. No pulmonary embolism. The main pulmonary artery is normal in caliber. No evidence of right heart strain. A segmental left upper lobe branch supplying the anterior segment is diminutive and its distal branches are not well opacified however this appears similar to the prior study. A 24 x 15 mm left upper lobe paramediastinal mass with spiculated margins and satellite nodules is again seen , unchanged. Thickened airways anteriorly within the left upper lobe may be secondary to prior radiation or a result of tumor involvement. Numerous 3 - 8 mm pleural and intraparenchymal nodules are again present bilaterally, more numerous in the upper lobes. The referenced peripheral left upper lobe nodule measures 6 mm. No pleural effusion or pneumothorax. Enhancing soft tissue within the right lobe of the thyroid gland with mild tracheal deviation. Soft tissue extends inferiorly from the thyroid and encases the origins of the great vessels with a thickness of 18 mm , unchanged. Please refer to the report for the neck CT for additional findings. The heart size is normal, there is no pericardial effusion. The bilateral hilar lymphadenopathy. Right hilar lymph node measures 10 mm in short axis. None. No axillary lymphadenopathy. Bilateral breast implants. Patchy sclerosis of the manubrium was also seen on the previous neck CT. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. Atrophic left kidney containing cysts which were better characterized on the recent abdominal CT.
clinical findings_fin: {'pulmonary embolism': {'clinical finding': 'pulmonary embolism', 'cf_snomed': {'pulmonary embolism': 59282003}, 'existence': 'neg_dx', 'descriptive_term': 'pulmonary', 'observation': 'embolism'}}anatomical entity_fin: {'main pulmonary artery': {}}clinical findings_fin: {'main pulmonary artery is normal in caliber': {'clinical finding': 'main pulmonary artery is normal in caliber'}}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: {'lobe': {'location descriptor': 'left upper'}}location descriptor_fin: ['left', 'upper', 'anterior', 'distal']clinical findings_fin: {'segmental left upper lobe branch supplying the anterior segment is diminutive and its distal branches are not well opacified': {'clinical finding': 'segmental left upper lobe branch supplying the anterior segment is diminutive and its distal branches are not well opacified', 'change_term': 'opacified'}}size_fin: [{'size': '24 x 15 mm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}}imaging observation_fin: ['spiculated margins', 'satellite nodules']location descriptor_fin: ['left', 'upper']clinical findings_fin: {'24 x 15 mm left upper lobe paramediastinal mass': {'clinical finding': '24 x 15 mm left upper lobe paramediastinal mass', 'existence': 'pos_dx', 'descriptive_term': '24 x 15 mm left upper lobe paramediastinal', 'observation': 'mass'}, 'satellite nodules': {'clinical finding': 'satellite nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'satellite', 'observation': 'nodule'}}anatomical entity_fin: {'airways': {}, 'lobe': {'location descriptor': 'left upper'}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'tumor': {'clinical finding': 'tumor', 'existence': 'unc_dx', 'observation': 'tumor'}}size_fin: [{'size': '8 mm', 'size_descriptor': 'nodules'}]anatomical entity_fin: {'lobes': {'location descriptor': 'upper'}}location descriptor_fin: ['upper']clinical findings_fin: {'numerous 3 - 8 mm pleural and intraparenchymal nodules': {'clinical finding': 'numerous 3 - 8 mm pleural and intraparenchymal nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'numerous 3 - 8 mm pleural and intraparenchymal', 'observation': 'nodule', 'quantity_term': 'numerous'}}size_fin: [{'size': '6 mm', 'size_descriptor': 'nodule'}]anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}}location descriptor_fin: ['peripheral', 'left', 'upper']clinical findings_fin: {'referenced peripheral left upper lobe nodule': {'clinical finding': 'referenced peripheral left upper lobe nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'referenced peripheral left upper lobe', 'observation': 'nodule'}}clinical findings_fin: {'pleural effusion': {'clinical finding': 'pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}, 'pneumothorax': {'clinical finding': 'pneumothorax', 'cf_snomed': {'pneumothorax': 36118008}, 'existence': 'neg_dx', 'observation': 'pneumothorax'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right'}, 