. No significant abnormality noted. No changes seen in smile scattered normal size lymph nodes in the mediastinum and hilar regions without lymphadenopathy or other masses. Severe coronary artery calcification again identified. Small amount of pericardial fluid again seen. Sclerotic changes seen throughout the system compatible with the diagnosis of myelofibrosis. Hepatomegaly again noted. Prior noted right hepatic liver lesion with calcifications has not significantly changed measuring 5.4 x 3.5 cm, previous a 5.0 x 3.5 cm. Focal fatty infiltration about the left lobe adjacent to falciform ligament unchanged. No other liver parenchymal lesions are seen and no change overall in the liver. Cholelithiasis again noted without complication. Marked splenomegaly again seen unchanged in size with craniocaudal length of 26 cm. No focal abnormalities are seen, however the lack of IV contrast limits parenchymal evaluation. No significant abnormality noted. No significant abnormality noted. Benign liver cyst seen unchanged. No other significant abnormality seen. Scattered slightly enlarged retroperitoneal periaortic lymph nodes are again seen with the largest measuring 1.6 x 1.2 cm unchanged since prior exam when this node measured 1.6 x 1.3 cm. No new foci of retroperitoneal adenopathy or other masses are seen. No significant abnormality noted. Diffuse sclerosis of the skull system again seen compatible with myelofibrosis diagnosis. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Sigmoid colon diverticulosis again seen without complication. No other abnormalities. Sclerosis of the skeletal system compatible with known diagnosis of myelofibrosis. No significant abnormality noted
clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'mediastinum': {}}imaging observation_fin: ['smile']clinical findings_fin: {'changes': {'clinical finding': 'changes', 'existence': 'neg_dx', 'observation': 'change'}, 'smile scattered normal size lymph nodes': {'clinical finding': 'smile scattered normal size lymph nodes', 'cf_snomed': {'normal size': 53461003}, 'existence': 'neg_dx', 'descriptive_term': 'smile scattered normal size lymph', 'observation': 'node', 'strength_term': 'normal'}, 'lymphadenopathy': {'clinical finding': 'lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'observation': 'lymphadenopathy'}, 'other masses': {'clinical finding': 'other masses', 'existence': 'neg_dx', 'descriptive_term': 'other', 'observation': 'mass'}}clinical findings_fin: {'severe coronary artery calcification': {'clinical finding': 'severe coronary artery calcification', 'existence': 'pos_dx', 'descriptive_term': 'severe coronary artery', 'observation': 'calcification', 'strength_term': 'severe'}}anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'small amount of pericardial fluid again seen': {'clinical finding': 'small amount of pericardial fluid again seen'}}clinical findings_fin: {'sclerotic changes': {'clinical finding': 'sclerotic changes', 'existence': 'pos_dx', 'descriptive_term': 'sclerotic', 'observation': 'change'}, 'myelofibrosis': {'clinical finding': 'myelofibrosis', 'cf_snomed': {'myelofibrosis': 52967002}, 'existence': 'pos_dx', 'observation': 'myelofibrosis'}}size_fin: [{'size': '5.4 x 3.5 cm'}, {'size': '5.0 x 3.5 cm'}]anatomical entity_fin: {'liver': {}}location descriptor_fin: ['right']clinical findings_fin: {'prior noted right hepatic liver lesion': {'clinical finding': 'prior noted right hepatic liver lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'prior noted right hepatic liver', 'observation': 'lesion'}, 'calcifications': {'clinical finding': 'calcifications', 'existence': 'pos_dx', 'observation': 'calcification'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left'}}imaging observation_fin: ['falciform ligament']location descriptor_fin: ['left', 'adjacent']clinical findings_fin: {'focal fatty infiltration': {'clinical finding': 'focal fatty infiltration', 'cf_snomed': {'fatty infiltration': 