. Moderate right and small left pleural fluid collections. The right diaphragmatic crus appears incomplete in some areas and there is retroperitoneal extension of pleural fluid on the right. Apical predominant centrilobular and paraseptal emphysema, most pronounced in the right upper lobe. Mild diffuse bronchial wall thickening with debris in the airways of the lower lobes, right greater than left. Scattered 1 to 2 mm calcified and noncalcified micronodules, statistically most likely granulomas, though too small to accurately characterize. No honeycombing, groundglass opacity or air trapping. No evidence of traction bronchiectasis. Main pulmonary artery is normal in caliber. Moderate cardiomegaly with biatrial enlargement and a physiologic volume of pericardial fluid. No mediastinal lymphadenopathy. Atherosclerotic calcification of the thoracic aorta and its branches. Mediastinal surgical clips suggest coronary revascularization. Severe. No significant abnormality noted. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. Left kidney incompletely included in the scanning range but appears to have moderate hydronephrosis. Numerous hypoattenuating lesions in the liver measures the density of simple fluid, several which are too small to characterize while others statistically most likely represent cysts
location descriptor_fin: ['right', 'left']clinical findings_fin: {'moderate right and small left pleural fluid collections': {'clinical finding': 'moderate right and small left pleural fluid collections', 'existence': 'pos_dx', 'descriptive_term': 'moderate right and small left pleural fluid', 'observation': 'collection', 'strength_term': 'moderate - small'}}location descriptor_fin: ['right']clinical findings_fin: {'right diaphragmatic crus': {'clinical finding': 'right diaphragmatic crus', 'existence': 'pos_dx', 'descriptive_term': 'right diaphragmatic', 'observation': 'crus'}, 'incomplete': {'clinical finding': 'incomplete', 'existence': 'pos_dx', 'observation': 'incomplete'}, 'pleural fluid': {'clinical finding': 'pleural fluid', 'existence': 'pos_dx', 'descriptive_term': 'pleural', 'observation': 'fluid'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right upper'}}imaging observation_fin: ['apical']location descriptor_fin: ['centrilobular', 'right', 'upper']clinical findings_fin: {'apical predominant centrilobular and paraseptal emphysema': {'clinical finding': 'apical predominant centrilobular and paraseptal emphysema', 'cf_snomed': {'paraseptal emphysema': 31898008}, 'existence': 'pos_dx', 'descriptive_term': 'apical predominant centrilobular and paraseptal', 'observation': 'emphysema'}}anatomical entity_fin: {'airways': {}, 'lobes': {'location descriptor': 'lower'}}location descriptor_fin: ['lower', 'right', 'left']clinical findings_fin: {'wall thickening': {'clinical finding': 'wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'wall', 'observation': 'thickening'}, 'debris': {'clinical finding': 'debris', 'existence': 'pos_dx', 'observation': 'debris'}}size_fin: [{'size': '2 mm', 'size_descriptor': 'micronodules'}]clinical findings_fin: {'1 to 2 mm calcified and noncalcified micronodules': {'clinical finding': '1 to 2 mm calcified and noncalcified micronodules', 'existence': 'pos_dx', 'descriptive_term': '1 to 2 mm calcified and noncalcified', 'observation': 'micronodule', 'change_term': 'calcified'}, 'statistically most likely granulomas': {'clinical finding': 'statistically most likely granulomas', 'cf_snomed': {'granuloma': 45647009}, 'existence': 'pos_dx', 'descriptive_term': 'statistically most likely', 'observation': 'granuloma', 'quantity_term': 'most'}}clinical findings_fin: {'honeycombing': {'clinical finding': 'honeycombing', 'existence': 'neg_dx', 'observation': 'honeycombing'}, 'groundglass opacity': {'clinical finding': 'groundglass opacity', 'cf_snomed': {'opacity': 128305008}, 'existence': 'neg_dx', 'descriptive_term': 'groundglass', 'observation': 'opacity'}, 'air trapping': {'clinical finding': 'air trapping', 'cf_snomed': {'air trapping': 76171001}, 'existence': 'neg_dx', 'descriptive_term': 'air', 'observation': 'trapping'}}clinical findings_fin: {'traction bronchiectasis': {'clinical finding': 'traction bronchiectasis', 'cf_snomed': {'traction bronchiectasis': 19325002}, 'existence': 'neg_dx', 'descriptive_term': 