. Right paramediastinal fibrosis, scarring, and traction bronchiectasis consistent with prior radiation treatment, not significantly changed from prior exam. Previously referenced right lower lobe nodule appears to be vascular with interval resolution of nodule. Scattered subcentimeter micronodules. No new suspicious nodules or masses. Mild dependent atelectasis. No pleural effusion. Posterior tracheal wall soft tissue thickening measures 11 mm, slightly increased from prior 10 mm. Right mainstem bronchus posterior soft tissue thickening measures 11 mm, not significantly changed from prior. Finger-like extension within the inferior medial wall of the central trachea measures 2 cm in length on axial and 17 mm in length on cranial views, similar in appearance to prior exam. Reference right hilar lymph node measures 12 mm, slightly decreased from prior 13 mm. No new lymphadenopathy. No cardiomegaly or pericardial effusion. None. No significant abnormality noted. Absence of enteric contrast material limits sensitivity for abdominal pathology. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Absence of enteric contrast material limits sensitivity for GI pathology. Small hiatal hernia noted. Stable degenerative changes of the thoracic and lumbar spine with inferior endplate deformities noted within the mid-thoracic spine. No significant abnormality noted.
location descriptor_fin: ['right']procedure_fin: ['treatment']clinical findings_fin: {'right paramediastinal fibrosis': {'clinical finding': 'right paramediastinal fibrosis', 'existence': 'pos_dx', 'descriptive_term': 'right paramediastinal', 'observation': 'fibrosis'}, 'scarring': {'clinical finding': 'scarring', 'existence': 'pos_dx', 'observation': 'scarr'}, 'traction bronchiectasis': {'clinical finding': 'traction bronchiectasis', 'cf_snomed': {'traction bronchiectasis': 19325002}, 'existence': 'pos_dx', 'descriptive_term': 'traction', 'observation': 'bronchiectasis'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'previously referenced right lower lobe nodule': {'clinical finding': 'previously referenced right lower lobe nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'previously referenced right lower lobe', 'observation': 'nodule'}, 'interval resolution': {'clinical finding': 'interval resolution', 'existence': 'pos_dx', 'descriptive_term': 'interval', 'observation': 'resolution'}, 'nodule': {'clinical finding': 'nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'observation': 'nodule'}}clinical findings_fin: {'scattered subcentimeter micronodules': {'clinical finding': 'scattered subcentimeter micronodules', 'existence': 'pos_dx', 'descriptive_term': 'scattered subcentimeter', 'observation': 'micronodule'}}clinical findings_fin: {'new suspicious nodules': {'clinical finding': 'new suspicious nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'new suspicious', 'observation': 'nodule', 'temporal_term': 'new'}, 'masses': {'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass'}}clinical findings_fin: {'mild dependent atelectasis': {'clinical finding': 'mild dependent atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'mild dependent', 'observation': 'atelectasis', 'strength_term': 'mild'}}clinical findings_fin: {'pleural effusion': {'clinical finding': 'pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}}size_fin: [{'size': '11 mm'}, {'size': '10 mm'}]anatomical entity_fin: {'wall': {}}location descriptor_fin: ['posterior']clinical findings_fin: {'posterior tracheal wall soft tissue thickening': {'clinical finding': 'posterior tracheal wall soft tissue thickening', 'existence': 'pos_dx', 'descriptive_term': 'posterior tracheal wall soft tissue', 'observation': 'thickening'}}size_fin: [{'size': '11 mm'}]anatomical entity_fin: {'bronchus': {}}location descriptor_fin: ['right', 'posterior']clinical findings_fin: {'right mainstem bronchus posterior soft tissue thickening': {'clinical finding': 'right mainstem bronchus posterior soft tissue thickening', 'existence': 'pos_dx', 'descriptive_term': 'right mainstem bronchus posterior soft tissue', 'observation': 'thickening'}}size_fin: [{'size': '2 cm'}, {'size': '17 mm'}]anatomical entity_fin: {'finger': {}, 'wall': {'location descriptor': 'inferior medial'}, 'trachea': {'location descriptor': 'central'}}location descriptor_fin: ['inferior', 'medial', 'central']clinical findings_fin: {'finger-like extension within the inferior medial wall of the central trachea measures 2 cm in length on axial and 17 mm in length on cranial views , similar in appearance to prior exam': {'clinical finding': 'finger-like extension within the inferior medial wall of the central trachea measures 2 cm in length on axial and 17 mm in length on cranial views , similar in appearance to prior exam'}}size_fin: [{'size': '12 mm'}, {'size': '13 mm'}]location descriptor_fin: ['right']clinical findings_fin: {'reference right hilar lymph node': {'clinical finding': 'reference right hilar lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference right hilar lymph', 'observation': 'node'}}clinical findings_fin: {'new lymphadenopathy': {'clinical finding': 'new lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'descriptive_term': 'new', 'observation': 'lymphadenopathy', 'temporal_term': 'new'}}clinical findings_fin: {'cardiomegaly': {'clinical finding': 'cardiomegaly', 'cf_snomed': {'cardiomegaly': 8186001}, 'existence': 'neg_dx', 'observation': 'cardiomegaly'}, 'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}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': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}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: {'small hiatal hernia': {'clinical finding': 'small hiatal hernia', 'cf_snomed': {'hiatal hernia': 84089009}, 'existence': 'pos_dx', 'descriptive_term': 'small hiatal', 'observation': 'hernia', 'strength_term': 'small'}}anatomical entity_fin: {'spine': {}}location descriptor_fin: ['inferior']clinical findings_fin: {'stable degenerative changes': {'clinical finding': 'stable degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'stable degenerative', 'observation': 'change', 'strength_term': 'stable', 'change_term': 'stable'}, 'inferior endplate deformities': {'clinical finding': 'inferior endplate deformities', 'cf_snomed': {'deformity': 417893002}, 'existence': 'pos_dx', 'descriptive_term': 'inferior endplate', 'observation': 'deformity'}}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: location descriptor_fin: ['right']procedure_fin: ['treatment']clinical findings_fin: {'right paramediastinal fibrosis': {'clinical finding': 'right paramediastinal fibrosis', 'existence': 'pos_dx', 'descriptive_term': 'right paramediastinal', 'observation': 'fibrosis'}, 'scarring': {'clinical finding': 'scarring', 'existence': 'pos_dx', 'observation': 'scarr'}, 'traction bronchiectasis': {'clinical finding': 'traction bronchiectasis', 'cf_snomed': {'traction bronchiectasis': 19325002}, 'existence': 'pos_dx', 'descriptive_term': 'traction', 'observation': 'bronchiectasis'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'previously referenced right lower lobe nodule': {'clinical finding': 'previously referenced right lower lobe nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'previously referenced right lower lobe', 'observation': 'nodule'}, 'interval resolution': {'clinical finding': 'interval resolution', 'existence': 'pos_dx', 'descriptive_term': 'interval', 'observation': 'resolution'}, 'nodule': {'clinical finding': 'nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'observation': 'nodule'}}clinical findings_fin: {'scattered subcentimeter micronodules': {'clinical finding': 'scattered subcentimeter micronodules', 'existence': 'pos_dx', 'descriptive_term': 'scattered subcentimeter', 'observation': 'micronodule'}}clinical findings_fin: {'new suspicious nodules': {'clinical finding': 'new suspicious nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'new suspicious', 'observation': 'nodule', 'temporal_term': 'new'}, 'masses': {'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass'}}clinical findings_fin: {'mild dependent atelectasis': {'clinical finding': 'mild dependent atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'mild dependent', 'observation': 'atelectasis', 'strength_term': 'mild'}}clinical findings_fin: {'pleural effusion': {'clinical finding': 'pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}}size_fin: [{'size': '11 mm'}, {'size': '10 mm'}]anatomical entity_fin: {'wall': {}}location descriptor_fin: ['posterior']clinical findings_fin: {'posterior tracheal wall soft tissue