45752008}, 'existence': 'pos_dx', 'descriptive_term': 'focal fatty', 'observation': 'infiltration'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'other liver parenchymal lesions': {'clinical finding': 'other liver parenchymal lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'other liver parenchymal', 'observation': 'lesion'}, 'change': {'clinical finding': 'change', 'existence': 'neg_dx', 'observation': 'change'}}clinical findings_fin: {'cholelithiasis': {'clinical finding': 'cholelithiasis', 'existence': 'pos_dx', 'observation': 'cholelithiasis'}, 'complication': {'clinical finding': 'complication', 'existence': 'neg_dx', 'observation': 'complication'}}size_fin: [{'size': '26 cm'}]clinical findings_fin: {'marked splenomegaly': {'clinical finding': 'marked splenomegaly', 'cf_snomed': {'splenomegaly': 16294009}, 'existence': 'pos_dx', 'descriptive_term': 'marked', 'observation': 'splenomegaly'}}clinical findings_fin: {'focal abnormalities': {'clinical finding': 'focal abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'abnormality'}, 'iv contrast': {'clinical finding': 'iv contrast', 'existence': 'neg_dx', 'descriptive_term': 'iv', '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'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'benign liver cyst': {'clinical finding': 'benign liver cyst', 'cf_snomed': {'liver cyst': 85057007}, 'existence': 'pos_dx', 'descriptive_term': 'benign liver', 'observation': 'cyst', 'strength_term': 'benign'}}clinical findings_fin: {'other significant abnormality': {'clinical finding': 'other significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'other significant', 'observation': 'abnormality'}}size_fin: [{'size': '1.6 x 1.2 cm'}, {'size': '1.6 x 1.3 cm'}]clinical findings_fin: {'scattered slightly enlarged retroperitoneal periaortic lymph nodes': {'clinical finding': 'scattered slightly enlarged retroperitoneal periaortic lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'scattered slightly enlarged retroperitoneal periaortic lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'}, 'this node': {'clinical finding': 'this node', 'existence': 'pos_dx', 'descriptive_term': 'this', 'observation': 'node'}}imaging observation_fin: ['foci']clinical findings_fin: {'retroperitoneal adenopathy': {'clinical finding': 'retroperitoneal adenopathy', 'existence': 'neg_dx', 'descriptive_term': 'retroperitoneal', 'observation': 'adenopathy'}, 'other masses': {'clinical finding': 'other masses', 'existence': 'neg_dx', 'descriptive_term': 'other', 'observation': 'mass'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'skull': {}}clinical findings_fin: {'diffuse sclerosis': {'clinical finding': 'diffuse sclerosis', 'cf_snomed': {'sclerosis': 43846000}, 'existence': 'pos_dx', 'descriptive_term': 'diffuse', 'observation': 'sclerosis'}, 'myelofibrosis': {'clinical finding': 'myelofibrosis', 'cf_snomed': {'myelofibrosis': 52967002}, 'existence': 'pos_dx', 'observation': 'myelofibrosis'}}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'}}anatomical entity_fin: {'sigmoid colon': {}}clinical findings_fin: {'sigmoid colon diverticulosis': {'clinical finding': 'sigmoid colon diverticulosis', 'existence': 'pos_dx', 'descriptive_term': 'sigmoid colon', 'observation': 'diverticulosis'}, 'complication': {'clinical finding': 'complication', 'existence': 'neg_dx', 'observation': 'complication'}}clinical findings_fin: {'other abnormalities': {'clinical finding': 'other abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'other', 'observation': 'abnormality'}}anatomical entity_fin: {'skeletal system': {}}clinical findings_fin: {'sclerosis': {'clinical finding': 'sclerosis', 'cf_snomed': {'sclerosis': 43846000}, 'existence': 'pos_dx', 'observation': 'sclerosis'}, 'myelofibrosis': {'clinical finding': 'myelofibrosis', 'cf_snomed': {'myelofibrosis': 52967002}, 'existence': 'pos_dx', 'observation': 'myelofibrosis'}}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: clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'mediastinum': {}}imaging observation_fin: ['smile']clinical findings_fin: {'changes': {'clinical finding': 'changes', 'existence': 'neg_dx', 'observation': 'change'}, 'smile scattered normal size lymph nodes': {'clinical finding': 'smile scattered normal size lymph nodes', 'cf_snomed': {'normal size': 53461003}, 'existence': 'neg_dx', 'descriptive_term': 'smile scattered normal size lymph', 'observation': 'node', 'strength_term': 'normal'}, 'lymphadenopathy': {'clinical finding': 'lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'observation': 'lymphadenopathy'}, 'other masses': {'clinical finding': 'other masses', 'existence': 'neg_dx', 'descriptive_term': 'other', 'observation': 'mass'}}clinical findings_fin: {'severe coronary artery calcification': {'clinical finding': 'severe coronary artery calcification', 'existence': 'pos_dx', 'descriptive_term': 'severe coronary artery', 'observation': 'calcification', 'strength_term': 'severe'}}anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'small amount of pericardial fluid again seen': {'clinical finding': 'small amount of pericardial fluid again seen'}}clinical findings_fin: {'sclerotic changes': {'clinical finding': 'sclerotic changes', 'existence': 'pos_dx', 'descriptive_term': 'sclerotic', 'observation': 'change'}, 'myelofibrosis': {'clinical finding': 'myelofibrosis', 'cf_snomed': {'myelofibrosis': 52967002}, 'existence': 'pos_dx', 'observation': 'myelofibrosis'}}size_fin: [{'size': '5.4 x 3.5 cm'}, {'size': '5.0 x 3.5 cm'}]anatomical entity_fin: {'liver': {}}location descriptor_fin: ['right']clinical findings_fin: {'prior noted right hepatic liver lesion': {'clinical finding': 'prior noted right hepatic liver lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'prior noted right hepatic liver', 'observation': 'lesion'}, 'calcifications': {'clinical finding': 'calcifications', 'existence': 'pos_dx', 'observation': 'calcification'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left'}}imaging observation_fin: ['falciform ligament']location descriptor_fin: ['left', 'adjacent']clinical findings_fin: {'focal fatty infiltration': {'clinical finding': 'focal fatty infiltration', 'cf_snomed': {'fatty infiltration': 45752008}, 'existence': 'pos_dx', 'descriptive_term': 'focal fatty', 'observation': 'infiltration'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'other liver parenchymal lesions': {'clinical finding': 'other liver parenchymal lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'other liver parenchymal', 'observation': 'lesion'}, 'change': {'clinical finding': 'change', 'existence': 'neg_dx', 'observation': 'change'}}clinical findings_fin: {'cholelithiasis': {'clinical finding': 'cholelithiasis', 'existence': 'pos_dx', 'observation': 'cholelithiasis'}, 'complication': {'clinical finding': 'complication', 'existence': 'neg_dx', 'observation': 'complication'}}size_fin: [{'size': '26 cm'}]clinical findings_fin: {'marked splenomegaly': {'clinical finding': 'marked splenomegaly', 'cf_snomed': {'splenomegaly': 16294009}, 'existence': 'pos_dx', 'descriptive_term': 'marked', 'observation': 'splenomegaly'}}clinical findings_fin: {'focal abnormalities': {'clinical finding': 'focal abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'abnormality'}, 'iv contrast': {'clinical finding': 'iv contrast', 'existence': 'neg_dx', 'descriptive_term': 'iv', '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'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'benign liver cyst': {'clinical finding': 'benign liver cyst', 'cf_snomed': {'liver cyst': 85057007}, 'existence': 'pos_dx', 'descriptive_term': 'benign liver', 'observation': 'cyst', 'strength_term': 'benign'}}clinical findings_fin: {'other significant abnormality': {'clinical finding': 'other significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'other significant', 'observation': 'abnormality'}}size_fin: [{'size': '1.6 