'traction', 'observation': 'bronchiectasis'}}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: {'fluid': {}}clinical findings_fin: {'moderate cardiomegaly': {'clinical finding': 'moderate cardiomegaly', 'cf_snomed': {'cardiomegaly': 8186001}, 'existence': 'pos_dx', 'descriptive_term': 'moderate', 'observation': 'cardiomegaly', 'strength_term': 'moderate'}, 'biatrial enlargement': {'clinical finding': 'biatrial enlargement', 'cf_snomed': {'enlargement': 442021009}, 'existence': 'pos_dx', 'descriptive_term': 'biatrial', 'observation': 'enlargement'}}clinical findings_fin: {'mediastinal lymphadenopathy': {'clinical finding': 'mediastinal lymphadenopathy', 'cf_snomed': {'mediastinal lymphadenopathy': 52324001}, 'existence': 'neg_dx', 'descriptive_term': 'mediastinal', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'thoracic aorta': {}}clinical findings_fin: {'atherosclerotic calcification': {'clinical finding': 'atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'}}object_fin: ['surgical clips']clinical findings_fin: {'mediastinal surgical clips': {'clinical finding': 'mediastinal surgical clips', 'existence': 'pos_dx', 'descriptive_term': 'mediastinal surgical', 'observation': 'clip'}, 'coronary revascularization': {'clinical finding': 'coronary revascularization', 'existence': 'unc_dx', 'descriptive_term': 'coronary', 'observation': 'revascularization'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}anatomical entity_fin: {'left kidney': {}}clinical findings_fin: {'moderate hydronephrosis': {'clinical finding': 'moderate hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'pos_dx', 'descriptive_term': 'moderate', 'observation': 'hydronephrosis', 'strength_term': 'moderate'}}anatomical entity_fin: {'liver': {}, 'fluid': {}}clinical findings_fin: {'numerous hypoattenuating lesions': {'clinical finding': 'numerous hypoattenuating lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'numerous hypoattenuating', 'observation': 'lesion', 'quantity_term': 'numerous'}, 'cysts': {'clinical finding': 'cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'unc_dx', 'observation': 'cyst'}}
<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['right', 'left']clinical findings_fin: {'moderate right and small left pleural fluid collections': {'clinical finding': 'moderate right and small left pleural fluid collections', 'existence': 'pos_dx', 'descriptive_term': 'moderate right and small left pleural fluid', 'observation': 'collection', 'strength_term': 'moderate - small'}}location descriptor_fin: ['right']clinical findings_fin: {'right diaphragmatic crus': {'clinical finding': 'right diaphragmatic crus', 'existence': 'pos_dx', 'descriptive_term': 'right diaphragmatic', 'observation': 'crus'}, 'incomplete': {'clinical finding': 'incomplete', 'existence': 'pos_dx', 'observation': 'incomplete'}, 'pleural fluid': {'clinical finding': 'pleural fluid', 'existence': 'pos_dx', 'descriptive_term': 'pleural', 'observation': 'fluid'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right upper'}}imaging observation_fin: ['apical']location descriptor_fin: ['centrilobular', 'right', 'upper']clinical findings_fin: {'apical predominant centrilobular and paraseptal emphysema': {'clinical finding': 'apical predominant centrilobular and paraseptal emphysema', 'cf_snomed': {'paraseptal emphysema': 31898008}, 'existence': 'pos_dx', 'descriptive_term': 'apical predominant centrilobular and paraseptal', 'observation': 'emphysema'}}anatomical entity_fin: {'airways': {}, 'lobes': {'location descriptor': 'lower'}}location descriptor_fin: ['lower', 'right', 'left']clinical findings_fin: {'wall thickening': {'clinical finding': 'wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'wall', 'observation': 'thickening'}, 'debris': {'clinical finding': 'debris', 'existence': 'pos_dx', 'observation': 'debris'}}size_fin: [{'size': '2 mm', 'size_descriptor': 'micronodules'}]clinical findings_fin: {'1 to 2 mm calcified and noncalcified micronodules': {'clinical finding': '1 to 2 mm calcified and noncalcified micronodules', 'existence': 'pos_dx', 'descriptive_term': '1 to 2 mm calcified and noncalcified', 'observation': 'micronodule', 'change_term': 'calcified'}, 'statistically most likely granulomas': {'clinical finding': 'statistically most likely granulomas', 