. Persistent loculated right pleural effusion with associated atelectasis, no significant change. There is right apical and subpleural reticulation compatible with prior radiation therapy. Left basilar atelectasis is again noted. Increasing pleural nodule in the right posterior inferior hemithorax measuring 22 mm in maximal thickness , previously 15 mm. Just superior to this lesion is another pleural nodule measuring 20 x 15 mm , previously 18 x 15 mm. Additionally there is a more well-defined lesion adjacent to the right seventh rib. No significant abnormality noted. Right chest wall mass measures 70 x 46 mm , previously 63 x 29 mm. Multiple old right rib fractures. Absence of enteric contrast material limits sensitivity for abdominal pathology. Status post cholecystectomy. No suspicious hepatic lesions. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Soft tissue lesion posterior to the suprahepatic IVC measures 20 x 19 mm , previously 11 x 11 mm. Absence of enteric contrast material limits sensitivity for GI pathology. No gross abnormalities noted. No significant abnormality noted. No significant abnormality noted.
location descriptor_fin: ['right']clinical findings_fin: {'persistent loculated right pleural effusion': {'clinical finding': 'persistent loculated right pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'persistent loculated right pleural', 'observation': 'effusion', 'temporal_term': 'persistent'}, 'associated atelectasis': {'clinical finding': 'associated atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'associated', 'observation': 'atelectasis'}, 'significant change': {'clinical finding': 'significant change', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'change'}}imaging observation_fin: ['apical', 'reticulation']location descriptor_fin: ['right']clinical findings_fin: {'apical and subpleural reticulation': {'clinical finding': 'apical and subpleural reticulation', 'existence': 'pos_dx', 'descriptive_term': 'apical and subpleural', 'observation': 'reticulation'}}location descriptor_fin: ['left']clinical findings_fin: {'left basilar atelectasis': {'clinical finding': 'left basilar atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'left basilar', 'observation': 'atelectasis'}}size_fin: [{'size': '22 mm'}, {'size': '15 mm'}]anatomical entity_fin: {'hemithorax': {'location descriptor': 'posterior inferior'}}location descriptor_fin: ['right', 'posterior', 'inferior']clinical findings_fin: {'pleural nodule': {'clinical finding': 'pleural nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'pleural', 'observation': 'nodule'}}size_fin: [{'size': '20 x 15 mm'}, {'size': '18 x 15 mm'}]location descriptor_fin: ['superior']clinical findings_fin: {'this lesion': {'clinical finding': 'this lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'this', 'observation': 'lesion'}, 'another pleural nodule': {'clinical finding': 'another pleural nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'another pleural', 'observation': 'nodule'}}anatomical entity_fin: {'rib': {}}location descriptor_fin: ['adjacent', 'right']clinical findings_fin: {'more well-defined lesion': {'clinical finding': 'more well-defined lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'more well-defined', 'observation': 'lesion', 'quantity_term': 'more'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}size_fin: [{'size': '70 x 46 mm'}, {'size': '63 x 29 mm'}]anatomical entity_fin: {'chest wall': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'chest wall mass': {'clinical finding': 'chest wall mass', 'existence': 'pos_dx', 'descriptive_term': 'chest wall', 'observation': 'mass'}}anatomical entity_fin: {'rib': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'multiple old right rib fractures': {'clinical finding': 'multiple old right rib fractures', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'multiple old right rib', 'observation': 'fracture', 'quantity_term': 'multiple', 'temporal_term': 'old'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}procedure_fin: ['cholecystectomy']clinical findings_fin: {'suspicious hepatic lesions': {'clinical finding': 'suspicious hepatic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious hepatic', 'observation': 'lesion'}}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'}}size_fin: [{'size': '20 x 19 mm'}, {'size': '11 x 11 mm'}]location descriptor_fin: ['posterior']clinical findings_fin: {'soft tissue lesion': {'clinical finding': 'soft tissue lesion', 'cf_snomed': {'soft tissue lesion': 239953001}, 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'lesion'}}clinical findings_fin: {'gross abnormalities': {'clinical finding': 'gross abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'gross', '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'}}
