. Markedly limited opacification of the pulmonary artery likely related to SVC occlusion with collateral venous formation. Within this limitation there is no evidence of central pulmonary artery embolism. The pulmonary artery measures 2.9 cm in diameter. Mosaic attenuation pattern at the bases with ground glass suggestive of edema. Small bilateral pleural effusions, right greater than left. The SVC is markedly attenuated with a distended azygous vein consistent with SVC syndrome. There is no evidence of right heart strain. Heart size is normal. There is no pericardial effusion. There are extensive chest wall venous collaterals and edema. Much of the injected contrast is retained within the right posterolateral chest wall veins. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. Distended IVC with atrophic kidneys.
anatomical entity_fin: {'pulmonary artery': {}}clinical findings_fin: {'markedly limited opacification': {'clinical finding': 'markedly limited opacification', 'existence': 'pos_dx', 'descriptive_term': 'markedly limited', 'observation': 'opacification'}, 'svc occlusion': {'clinical finding': 'svc occlusion', 'existence': 'unc_dx', 'descriptive_term': 'svc', 'observation': 'occlusion'}, 'collateral venous formation': {'clinical finding': 'collateral venous formation', 'existence': 'pos_dx', 'descriptive_term': 'collateral venous', 'observation': 'formation'}}anatomical entity_fin: {'pulmonary artery': {'location descriptor': 'central'}}location descriptor_fin: ['central']clinical findings_fin: {'central pulmonary artery embolism': {'clinical finding': 'central pulmonary artery embolism', 'cf_snomed': {'embolism': 414086009}, 'existence': 'neg_dx', 'descriptive_term': 'central pulmonary artery', 'observation': 'embolism'}}size_fin: [{'size': '2.9 cm', 'size_descriptor': 'artery'}]anatomical entity_fin: {'pulmonary artery': {}}anatomical entity_fin: {'bases': {}}clinical findings_fin: {'mosaic attenuation': {'clinical finding': 'mosaic attenuation', 'existence': 'pos_dx', 'descriptive_term': 'mosaic', 'observation': 'attenuation'}, 'ground glass': {'clinical finding': 'ground glass', 'existence': 'pos_dx', 'descriptive_term': 'ground', 'observation': 'glass'}, 'edema': {'clinical finding': 'edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'unc_dx', 'observation': 'edema'}}location descriptor_fin: ['bilateral', 'right', 'left']clinical findings_fin: {'small bilateral pleural effusions': {'clinical finding': 'small bilateral pleural effusions', 'cf_snomed': {'bilateral pleural effusion': 425802001}, 'existence': 'pos_dx', 'descriptive_term': 'small bilateral pleural', 'observation': 'effusion', 'strength_term': 'small'}}anatomical entity_fin: {'vein': {}}clinical findings_fin: {'attenuated': {'clinical finding': 'attenuated', 'existence': 'pos_dx', 'observation': 'attenuated'}, 'distended': {'clinical finding': 'distended', 'existence': 'pos_dx', 'observation': 'distended'}}anatomical entity_fin: {'heart': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'right heart strain': {'clinical finding': 'right heart strain', 'existence': 'neg_dx', 'descriptive_term': 'right heart', 'observation': 'strain'}}anatomical entity_fin: {'heart': {}}clinical findings_fin: {'heart size is normal': {'clinical finding': 'heart size is normal'}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}anatomical entity_fin: {'chest wall': {}}clinical findings_fin: {'extensive chest wall venous collaterals': {'clinical finding': 'extensive chest wall venous collaterals', 'existence': 'pos_dx', 'descriptive_term': 'extensive chest wall venous', 'observation': 'collateral', 'strength_term': 'extensive'}, 'edema': {'clinical finding': 'edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'observation': 'edema'}}anatomical entity_fin: {'chest wall': {}, 'veins': {}}location descriptor_fin: ['right']clinical findings_fin: {'injected contrast': {'clinical finding': 'injected contrast', 'existence': 'pos_dx', 'descriptive_term': 'injected', 'observation': 'contrast'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}anatomical entity_fin: {'kidneys': {}}clinical findings_fin: {'atrophic': {'clinical finding': 'atrophic', 'existence': 'pos_dx', 'observation': 'atrophic'}}
