. Multiple micronodules, some of which are calcified, compatible with previous infection. Interval resolution of a right pleural effusion. No sign of pneumonia or other acute findings. No significant lymphadenopathy. A mildly enlarged lower right paratracheal node is unchanged, likely reactive. No pericardial effusion. Severe. Spinal fixation rods in place, producing considerable artifact. Posterior rib and vertebral lesions, consistent with multiple myeloma. Previous laminectomy at T8-T9. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. Limited examination due to absence of contrast material and extensive artifact. Perisplenic calcifications, unchanged from previous.
clinical findings_fin: {'multiple micronodules': {'clinical finding': 'multiple micronodules', 'existence': 'pos_dx', 'descriptive_term': 'multiple', 'observation': 'micronodule', 'quantity_term': 'multiple'}, 'previous infection': {'clinical finding': 'previous infection', 'existence': 'pos_dx', 'descriptive_term': 'previous', 'observation': 'infection', 'temporal_term': 'previous'}}location descriptor_fin: ['right']clinical findings_fin: {'interval resolution': {'clinical finding': 'interval resolution', 'existence': 'pos_dx', 'descriptive_term': 'interval', 'observation': 'resolution'}, 'right pleural effusion': {'clinical finding': 'right pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'right pleural', 'observation': 'effusion'}}clinical findings_fin: {'pneumonia': {'clinical finding': 'pneumonia', 'cf_snomed': {'pneumonia': 233604007}, 'existence': 'neg_dx', 'observation': 'pneumonia'}}clinical findings_fin: {'significant lymphadenopathy': {'clinical finding': 'significant lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'lymphadenopathy'}}location descriptor_fin: ['lower', 'right']clinical findings_fin: {'mildly enlarged lower right paratracheal node': {'clinical finding': 'mildly enlarged lower right paratracheal node', 'existence': 'pos_dx', 'descriptive_term': 'mildly enlarged lower right paratracheal', 'observation': 'node', 'strength_term': 'mildly - enlarged', 'change_term': 'enlarged'}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}clinical findings_fin: {'spinal fixation rods': {'clinical finding': 'spinal fixation rods', 'existence': 'pos_dx', 'descriptive_term': 'spinal fixation', 'observation': 'rod'}, 'considerable artifact': {'clinical finding': 'considerable artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'pos_dx', 'descriptive_term': 'considerable', 'observation': 'artifact'}}anatomical entity_fin: {'posterior rib': {}}clinical findings_fin: {'posterior rib and vertebral lesions': {'clinical finding': 'posterior rib and vertebral lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'posterior rib and vertebral', 'observation': 'lesion'}, 'multiple myeloma': {'clinical finding': 'multiple myeloma', 'cf_snomed': {'multiple myeloma': 109989006}, 'existence': 'pos_dx', 'descriptive_term': 'multiple', 'observation': 'myeloma', 'quantity_term': 'multiple'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'contrast': {'clinical finding': 'contrast', 'existence': 'neg_dx', 'observation': 'contrast'}, 'extensive artifact': {'clinical finding': 'extensive artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'pos_dx', 'descriptive_term': 'extensive', 'observation': 'artifact', 'strength_term': 'extensive'}}clinical findings_fin: {'perisplenic calcifications': {'clinical finding': 'perisplenic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'perisplenic', 'observation': 'calcification'}}
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'multiple micronodules': {'clinical finding': 'multiple micronodules', 'existence': 'pos_dx', 'descriptive_term': 'multiple', 'observation': 'micronodule', 'quantity_term': 'multiple'}, 'previous infection': {'clinical finding': 'previous infection', 'existence': 'pos_dx', 'descriptive_term': 'previous', 'observation': 'infection', 'temporal_term': 'previous'}}location descriptor_fin: ['right']clinical findings_fin: {'interval resolution': {'clinical finding': 'interval resolution', 'existence': 'pos_dx', 'descriptive_term': 'interval', 'observation': 'resolution'}, 'right pleural effusion': {'clinical finding': 'right pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'right pleural', 'observation': 'effusion'}}clinical findings_fin: {'pneumonia': {'clinical finding': 'pneumonia', 'cf_snomed': {'pneumonia': 233604007}, 'existence': 'neg_dx', 'observation': 'pneumonia'}}clinical findings_fin: {'significant lymphadenopathy': {'clinical finding': 'significant lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'lymphadenopathy'}}location descriptor_fin: ['lower', 'right']clinical findings_fin: {'mildly enlarged lower right paratracheal node': {'clinical finding': 'mildly enlarged lower right paratracheal node', 'existence': 'pos_dx', 'descriptive_term': 'mildly enlarged lower right paratracheal', 'observation': 'node', 'strength_term': 'mildly - enlarged', 'change_term': 'enlarged'}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}clinical findings_fin: {'spinal fixation rods': {'clinical finding': 'spinal fixation rods', 'existence': 'pos_dx', 'descriptive_term': 'spinal fixation', 'observation': 'rod'}, 'considerable artifact': {'clinical finding': 'considerable artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'pos_dx', 'descriptive_term': 'considerable', 'observation': 'artifact'}}anatomical entity_fin: {'posterior rib': {}}clinical findings_fin: {'posterior rib and vertebral lesions': {'clinical finding': 'posterior rib and vertebral lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'posterior rib and vertebral', 'observation': 'lesion'}, 'multiple myeloma': {'clinical finding': 'multiple myeloma', 'cf_snomed': {'multiple myeloma': 109989006}, 'existence': 'pos_dx', 'descriptive_term': 'multiple', 'observation': 'myeloma', 'quantity_term': 'multiple'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'contrast': {'clinical finding': 'contrast', 'existence': 'neg_dx', 'observation': 'contrast'}, 'extensive artifact': {'clinical finding': 'extensive artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'pos_dx', 'descriptive_term': 'extensive', 'observation': 'artifact', 'strength_term': 'extensive'}}clinical findings_fin: {'perisplenic calcifications': {'clinical finding': 'perisplenic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'perisplenic', 'observation': 'calcification'}} [/INST] . Multiple micronodules, some of which are calcified, compatible with previous infection. Interval resolution of a right pleural effusion. No sign of pneumonia or other acute findings. No significant lymphadenopathy. A mildly enlarged lower right paratracheal node is unchanged, likely reactive. No pericardial effusion. Severe. Spinal fixation rods in place, producing considerable artifact. Posterior rib and vertebral lesions, consistent with multiple myeloma. Previous laminectomy at T8-T9. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. Limited examination due to absence of contrast material and extensive artifact. Perisplenic calcifications, unchanged from previous. </s>