. There has been endovascular aneurysm repair of the ascending aorta, aortic arch, and descending thoracic aorta, extending into the abdominal aorta to the level of the celiac axis. There has been interval enlargement of the aneurysm sac, most significant adjacent to the descending thoracic aorta compared to prior study from 7/22/2015. There is evidence of contrast extravasation distal to the aortic arch, best seen on image #73, series #13. There is no evidence of type II endoleak or feeding vessels into the aneurysm sac. Contrast extravasation appears to begin within the mid descending thoracic aorta at the junction of modular components, strongly suggesting a large type III endoleak. There is a normal branching pattern to the rest of the aortic branches. Distal branches are patent. Bibasilar atelectasis. Moderate coronary artery calcifications. The ascending aorta measures 4.6 cm, unchanged. There is evidence of endovascular aneurysm repair of the ascending aorta, aortic arch, and descending thoracic aorta, with stent graft extending into the proximal abdominal aorta. Interval enlargement of the aneurysm sac, most prominent just distal to the aortic arch. No pericardial effusion. No evidence of dissection. Moderate. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Generalized pancreatic atrophy. No significant abnormality noted. There are several small hypodensities within the right renal parenchyma, too small to characterize. No significant abnormality noted. Moderate. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. There are multiple calcifications within the posterior subcutaneous tissues, possibly representing calcified granulomas, lymph nodes, or old hematoma. No significant abnormality noted.
anatomical entity_fin: {'ascending aorta': {}, 'aortic arch': {}, 'descending thoracic aorta': {}, 'abdominal aorta': {}, 'axis': {}}procedure_fin: ['repair']clinical findings_fin: {'endovascular aneurysm': {'clinical finding': 'endovascular aneurysm', 'cf_snomed': {'aneurysm': 432119003}, 'existence': 'pos_dx', 'descriptive_term': 'endovascular', 'observation': 'aneurysm'}}anatomical entity_fin: {'descending thoracic aorta': {}}location descriptor_fin: ['adjacent']clinical findings_fin: {'aneurysm': {'clinical finding': 'aneurysm', 'cf_snomed': {'aneurysm': 432119003}, 'existence': 'pos_dx', 'observation': 'aneurysm'}}anatomical entity_fin: {'aortic arch': {}}location descriptor_fin: ['distal']clinical findings_fin: {'contrast extravasation': {'clinical finding': 'contrast extravasation', 'cf_snomed': {'extravasation': 76676007}, 'existence': 'pos_dx', 'descriptive_term': 'contrast', 'observation': 'extravasation'}}imaging observation_fin: ['feeding vessels']clinical findings_fin: {'type ii endoleak': {'clinical finding': 'type ii endoleak', 'existence': 'neg_dx', 'descriptive_term': 'type ii', 'observation': 'endoleak'}, 'feeding vessels': {'clinical finding': 'feeding vessels', 'existence': 'neg_dx', 'descriptive_term': 'feeding', 'observation': 'vessel'}, 'aneurysm': {'clinical finding': 'aneurysm', 'cf_snomed': {'aneurysm': 432119003}, 'existence': 'neg_dx', 'observation': 'aneurysm'}}anatomical entity_fin: {'descending thoracic aorta': {}}clinical findings_fin: {'contrast extravasation': {'clinical finding': 'contrast extravasation', 'cf_snomed': {'extravasation': 76676007}, 'existence': 'pos_dx', 'descriptive_term': 'contrast', 'observation': 'extravasation'}, 'large type iii endoleak': {'clinical finding': 'large type iii endoleak', 'existence': 'unc_dx', 'descriptive_term': 'large type iii', 'observation': 'endoleak', 'strength_term': 'large'}}clinical findings_fin: {'normal branching pattern': {'clinical finding': 'normal branching pattern', 'existence': 'pos_dx', 'descriptive_term': 'normal branching', 'observation': 'pattern', 'strength_term': 'normal'}}location descriptor_fin: ['distal']clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}clinical findings_fin: {'bibasilar atelectasis': {'clinical finding': 'bibasilar atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'bibasilar', 'observation': 'atelectasis'}}clinical findings_fin: {'moderate coronary artery calcifications': {'clinical finding': 'moderate coronary artery calcifications', 'existence': 'pos_dx', 'descriptive_term': 'moderate coronary artery', 'observation': 'calcification', 'strength_term': 'moderate'}}size_fin: [{'size': '4.6 cm', 'size_descriptor': 'aorta'}]anatomical entity_fin: {'ascending aorta': {}}clinical findings_fin: {'ascending aorta measures 4.6 cm , unchanged': {'clinical finding': 'ascending aorta measures 4.6 cm , unchanged', 'change_term': 'unchanged'}}anatomical entity_fin: {'ascending aorta': {}, 