation': 'atheroma', 'strength_term': 'mild'}}anatomical entity_fin: {'thoracic aorta': {}}clinical findings_fin: {'mild calcification': {'clinical finding': 'mild calcification', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'calcification', 'strength_term': 'mild'}}anatomical entity_fin: {'aortic arch': {}}clinical findings_fin: {'mild calcification': {'clinical finding': 'mild calcification', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'calcification', 'strength_term': 'mild'}}anatomical entity_fin: {'descending aorta': {}}clinical findings_fin: {'mild calcification': {'clinical finding': 'mild calcification', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'calcification', 'strength_term': 'mild'}}clinical findings_fin: {'aortic coarctation': {'clinical finding': 'aortic coarctation', 'cf_snomed': {'coarctation': 81409000}, 'existence': 'neg_dx', 'descriptive_term': 'aortic', 'observation': 'coarctation'}}size_fin: [{'size': '22 mm'}, {'size': '36 mm x 38 mm'}]anatomical entity_fin: {'aorta': {}}size_fin: [{'size': '39 mm x 37 mm', 'size_descriptor': 'aorta'}]anatomical entity_fin: {'aorta': {}}size_fin: [{'size': '17 mm', 'size_descriptor': 'mmannulus'}]size_fin: [{'size': '18 mm', 'size_descriptor': 'angle'}]anatomical entity_fin: {'aortic valve': {}}anatomical entity_fin: {'aortic valve': {}}location descriptor_fin: ['right', 'left']clinical findings_fin: {'severe aortic valve calcification': {'clinical finding': 'severe aortic valve calcification', 'cf_snomed': {'aortic valve calcification': 250978003}, 'existence': 'pos_dx', 'descriptive_term': 'severe aortic valve', 'observation': 'calcification', 'strength_term': 'severe'}}clinical findings_fin: {'mitral annular calcification': {'clinical finding': 'mitral annular calcification', 'existence': 'neg_dx', 'descriptive_term': 'mitral annular', 'observation': 'calcification'}}location descriptor_fin: ['left']clinical findings_fin: {'mild concentric left ventricular hypertrophy': {'clinical finding': 'mild concentric left ventricular hypertrophy', 'cf_snomed': {'left ventricular hypertrophy': 55827005}, 'existence': 'pos_dx', 'descriptive_term': 'mild concentric left ventricular', 'observation': 'hypertrophy', 'strength_term': 'mild'}}location descriptor_fin: ['left']clinical findings_fin: {'left ventricular end-systolic volume is normal': {'clinical finding': 'left ventricular end-systolic volume is normal'}}anatomical entity_fin: {'left ventricle': {}}clinical findings_fin: {'thrombus': {'clinical finding': 'thrombus', 'cf_snomed': {'thrombus': 396339007}, 'existence': 'neg_dx', 'observation': 'thrombus'}}clinical findings_fin: {'lv thrombus': {'clinical finding': 'lv thrombus', 'cf_snomed': {'thrombus': 396339007}, 'existence': 'neg_dx', 'descriptive_term': 'lv', 'observation': 'thrombus'}}location descriptor_fin: ['right']clinical findings_fin: {'right ventricular end-systolic volume': {'clinical finding': 'right ventricular end-systolic volume', 'existence': 'pos_dx', 'descriptive_term': 'right ventricular end-systolic', 'observation': 'volume'}}anatomical entity_fin: {'left atrium': {}}clinical findings_fin: {'dilated': {'clinical finding': 'dilated', 'existence': 'pos_dx', 'observation': 'dilated'}}anatomical entity_fin: {'pulmonary veins': {}, 'left atrium': {}}clinical findings_fin: {'are four distinct pulmonary veins which drain': {'clinical finding': 'are four distinct pulmonary veins which drain'}}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: {'right atrium is normal in size': {'clinical finding': 'right atrium is normal in size'}}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}}}clinical findings_fin: {'dilated': {'clinical finding': 'dilated', 'existence': 'pos_dx', 'observation': 'dilated'}}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: {'heart': {}, 'coronary arteries': {}}clinical findings_fin: {'not attempted and nitroglycerin was not administered , this exam was not performed': {'clinical finding': 'not attempted and nitroglycerin was not administered , this exam was not performed'}}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 calcification': {'clinical finding': 'mild calcification', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'calcification', 'strength_term': 'mild'}}anatomical entity_fin: {'coronary artery': {}}location descriptor_fin: ['left', 'anterior']clinical findings_fin: {'mild calcification': {'clinical finding': 'mild calcification', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'calcification', 'strength_term': 'mild'}}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'}}clinical findings_fin: {'mild calcification': {'clinical finding': 'mild calcification', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'calcification', 'strength_term': 'mild'}, 'stent': {'clinical finding': 'stent', 'existence': 'pos_dx', 'observation': 'stent'}}anatomical entity_fin: {'right coronary artery': {}}location descriptor_fin: ['right']anatomical entity_fin: {'coronary artery': {}, 'posterior descending artery': {}} [/INST] Aortic and Aortic Root. There is a left sided aortic arch with pseudo bovine brachiocephalic branching pattern. All three brachiocephalic vessels are significantly tortuous. There is additionally a mild stenosis in the proximal left subclavian artery. No thoracic aortic dissection is noted. There is an area of aneurysmal dilatation of the descending thoracic aorta just before the diaphragm measuring 54 mm x 44 mm and lines with a significant amount of either thrombus or atheromatous debris. There is also mild protruding aortic atheroma noted in the thoracic aorta. The thoracic aorta has moderate tortuosity. There is mild calcification of the aortic root. There is mild calcification of the aortic arch. There is mild calcification of the descending aorta. No aortic coarctation is noted. Dimension. 7. Width. 22 mmSinotubular Junction: 36 mm x 38 mmAscending Aorta. 39 mm x 37 mmDescending Aorta. 17 mmAnnulus to RCA Height. 18 mmFluoroscopic Angle. The aortic valve is trileaflet. There is severe aortic valve calcification, which predominantly involves the right and left coronary cusps. No mitral annular calcification is noted. There is mild concentric left ventricular hypertrophy with a moderately sigmoid septum. The left ventricular end-systolic volume is normal. There is no thrombus noted in the left ventricle. No LV thrombus is noted. Visually the right ventricular end-systolic volume is within normal limits. The left atrium is dilated. There are four distinct pulmonary veins which drain normally into the left atrium. There is no evidence of left atrial appendage thrombus. The right atrium is normal in size. The superior and inferior vena cavae are grossly normal. The coronary sinus is normal in size. Mildly dilated. The pericardium is normal in thickness. There is no pericardial effusion. Because heart rate management was not attempted and nitroglycerin was not administered, this exam was not performed to optimally visualize the coronary arteries. 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 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 mild calcification throughout the LAD. 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 mild calcification of the native LCx and a stent in the large first obtuse marginal branch. 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. None present. </s>