. Right hemithorax pleural thickening, loculated fluid and volume loss. There is no convincing evidence of measurable pleural tumor. Suture line from prior biopsy or wedge resection at the right lung base. Right costophrenic angle consolidation with peripheral, subpleural reticulation and bronchiolectasis elsewhere suggestive of pulmonary fibrosis from prior radiation. No evidence of active radiation pneumonitis. The left lung is unremarkable in appearance. Rightward mediastinal shift. No lymphadenopathy or specific signs of mediastinal invasion. None visible. Postoperative changes right chest wall, with displaced lateral right fifth and seventh rib fractures and a nondisplaced lateral right sixth rib fracture. There is also callus formation along posterior ribs consistent with old, healed right-sided rib fractures. Intramuscular lipoma left rhomboid. Absence of enteric contrast material limits sensitivity for abdominal pathology. Limited scanning range. Probable focal perfusion defects along the falciform ligament, slight thickening and nodularity of the gallbladder wall suspicious for adenomyomatosis. No visible signs of intraperitoneal tumor.
anatomical entity_fin: {'right hemithorax': {}, 'fluid': {}}clinical findings_fin: {'right hemithorax pleural thickening': {'clinical finding': 'right hemithorax pleural thickening', 'existence': 'pos_dx', 'descriptive_term': 'right hemithorax pleural', 'observation': 'thickening'}, 'loculated fluid and volume loss': {'clinical finding': 'loculated fluid and volume loss', 'existence': 'pos_dx', 'descriptive_term': 'loculated fluid and volume', 'observation': 'loss'}}clinical findings_fin: {'measurable pleural tumor': {'clinical finding': 'measurable pleural tumor', 'existence': 'neg_dx', 'descriptive_term': 'measurable pleural', 'observation': 'tumor'}}anatomical entity_fin: {'right lung': {}, 'base': {}}imaging observation_fin: ['wedge']object_fin: ['suture']procedure_fin: ['biopsy']imaging observation_fin: ['angle', 'reticulation']location descriptor_fin: ['right', 'peripheral']clinical findings_fin: {'right costophrenic angle consolidation': {'clinical finding': 'right costophrenic angle consolidation', 'cf_snomed': {'costophrenic angle': 46297007, 'consolidation': 9656002}, 'existence': 'pos_dx', 'descriptive_term': 'right costophrenic angle', 'observation': 'consolidation'}, 'peripheral, subpleural reticulation': {'clinical finding': 'peripheral, subpleural reticulation', 'existence': 'pos_dx', 'descriptive_term': 'peripheral subpleural', 'observation': 'reticulation'}, 'bronchiolectasis': {'clinical finding': 'bronchiolectasis', 'cf_snomed': {'bronchiolectasis': 29424000}, 'existence': 'pos_dx', 'observation': 'bronchiolectasis'}, 'pulmonary fibrosis': {'clinical finding': 'pulmonary fibrosis', 'existence': 'unc_dx', 'descriptive_term': 'pulmonary', 'observation': 'fibrosis'}}clinical findings_fin: {'active radiation pneumonitis': {'clinical finding': 'active radiation pneumonitis', 'cf_snomed': {'radiation pneumonitis': 84004001}, 'existence': 'neg_dx', 'descriptive_term': 'active radiation', 'observation': 'pneumonitis', 'strength_term': 'active'}}anatomical entity_fin: {'left lung': {}}clinical findings_fin: {'left lung is unremarkable in appearance': {'clinical finding': 'left lung is unremarkable in appearance'}}clinical findings_fin: {'lymphadenopathy': {'clinical finding': 'lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'observation': 'lymphadenopathy'}, 'mediastinal invasion': {'clinical finding': 'mediastinal invasion', 'existence': 'neg_dx', 'descriptive_term': 'mediastinal', 'observation': 'invasion'}}anatomical entity_fin: {'chest wall': {'location descriptor': 'right'}, 'rib': {}}location descriptor_fin: ['right', 'displaced', 'lateral']clinical findings_fin: {'postoperative changes': {'clinical finding': 'postoperative changes', 'existence': 'pos_dx', 'descriptive_term': 'postoperative', 'observation': 'change'}, 'displaced lateral right fifth and seventh rib fractures': {'clinical finding': 'displaced lateral right fifth and seventh rib fractures', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'displaced lateral right fifth and seventh rib', 