'cf_snomed': {'granuloma': 45647009}, 'existence': 'pos_dx', 'descriptive_term': 'statistically most likely', 'observation': 'granuloma', 'quantity_term': 'most'}}clinical findings_fin: {'honeycombing': {'clinical finding': 'honeycombing', 'existence': 'neg_dx', 'observation': 'honeycombing'}, 'groundglass opacity': {'clinical finding': 'groundglass opacity', 'cf_snomed': {'opacity': 128305008}, 'existence': 'neg_dx', 'descriptive_term': 'groundglass', 'observation': 'opacity'}, 'air trapping': {'clinical finding': 'air trapping', 'cf_snomed': {'air trapping': 76171001}, 'existence': 'neg_dx', 'descriptive_term': 'air', 'observation': 'trapping'}}clinical findings_fin: {'traction bronchiectasis': {'clinical finding': 'traction bronchiectasis', 'cf_snomed': {'traction bronchiectasis': 19325002}, 'existence': 'neg_dx', 'descriptive_term': 'traction', 'observation': 'bronchiectasis'}}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: {'fluid': {}}clinical findings_fin: {'moderate cardiomegaly': {'clinical finding': 'moderate cardiomegaly', 'cf_snomed': {'cardiomegaly': 8186001}, 'existence': 'pos_dx', 'descriptive_term': 'moderate', 'observation': 'cardiomegaly', 'strength_term': 'moderate'}, 'biatrial enlargement': {'clinical finding': 'biatrial enlargement', 'cf_snomed': {'enlargement': 442021009}, 'existence': 'pos_dx', 'descriptive_term': 'biatrial', 'observation': 'enlargement'}}clinical findings_fin: {'mediastinal lymphadenopathy': {'clinical finding': 'mediastinal lymphadenopathy', 'cf_snomed': {'mediastinal lymphadenopathy': 52324001}, 'existence': 'neg_dx', 'descriptive_term': 'mediastinal', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'thoracic aorta': {}}clinical findings_fin: {'atherosclerotic calcification': {'clinical finding': 'atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'}}object_fin: ['surgical clips']clinical findings_fin: {'mediastinal surgical clips': {'clinical finding': 'mediastinal surgical clips', 'existence': 'pos_dx', 'descriptive_term': 'mediastinal surgical', 'observation': 'clip'}, 'coronary revascularization': {'clinical finding': 'coronary revascularization', 'existence': 'unc_dx', 'descriptive_term': 'coronary', 'observation': 'revascularization'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}anatomical entity_fin: {'left kidney': {}}clinical findings_fin: {'moderate hydronephrosis': {'clinical finding': 'moderate hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'pos_dx', 'descriptive_term': 'moderate', 'observation': 'hydronephrosis', 'strength_term': 'moderate'}}anatomical entity_fin: {'liver': {}, 'fluid': {}}clinical findings_fin: {'numerous hypoattenuating lesions': {'clinical finding': 'numerous hypoattenuating lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'numerous hypoattenuating', 'observation': 'lesion', 'quantity_term': 'numerous'}, 'cysts': {'clinical finding': 'cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'unc_dx', 'observation': 'cyst'}} [/INST] . Moderate right and small left pleural fluid collections. The right diaphragmatic crus appears incomplete in some areas and there is retroperitoneal extension of pleural fluid on the right. Apical predominant centrilobular and paraseptal emphysema, most pronounced in the right upper lobe. Mild diffuse bronchial wall thickening with debris in the airways of the lower lobes, right greater than left. Scattered 1 to 2 mm calcified and noncalcified micronodules, statistically most likely granulomas, though too small to accurately characterize. No honeycombing, groundglass opacity or air trapping. No evidence of traction bronchiectasis. Main pulmonary artery is normal in caliber. Moderate cardiomegaly with biatrial enlargement and a physiologic volume of pericardial fluid. No mediastinal lymphadenopathy. Atherosclerotic calcification of the thoracic aorta and its branches. Mediastinal surgical clips suggest coronary revascularization. Severe. No significant abnormality noted. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. Left kidney incompletely included in the scanning range but appears to have moderate hydronephrosis. Numerous hypoattenuating lesions in the liver measures the density of simple fluid, several which are too small to characterize while others statistically most likely represent cysts </s>