'thyroid gland': {}}imaging observation_fin: ['enhancing']location descriptor_fin: ['right']clinical findings_fin: {'soft tissue': {'clinical finding': 'soft tissue', 'existence': 'pos_dx', 'descriptive_term': 'soft', 'observation': 'tissue'}}size_fin: [{'size': '18 mm', 'size_descriptor': 'tissue'}]anatomical entity_fin: {'origins': {}}clinical findings_fin: {'soft tissue': {'clinical finding': 'soft tissue', 'existence': 'pos_dx', 'descriptive_term': 'soft', 'observation': 'tissue'}}anatomical entity_fin: {'neck': {}}anatomical entity_fin: {'heart': {}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral hilar lymphadenopathy': {'clinical finding': 'bilateral hilar lymphadenopathy', 'cf_snomed': {'hilar lymphadenopathy': 87500009}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral hilar', 'observation': 'lymphadenopathy'}}size_fin: [{'size': '10 mm', 'size_descriptor': 'node'}]anatomical entity_fin: {'axis': {}}location descriptor_fin: ['right']clinical findings_fin: {'hilar lymph node': {'clinical finding': 'hilar lymph node', 'existence': 'pos_dx', 'descriptive_term': 'hilar lymph', 'observation': 'node'}}clinical findings_fin: {'axillary lymphadenopathy': {'clinical finding': 'axillary lymphadenopathy', 'cf_snomed': {'axillary lymphadenopathy': 127189005}, 'existence': 'neg_dx', 'descriptive_term': 'axillary', 'observation': 'lymphadenopathy'}}imaging observation_fin: ['breast implants']location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral breast implants': {'clinical finding': 'bilateral breast implants', 'existence': 'pos_dx', 'descriptive_term': 'bilateral breast', 'observation': 'implant'}}anatomical entity_fin: {'manubrium': {}, 'neck': {}}clinical findings_fin: {'patchy sclerosis': {'clinical finding': 'patchy sclerosis', 'cf_snomed': {'sclerosis': 43846000}, 'existence': 'pos_dx', 'descriptive_term': 'patchy', 'observation': 'sclerosis'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}anatomical entity_fin: {'left kidney': {}, 'abdominal': {}}clinical findings_fin: {'cysts': {'clinical finding': 'cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'observation': 'cyst'}}
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'pulmonary embolism': {'clinical finding': 'pulmonary embolism', 'cf_snomed': {'pulmonary embolism': 59282003}, 'existence': 'neg_dx', 'descriptive_term': 'pulmonary', 'observation': 'embolism'}}anatomical entity_fin: {'main pulmonary artery': {}}clinical findings_fin: {'main pulmonary artery is normal in caliber': {'clinical finding': 'main pulmonary artery is normal in caliber'}}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: {'lobe': {'location descriptor': 'left upper'}}location descriptor_fin: ['left', 'upper', 'anterior', 'distal']clinical findings_fin: {'segmental left upper lobe branch supplying the anterior segment is diminutive and its distal branches are not well opacified': {'clinical finding': 'segmental left upper lobe branch supplying the anterior segment is diminutive and its distal branches are not well opacified', 'change_term': 'opacified'}}size_fin: [{'size': '24 x 15 mm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}}imaging observation_fin: ['spiculated margins', 'satellite nodules']location descriptor_fin: ['left', 'upper']clinical findings_fin: {'24 x 15 mm left upper lobe paramediastinal mass': {'clinical finding': '24 x 15 mm left upper lobe paramediastinal mass', 'existence': 'pos_dx', 'descriptive_term': '24 x 15 mm left upper lobe paramediastinal', 'observation': 'mass'}, 'satellite nodules': {'clinical finding': 'satellite nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'satellite', 'observation': 'nodule'}}anatomical entity_fin: {'airways': {}, 'lobe': {'location descriptor': 'left upper'}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'tumor': {'clinical finding': 'tumor', 'existence': 'unc_dx', 'observation': 'tumor'}}size_fin: [{'size': '8 mm', 'size_descriptor': 'nodules'}]anatomical entity_fin: {'lobes': {'location descriptor': 'upper'}}location descriptor_fin: ['upper']clinical findings_fin: {'numerous 3 - 8 mm pleural and intraparenchymal nodules': {'clinical finding': 'numerous 3 - 8 mm pleural and intraparenchymal nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'numerous 3 - 8 mm pleural and intraparenchymal', 'observation': 'nodule', 'quantity_term': 