<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['right']clinical findings_fin: {'persistent loculated right pleural effusion': {'clinical finding': 'persistent loculated right pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'persistent loculated right pleural', 'observation': 'effusion', 'temporal_term': 'persistent'}, 'associated atelectasis': {'clinical finding': 'associated atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'associated', 'observation': 'atelectasis'}, 'significant change': {'clinical finding': 'significant change', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'change'}}imaging observation_fin: ['apical', 'reticulation']location descriptor_fin: ['right']clinical findings_fin: {'apical and subpleural reticulation': {'clinical finding': 'apical and subpleural reticulation', 'existence': 'pos_dx', 'descriptive_term': 'apical and subpleural', 'observation': 'reticulation'}}location descriptor_fin: ['left']clinical findings_fin: {'left basilar atelectasis': {'clinical finding': 'left basilar atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'left basilar', 'observation': 'atelectasis'}}size_fin: [{'size': '22 mm'}, {'size': '15 mm'}]anatomical entity_fin: {'hemithorax': {'location descriptor': 'posterior inferior'}}location descriptor_fin: ['right', 'posterior', 'inferior']clinical findings_fin: {'pleural nodule': {'clinical finding': 'pleural nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'pleural', 'observation': 'nodule'}}size_fin: [{'size': '20 x 15 mm'}, {'size': '18 x 15 mm'}]location descriptor_fin: ['superior']clinical findings_fin: {'this lesion': {'clinical finding': 'this lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'this', 'observation': 'lesion'}, 'another pleural nodule': {'clinical finding': 'another pleural nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'another pleural', 'observation': 'nodule'}}anatomical entity_fin: {'rib': {}}location descriptor_fin: ['adjacent', 'right']clinical findings_fin: {'more well-defined lesion': {'clinical finding': 'more well-defined lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'more well-defined', 'observation': 'lesion', 'quantity_term': 'more'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}size_fin: [{'size': '70 x 46 mm'}, {'size': '63 x 29 mm'}]anatomical entity_fin: {'chest wall': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'chest wall mass': {'clinical finding': 'chest wall mass', 'existence': 'pos_dx', 'descriptive_term': 'chest wall', 'observation': 'mass'}}anatomical entity_fin: {'rib': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'multiple old right rib fractures': {'clinical finding': 'multiple old right rib fractures', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'multiple old right rib', 'observation': 'fracture', 'quantity_term': 'multiple', 'temporal_term': 'old'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}procedure_fin: ['cholecystectomy']clinical findings_fin: {'suspicious hepatic lesions': {'clinical finding': 'suspicious hepatic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious hepatic', 'observation': 'lesion'}}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'}}size_fin: [{'size': '20 x 19 mm'}, {'size': '11 x 11 mm'}]location descriptor_fin: ['posterior']clinical findings_fin: {'soft tissue lesion': {'clinical finding': 'soft tissue lesion', 'cf_snomed': {'soft tissue lesion': 239953001}, 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'lesion'}}clinical findings_fin: {'gross abnormalities': {'clinical finding': 'gross abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'gross', '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'}} [/INST] . Persistent loculated right pleural effusion with associated atelectasis, no significant change. There is right apical and subpleural reticulation compatible with prior radiation therapy. Left basilar atelectasis is again noted. Increasing pleural nodule in the right posterior inferior hemithorax measuring 22 mm in maximal thickness , previously 15 mm. Just superior to this lesion is another pleural nodule measuring 20 x 15 mm , previously 18 x 15 mm. Additionally there is a more well-defined lesion adjacent to the right seventh rib. No significant abnormality noted. Right chest wall mass measures 70 x 46 mm , previously 63 x 29 mm. Multiple old right rib fractures. Absence of enteric contrast material limits sensitivity for abdominal pathology. Status post cholecystectomy. No suspicious hepatic lesions. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Soft tissue lesion posterior to the suprahepatic IVC measures 20 x 19 mm , previously 11 x 11 mm. Absence of enteric contrast material limits sensitivity for GI pathology. No gross abnormalities noted. No significant abnormality noted. No significant abnormality noted. </s>