. Centrilobar emphysema predominantly noted in the bilateral upper lobes. Few areas of reticular nodular opacities in the right upper lobe and bilateral basilar region are noted. Subcentimeter mediastinal nodes are redemonstrated, unchanged from prior study. Chemotherapy port projected over the right axillary region with the tip of the Port-A-Cath at the junction of right atrium and SVC. Normal axillary lymph nodes noted. Stable and enlarged paracardiac lymph nodes noted. Mild. No significant abnormality noted. Cirrhotic morphology of the liver. The portal vasculature is patent. A common bile duct stent is in place with expected intrahepatic pneumobilia. Mild to moderate Splenomegaly noted. Pancreatic head mass measures 2.7 x 3 cm, previously measured 3.5 x 2.8 cm, minimally reduced from prior study. Dilated pancreatic duct has foci of air within it. No significant abnormality noted. No significant abnormality noted. Redemonstrated enlarged peripancreatic, portacaval, and retroperitoneal lymph nodes. The reference portacaval lymph node measures approximately 2.1 x 1.1 cm , stable. Moderate. Redemonstrated is omental nodularity and thickening of the small bowel loops and large bowel loops. No significant abnormality noted. Abdominal ascites is stable. Gastric and perirectal varices compatible with portal hypertension. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Ascites is stable
anatomical entity_fin: {'lobes': {'location descriptor': 'bilateral upper'}}location descriptor_fin: ['bilateral', 'upper']clinical findings_fin: {'centrilobar emphysema': {'clinical finding': 'centrilobar emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'descriptive_term': 'centrilobar', 'observation': 'emphysema'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right upper'}}location descriptor_fin: ['right', 'upper', 'bilateral']clinical findings_fin: {'reticular nodular opacities': {'clinical finding': 'reticular nodular opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'neg_dx', 'descriptive_term': 'reticular nodular', 'observation': 'opacity'}}clinical findings_fin: {'subcentimeter mediastinal nodes': {'clinical finding': 'subcentimeter mediastinal nodes', 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter mediastinal', 'observation': 'node'}}anatomical entity_fin: {'axillary region': {'location descriptor': 'right'}, 'right atrium': {}}location descriptor_fin: ['right']object_fin: ['port']procedure_fin: ['chemotherapy']clinical findings_fin: {'port-a-cath': {'clinical finding': 'port-a-cath', 'existence': 'pos_dx', 'observation': 'port-a-'}}anatomical entity_fin: {'axillary lymph nodes': {}}clinical findings_fin: {'normal axillary lymph nodes': {'clinical finding': 'normal axillary lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'normal axillary lymph', 'observation': 'node', 'strength_term': 'normal'}}anatomical entity_fin: {'paracardiac lymph nodes': {}}clinical findings_fin: {'stable and enlarged paracardiac lymph nodes': {'clinical finding': 'stable and enlarged paracardiac lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'stable and enlarged paracardiac lymph', 'observation': 'node', 'strength_term': 'stable - enlarged', 'change_term': 'stable - enlarged'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'cirrhotic': {'clinical finding': 'cirrhotic', 'existence': 'pos_dx', 'observation': 'cirrhotic'}}anatomical entity_fin: {'vasculature': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}anatomical entity_fin: {'common bile duct': {}}clinical findings_fin: {'common bile duct stent': {'clinical finding': 'common bile duct stent', 'existence': 'pos_dx', 'descriptive_term': 'common bile duct', 'observation': 'stent'}, 'expected intrahepatic pneumobilia': {'clinical finding': 'expected intrahepatic pneumobilia', 'existence': 'pos_dx', 'descriptive_term': 'expected intrahepatic', 'observation': 'pneumobilia'}}clinical findings_fin: {'mild to moderate splenomegaly': {'clinical finding': 'mild to moderate splenomegaly', 'cf_snomed': {'splenomegaly': 16294009}, 'existence': 'pos_dx', 'descriptive_term': 'mild to moderate', 'observation': 'splenomegaly', 'strength_term': 'mild - moderate'}}size_fin: [{'size': '2.7 x 3 cm'}, {'size': '3.5 x 2.8 