'aortic arch': {}, 'descending thoracic aorta': {}, 'graft': {}, 'abdominal aorta': {'location descriptor': 'proximal'}}location descriptor_fin: ['proximal']procedure_fin: ['repair']clinical findings_fin: {'endovascular aneurysm': {'clinical finding': 'endovascular aneurysm', 'cf_snomed': {'aneurysm': 432119003}, 'existence': 'pos_dx', 'descriptive_term': 'endovascular', 'observation': 'aneurysm'}}anatomical entity_fin: {'aortic arch': {}}location descriptor_fin: ['distal']clinical findings_fin: {'aneurysm': {'clinical finding': 'aneurysm', 'cf_snomed': {'aneurysm': 432119003}, 'existence': 'pos_dx', 'observation': 'aneurysm'}}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: {'dissection': {'clinical finding': 'dissection', 'existence': 'neg_dx', 'observation': 'dissection'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'generalized pancreatic atrophy': {'clinical finding': 'generalized pancreatic atrophy', 'cf_snomed': {'atrophy': 13331008}, 'existence': 'pos_dx', 'descriptive_term': 'generalized pancreatic', 'observation': 'atrophy'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'parenchyma': {}}location descriptor_fin: ['right']clinical findings_fin: {'several small hypodensities': {'clinical finding': 'several small hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'several small', 'observation': 'hypodensity', 'strength_term': 'small', 'quantity_term': 'several'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}imaging observation_fin: ['hematoma']location descriptor_fin: ['posterior']clinical findings_fin: {'multiple calcifications': {'clinical finding': 'multiple calcifications', 'existence': 'pos_dx', 'descriptive_term': 'multiple', 'observation': 'calcification', 'quantity_term': 'multiple'}, 'calcified granulomas': {'clinical finding': 'calcified granulomas', 'cf_snomed': {'calcified granuloma': 48391002}, 'existence': 'unc_dx', 'descriptive_term': 'calcified', 'observation': 'granuloma', 'change_term': 'calcified'}, 'lymph nodes': {'clinical finding': 'lymph nodes', 'existence': 'unc_dx', 'descriptive_term': 'lymph', 'observation': 'node'}, 'old hematoma': {'clinical finding': 'old hematoma', 'cf_snomed': {'hematoma': 385494008}, 'existence': 'unc_dx', 'descriptive_term': 'old', 'observation': 'hematoma', 'temporal_term': 'old'}}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: {'ascending aorta': {}, 'aortic arch': {}, 'descending thoracic aorta': {}, 'abdominal aorta': {}, 'axis': {}}procedure_fin: ['repair']clinical findings_fin: {'endovascular aneurysm': {'clinical finding': 'endovascular aneurysm', 'cf_snomed': {'aneurysm': 432119003}, 'existence': 'pos_dx', 'descriptive_term': 'endovascular', 'observation': 'aneurysm'}}anatomical entity_fin: {'descending thoracic aorta': {}}location descriptor_fin: ['adjacent']clinical findings_fin: {'aneurysm': {'clinical finding': 'aneurysm', 'cf_snomed': {'aneurysm': 432119003}, 'existence': 'pos_dx', 'observation': 'aneurysm'}}anatomical entity_fin: {'aortic arch': {}}location descriptor_fin: ['distal']clinical findings_fin: {'contrast extravasation': {'clinical finding': 'contrast extravasation', 'cf_snomed': {'extravasation': 76676007}, 'existence': 'pos_dx', 'descriptive_term': 'contrast', 'observation': 'extravasation'}}imaging observation_fin: ['feeding vessels']clinical findings_fin: {'type ii endoleak': {'clinical finding': 'type ii endoleak', 'existence': 'neg_dx', 'descriptive_term': 'type ii', 'observation': 'endoleak'}, 'feeding vessels': {'clinical finding': 'feeding vessels', 'existence': 'neg_dx', 'descriptive_term': 'feeding', 'observation': 'vessel'}, 'aneurysm': {'clinical finding': 'aneurysm', 'cf_snomed': {'aneurysm': 432119003}, 'existence': 'neg_dx', 'observation': 'aneurysm'}}anatomical entity_fin: {'descending thoracic aorta': {}}clinical findings_fin: {'contrast extravasation': {'clinical finding': 'contrast extravasation', 'cf_snomed': {'extravasation': 76676007}, 'existence': 'pos_dx', 'descriptive_term': 'contrast', 'observation': 'extravasation'}, 'large type iii endoleak': {'clinical finding': 'large type iii endoleak', 'existence': 'unc_dx', 'descriptive_term': 'large type iii', 'observation': 'endoleak', 'strength_term': 'large'}}clinical findings_fin: {'normal branching pattern': {'clinical finding': 'normal branching pattern', 'existence': 'pos_dx', 'descriptive_term': 'normal branching', 'observation': 'pattern', 'strength_term': 'normal'}}location descriptor_fin: ['distal']clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}clinical findings_fin: {'bibasilar atelectasis': {'clinical finding': 'bibasilar atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'bibasilar', 'observation': 