. Multifocal patchy airspace and groundglass opacities in the bilateral lower lobes is suggestive of infection. A peripherally based, wedge-shaped airspace opacity in the anterolateral basilar segment of the left lower lobe is larger when compared to previous CT, now with air bronchograms, likely representing a chronic infarction with superimposed infection. Layering left pleural fluid is compatible with a parapneumonic effusion. Scarring is present in the bilateral lung bases. Heart size is upper limits of normal, without significant pericardial effusion. No significant hilar or mediastinal lymphadenopathy. Soft tissue density in the anterior mediastinum is consistent with thymic hyperplasia. The thyroid gland is within normal limits. New bilateral cardiophrenic lymph nodes are likely reactive in nature. None. Scattered mildly prominent bilateral axillary lymph nodes. The bones are dense, compatible with history of sickle cell disease. Status post cholecystectomy. Small spleen, compatible with autoinfarction.
anatomical entity_fin: {'airspace': {}, 'lobes': {'location descriptor': 'bilateral lower'}}location descriptor_fin: ['bilateral', 'lower']clinical findings_fin: {'groundglass opacities': {'clinical finding': 'groundglass opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'groundglass', 'observation': 'opacity'}, 'infection': {'clinical finding': 'infection', 'existence': 'unc_dx', 'observation': 'infection'}}anatomical entity_fin: {'airspace': {}, 'lobe': {'location descriptor': 'left lower'}}imaging observation_fin: ['wedge', 'air bronchograms']location descriptor_fin: ['anterolateral', 'left', 'lower']clinical findings_fin: {'peripherally based, wedge-shaped airspace opacity': {'clinical finding': 'peripherally based, wedge-shaped airspace opacity', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'peripherally based wedge-shaped airspace', 'observation': 'opacity'}, 'chronic infarction': {'clinical finding': 'chronic infarction', 'existence': 'unc_dx', 'descriptive_term': 'chronic', 'observation': 'infarction', 'temporal_term': 'chronic'}, 'superimposed infection': {'clinical finding': 'superimposed infection', 'cf_snomed': {'superimposed infection': 193198003}, 'existence': 'pos_dx', 'descriptive_term': 'superimposed', 'observation': 'infection'}}location descriptor_fin: ['left']clinical findings_fin: {'left pleural fluid': {'clinical finding': 'left pleural fluid', 'existence': 'pos_dx', 'descriptive_term': 'left pleural', 'observation': 'fluid'}, 'parapneumonic effusion': {'clinical finding': 'parapneumonic effusion', 'cf_snomed': {'effusion': 41699000}, 'existence': 'pos_dx', 'descriptive_term': 'parapneumonic', 'observation': 'effusion'}}anatomical entity_fin: {'lung': {'location descriptor': 'bilateral'}, 'bases': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'scarring is present': {'clinical finding': 'scarring is present'}}anatomical entity_fin: {'heart': {}}location descriptor_fin: ['upper']clinical findings_fin: {'significant pericardial effusion': {'clinical finding': 'significant pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'pos_dx', 'descriptive_term': 'significant pericardial', 'observation': 'effusion'}}clinical findings_fin: {'significant hilar or mediastinal lymphadenopathy': {'clinical finding': 'significant hilar or mediastinal lymphadenopathy', 'cf_snomed': {'mediastinal lymphadenopathy': 52324001}, 'existence': 'neg_dx', 'descriptive_term': 'significant hilar or mediastinal', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'anterior mediastinum': {}}imaging observation_fin: ['soft tissue density']clinical findings_fin: {'soft tissue density': {'clinical finding': 'soft tissue density', 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'density'}, 'thymic hyperplasia': {'clinical finding': 'thymic hyperplasia', 'cf_snomed': {'hyperplasia': 76197007}, 'existence': 'pos_dx', 'descriptive_term': 'thymic', 'observation': 'hyperplasia'}}anatomical entity_fin: {'thyroid gland': {}}clinical findings_fin: {'thyroid gland is within normal limits': {'clinical finding': 'thyroid gland is within normal limits'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'new bilateral cardiophrenic lymph nodes': {'clinical finding': 'new bilateral cardiophrenic lymph nodes', 'existence': 'unc_dx', 'descriptive_term': 'new bilateral cardiophrenic lymph', 'observation': 'node', 'temporal_term': 'new'}}anatomical entity_fin: {'axillary lymph nodes': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'scattered mildly prominent bilateral axillary lymph nodes': {'clinical finding': 'scattered mildly prominent bilateral axillary lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'scattered mildly prominent bilateral axillary lymph', 'observation': 'node', 'strength_term': 'mildly - prominent'}}anatomical entity_fin: {'cell': {}}imaging observation_fin: ['sickle']clinical findings_fin: {'dense': {'clinical finding': 'dense', 'existence': 'pos_dx', 'observation': 'dense'}, 'sickle cell disease': {'clinical finding': 'sickle cell disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'sickle cell', 'observation': 'disease'}}procedure_fin: ['cholecystectomy']anatomical entity_fin: {'spleen': {}}clinical findings_fin: {'autoinfarction': {'clinical finding': 'autoinfarction', 'existence': 'pos_dx', 'observation': 'autoinfarction'}}