cm'}]anatomical entity_fin: {'head': {}}clinical findings_fin: {'pancreatic head mass': {'clinical finding': 'pancreatic head mass', 'existence': 'pos_dx', 'descriptive_term': 'pancreatic head', 'observation': 'mass'}}anatomical entity_fin: {'pancreatic duct': {}}imaging observation_fin: ['foci']clinical findings_fin: {'foci': {'clinical finding': 'foci', 'existence': 'pos_dx', 'observation': 'foci'}}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: {'enlarged peripancreatic, portacaval, and retroperitoneal lymph nodes': {'clinical finding': 'enlarged peripancreatic, portacaval, and retroperitoneal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'enlarged peripancreatic portacaval and retroperitoneal lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'}}size_fin: [{'size': '2.1 x 1.1 cm', 'size_descriptor': 'node'}]clinical findings_fin: {'reference portacaval lymph node': {'clinical finding': 'reference portacaval lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference portacaval lymph', 'observation': 'node'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'omental nodularity': {'clinical finding': 'omental nodularity', 'existence': 'pos_dx', 'descriptive_term': 'omental', 'observation': 'nodularity'}, 'thickening': {'clinical finding': 'thickening', 'existence': 'pos_dx', 'observation': 'thickening'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'abdominal ascites': {'clinical finding': 'abdominal ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'abdominal', 'observation': 'ascite'}}clinical findings_fin: {'gastric and perirectal varices': {'clinical finding': 'gastric and perirectal varices', 'existence': 'pos_dx', 'descriptive_term': 'gastric and perirectal', 'observation': 'varice'}, 'portal hypertension': {'clinical finding': 'portal hypertension', 'cf_snomed': {'portal hypertension': 34742003}, 'existence': 'pos_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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'ascites': {'clinical finding': 'ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'observation': 'ascite'}}
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'lobes': {'location descriptor': 'bilateral upper'}}location descriptor_fin: ['bilateral', 'upper']clinical findings_fin: {'centrilobar emphysema': {'clinical finding': 'centrilobar emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'descriptive_term': 'centrilobar', 'observation': 'emphysema'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right upper'}}location descriptor_fin: ['right', 'upper', 'bilateral']clinical findings_fin: {'reticular nodular opacities': {'clinical finding': 'reticular nodular opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'neg_dx', 'descriptive_term': 'reticular nodular', 'observation': 'opacity'}}clinical findings_fin: {'subcentimeter mediastinal nodes': {'clinical finding': 'subcentimeter mediastinal nodes', 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter mediastinal', 'observation': 'node'}}anatomical entity_fin: {'axillary region': {'location descriptor': 'right'}, 'right atrium': {}}location descriptor_fin: ['right']object_fin: ['port']procedure_fin: ['chemotherapy']clinical findings_fin: {'port-a-cath': {'clinical finding': 'port-a-cath', 'existence': 'pos_dx', 'observation': 'port-a-'}}anatomical entity_fin: {'axillary lymph nodes': {}}clinical findings_fin: {'normal axillary lymph nodes': {'clinical finding': 'normal axillary lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'normal axillary lymph', 'observation': 'node', 'strength_term': 'normal'}}anatomical entity_fin: {'paracardiac lymph nodes': {}}clinical findings_fin: {'stable and enlarged paracardiac lymph nodes': {'clinical finding': 'stable and enlarged paracardiac lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'stable and enlarged paracardiac lymph', 'observation': 'node', 'strength_term': 'stable - enlarged', 'change_term': 'stable - enlarged'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'cirrhotic': {'clinical finding': 'cirrhotic', 'existence': 'pos_dx', 'observation': 'cirrhotic'}}anatomical entity_fin: {'vasculature': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}anatomical entity_fin: {'common bile