. Persistent left upper lobe consolidation with surrounding airspace consolidation and ground glass opacities, with interval increase in groundglass opacities particularly in the superior left upper lobe, compatible with worsening postobstructive pneumonia and or or hemorrhage. Some of the consolidated lung tissue is poorly perfused. Again seen is the abrupt cut off of the left upper lobe bronchus in the region of the known left hilar mass. Small left pleural effusion is not significantly changed in size. Multiple nodules with reference left lower lobe lesion measuring 16 x 15 mm , previously 16 x 16 mm. Additional bilateral metastatic lesions are not significantly changed. The left superior pulmonary vein is occluded. The referenced prevascular lymph node measures 10 mm in short axis , previously 11 mm. Left hilar adenopathy is now confluent with adjacent pulmonary metastases and left upper lobe pneumonia and therefore cannot be accurately measured. Right hilar lymphadenopathy is not significantly changed. The heart size is within normal limits, no significant pericardial effusion. None. Right chest port tip in the SVC. Absence of enteric contrast material limits sensitivity for abdominal pathology. Partially visualized gallstone without evidence of acute cholecystitis.
anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}, 'airspace': {}}location descriptor_fin: ['left', 'upper', 'superior']clinical findings_fin: {'persistent left upper lobe consolidation': {'clinical finding': 'persistent left upper lobe consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'pos_dx', 'descriptive_term': 'persistent left upper lobe', 'observation': 'consolidation', 'temporal_term': 'persistent'}, 'surrounding airspace consolidation': {'clinical finding': 'surrounding airspace consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'pos_dx', 'descriptive_term': 'surrounding airspace', 'observation': 'consolidation'}, 'ground glass opacities': {'clinical finding': 'ground glass opacities', 'cf_snomed': {'ground glass opacity': 1217294009}, 'existence': 'pos_dx', 'descriptive_term': 'ground glass', 'observation': 'opacity'}, 'groundglass opacities': {'clinical finding': 'groundglass opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'groundglass', 'observation': 'opacity'}, 'worsening postobstructive pneumonia': {'clinical finding': 'worsening postobstructive pneumonia', 'cf_snomed': {'postobstructive pneumonia': 371072008}, 'existence': 'pos_dx', 'descriptive_term': 'worsening postobstructive', 'observation': 'pneumonia', 'strength_term': 'worsening', 'change_term': 'worsening'}, 'or or hemorrhage': {'clinical finding': 'or or hemorrhage', 'cf_snomed': {'hemorrhage': 50960005}, 'existence': 'pos_dx', 'descriptive_term': 'or or', 'observation': 'hemorrhage'}}anatomical entity_fin: {'lung': {}}clinical findings_fin: {'consolidated lung tissue': {'clinical finding': 'consolidated lung tissue', 'existence': 'pos_dx', 'descriptive_term': 'consolidated lung', 'observation': 'tissue'}}anatomical entity_fin: {'left upper lobe bronchus': {}}location descriptor_fin: ['left']clinical findings_fin: {'known left hilar mass': {'clinical finding': 'known left hilar mass', 'cf_snomed': {'hilar mass': 309530007}, 'existence': 'pos_dx', 'descriptive_term': 'known left hilar', 'observation': 'mass'}}location descriptor_fin: ['left']clinical findings_fin: {'small left pleural effusion': {'clinical finding': 'small left pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'small left pleural', 'observation': 'effusion', 'strength_term': 'small'}}size_fin: [{'size': '16 x 15 mm'}, {'size': '16 x 16 mm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'multiple nodules': {'clinical finding': 'multiple nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'multiple', 'observation': 'nodule', 'quantity_term': 'multiple'}, 'reference left lower lobe lesion': {'clinical finding': 'reference left lower lobe lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'reference left lower lobe', 'observation': 'lesion'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'additional bilateral metastatic lesions': {'clinical finding': 'additional bilateral metastatic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'additional bilateral metastatic', 'observation': 'lesion'}}anatomical entity_fin: {'pulmonary vein': {'location descriptor': 'left