'observation': 'fracture', 'change_term': 'displaced'}, 'nondisplaced lateral right sixth rib fracture': {'clinical finding': 'nondisplaced lateral right sixth rib fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'nondisplaced lateral right sixth rib', 'observation': 'fracture'}}anatomical entity_fin: {'posterior ribs': {}, 'rib': {}}location descriptor_fin: ['right']clinical findings_fin: {'callus formation': {'clinical finding': 'callus formation', 'existence': 'pos_dx', 'descriptive_term': 'callus', 'observation': 'formation'}, 'old, healed right-sided rib fractures': {'clinical finding': 'old, healed right-sided rib fractures', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'old healed right-sided rib', 'observation': 'fracture', 'strength_term': 'healed', 'temporal_term': 'old', 'change_term': 'healed'}}location descriptor_fin: ['left']clinical findings_fin: {'intramuscular lipoma': {'clinical finding': 'intramuscular lipoma', 'cf_snomed': {'intramuscular lipoma': 24045002}, 'existence': 'pos_dx', 'descriptive_term': 'intramuscular', 'observation': 'lipoma'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}anatomical entity_fin: {'gallbladder': {}, 'wall': {}}imaging observation_fin: ['falciform ligament']clinical findings_fin: {'probable focal perfusion defects': {'clinical finding': 'probable focal perfusion defects', 'cf_snomed': {'defect': 6920004}, 'existence': 'pos_dx', 'descriptive_term': 'probable focal perfusion', 'observation': 'defect'}, 'slight thickening': {'clinical finding': 'slight thickening', 'existence': 'unc_dx', 'descriptive_term': 'slight', 'observation': 'thickening'}, 'nodularity': {'clinical finding': 'nodularity', 'existence': 'unc_dx', 'observation': 'nodularity'}, 'adenomyomatosis': {'clinical finding': 'adenomyomatosis', 'cf_snomed': {'adenomyomatosis': 699661003}, 'existence': 'unc_dx', 'observation': 'adenomyomatosis'}}clinical findings_fin: {'intraperitoneal tumor': {'clinical finding': 'intraperitoneal tumor', 'existence': 'neg_dx', 'descriptive_term': 'intraperitoneal', 'observation': 'tumor'}}
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'right hemithorax': {}, 'fluid': {}}clinical findings_fin: {'right hemithorax pleural thickening': {'clinical finding': 'right hemithorax pleural thickening', 'existence': 'pos_dx', 'descriptive_term': 'right hemithorax pleural', 'observation': 'thickening'}, 'loculated fluid and volume loss': {'clinical finding': 'loculated fluid and volume loss', 'existence': 'pos_dx', 'descriptive_term': 'loculated fluid and volume', 'observation': 'loss'}}clinical findings_fin: {'measurable pleural tumor': {'clinical finding': 'measurable pleural tumor', 'existence': 'neg_dx', 'descriptive_term': 'measurable pleural', 'observation': 'tumor'}}anatomical entity_fin: {'right lung': {}, 'base': {}}imaging observation_fin: ['wedge']object_fin: ['suture']procedure_fin: ['biopsy']imaging observation_fin: ['angle', 'reticulation']location descriptor_fin: ['right', 'peripheral']clinical findings_fin: {'right costophrenic angle consolidation': {'clinical finding': 'right costophrenic angle consolidation', 'cf_snomed': {'costophrenic angle': 46297007, 'consolidation': 9656002}, 'existence': 'pos_dx', 'descriptive_term': 'right costophrenic angle', 'observation': 'consolidation'}, 'peripheral, subpleural reticulation': {'clinical finding': 'peripheral, subpleural reticulation', 'existence': 'pos_dx', 'descriptive_term': 'peripheral subpleural', 'observation': 'reticulation'}, 'bronchiolectasis': {'clinical finding': 'bronchiolectasis', 'cf_snomed': {'bronchiolectasis': 29424000}, 'existence': 'pos_dx', 'observation': 'bronchiolectasis'}, 'pulmonary fibrosis': {'clinical finding': 'pulmonary fibrosis', 'existence': 'unc_dx', 'descriptive_term': 'pulmonary', 'observation': 'fibrosis'}}clinical findings_fin: {'active radiation pneumonitis': {'clinical finding': 'active radiation pneumonitis', 'cf_snomed': {'radiation pneumonitis': 84004001}, 'existence': 'neg_dx', 'descriptive_term': 'active radiation', 'observation': 'pneumonitis', 'strength_term': 'active'}}anatomical entity_fin: {'left lung': {}}clinical findings_fin: {'left lung is unremarkable in