. Central airways are patent. No pneumothorax or pleural effusion. Severe apical predominant paraseptal emphysema. Multiple cystic lesions scattered throughout bilateral lungs. Bibasilar dependent scarring or atelectasis. No suspicious nodule or mass. Marked cardiomegaly without pericardial effusion. Severe atherosclerotic disease of the aorta and its branch vessels. A 1.9 cm nodule in the left thyroid lobe. Left paratracheal lymph nodes measure up to 1.4 cm. The left femoral central venous catheter tip is in the right ventricle, recommend retraction. Left internal jugular central venous catheter is doubled upon itself with tip in the left innominate vein. Severe. Left chest wall ICD. Right internal jugular central venous catheter tip is at the superior cavoatrial junction. Probable involuting, calcified fibroadenoma in the left breast. No significant axillary, subpectoral, internal mammary, cardiophrenic, or retrocrural lymphadenopathy. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. Please see same day abdominal CT for abdominal findings.
anatomical entity_fin: {'airways': {'location descriptor': 'central'}}location descriptor_fin: ['central']clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}clinical findings_fin: {'pneumothorax': {'clinical finding': 'pneumothorax', 'cf_snomed': {'pneumothorax': 36118008}, 'existence': 'neg_dx', 'observation': 'pneumothorax'}, 'pleural effusion': {'clinical finding': 'pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}}imaging observation_fin: ['apical']clinical findings_fin: {'severe apical predominant paraseptal emphysema': {'clinical finding': 'severe apical predominant paraseptal emphysema', 'cf_snomed': {'paraseptal emphysema': 31898008}, 'existence': 'pos_dx', 'descriptive_term': 'severe apical predominant paraseptal', 'observation': 'emphysema', 'strength_term': 'severe'}}anatomical entity_fin: {'lungs': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'multiple cystic lesions': {'clinical finding': 'multiple cystic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'multiple cystic', 'observation': 'lesion', 'quantity_term': 'multiple'}}clinical findings_fin: {'bibasilar dependent scarring': {'clinical finding': 'bibasilar dependent scarring', 'existence': 'unc_dx', 'descriptive_term': 'bibasilar dependent', 'observation': 'scarr'}, 'atelectasis': {'clinical finding': 'atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'unc_dx', 'observation': 'atelectasis'}}clinical findings_fin: {'suspicious nodule': {'clinical finding': 'suspicious nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious', 'observation': 'nodule'}, 'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}}clinical findings_fin: {'marked cardiomegaly': {'clinical finding': 'marked cardiomegaly', 'cf_snomed': {'cardiomegaly': 8186001}, 'existence': 'pos_dx', 'descriptive_term': 'marked', 'observation': 'cardiomegaly'}, 'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}anatomical entity_fin: {'aorta': {}}clinical findings_fin: {'severe atherosclerotic disease': {'clinical finding': 'severe atherosclerotic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'severe atherosclerotic', 'observation': 'disease', 'strength_term': 'severe'}}size_fin: [{'size': '1.9 cm', 'size_descriptor': 'nodule'}]anatomical entity_fin: {'lobe': {}}location descriptor_fin: ['left']clinical findings_fin: {'1.9 cm nodule': {'clinical finding': '1.9 cm nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': '1 9 cm', 'observation': 'nodule'}}size_fin: [{'size': '1.4 cm'}]location descriptor_fin: ['left']clinical findings_fin: {'left paratracheal lymph nodes': {'clinical finding': 'left paratracheal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'left paratracheal lymph', 'observation': 'node'}}anatomical entity_fin: {'right ventricle': {}}location descriptor_fin: ['left']object_fin: ['central venous catheter']clinical findings_fin: {'left femoral central venous catheter': {'clinical finding': 'left femoral central venous catheter', 'existence': 'pos_dx', 'descriptive_term': 'left femoral central venous', 'observation': 'catheter'}, 'retraction': {'clinical finding': 'retraction', 'cf_snomed': {'retraction': 37794007}, 'existence': 'unc_dx', 'observation': 'retraction'}}anatomical entity_fin: {'vein': {}}location descriptor_fin: ['left']object_fin: ['central venous catheter']clinical findings_fin: {'left internal jugular central venous catheter': {'clinical finding': 'left internal jugular central venous catheter', 'existence': 'pos_dx', 'descriptive_term': 'left internal jugular central venous', 'observation': 'catheter'}}anatomical entity_fin: {'chest wall': {'location descriptor': 'left'}}location descriptor_fin: ['left']location descriptor_fin: ['right', 'superior']object_fin: ['central venous catheter']clinical findings_fin: {'right internal jugular central venous catheter': {'clinical finding': 'right internal jugular central venous catheter', 'existence': 'pos_dx', 'descriptive_term': 'right internal jugular central venous', 'observation': 'catheter'}}anatomical entity_fin: {'breast': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'probable involuting, calcified fibroadenoma': {'clinical finding': 'probable involuting, calcified fibroadenoma', 'existence': 'pos_dx', 'descriptive_term': 'probable involuting calcified', 'observation': 'fibroadenoma', 'change_term': 'calcified'}}clinical findings_fin: {'significant axillary, subpectoral, internal mammary, cardiophrenic, or retrocrural lymphadenopathy': {'clinical finding': 'significant axillary, subpectoral, internal mammary, cardiophrenic, or retrocrural lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'descriptive_term': 'significant axillary subpectoral internal mammary cardiophrenic or retrocrural', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}anatomical entity_fin: {'abdominal': {}}