superior'}}location descriptor_fin: ['left', 'superior']clinical findings_fin: {'occluded': {'clinical finding': 'occluded', 'existence': 'pos_dx', 'observation': 'occlude'}}size_fin: [{'size': '10 mm'}, {'size': '11 mm'}]anatomical entity_fin: {'axis': {}}clinical findings_fin: {'referenced prevascular lymph node': {'clinical finding': 'referenced prevascular lymph node', 'existence': 'pos_dx', 'descriptive_term': 'referenced prevascular lymph', 'observation': 'node'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}}location descriptor_fin: ['left', 'adjacent', 'upper']clinical findings_fin: {'left hilar adenopathy': {'clinical finding': 'left hilar adenopathy', 'existence': 'pos_dx', 'descriptive_term': 'left hilar', 'observation': 'adenopathy'}, 'adjacent pulmonary metastases': {'clinical finding': 'adjacent pulmonary metastases', 'existence': 'pos_dx', 'descriptive_term': 'adjacent pulmonary', 'observation': 'metastase'}, 'left upper lobe pneumonia': {'clinical finding': 'left upper lobe pneumonia', 'cf_snomed': {'pneumonia': 233604007}, 'existence': 'pos_dx', 'descriptive_term': 'left upper lobe', 'observation': 'pneumonia'}}location descriptor_fin: ['right']clinical findings_fin: {'hilar lymphadenopathy': {'clinical finding': 'hilar lymphadenopathy', 'cf_snomed': {'hilar lymphadenopathy': 87500009}, 'existence': 'neg_dx', 'descriptive_term': 'hilar', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'heart': {}}clinical findings_fin: {'significant pericardial effusion': {'clinical finding': 'significant pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'significant pericardial', 'observation': 'effusion'}}anatomical entity_fin: {'chest': {'location descriptor': 'right'}}location descriptor_fin: ['right']object_fin: ['port']anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'gallstone': {'clinical finding': 'gallstone', 'cf_snomed': {'gallstone': 235919008}, 'existence': 'pos_dx', 'observation': 'gallstone'}, 'acute cholecystitis': {'clinical finding': 'acute cholecystitis', 'cf_snomed': {'acute cholecystitis': 65275009}, 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'cholecystitis', 'strength_term': 'acute', 'temporal_term': 'acute'}}
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}, 'airspace': {}}location descriptor_fin: ['left', 'upper', 'superior']clinical findings_fin: {'persistent left upper lobe consolidation': {'clinical finding': 'persistent left upper lobe consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'pos_dx', 'descriptive_term': 'persistent left upper lobe', 'observation': 'consolidation', 'temporal_term': 'persistent'}, 'surrounding airspace consolidation': {'clinical finding': 'surrounding airspace consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'pos_dx', 'descriptive_term': 'surrounding airspace', 'observation': 'consolidation'}, 'ground glass opacities': {'clinical finding': 'ground glass opacities', 'cf_snomed': {'ground glass opacity': 1217294009}, 'existence': 'pos_dx', 'descriptive_term': 'ground glass', 'observation': 'opacity'}, 'groundglass opacities': {'clinical finding': 'groundglass opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'groundglass', 'observation': 'opacity'}, 'worsening postobstructive pneumonia': {'clinical finding': 'worsening postobstructive pneumonia', 'cf_snomed': {'postobstructive pneumonia': 371072008}, 'existence': 'pos_dx', 'descriptive_term': 'worsening postobstructive', 'observation': 'pneumonia', 'strength_term': 'worsening', 'change_term': 'worsening'}, 'or or hemorrhage': {'clinical finding': 'or or hemorrhage', 'cf_snomed': {'hemorrhage': 50960005}, 'existence': 'pos_dx', 'descriptive_term': 'or or', 'observation': 'hemorrhage'}}anatomical entity_fin: {'lung': {}}clinical findings_fin: {'consolidated lung tissue': {'clinical finding': 'consolidated lung tissue', 'existence': 'pos_dx', 'descriptive_term': 'consolidated lung', 'observation': 'tissue'}}anatomical entity_fin: {'left upper lobe bronchus': {}}location descriptor_fin: ['left']clinical findings_fin: {'known left hilar mass': {'clinical finding': 'known left hilar mass', 'cf_snomed': {'hilar mass': 309530007}, 'existence': 'pos_dx', 'descriptive_term': 'known left hilar', 'observation': 'mass'}}location descriptor_fin: ['left']clinical findings_fin: {'small left pleural effusion': {'clinical finding': 'small left pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'small