appearance': {'clinical finding': 'left lung is unremarkable in appearance'}}clinical findings_fin: {'lymphadenopathy': {'clinical finding': 'lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'observation': 'lymphadenopathy'}, 'mediastinal invasion': {'clinical finding': 'mediastinal invasion', 'existence': 'neg_dx', 'descriptive_term': 'mediastinal', 'observation': 'invasion'}}anatomical entity_fin: {'chest wall': {'location descriptor': 'right'}, 'rib': {}}location descriptor_fin: ['right', 'displaced', 'lateral']clinical findings_fin: {'postoperative changes': {'clinical finding': 'postoperative changes', 'existence': 'pos_dx', 'descriptive_term': 'postoperative', 'observation': 'change'}, 'displaced lateral right fifth and seventh rib fractures': {'clinical finding': 'displaced lateral right fifth and seventh rib fractures', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'displaced lateral right fifth and seventh rib', 'observation': 'fracture', 'change_term': 'displaced'}, 'nondisplaced lateral right sixth rib fracture': {'clinical finding': 'nondisplaced lateral right sixth rib fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'nondisplaced lateral right sixth rib', 'observation': 'fracture'}}anatomical entity_fin: {'posterior ribs': {}, 'rib': {}}location descriptor_fin: ['right']clinical findings_fin: {'callus formation': {'clinical finding': 'callus formation', 'existence': 'pos_dx', 'descriptive_term': 'callus', 'observation': 'formation'}, 'old, healed right-sided rib fractures': {'clinical finding': 'old, healed right-sided rib fractures', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'old healed right-sided rib', 'observation': 'fracture', 'strength_term': 'healed', 'temporal_term': 'old', 'change_term': 'healed'}}location descriptor_fin: ['left']clinical findings_fin: {'intramuscular lipoma': {'clinical finding': 'intramuscular lipoma', 'cf_snomed': {'intramuscular lipoma': 24045002}, 'existence': 'pos_dx', 'descriptive_term': 'intramuscular', 'observation': 'lipoma'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}anatomical entity_fin: {'gallbladder': {}, 'wall': {}}imaging observation_fin: ['falciform ligament']clinical findings_fin: {'probable focal perfusion defects': {'clinical finding': 'probable focal perfusion defects', 'cf_snomed': {'defect': 6920004}, 'existence': 'pos_dx', 'descriptive_term': 'probable focal perfusion', 'observation': 'defect'}, 'slight thickening': {'clinical finding': 'slight thickening', 'existence': 'unc_dx', 'descriptive_term': 'slight', 'observation': 'thickening'}, 'nodularity': {'clinical finding': 'nodularity', 'existence': 'unc_dx', 'observation': 'nodularity'}, 'adenomyomatosis': {'clinical finding': 'adenomyomatosis', 'cf_snomed': {'adenomyomatosis': 699661003}, 'existence': 'unc_dx', 'observation': 'adenomyomatosis'}}clinical findings_fin: {'intraperitoneal tumor': {'clinical finding': 'intraperitoneal tumor', 'existence': 'neg_dx', 'descriptive_term': 'intraperitoneal', 'observation': 'tumor'}} [/INST] . Right hemithorax pleural thickening, loculated fluid and volume loss. There is no convincing evidence of measurable pleural tumor. Suture line from prior biopsy or wedge resection at the right lung base. Right costophrenic angle consolidation with peripheral, subpleural reticulation and bronchiolectasis elsewhere suggestive of pulmonary fibrosis from prior radiation. No evidence of active radiation pneumonitis. The left lung is unremarkable in appearance. Rightward mediastinal shift. No lymphadenopathy or specific signs of mediastinal invasion. None visible. Postoperative changes right chest wall, with displaced lateral right fifth and seventh rib fractures and a nondisplaced lateral right sixth rib fracture. There is also callus formation along posterior ribs consistent with old, healed right-sided rib fractures. Intramuscular lipoma left rhomboid. Absence of enteric contrast material limits sensitivity for abdominal pathology. Limited scanning range. Probable focal perfusion defects along the falciform ligament, slight thickening and nodularity of the gallbladder wall suspicious for adenomyomatosis. No visible signs of intraperitoneal tumor. </s>