duct': {}}clinical findings_fin: {'common bile duct stent': {'clinical finding': 'common bile duct stent', 'existence': 'pos_dx', 'descriptive_term': 'common bile duct', 'observation': 'stent'}, 'expected intrahepatic pneumobilia': {'clinical finding': 'expected intrahepatic pneumobilia', 'existence': 'pos_dx', 'descriptive_term': 'expected intrahepatic', 'observation': 'pneumobilia'}}clinical findings_fin: {'mild to moderate splenomegaly': {'clinical finding': 'mild to moderate splenomegaly', 'cf_snomed': {'splenomegaly': 16294009}, 'existence': 'pos_dx', 'descriptive_term': 'mild to moderate', 'observation': 'splenomegaly', 'strength_term': 'mild - moderate'}}size_fin: [{'size': '2.7 x 3 cm'}, {'size': '3.5 x 2.8 cm'}]anatomical entity_fin: {'head': {}}clinical findings_fin: {'pancreatic head mass': {'clinical finding': 'pancreatic head mass', 'existence': 'pos_dx', 'descriptive_term': 'pancreatic head', 'observation': 'mass'}}anatomical entity_fin: {'pancreatic duct': {}}imaging observation_fin: ['foci']clinical findings_fin: {'foci': {'clinical finding': 'foci', 'existence': 'pos_dx', 'observation': 'foci'}}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: {'enlarged peripancreatic, portacaval, and retroperitoneal lymph nodes': {'clinical finding': 'enlarged peripancreatic, portacaval, and retroperitoneal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'enlarged peripancreatic portacaval and retroperitoneal lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'}}size_fin: [{'size': '2.1 x 1.1 cm', 'size_descriptor': 'node'}]clinical findings_fin: {'reference portacaval lymph node': {'clinical finding': 'reference portacaval lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference portacaval lymph', 'observation': 'node'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'omental nodularity': {'clinical finding': 'omental nodularity', 'existence': 'pos_dx', 'descriptive_term': 'omental', 'observation': 'nodularity'}, 'thickening': {'clinical finding': 'thickening', 'existence': 'pos_dx', 'observation': 'thickening'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'abdominal ascites': {'clinical finding': 'abdominal ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'abdominal', 'observation': 'ascite'}}clinical findings_fin: {'gastric and perirectal varices': {'clinical finding': 'gastric and perirectal varices', 'existence': 'pos_dx', 'descriptive_term': 'gastric and perirectal', 'observation': 'varice'}, 'portal hypertension': {'clinical finding': 'portal hypertension', 'cf_snomed': {'portal hypertension': 34742003}, 'existence': 'pos_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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'ascites': {'clinical finding': 'ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'observation': 'ascite'}} [/INST] . Centrilobar emphysema predominantly noted in the bilateral upper lobes. Few areas of reticular nodular opacities in the right upper lobe and bilateral basilar region are noted. Subcentimeter mediastinal nodes are redemonstrated, unchanged from prior study. Chemotherapy port projected over the right axillary region with the tip of the Port-A-Cath at the junction of right atrium and SVC. Normal axillary lymph nodes noted. Stable and enlarged paracardiac lymph nodes noted. Mild. No significant abnormality noted. Cirrhotic morphology of the liver. The portal vasculature is patent. A common bile duct stent is in place with expected intrahepatic pneumobilia. Mild to moderate Splenomegaly noted. Pancreatic head mass measures 2.7 x 3 cm, previously measured 3.5 x 2.8 cm, minimally reduced from prior study. Dilated pancreatic duct has foci of air within it. No significant abnormality noted. No significant abnormality noted. Redemonstrated enlarged peripancreatic, portacaval, and retroperitoneal lymph nodes. The reference portacaval lymph node measures approximately 2.1 x 1.1 cm , stable. Moderate. Redemonstrated is omental nodularity and thickening of the small bowel loops and large bowel loops. No significant abnormality noted. Abdominal ascites is stable. Gastric and perirectal varices compatible with portal hypertension. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Ascites is stable </s>