. Central airways are patent. Mild upper lobe predominant centrilobular emphysema. No pneumothorax or pleural effusions. Multifocal areas of groundglass opacities seen predominantly in the lower lobes have not significantly changed in size or appearance. New solid nodular opacities in the right lower lobe. Reference right lower lobe solid subpleural nodule now measures 30 x 17 mm, previously 21 x 13 mm, compatible with primary pulmonary neoplasm. Reference left lower lobe mixed solid and groundglass nodule measures 27 x 22 mm, previously 25 x19 mm, compatible with primary pulmonary neoplasm. Cardiac size is upper limits of normal without significant pericardial effusion. Aorta is normal in caliber. Atherosclerotic calcification of the aorta and its major branches. Main pulmonary artery is enlarged measuring 36 mm. Scattered small mediastinal lymph nodes are noted. No hilar lymphadenopathy. Left-sided Bochdalek hernia. Mild. No lymphadenopathy. Dextroscoliosis of the thoracic spine noted. Mild degenerative changes of the thoracic spine. Bilateral breast implants. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. No significant abnormality noted.
anatomical entity_fin: {'airways': {'location descriptor': 'central'}}location descriptor_fin: ['central']clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}anatomical entity_fin: {'lobe': {'location descriptor': 'upper'}}location descriptor_fin: ['upper']clinical findings_fin: {'mild upper lobe predominant centrilobular emphysema': {'clinical finding': 'mild upper lobe predominant centrilobular emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'descriptive_term': 'mild upper lobe predominant centrilobular', 'observation': 'emphysema', 'strength_term': 'mild'}}clinical findings_fin: {'pneumothorax': {'clinical finding': 'pneumothorax', 'cf_snomed': {'pneumothorax': 36118008}, 'existence': 'neg_dx', 'observation': 'pneumothorax'}, 'pleural effusions': {'clinical finding': 'pleural effusions', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}}anatomical entity_fin: {'lobes': {'location descriptor': 'lower'}}location descriptor_fin: ['lower']clinical findings_fin: {'groundglass opacities': {'clinical finding': 'groundglass opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'groundglass', 'observation': 'opacity'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'new solid nodular opacities': {'clinical finding': 'new solid nodular opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'new solid nodular', 'observation': 'opacity', 'temporal_term': 'new'}}size_fin: [{'size': '30 x 17 mm'}, {'size': '21 x 13 mm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'reference right lower lobe solid subpleural nodule': {'clinical finding': 'reference right lower lobe solid subpleural nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'reference right lower lobe solid subpleural', 'observation': 'nodule'}, 'primary pulmonary neoplasm': {'clinical finding': 'primary pulmonary neoplasm', 'cf_snomed': {'neoplasm': 108369006}, 'existence': 'pos_dx', 'descriptive_term': 'primary pulmonary', 'observation': 'neoplasm'}}size_fin: [{'size': '27 x 22 mm'}, {'size': '25 x19 mm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'reference left lower lobe mixed solid and groundglass nodule': {'clinical finding': 'reference left lower lobe mixed solid and groundglass nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'reference left lower lobe mixed solid and groundglass', 'observation': 'nodule'}, 'primary pulmonary neoplasm': {'clinical finding': 'primary pulmonary neoplasm', 'cf_snomed': {'neoplasm': 108369006}, 'existence': 'pos_dx', 'descriptive_term': 'primary pulmonary', 'observation': 'neoplasm'}}location descriptor_fin: ['upper']clinical findings_fin: {'significant pericardial effusion': {'clinical finding': 'significant pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'pos_dx', 'descriptive_term': 'significant pericardial', 'observation': 'effusion'}}anatomical entity_fin: {'aorta': {}}clinical findings_fin: {'aorta is normal in caliber': {'clinical finding': 'aorta is normal in caliber'}}anatomical entity_fin: {'aorta': {}}clinical findings_fin: {'atherosclerotic calcification': {'clinical finding': 'atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'}}size_fin: [{'size': '36 mm'}]anatomical entity_fin: {'main pulmonary artery': {}}clinical findings_fin: {'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}}anatomical entity_fin: {'mediastinal lymph nodes': {}}clinical findings_fin: {'scattered small mediastinal lymph nodes': {'clinical finding': 'scattered small mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'scattered small mediastinal lymph', 'observation': 'node', 'strength_term': 'small'}}clinical findings_fin: {'hilar lymphadenopathy': {'clinical finding': 'hilar lymphadenopathy', 'cf_snomed': {'hilar lymphadenopathy': 87500009}, 'existence': 'neg_dx', 'descriptive_term': 'hilar', 'observation': 'lymphadenopathy'}}location descriptor_fin: ['left']clinical findings_fin: {'left-sided bochdalek hernia': {'clinical finding': 'left-sided bochdalek hernia', 'cf_snomed': {'hernia': 414403008}, 'existence': 'pos_dx', 'descriptive_term': 'left-sided bochdalek', 'observation': 'hernia'}}clinical findings_fin: {'lymphadenopathy': {'clinical finding': 'lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'dextroscoliosis': {'clinical finding': 'dextroscoliosis', 'cf_snomed': {'dextroscoliosis': 431001000124101}, 'existence': 'pos_dx', 'observation': 'dextroscoliosis'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'mild degenerative changes': {'clinical finding': 'mild degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'mild degenerative', 'observation': 'change', 'strength_term': 'mild'}}imaging observation_fin: ['breast implants']location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral breast implants': {'clinical finding': 'bilateral breast implants', 'existence': 'pos_dx', 'descriptive_term': 'bilateral breast', 'observation': 'implant'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}
