. Postsurgical changes with a wedge resection the right lung appears unchanged. No new nodules or right effusion. The left upper lobe changes are also similar with scarring. Specifically the small punctate nodule previously identified is not currently distinguishable clearly and no additional new suspicious abnormalities observed. No effusion. No lymphadenopathy. Cardiac and pericardial appearance is otherwise unremarkable. None. Scattered mild degenerative changes without suspicious new lytic or blastic lesions observed. Absence of enteric contrast material limits sensitivity for abdominal pathology. Upper abdomen is limited in evaluation, specifically the previously identified liver lesion is currently beyond the inferior edge of the field of view. A hepatic cyst is observed in the dome as well as a poorly defined hypodensity on the single last image along the posterior right lobe, please consider dedicated imaging.
anatomical entity_fin: {'right lung': {}}imaging observation_fin: ['wedge']clinical findings_fin: {'postsurgical changes': {'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'}}location descriptor_fin: ['right']clinical findings_fin: {'new nodules': {'clinical finding': 'new nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'new', 'observation': 'nodule', 'temporal_term': 'new'}, 'right effusion': {'clinical finding': 'right effusion', 'cf_snomed': {'effusion': 41699000}, 'existence': 'neg_dx', 'descriptive_term': 'right', 'observation': 'effusion'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'left upper lobe changes': {'clinical finding': 'left upper lobe changes', 'existence': 'pos_dx', 'descriptive_term': 'left upper lobe', 'observation': 'change'}, 'scarring': {'clinical finding': 'scarring', 'existence': 'pos_dx', 'observation': 'scarr'}}clinical findings_fin: {'small punctate nodule': {'clinical finding': 'small punctate nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'small punctate', 'observation': 'nodule', 'strength_term': 'small'}, 'additional new suspicious abnormalities': {'clinical finding': 'additional new suspicious abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'additional new suspicious', 'observation': 'abnormality', 'temporal_term': 'new'}}clinical findings_fin: {'effusion': {'clinical finding': 'effusion', 'cf_snomed': {'effusion': 41699000}, 'existence': 'neg_dx', 'observation': 'effusion'}}clinical findings_fin: {'lymphadenopathy': {'clinical finding': 'lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'cardiac and pericardial appearance is otherwise unremarkable': {'clinical finding': 'cardiac and pericardial appearance is otherwise unremarkable'}}clinical findings_fin: {'mild degenerative changes': {'clinical finding': 'mild degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'mild degenerative', 'observation': 'change', 'strength_term': 'mild'}, 'suspicious new lytic or blastic lesions': {'clinical finding': 'suspicious new lytic or blastic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious new lytic or blastic', 'observation': 'lesion', 'temporal_term': 'new'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}anatomical entity_fin: {'upper abdomen': {}, 'liver': {}}location descriptor_fin: ['inferior']clinical findings_fin: {'previously identified liver lesion': {'clinical finding': 'previously identified liver lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'previously identified liver', 'observation': 'lesion'}}anatomical entity_fin: {'lobe': {'location descriptor': 'posterior right'}}location descriptor_fin: ['posterior', 'right']clinical findings_fin: {'hepatic cyst': {'clinical finding': 'hepatic cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'hepatic', 'observation': 'cyst'}, 'defined hypodensity': {'clinical finding': 'defined hypodensity', 'existence': 'pos_dx', 'descriptive_term': 'defined', 'observation': 'hypodensity'}}
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'right lung': {}}imaging observation_fin: ['wedge']clinical findings_fin: {'postsurgical changes': {'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'}}location descriptor_fin: ['right']clinical findings_fin: {'new nodules': {'clinical finding': 'new nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'new', 'observation': 'nodule', 'temporal_term': 'new'}, 'right effusion': {'clinical finding': 'right effusion', 'cf_snomed': {'effusion': 41699000}, 'existence': 'neg_dx', 'descriptive_term': 'right', 'observation': 'effusion'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'left upper lobe changes': {'clinical finding': 'left upper lobe changes', 'existence': 'pos_dx', 'descriptive_term': 'left upper lobe', 'observation': 'change'}, 'scarring': {'clinical finding': 'scarring', 'existence': 'pos_dx', 'observation': 'scarr'}}clinical findings_fin: {'small punctate nodule': {'clinical finding': 'small punctate nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'small punctate', 'observation': 'nodule', 'strength_term': 'small'}, 'additional new suspicious abnormalities': {'clinical finding': 'additional new suspicious abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'additional new suspicious', 'observation': 'abnormality', 'temporal_term': 'new'}}clinical findings_fin: {'effusion': {'clinical finding': 'effusion', 'cf_snomed': {'effusion': 41699000}, 'existence': 'neg_dx', 'observation': 'effusion'}}clinical findings_fin: {'lymphadenopathy': {'clinical finding': 'lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'cardiac and pericardial appearance is otherwise unremarkable': {'clinical finding': 'cardiac and pericardial appearance is otherwise unremarkable'}}clinical findings_fin: {'mild degenerative changes': {'clinical finding': 'mild degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'mild degenerative', 'observation': 'change', 'strength_term': 'mild'}, 'suspicious new lytic or blastic lesions': {'clinical finding': 'suspicious new lytic or blastic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious new lytic or blastic', 'observation': 'lesion', 'temporal_term': 'new'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}anatomical entity_fin: {'upper abdomen': {}, 'liver': {}}location descriptor_fin: ['inferior']clinical findings_fin: {'previously identified liver lesion': {'clinical finding': 'previously identified liver lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'previously identified liver', 'observation': 'lesion'}}anatomical entity_fin: {'lobe': {'location descriptor': 'posterior right'}}location descriptor_fin: ['posterior', 'right']clinical findings_fin: {'hepatic cyst': {'clinical finding': 'hepatic cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'hepatic', 'observation': 'cyst'}, 'defined hypodensity': {'clinical finding': 'defined hypodensity', 'existence': 'pos_dx', 'descriptive_term': 'defined', 'observation': 'hypodensity'}} [/INST] . Postsurgical changes with a wedge resection the right lung appears unchanged. No new nodules or right effusion. The left upper lobe changes are also similar with scarring. Specifically the small punctate nodule previously identified is not currently distinguishable clearly and no additional new suspicious abnormalities observed. No effusion. No lymphadenopathy. Cardiac and pericardial appearance is otherwise unremarkable. None. Scattered mild degenerative changes without suspicious new lytic or blastic lesions observed. Absence of enteric contrast material limits sensitivity for abdominal pathology. Upper abdomen is limited in evaluation, specifically the previously identified liver lesion is currently beyond the inferior edge of the field of view. A hepatic cyst is observed in the dome as well as a poorly defined hypodensity on the single last image along the posterior right lobe, please consider dedicated imaging. </s>