. Lung volumes appear similar. Moderate circumferential subpleural reticulation and bronchiolectasis. Mild honeycombing and traction bronchiectasis. No areas of groundglass opacities to suggest acute exacerbation. 8 x 13 mm x 9 mm nodule right upper lobe, previously 6 x 9 mm on 1/9/2015 and smaller on remote prior examinations. Although this could reflect focal fibrosis, it is now at least mildly suspicious for a primary neoplasm as the borders appear convex on some images. New nodule at the right lung base abutting the diaphragm , too small to characterize and may be followed. New areas of subpleural consolidation in the lung periphery nonspecific and most likely reflect areas of organizing pneumonia but should also be monitored. Dendriform ossification seen within areas affected by fibrosis. Main pulmonary artery enlarged, 34 mm, consistent with pulmonary hypertension. Mild cardiomegaly. Patulous thoracic esophagus. Mildly enlarged mediastinal and hilar lymph nodes not significantly changed. Moderate. No significant abnormality noted. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. Limited scanning range. Colonic diverticuli. The stomach is distended and contains a large volume of debris, correlate for diabetic gastroparesis.
anatomical entity_fin: {'lung': {}}clinical findings_fin: {'lung volumes appear similar': {'clinical finding': 'lung volumes appear similar'}}imaging observation_fin: ['reticulation']clinical findings_fin: {'moderate circumferential subpleural reticulation': {'clinical finding': 'moderate circumferential subpleural reticulation', 'existence': 'pos_dx', 'descriptive_term': 'moderate circumferential subpleural', 'observation': 'reticulation', 'strength_term': 'moderate'}, 'bronchiolectasis': {'clinical finding': 'bronchiolectasis', 'cf_snomed': {'bronchiolectasis': 29424000}, 'existence': 'pos_dx', 'observation': 'bronchiolectasis'}}clinical findings_fin: {'mild honeycombing': {'clinical finding': 'mild honeycombing', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'honeycombing', 'strength_term': 'mild'}, 'traction bronchiectasis': {'clinical finding': 'traction bronchiectasis', 'cf_snomed': {'traction bronchiectasis': 19325002}, 'existence': 'pos_dx', 'descriptive_term': 'traction', 'observation': 'bronchiectasis'}}clinical findings_fin: {'groundglass opacities': {'clinical finding': 'groundglass opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'neg_dx', 'descriptive_term': 'groundglass', 'observation': 'opacity'}}size_fin: [{'size': '8 x 13 mm'}, {'size': '9 mm'}, {'size': '6 x 9 mm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right upper'}}location descriptor_fin: ['right', 'upper']clinical findings_fin: {'nodule': {'clinical finding': 'nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'observation': 'nodule'}}imaging observation_fin: ['borders']clinical findings_fin: {'focal fibrosis': {'clinical finding': 'focal fibrosis', 'cf_snomed': {'focal fibrosis': 45559001}, 'existence': 'unc_dx', 'descriptive_term': 'focal', 'observation': 'fibrosis'}, 'primary neoplasm': {'clinical finding': 'primary neoplasm', 'cf_snomed': {'neoplasm': 108369006}, 'existence': 'unc_dx', 'descriptive_term': 'primary', 'observation': 'neoplasm'}}anatomical entity_fin: {'right lung': {}, 'base': {}, 'diaphragm': {}}clinical findings_fin: {'new nodule': {'clinical finding': 'new nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'new', 'observation': 'nodule', 'temporal_term': 'new'}}anatomical entity_fin: {'lung': {}}clinical findings_fin: {'subpleural consolidation': {'clinical finding': 'subpleural consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'pos_dx', 'descriptive_term': 'subpleural', 'observation': 'consolidation'}, 'organizing pneumonia': {'clinical finding': 'organizing pneumonia', 'cf_snomed': {'pneumonia': 233604007}, 'existence': 'unc_dx', 'descriptive_term': 'organizing', 'observation': 'pneumonia'}}clinical findings_fin: {'dendriform