x 1.2 cm'}, {'size': '1.6 x 1.3 cm'}]clinical findings_fin: {'scattered slightly enlarged retroperitoneal periaortic lymph nodes': {'clinical finding': 'scattered slightly enlarged retroperitoneal periaortic lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'scattered slightly enlarged retroperitoneal periaortic lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'}, 'this node': {'clinical finding': 'this node', 'existence': 'pos_dx', 'descriptive_term': 'this', 'observation': 'node'}}imaging observation_fin: ['foci']clinical findings_fin: {'retroperitoneal adenopathy': {'clinical finding': 'retroperitoneal adenopathy', 'existence': 'neg_dx', 'descriptive_term': 'retroperitoneal', 'observation': 'adenopathy'}, 'other masses': {'clinical finding': 'other masses', 'existence': 'neg_dx', 'descriptive_term': 'other', 'observation': 'mass'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'skull': {}}clinical findings_fin: {'diffuse sclerosis': {'clinical finding': 'diffuse sclerosis', 'cf_snomed': {'sclerosis': 43846000}, 'existence': 'pos_dx', 'descriptive_term': 'diffuse', 'observation': 'sclerosis'}, 'myelofibrosis': {'clinical finding': 'myelofibrosis', 'cf_snomed': {'myelofibrosis': 52967002}, 'existence': 'pos_dx', 'observation': 'myelofibrosis'}}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'}}anatomical entity_fin: {'sigmoid colon': {}}clinical findings_fin: {'sigmoid colon diverticulosis': {'clinical finding': 'sigmoid colon diverticulosis', 'existence': 'pos_dx', 'descriptive_term': 'sigmoid colon', 'observation': 'diverticulosis'}, 'complication': {'clinical finding': 'complication', 'existence': 'neg_dx', 'observation': 'complication'}}clinical findings_fin: {'other abnormalities': {'clinical finding': 'other abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'other', 'observation': 'abnormality'}}anatomical entity_fin: {'skeletal system': {}}clinical findings_fin: {'sclerosis': {'clinical finding': 'sclerosis', 'cf_snomed': {'sclerosis': 43846000}, 'existence': 'pos_dx', 'observation': 'sclerosis'}, 'myelofibrosis': {'clinical finding': 'myelofibrosis', 'cf_snomed': {'myelofibrosis': 52967002}, 'existence': 'pos_dx', 'observation': 'myelofibrosis'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . No significant abnormality noted. No changes seen in smile scattered normal size lymph nodes in the mediastinum and hilar regions without lymphadenopathy or other masses. Severe coronary artery calcification again identified. Small amount of pericardial fluid again seen. Sclerotic changes seen throughout the system compatible with the diagnosis of myelofibrosis. Hepatomegaly again noted. Prior noted right hepatic liver lesion with calcifications has not significantly changed measuring 5.4 x 3.5 cm, previous a 5.0 x 3.5 cm. Focal fatty infiltration about the left lobe adjacent to falciform ligament unchanged. No other liver parenchymal lesions are seen and no change overall in the liver. Cholelithiasis again noted without complication. Marked splenomegaly again seen unchanged in size with craniocaudal length of 26 cm. No focal abnormalities are seen, however the lack of IV contrast limits parenchymal evaluation. No significant abnormality noted. No significant abnormality noted. Benign liver cyst seen unchanged. No other significant abnormality seen. Scattered slightly enlarged retroperitoneal periaortic lymph nodes are again seen with the largest measuring 1.6 x 1.2 cm unchanged since prior exam when this node measured 1.6 x 1.3 cm. No new foci of retroperitoneal adenopathy or other masses are seen. No significant abnormality noted. Diffuse sclerosis of the skull system again seen compatible with myelofibrosis diagnosis. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Sigmoid colon diverticulosis again seen without complication. No other abnormalities. Sclerosis of the skeletal system compatible with known diagnosis of myelofibrosis. No significant abnormality noted </s>