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'airspace': {}, 'lobes': {'location descriptor': 'bilateral lower'}}location descriptor_fin: ['bilateral', 'lower']clinical findings_fin: {'groundglass opacities': {'clinical finding': 'groundglass opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'groundglass', 'observation': 'opacity'}, 'infection': {'clinical finding': 'infection', 'existence': 'unc_dx', 'observation': 'infection'}}anatomical entity_fin: {'airspace': {}, 'lobe': {'location descriptor': 'left lower'}}imaging observation_fin: ['wedge', 'air bronchograms']location descriptor_fin: ['anterolateral', 'left', 'lower']clinical findings_fin: {'peripherally based, wedge-shaped airspace opacity': {'clinical finding': 'peripherally based, wedge-shaped airspace opacity', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'peripherally based wedge-shaped airspace', 'observation': 'opacity'}, 'chronic infarction': {'clinical finding': 'chronic infarction', 'existence': 'unc_dx', 'descriptive_term': 'chronic', 'observation': 'infarction', 'temporal_term': 'chronic'}, 'superimposed infection': {'clinical finding': 'superimposed infection', 'cf_snomed': {'superimposed infection': 193198003}, 'existence': 'pos_dx', 'descriptive_term': 'superimposed', 'observation': 'infection'}}location descriptor_fin: ['left']clinical findings_fin: {'left pleural fluid': {'clinical finding': 'left pleural fluid', 'existence': 'pos_dx', 'descriptive_term': 'left pleural', 'observation': 'fluid'}, 'parapneumonic effusion': {'clinical finding': 'parapneumonic effusion', 'cf_snomed': {'effusion': 41699000}, 'existence': 'pos_dx', 'descriptive_term': 'parapneumonic', 'observation': 'effusion'}}anatomical entity_fin: {'lung': {'location descriptor': 'bilateral'}, 'bases': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'scarring is present': {'clinical finding': 'scarring is present'}}anatomical entity_fin: {'heart': {}}location descriptor_fin: ['upper']clinical findings_fin: {'significant pericardial effusion': {'clinical finding': 'significant pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'pos_dx', 'descriptive_term': 'significant pericardial', 'observation': 'effusion'}}clinical findings_fin: {'significant hilar or mediastinal lymphadenopathy': {'clinical finding': 'significant hilar or mediastinal lymphadenopathy', 'cf_snomed': {'mediastinal lymphadenopathy': 52324001}, 'existence': 'neg_dx', 'descriptive_term': 'significant hilar or mediastinal', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'anterior mediastinum': {}}imaging observation_fin: ['soft tissue density']clinical findings_fin: {'soft tissue density': {'clinical finding': 'soft tissue density', 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'density'}, 'thymic hyperplasia': {'clinical finding': 'thymic hyperplasia', 'cf_snomed': {'hyperplasia': 76197007}, 'existence': 'pos_dx', 'descriptive_term': 'thymic', 'observation': 'hyperplasia'}}anatomical entity_fin: {'thyroid gland': {}}clinical findings_fin: {'thyroid gland is within normal limits': {'clinical finding': 'thyroid gland is within normal limits'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'new bilateral cardiophrenic lymph nodes': {'clinical finding': 'new bilateral cardiophrenic lymph nodes', 'existence': 'unc_dx', 'descriptive_term': 'new bilateral cardiophrenic lymph', 'observation': 'node', 'temporal_term': 'new'}}anatomical entity_fin: {'axillary lymph nodes': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'scattered mildly prominent bilateral axillary lymph nodes': {'clinical finding': 'scattered mildly prominent bilateral axillary lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'scattered mildly prominent bilateral axillary lymph', 'observation': 'node', 'strength_term': 'mildly - prominent'}}anatomical entity_fin: {'cell': {}}imaging observation_fin: ['sickle']clinical findings_fin: {'dense': {'clinical finding': 'dense', 'existence': 'pos_dx', 'observation': 'dense'}, 'sickle cell disease': {'clinical finding': 'sickle cell disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'sickle cell', 'observation': 'disease'}}procedure_fin: ['cholecystectomy']anatomical entity_fin: {'spleen': {}}clinical findings_fin: {'autoinfarction': {'clinical finding': 'autoinfarction', 'existence': 'pos_dx', 'observation': 'autoinfarction'}} [/INST] . Multifocal patchy airspace and groundglass opacities in the bilateral lower lobes is suggestive of infection. A peripherally based, wedge-shaped airspace opacity in the anterolateral basilar segment of the left lower lobe is larger when compared to previous CT, now with air bronchograms, likely representing a chronic infarction with superimposed infection. Layering left pleural fluid is compatible with a parapneumonic effusion. Scarring is present in the bilateral lung bases. Heart size is upper limits of normal, without significant pericardial effusion. No significant hilar or mediastinal lymphadenopathy. Soft tissue density in the anterior mediastinum is consistent with thymic hyperplasia. The thyroid gland is within normal limits. New bilateral cardiophrenic lymph nodes are likely reactive in nature. None. Scattered mildly prominent bilateral axillary lymph nodes. The bones are dense, compatible with history of sickle cell disease. Status post cholecystectomy. Small spleen, compatible with autoinfarction. </s>