left pleural', 'observation': 'effusion', 'strength_term': 'small'}}size_fin: [{'size': '16 x 15 mm'}, {'size': '16 x 16 mm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'multiple nodules': {'clinical finding': 'multiple nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'multiple', 'observation': 'nodule', 'quantity_term': 'multiple'}, 'reference left lower lobe lesion': {'clinical finding': 'reference left lower lobe lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'reference left lower lobe', 'observation': 'lesion'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'additional bilateral metastatic lesions': {'clinical finding': 'additional bilateral metastatic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'additional bilateral metastatic', 'observation': 'lesion'}}anatomical entity_fin: {'pulmonary vein': {'location descriptor': 'left superior'}}location descriptor_fin: ['left', 'superior']clinical findings_fin: {'occluded': {'clinical finding': 'occluded', 'existence': 'pos_dx', 'observation': 'occlude'}}size_fin: [{'size': '10 mm'}, {'size': '11 mm'}]anatomical entity_fin: {'axis': {}}clinical findings_fin: {'referenced prevascular lymph node': {'clinical finding': 'referenced prevascular lymph node', 'existence': 'pos_dx', 'descriptive_term': 'referenced prevascular lymph', 'observation': 'node'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}}location descriptor_fin: ['left', 'adjacent', 'upper']clinical findings_fin: {'left hilar adenopathy': {'clinical finding': 'left hilar adenopathy', 'existence': 'pos_dx', 'descriptive_term': 'left hilar', 'observation': 'adenopathy'}, 'adjacent pulmonary metastases': {'clinical finding': 'adjacent pulmonary metastases', 'existence': 'pos_dx', 'descriptive_term': 'adjacent pulmonary', 'observation': 'metastase'}, 'left upper lobe pneumonia': {'clinical finding': 'left upper lobe pneumonia', 'cf_snomed': {'pneumonia': 233604007}, 'existence': 'pos_dx', 'descriptive_term': 'left upper lobe', 'observation': 'pneumonia'}}location descriptor_fin: ['right']clinical findings_fin: {'hilar lymphadenopathy': {'clinical finding': 'hilar lymphadenopathy', 'cf_snomed': {'hilar lymphadenopathy': 87500009}, 'existence': 'neg_dx', 'descriptive_term': 'hilar', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'heart': {}}clinical findings_fin: {'significant pericardial effusion': {'clinical finding': 'significant pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'significant pericardial', 'observation': 'effusion'}}anatomical entity_fin: {'chest': {'location descriptor': 'right'}}location descriptor_fin: ['right']object_fin: ['port']anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'gallstone': {'clinical finding': 'gallstone', 'cf_snomed': {'gallstone': 235919008}, 'existence': 'pos_dx', 'observation': 'gallstone'}, 'acute cholecystitis': {'clinical finding': 'acute cholecystitis', 'cf_snomed': {'acute cholecystitis': 65275009}, 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'cholecystitis', 'strength_term': 'acute', 'temporal_term': 'acute'}} [/INST] . Persistent left upper lobe consolidation with surrounding airspace consolidation and ground glass opacities, with interval increase in groundglass opacities particularly in the superior left upper lobe, compatible with worsening postobstructive pneumonia and or or hemorrhage. Some of the consolidated lung tissue is poorly perfused. Again seen is the abrupt cut off of the left upper lobe bronchus in the region of the known left hilar mass. Small left pleural effusion is not significantly changed in size. Multiple nodules with reference left lower lobe lesion measuring 16 x 15 mm , previously 16 x 16 mm. Additional bilateral metastatic lesions are not significantly changed. The left superior pulmonary vein is occluded. The referenced prevascular lymph node measures 10 mm in short axis , previously 11 mm. Left hilar adenopathy is now confluent with adjacent pulmonary metastases and left upper lobe pneumonia and therefore cannot be accurately measured. Right hilar lymphadenopathy is not significantly changed. The heart size is within normal limits, no significant pericardial effusion. None. Right chest port tip in the SVC. Absence of enteric contrast material limits sensitivity for abdominal pathology. Partially visualized gallstone without evidence of acute cholecystitis. </s>