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'pulmonary artery': {}}clinical findings_fin: {'markedly limited opacification': {'clinical finding': 'markedly limited opacification', 'existence': 'pos_dx', 'descriptive_term': 'markedly limited', 'observation': 'opacification'}, 'svc occlusion': {'clinical finding': 'svc occlusion', 'existence': 'unc_dx', 'descriptive_term': 'svc', 'observation': 'occlusion'}, 'collateral venous formation': {'clinical finding': 'collateral venous formation', 'existence': 'pos_dx', 'descriptive_term': 'collateral venous', 'observation': 'formation'}}anatomical entity_fin: {'pulmonary artery': {'location descriptor': 'central'}}location descriptor_fin: ['central']clinical findings_fin: {'central pulmonary artery embolism': {'clinical finding': 'central pulmonary artery embolism', 'cf_snomed': {'embolism': 414086009}, 'existence': 'neg_dx', 'descriptive_term': 'central pulmonary artery', 'observation': 'embolism'}}size_fin: [{'size': '2.9 cm', 'size_descriptor': 'artery'}]anatomical entity_fin: {'pulmonary artery': {}}anatomical entity_fin: {'bases': {}}clinical findings_fin: {'mosaic attenuation': {'clinical finding': 'mosaic attenuation', 'existence': 'pos_dx', 'descriptive_term': 'mosaic', 'observation': 'attenuation'}, 'ground glass': {'clinical finding': 'ground glass', 'existence': 'pos_dx', 'descriptive_term': 'ground', 'observation': 'glass'}, 'edema': {'clinical finding': 'edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'unc_dx', 'observation': 'edema'}}location descriptor_fin: ['bilateral', 'right', 'left']clinical findings_fin: {'small bilateral pleural effusions': {'clinical finding': 'small bilateral pleural effusions', 'cf_snomed': {'bilateral pleural effusion': 425802001}, 'existence': 'pos_dx', 'descriptive_term': 'small bilateral pleural', 'observation': 'effusion', 'strength_term': 'small'}}anatomical entity_fin: {'vein': {}}clinical findings_fin: {'attenuated': {'clinical finding': 'attenuated', 'existence': 'pos_dx', 'observation': 'attenuated'}, 'distended': {'clinical finding': 'distended', 'existence': 'pos_dx', 'observation': 'distended'}}anatomical entity_fin: {'heart': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'right heart strain': {'clinical finding': 'right heart strain', 'existence': 'neg_dx', 'descriptive_term': 'right heart', 'observation': 'strain'}}anatomical entity_fin: {'heart': {}}clinical findings_fin: {'heart size is normal': {'clinical finding': 'heart size is normal'}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}anatomical entity_fin: {'chest wall': {}}clinical findings_fin: {'extensive chest wall venous collaterals': {'clinical finding': 'extensive chest wall venous collaterals', 'existence': 'pos_dx', 'descriptive_term': 'extensive chest wall venous', 'observation': 'collateral', 'strength_term': 'extensive'}, 'edema': {'clinical finding': 'edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'observation': 'edema'}}anatomical entity_fin: {'chest wall': {}, 'veins': {}}location descriptor_fin: ['right']clinical findings_fin: {'injected contrast': {'clinical finding': 'injected contrast', 'existence': 'pos_dx', 'descriptive_term': 'injected', 'observation': 'contrast'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}anatomical entity_fin: {'kidneys': {}}clinical findings_fin: {'atrophic': {'clinical finding': 'atrophic', 'existence': 'pos_dx', 'observation': 'atrophic'}} [/INST] . Markedly limited opacification of the pulmonary artery likely related to SVC occlusion with collateral venous formation. Within this limitation there is no evidence of central pulmonary artery embolism. The pulmonary artery measures 2.9 cm in diameter. Mosaic attenuation pattern at the bases with ground glass suggestive of edema. Small bilateral pleural effusions, right greater than left. The SVC is markedly attenuated with a distended azygous vein consistent with SVC syndrome. There is no evidence of right heart strain. Heart size is normal. There is no pericardial effusion. There are extensive chest wall venous collaterals and edema. Much of the injected contrast is retained within the right posterolateral chest wall veins. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. Distended IVC with atrophic kidneys. </s>