<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'}}anatomical entity_fin: {'lobe': {'location descriptor': 'upper'}}location descriptor_fin: ['upper']clinical findings_fin: {'mild upper lobe predominant centrilobular emphysema': {'clinical finding': 'mild upper lobe predominant centrilobular emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'descriptive_term': 'mild upper lobe predominant centrilobular', 'observation': 'emphysema', 'strength_term': 'mild'}}clinical findings_fin: {'pneumothorax': {'clinical finding': 'pneumothorax', 'cf_snomed': {'pneumothorax': 36118008}, 'existence': 'neg_dx', 'observation': 'pneumothorax'}, 'pleural effusions': {'clinical finding': 'pleural effusions', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}}anatomical entity_fin: {'lobes': {'location descriptor': 'lower'}}location descriptor_fin: ['lower']clinical findings_fin: {'groundglass opacities': {'clinical finding': 'groundglass opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'groundglass', 'observation': 'opacity'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'new solid nodular opacities': {'clinical finding': 'new solid nodular opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'new solid nodular', 'observation': 'opacity', 'temporal_term': 'new'}}size_fin: [{'size': '30 x 17 mm'}, {'size': '21 x 13 mm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'reference right lower lobe solid subpleural nodule': {'clinical finding': 'reference right lower lobe solid subpleural nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'reference right lower lobe solid subpleural', 'observation': 'nodule'}, 'primary pulmonary neoplasm': {'clinical finding': 'primary pulmonary neoplasm', 'cf_snomed': {'neoplasm': 108369006}, 'existence': 'pos_dx', 'descriptive_term': 'primary pulmonary', 'observation': 'neoplasm'}}size_fin: [{'size': '27 x 22 mm'}, {'size': '25 x19 mm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'reference left lower lobe mixed solid and groundglass nodule': {'clinical finding': 'reference left lower lobe mixed solid and groundglass nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'reference left lower lobe mixed solid and groundglass', 'observation': 'nodule'}, 'primary pulmonary neoplasm': {'clinical finding': 'primary pulmonary neoplasm', 'cf_snomed': {'neoplasm': 108369006}, 'existence': 'pos_dx', 'descriptive_term': 'primary pulmonary', 'observation': 'neoplasm'}}location descriptor_fin: ['upper']clinical findings_fin: {'significant pericardial effusion': {'clinical finding': 'significant pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'pos_dx', 'descriptive_term': 'significant pericardial', 'observation': 'effusion'}}anatomical entity_fin: {'aorta': {}}clinical findings_fin: {'aorta is normal in caliber': {'clinical finding': 'aorta is normal in caliber'}}anatomical entity_fin: {'aorta': {}}clinical findings_fin: {'atherosclerotic calcification': {'clinical finding': 'atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'}}size_fin: [{'size': '36 mm'}]anatomical entity_fin: {'main pulmonary artery': {}}clinical findings_fin: {'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}}anatomical entity_fin: {'mediastinal lymph nodes': {}}clinical findings_fin: {'scattered small mediastinal lymph nodes': {'clinical finding': 'scattered small mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'scattered small mediastinal lymph', 'observation': 'node', 'strength_term': 'small'}}clinical findings_fin: {'hilar lymphadenopathy': {'clinical finding': 'hilar lymphadenopathy', 'cf_snomed': {'hilar lymphadenopathy': 87500009}, 'existence': 'neg_dx', 'descriptive_term': 'hilar', 'observation': 'lymphadenopathy'}}location descriptor_fin: ['left']clinical findings_fin: {'left-sided bochdalek hernia': {'clinical finding': 'left-sided bochdalek hernia', 'cf_snomed': {'hernia': 414403008}, 'existence': 'pos_dx', 'descriptive_term': 'left-sided bochdalek', 'observation': 'hernia'}}clinical findings_fin: {'lymphadenopathy': {'clinical finding': 'lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'dextroscoliosis': {'clinical finding': 'dextroscoliosis', 'cf_snomed': {'dextroscoliosis': 431001000124101}, 'existence': 'pos_dx', 'observation': 'dextroscoliosis'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'mild degenerative changes': {'clinical finding': 'mild degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'mild degenerative', 'observation': 'change', 'strength_term': 'mild'}}imaging observation_fin: ['breast implants']location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral breast implants': {'clinical finding': 'bilateral breast implants', 'existence': 'pos_dx', 'descriptive_term': 'bilateral breast', 'observation': 'implant'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . Central airways are patent. Mild upper lobe predominant centrilobular emphysema. No pneumothorax or pleural effusions. Multifocal areas of groundglass opacities seen predominantly in the lower lobes have not significantly changed in size or appearance. New solid nodular opacities in the right lower lobe. Reference right lower lobe solid subpleural nodule now measures 30 x 17 mm, previously 21 x 13 mm, compatible with primary pulmonary neoplasm. Reference left lower lobe mixed solid and groundglass nodule measures 27 x 22 mm, previously 25 x19 mm, compatible with primary pulmonary neoplasm. Cardiac size is upper limits of normal without significant pericardial effusion. Aorta is normal in caliber. Atherosclerotic calcification of the aorta and its major branches. Main pulmonary artery is enlarged measuring 36 mm. Scattered small mediastinal lymph nodes are noted. No hilar lymphadenopathy. Left-sided Bochdalek hernia. Mild. No lymphadenopathy. Dextroscoliosis of the thoracic spine noted. Mild degenerative changes of the thoracic spine. Bilateral breast implants. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. No significant abnormality noted. </s>