thickening': {'clinical finding': 'posterior tracheal wall soft tissue thickening', 'existence': 'pos_dx', 'descriptive_term': 'posterior tracheal wall soft tissue', 'observation': 'thickening'}}size_fin: [{'size': '11 mm'}]anatomical entity_fin: {'bronchus': {}}location descriptor_fin: ['right', 'posterior']clinical findings_fin: {'right mainstem bronchus posterior soft tissue thickening': {'clinical finding': 'right mainstem bronchus posterior soft tissue thickening', 'existence': 'pos_dx', 'descriptive_term': 'right mainstem bronchus posterior soft tissue', 'observation': 'thickening'}}size_fin: [{'size': '2 cm'}, {'size': '17 mm'}]anatomical entity_fin: {'finger': {}, 'wall': {'location descriptor': 'inferior medial'}, 'trachea': {'location descriptor': 'central'}}location descriptor_fin: ['inferior', 'medial', 'central']clinical findings_fin: {'finger-like extension within the inferior medial wall of the central trachea measures 2 cm in length on axial and 17 mm in length on cranial views , similar in appearance to prior exam': {'clinical finding': 'finger-like extension within the inferior medial wall of the central trachea measures 2 cm in length on axial and 17 mm in length on cranial views , similar in appearance to prior exam'}}size_fin: [{'size': '12 mm'}, {'size': '13 mm'}]location descriptor_fin: ['right']clinical findings_fin: {'reference right hilar lymph node': {'clinical finding': 'reference right hilar lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference right hilar lymph', 'observation': 'node'}}clinical findings_fin: {'new lymphadenopathy': {'clinical finding': 'new lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'descriptive_term': 'new', 'observation': 'lymphadenopathy', 'temporal_term': 'new'}}clinical findings_fin: {'cardiomegaly': {'clinical finding': 'cardiomegaly', 'cf_snomed': {'cardiomegaly': 8186001}, 'existence': 'neg_dx', 'observation': 'cardiomegaly'}, 'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}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': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}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: {'small hiatal hernia': {'clinical finding': 'small hiatal hernia', 'cf_snomed': {'hiatal hernia': 84089009}, 'existence': 'pos_dx', 'descriptive_term': 'small hiatal', 'observation': 'hernia', 'strength_term': 'small'}}anatomical entity_fin: {'spine': {}}location descriptor_fin: ['inferior']clinical findings_fin: {'stable degenerative changes': {'clinical finding': 'stable degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'stable degenerative', 'observation': 'change', 'strength_term': 'stable', 'change_term': 'stable'}, 'inferior endplate deformities': {'clinical finding': 'inferior endplate deformities', 'cf_snomed': {'deformity': 417893002}, 'existence': 'pos_dx', 'descriptive_term': 'inferior endplate', 'observation': 'deformity'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . Right paramediastinal fibrosis, scarring, and traction bronchiectasis consistent with prior radiation treatment, not significantly changed from prior exam. Previously referenced right lower lobe nodule appears to be vascular with interval resolution of nodule. Scattered subcentimeter micronodules. No new suspicious nodules or masses. Mild dependent atelectasis. No pleural effusion. Posterior tracheal wall soft tissue thickening measures 11 mm, slightly increased from prior 10 mm. Right mainstem bronchus posterior soft tissue thickening measures 11 mm, not significantly changed from prior. Finger-like extension within the inferior medial wall of the central trachea measures 2 cm in length on axial and 17 mm in length on cranial views, similar in appearance to prior exam. Reference right hilar lymph node measures 12 mm, slightly decreased from prior 13 mm. No new lymphadenopathy. No cardiomegaly or pericardial effusion. None. No significant abnormality noted. Absence of enteric contrast material limits sensitivity for abdominal pathology. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Absence of enteric contrast material limits sensitivity for GI pathology. Small hiatal hernia noted. Stable degenerative changes of the thoracic and lumbar spine with inferior endplate deformities noted within the mid-thoracic spine. No significant abnormality noted. </s>