'atelectasis'}}clinical findings_fin: {'moderate coronary artery calcifications': {'clinical finding': 'moderate coronary artery calcifications', 'existence': 'pos_dx', 'descriptive_term': 'moderate coronary artery', 'observation': 'calcification', 'strength_term': 'moderate'}}size_fin: [{'size': '4.6 cm', 'size_descriptor': 'aorta'}]anatomical entity_fin: {'ascending aorta': {}}clinical findings_fin: {'ascending aorta measures 4.6 cm , unchanged': {'clinical finding': 'ascending aorta measures 4.6 cm , unchanged', 'change_term': 'unchanged'}}anatomical entity_fin: {'ascending aorta': {}, 'aortic arch': {}, 'descending thoracic aorta': {}, 'graft': {}, 'abdominal aorta': {'location descriptor': 'proximal'}}location descriptor_fin: ['proximal']procedure_fin: ['repair']clinical findings_fin: {'endovascular aneurysm': {'clinical finding': 'endovascular aneurysm', 'cf_snomed': {'aneurysm': 432119003}, 'existence': 'pos_dx', 'descriptive_term': 'endovascular', 'observation': 'aneurysm'}}anatomical entity_fin: {'aortic arch': {}}location descriptor_fin: ['distal']clinical findings_fin: {'aneurysm': {'clinical finding': 'aneurysm', 'cf_snomed': {'aneurysm': 432119003}, 'existence': 'pos_dx', 'observation': 'aneurysm'}}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: {'dissection': {'clinical finding': 'dissection', 'existence': 'neg_dx', 'observation': 'dissection'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'generalized pancreatic atrophy': {'clinical finding': 'generalized pancreatic atrophy', 'cf_snomed': {'atrophy': 13331008}, 'existence': 'pos_dx', 'descriptive_term': 'generalized pancreatic', 'observation': 'atrophy'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'parenchyma': {}}location descriptor_fin: ['right']clinical findings_fin: {'several small hypodensities': {'clinical finding': 'several small hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'several small', 'observation': 'hypodensity', 'strength_term': 'small', 'quantity_term': 'several'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}imaging observation_fin: ['hematoma']location descriptor_fin: ['posterior']clinical findings_fin: {'multiple calcifications': {'clinical finding': 'multiple calcifications', 'existence': 'pos_dx', 'descriptive_term': 'multiple', 'observation': 'calcification', 'quantity_term': 'multiple'}, 'calcified granulomas': {'clinical finding': 'calcified granulomas', 'cf_snomed': {'calcified granuloma': 48391002}, 'existence': 'unc_dx', 'descriptive_term': 'calcified', 'observation': 'granuloma', 'change_term': 'calcified'}, 'lymph nodes': {'clinical finding': 'lymph nodes', 'existence': 'unc_dx', 'descriptive_term': 'lymph', 'observation': 'node'}, 'old hematoma': {'clinical finding': 'old hematoma', 'cf_snomed': {'hematoma': 385494008}, 'existence': 'unc_dx', 'descriptive_term': 'old', 'observation': 'hematoma', 'temporal_term': 'old'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . There has been endovascular aneurysm repair of the ascending aorta, aortic arch, and descending thoracic aorta, extending into the abdominal aorta to the level of the celiac axis. There has been interval enlargement of the aneurysm sac, most significant adjacent to the descending thoracic aorta compared to prior study from 7/22/2015. There is evidence of contrast extravasation distal to the aortic arch, best seen on image #73, series #13. There is no evidence of type II endoleak or feeding vessels into the aneurysm sac. Contrast extravasation appears to begin within the mid descending thoracic aorta at the junction of modular components, strongly suggesting a large type III endoleak. There is a normal branching pattern to the rest of the aortic branches. Distal branches are patent. Bibasilar atelectasis. Moderate coronary artery calcifications. The ascending aorta measures 4.6 cm, unchanged. There is evidence of endovascular aneurysm repair of the ascending aorta, aortic arch, and descending thoracic aorta, with stent graft extending into the proximal abdominal aorta. Interval enlargement of the aneurysm sac, most prominent just distal to the aortic arch. No pericardial effusion. No evidence of dissection. Moderate. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Generalized pancreatic atrophy. No significant abnormality noted. There are several small hypodensities within the right renal parenchyma, too small to characterize. No significant abnormality noted. Moderate. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. There are multiple calcifications within the posterior subcutaneous tissues, possibly representing calcified granulomas, lymph nodes, or old hematoma. No significant abnormality noted. </s>