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'airways': {'location descriptor': 'central'}}location descriptor_fin: ['central']clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}clinical findings_fin: {'pneumothorax': {'clinical finding': 'pneumothorax', 'cf_snomed': {'pneumothorax': 36118008}, 'existence': 'neg_dx', 'observation': 'pneumothorax'}, 'pleural effusion': {'clinical finding': 'pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}}imaging observation_fin: ['apical']clinical findings_fin: {'severe apical predominant paraseptal emphysema': {'clinical finding': 'severe apical predominant paraseptal emphysema', 'cf_snomed': {'paraseptal emphysema': 31898008}, 'existence': 'pos_dx', 'descriptive_term': 'severe apical predominant paraseptal', 'observation': 'emphysema', 'strength_term': 'severe'}}anatomical entity_fin: {'lungs': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'multiple cystic lesions': {'clinical finding': 'multiple cystic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'multiple cystic', 'observation': 'lesion', 'quantity_term': 'multiple'}}clinical findings_fin: {'bibasilar dependent scarring': {'clinical finding': 'bibasilar dependent scarring', 'existence': 'unc_dx', 'descriptive_term': 'bibasilar dependent', 'observation': 'scarr'}, 'atelectasis': {'clinical finding': 'atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'unc_dx', 'observation': 'atelectasis'}}clinical findings_fin: {'suspicious nodule': {'clinical finding': 'suspicious nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious', 'observation': 'nodule'}, 'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}}clinical findings_fin: {'marked cardiomegaly': {'clinical finding': 'marked cardiomegaly', 'cf_snomed': {'cardiomegaly': 8186001}, 'existence': 'pos_dx', 'descriptive_term': 'marked', 'observation': 'cardiomegaly'}, 'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}anatomical entity_fin: {'aorta': {}}clinical findings_fin: {'severe atherosclerotic disease': {'clinical finding': 'severe atherosclerotic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'severe atherosclerotic', 'observation': 'disease', 'strength_term': 'severe'}}size_fin: [{'size': '1.9 cm', 'size_descriptor': 'nodule'}]anatomical entity_fin: {'lobe': {}}location descriptor_fin: ['left']clinical findings_fin: {'1.9 cm nodule': {'clinical finding': '1.9 cm nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': '1 9 cm', 'observation': 'nodule'}}size_fin: [{'size': '1.4 cm'}]location descriptor_fin: ['left']clinical findings_fin: {'left paratracheal lymph nodes': {'clinical finding': 'left paratracheal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'left paratracheal lymph', 'observation': 'node'}}anatomical entity_fin: {'right ventricle': {}}location descriptor_fin: ['left']object_fin: ['central venous catheter']clinical findings_fin: {'left femoral central venous catheter': {'clinical finding': 'left femoral central venous catheter', 'existence': 'pos_dx', 'descriptive_term': 'left femoral central venous', 'observation': 'catheter'}, 'retraction': {'clinical finding': 'retraction', 'cf_snomed': {'retraction': 37794007}, 'existence': 'unc_dx', 'observation': 'retraction'}}anatomical entity_fin: {'vein': {}}location descriptor_fin: ['left']object_fin: ['central venous catheter']clinical findings_fin: {'left internal jugular central venous catheter': {'clinical finding': 'left internal jugular central venous catheter', 'existence': 'pos_dx', 'descriptive_term': 'left internal jugular central venous', 'observation': 'catheter'}}anatomical entity_fin: {'chest wall': {'location descriptor': 'left'}}location descriptor_fin: ['left']location descriptor_fin: ['right', 'superior']object_fin: ['central venous catheter']clinical findings_fin: {'right internal jugular central venous catheter': {'clinical finding': 'right internal jugular central venous catheter', 'existence': 'pos_dx', 'descriptive_term': 'right internal jugular central venous', 'observation': 'catheter'}}anatomical entity_fin: {'breast': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'probable involuting, calcified fibroadenoma': {'clinical finding': 'probable involuting, calcified fibroadenoma', 'existence': 'pos_dx', 'descriptive_term': 'probable involuting calcified', 'observation': 'fibroadenoma', 'change_term': 'calcified'}}clinical findings_fin: {'significant axillary, subpectoral, internal mammary, cardiophrenic, or retrocrural lymphadenopathy': {'clinical finding': 'significant axillary, subpectoral, internal mammary, cardiophrenic, or retrocrural lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'descriptive_term': 'significant axillary subpectoral internal mammary cardiophrenic or retrocrural', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}anatomical entity_fin: {'abdominal': {}} [/INST] . Central airways are patent. No pneumothorax or pleural effusion. Severe apical predominant paraseptal emphysema. Multiple cystic lesions scattered throughout bilateral lungs. Bibasilar dependent scarring or atelectasis. No suspicious nodule or mass. Marked cardiomegaly without pericardial effusion. Severe atherosclerotic disease of the aorta and its branch vessels. A 1.9 cm nodule in the left thyroid lobe. Left paratracheal lymph nodes measure up to 1.4 cm. The left femoral central venous catheter tip is in the right ventricle, recommend retraction. Left internal jugular central venous catheter is doubled upon itself with tip in the left innominate vein. Severe. Left chest wall ICD. Right internal jugular central venous catheter tip is at the superior cavoatrial junction. Probable involuting, calcified fibroadenoma in the left breast. No significant axillary, subpectoral, internal mammary, cardiophrenic, or retrocrural lymphadenopathy. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. Please see same day abdominal CT for abdominal findings. </s>