ossification': {'clinical finding': 'dendriform ossification', 'existence': 'pos_dx', 'descriptive_term': 'dendriform', 'observation': 'ossification'}, 'fibrosis': {'clinical finding': 'fibrosis', 'existence': 'pos_dx', 'observation': 'fibrosis'}}size_fin: [{'size': '34 mm', 'size_descriptor': 'artery'}]anatomical entity_fin: {'main pulmonary artery': {}}clinical findings_fin: {'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}, 'pulmonary hypertension': {'clinical finding': 'pulmonary hypertension', 'cf_snomed': {'pulmonary hypertension': 70995007}, 'existence': 'pos_dx', 'descriptive_term': 'pulmonary', 'observation': 'hypertension'}}clinical findings_fin: {'mild cardiomegaly': {'clinical finding': 'mild cardiomegaly', 'cf_snomed': {'cardiomegaly': 8186001}, 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'cardiomegaly', 'strength_term': 'mild'}}anatomical entity_fin: {'esophagus': {}}clinical findings_fin: {'patulous thoracic esophagus': {'clinical finding': 'patulous thoracic esophagus'}}clinical findings_fin: {'mildly enlarged mediastinal and hilar lymph nodes': {'clinical finding': 'mildly enlarged mediastinal and hilar lymph nodes', 'existence': 'neg_dx', 'descriptive_term': 'mildly enlarged mediastinal and hilar lymph', 'observation': 'node', 'strength_term': 'mildly - enlarged', 'change_term': 'enlarged'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'colonic diverticuli': {'clinical finding': 'colonic diverticuli', 'existence': 'pos_dx', 'descriptive_term': 'colonic', 'observation': 'diverticuli'}}anatomical entity_fin: {'stomach': {}}clinical findings_fin: {'distended': {'clinical finding': 'distended', 'existence': 'pos_dx', 'observation': 'distended'}, 'debris': {'clinical finding': 'debris', 'existence': 'pos_dx', 'observation': 'debris'}, 'diabetic gastroparesis': {'clinical finding': 'diabetic gastroparesis', 'existence': 'pos_dx', 'descriptive_term': 'diabetic', 'observation': 'gastroparesis'}}
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'lung': {}}clinical findings_fin: {'lung volumes appear similar': {'clinical finding': 'lung volumes appear similar'}}imaging observation_fin: ['reticulation']clinical findings_fin: {'moderate circumferential subpleural reticulation': {'clinical finding': 'moderate circumferential subpleural reticulation', 'existence': 'pos_dx', 'descriptive_term': 'moderate circumferential subpleural', 'observation': 'reticulation', 'strength_term': 'moderate'}, 'bronchiolectasis': {'clinical finding': 'bronchiolectasis', 'cf_snomed': {'bronchiolectasis': 29424000}, 'existence': 'pos_dx', 'observation': 'bronchiolectasis'}}clinical findings_fin: {'mild honeycombing': {'clinical finding': 'mild honeycombing', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'honeycombing', 'strength_term': 'mild'}, 'traction bronchiectasis': {'clinical finding': 'traction bronchiectasis', 'cf_snomed': {'traction bronchiectasis': 19325002}, 'existence': 'pos_dx', 'descriptive_term': 'traction', 'observation': 'bronchiectasis'}}clinical findings_fin: {'groundglass opacities': {'clinical finding': 'groundglass opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'neg_dx', 'descriptive_term': 'groundglass', 'observation': 'opacity'}}size_fin: [{'size': '8 x 13 mm'}, {'size': '9 mm'}, {'size': '6 x 9 mm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right upper'}}location descriptor_fin: ['right', 'upper']clinical findings_fin: {'nodule': {'clinical finding': 'nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'observation': 'nodule'}}imaging observation_fin: ['borders']clinical findings_fin: {'focal fibrosis': {'clinical finding': 'focal fibrosis', 'cf_snomed': {'focal fibrosis': 45559001}, 'existence': 'unc_dx', 'descriptive_term': 'focal', 'observation': 'fibrosis'}, 'primary neoplasm': {'clinical finding': 'primary neoplasm', 'cf_snomed': {'neoplasm': 108369006}, 'existence': 'unc_dx', 'descriptive_term': 'primary', 'observation': 