'numerous'}}size_fin: [{'size': '6 mm', 'size_descriptor': 'nodule'}]anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}}location descriptor_fin: ['peripheral', 'left', 'upper']clinical findings_fin: {'referenced peripheral left upper lobe nodule': {'clinical finding': 'referenced peripheral left upper lobe nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'referenced peripheral left upper lobe', 'observation': 'nodule'}}clinical findings_fin: {'pleural effusion': {'clinical finding': 'pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}, 'pneumothorax': {'clinical finding': 'pneumothorax', 'cf_snomed': {'pneumothorax': 36118008}, 'existence': 'neg_dx', 'observation': 'pneumothorax'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right'}, 'thyroid gland': {}}imaging observation_fin: ['enhancing']location descriptor_fin: ['right']clinical findings_fin: {'soft tissue': {'clinical finding': 'soft tissue', 'existence': 'pos_dx', 'descriptive_term': 'soft', 'observation': 'tissue'}}size_fin: [{'size': '18 mm', 'size_descriptor': 'tissue'}]anatomical entity_fin: {'origins': {}}clinical findings_fin: {'soft tissue': {'clinical finding': 'soft tissue', 'existence': 'pos_dx', 'descriptive_term': 'soft', 'observation': 'tissue'}}anatomical entity_fin: {'neck': {}}anatomical entity_fin: {'heart': {}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral hilar lymphadenopathy': {'clinical finding': 'bilateral hilar lymphadenopathy', 'cf_snomed': {'hilar lymphadenopathy': 87500009}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral hilar', 'observation': 'lymphadenopathy'}}size_fin: [{'size': '10 mm', 'size_descriptor': 'node'}]anatomical entity_fin: {'axis': {}}location descriptor_fin: ['right']clinical findings_fin: {'hilar lymph node': {'clinical finding': 'hilar lymph node', 'existence': 'pos_dx', 'descriptive_term': 'hilar lymph', 'observation': 'node'}}clinical findings_fin: {'axillary lymphadenopathy': {'clinical finding': 'axillary lymphadenopathy', 'cf_snomed': {'axillary lymphadenopathy': 127189005}, 'existence': 'neg_dx', 'descriptive_term': 'axillary', 'observation': 'lymphadenopathy'}}imaging observation_fin: ['breast implants']location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral breast implants': {'clinical finding': 'bilateral breast implants', 'existence': 'pos_dx', 'descriptive_term': 'bilateral breast', 'observation': 'implant'}}anatomical entity_fin: {'manubrium': {}, 'neck': {}}clinical findings_fin: {'patchy sclerosis': {'clinical finding': 'patchy sclerosis', 'cf_snomed': {'sclerosis': 43846000}, 'existence': 'pos_dx', 'descriptive_term': 'patchy', 'observation': 'sclerosis'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}anatomical entity_fin: {'left kidney': {}, 'abdominal': {}}clinical findings_fin: {'cysts': {'clinical finding': 'cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'observation': 'cyst'}} [/INST] . No pulmonary embolism. The main pulmonary artery is normal in caliber. No evidence of right heart strain. A segmental left upper lobe branch supplying the anterior segment is diminutive and its distal branches are not well opacified however this appears similar to the prior study. A 24 x 15 mm left upper lobe paramediastinal mass with spiculated margins and satellite nodules is again seen , unchanged. Thickened airways anteriorly within the left upper lobe may be secondary to prior radiation or a result of tumor involvement. Numerous 3 - 8 mm pleural and intraparenchymal nodules are again present bilaterally, more numerous in the upper lobes. The referenced peripheral left upper lobe nodule measures 6 mm. No pleural effusion or pneumothorax. Enhancing soft tissue within the right lobe of the thyroid gland with mild tracheal deviation. Soft tissue extends inferiorly from the thyroid and encases the origins of the great vessels with a thickness of 18 mm , unchanged. Please refer to the report for the neck CT for additional findings. The heart size is normal, there is no pericardial effusion. The bilateral hilar lymphadenopathy. Right hilar lymph node measures 10 mm in short axis. None. No axillary lymphadenopathy. Bilateral breast implants. Patchy sclerosis of the manubrium was also seen on the previous neck CT. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. Atrophic left kidney containing cysts which were better characterized on the recent abdominal CT. </s>