'neoplasm'}}anatomical entity_fin: {'right lung': {}, 'base': {}, 'diaphragm': {}}clinical findings_fin: {'new nodule': {'clinical finding': 'new nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'new', 'observation': 'nodule', 'temporal_term': 'new'}}anatomical entity_fin: {'lung': {}}clinical findings_fin: {'subpleural consolidation': {'clinical finding': 'subpleural consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'pos_dx', 'descriptive_term': 'subpleural', 'observation': 'consolidation'}, 'organizing pneumonia': {'clinical finding': 'organizing pneumonia', 'cf_snomed': {'pneumonia': 233604007}, 'existence': 'unc_dx', 'descriptive_term': 'organizing', 'observation': 'pneumonia'}}clinical findings_fin: {'dendriform ossification': {'clinical finding': 'dendriform ossification', 'existence': 'pos_dx', 'descriptive_term': 'dendriform', 'observation': 'ossification'}, 'fibrosis': {'clinical finding': 'fibrosis', 'existence': 'pos_dx', 'observation': 'fibrosis'}}size_fin: [{'size': '34 mm', 'size_descriptor': 'artery'}]anatomical entity_fin: {'main pulmonary artery': {}}clinical findings_fin: {'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}, 'pulmonary hypertension': {'clinical finding': 'pulmonary hypertension', 'cf_snomed': {'pulmonary hypertension': 70995007}, 'existence': 'pos_dx', 'descriptive_term': 'pulmonary', 'observation': 'hypertension'}}clinical findings_fin: {'mild cardiomegaly': {'clinical finding': 'mild cardiomegaly', 'cf_snomed': {'cardiomegaly': 8186001}, 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'cardiomegaly', 'strength_term': 'mild'}}anatomical entity_fin: {'esophagus': {}}clinical findings_fin: {'patulous thoracic esophagus': {'clinical finding': 'patulous thoracic esophagus'}}clinical findings_fin: {'mildly enlarged mediastinal and hilar lymph nodes': {'clinical finding': 'mildly enlarged mediastinal and hilar lymph nodes', 'existence': 'neg_dx', 'descriptive_term': 'mildly enlarged mediastinal and hilar lymph', 'observation': 'node', 'strength_term': 'mildly - enlarged', 'change_term': 'enlarged'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'colonic diverticuli': {'clinical finding': 'colonic diverticuli', 'existence': 'pos_dx', 'descriptive_term': 'colonic', 'observation': 'diverticuli'}}anatomical entity_fin: {'stomach': {}}clinical findings_fin: {'distended': {'clinical finding': 'distended', 'existence': 'pos_dx', 'observation': 'distended'}, 'debris': {'clinical finding': 'debris', 'existence': 'pos_dx', 'observation': 'debris'}, 'diabetic gastroparesis': {'clinical finding': 'diabetic gastroparesis', 'existence': 'pos_dx', 'descriptive_term': 'diabetic', 'observation': 'gastroparesis'}} [/INST] . Lung volumes appear similar. Moderate circumferential subpleural reticulation and bronchiolectasis. Mild honeycombing and traction bronchiectasis. No areas of groundglass opacities to suggest acute exacerbation. 8 x 13 mm x 9 mm nodule right upper lobe, previously 6 x 9 mm on 1/9/2015 and smaller on remote prior examinations. Although this could reflect focal fibrosis, it is now at least mildly suspicious for a primary neoplasm as the borders appear convex on some images. New nodule at the right lung base abutting the diaphragm , too small to characterize and may be followed. New areas of subpleural consolidation in the lung periphery nonspecific and most likely reflect areas of organizing pneumonia but should also be monitored. Dendriform ossification seen within areas affected by fibrosis. Main pulmonary artery enlarged, 34 mm, consistent with pulmonary hypertension. Mild cardiomegaly. Patulous thoracic esophagus. Mildly enlarged mediastinal and hilar lymph nodes not significantly changed. Moderate. No significant abnormality noted. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. Limited scanning range. Colonic diverticuli. The stomach is distended and contains a large volume of debris, correlate for diabetic gastroparesis. </s>