. Technically adequate examination. No evidence of acute pulmonary embolus. The main pulmonary artery is normal in caliber. No evidence of right heart strain. Central airways are patent. No focal consolidation, pneumothorax, or pleural effusion. Reference right middle lobe solid pulmonary nodule measures 6 mm , unchanged. Additional left lower lobe solid pulmonary nodule measures 5 mm, unchanged. New pulmonary micronodule in the right upper lobe likely represents bronchial mucous plugging. Cardiac size is within normal limits with no significant pericardial effusion. Aorta is normal in caliber. No hilar or mediastinal lymphadenopathy. None. Enlarged left supraclavicular lymph node measuring 9 mm , likely reactive. Multiple bilateral prominent benign-appearing axillary lymph nodes. Mild to moderate degenerative changes of the thoracic spine. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. No significant abnormality noted.
clinical findings_fin: {'acute pulmonary embolus': {'clinical finding': 'acute pulmonary embolus', 'cf_snomed': {'embolus': 55584005}, 'existence': 'neg_dx', 'descriptive_term': 'acute pulmonary', 'observation': 'embolus', 'strength_term': 'acute', 'temporal_term': 'acute'}}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: {'airways': {'location descriptor': 'central'}}location descriptor_fin: ['central']clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}clinical findings_fin: {'focal consolidation': {'clinical finding': 'focal consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'consolidation'}, 'pneumothorax': {'clinical finding': 'pneumothorax', 'cf_snomed': {'pneumothorax': 36118008}, 'existence': 'neg_dx', 'observation': 'pneumothorax'}, 'pleural effusion': {'clinical finding': 'pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}}size_fin: [{'size': '6 mm'}]anatomical entity_fin: {'middle': {'location descriptor': 'right'}, 'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'reference right middle lobe solid pulmonary nodule': {'clinical finding': 'reference right middle lobe solid pulmonary nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'reference right middle lobe solid pulmonary', 'observation': 'nodule'}}size_fin: [{'size': '5 mm', 'size_descriptor': 'nodule'}]anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'additional left lower lobe solid pulmonary nodule': {'clinical finding': 'additional left lower lobe solid pulmonary nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'additional left lower lobe solid pulmonary', 'observation': 'nodule'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right upper'}}location descriptor_fin: ['right', 'upper']clinical findings_fin: {'new pulmonary micronodule': {'clinical finding': 'new pulmonary micronodule', 'existence': 'pos_dx', 'descriptive_term': 'new pulmonary', 'observation': 'micronodule', 'temporal_term': 'new'}}clinical findings_fin: {'significant pericardial effusion': {'clinical finding': 'significant pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'significant pericardial', 'observation': 'effusion'}}anatomical entity_fin: {'aorta': {}}clinical findings_fin: {'aorta is normal in caliber': {'clinical finding': 'aorta is normal in caliber'}}clinical findings_fin: {'hilar or mediastinal lymphadenopathy': {'clinical finding': 'hilar or mediastinal lymphadenopathy', 'cf_snomed': {'mediastinal lymphadenopathy': 52324001}, 'existence': 'neg_dx', 'descriptive_term': 'hilar or mediastinal', 'observation': 'lymphadenopathy'}}size_fin: [{'size': '9 mm', 'size_descriptor': 'node'}]anatomical entity_fin: {'supraclavicular lymph node': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'enlarged left supraclavicular lymph node': {'clinical finding': 'enlarged left supraclavicular lymph node', 'existence': 'pos_dx', 'descriptive_term': 'enlarged left supraclavicular lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'}}anatomical entity_fin: {'axillary lymph nodes': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'multiple bilateral prominent benign-appearing axillary lymph nodes': {'clinical finding': 'multiple bilateral prominent benign-appearing axillary lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'multiple bilateral prominent benign-appearing axillary lymph', 'observation': 'node', 'strength_term': 'prominent - benign', 'quantity_term': 'multiple'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'mild to moderate degenerative changes': {'clinical finding': 'mild to moderate degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'mild to moderate degenerative', 'observation': 'change', 'strength_term': 'mild - moderate'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'acute pulmonary embolus': {'clinical finding': 'acute pulmonary embolus', 'cf_snomed': {'embolus': 55584005}, 'existence': 'neg_dx', 'descriptive_term': 'acute pulmonary', 'observation': 'embolus', 'strength_term': 'acute', 'temporal_term': 'acute'}}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: {'airways': {'location descriptor': 'central'}}location descriptor_fin: ['central']clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}clinical findings_fin: {'focal consolidation': {'clinical finding': 'focal consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'consolidation'}, 'pneumothorax': {'clinical finding': 'pneumothorax', 'cf_snomed': {'pneumothorax': 36118008}, 'existence': 'neg_dx', 'observation': 'pneumothorax'}, 'pleural effusion': {'clinical finding': 'pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}}size_fin: [{'size': '6 mm'}]anatomical entity_fin: {'middle': {'location descriptor': 'right'}, 'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'reference right middle lobe solid pulmonary nodule': {'clinical finding': 'reference right middle lobe solid pulmonary nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'reference right middle lobe solid pulmonary', 'observation': 'nodule'}}size_fin: [{'size': '5 mm', 'size_descriptor': 'nodule'}]anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'additional left lower lobe solid pulmonary nodule': {'clinical finding': 'additional left lower lobe solid pulmonary nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'additional left lower lobe solid pulmonary', 'observation': 'nodule'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right upper'}}location descriptor_fin: ['right', 'upper']clinical findings_fin: {'new pulmonary micronodule': {'clinical finding': 'new pulmonary micronodule', 'existence': 'pos_dx', 'descriptive_term': 'new pulmonary', 'observation': 'micronodule', 'temporal_term': 'new'}}clinical findings_fin: {'significant pericardial effusion': {'clinical finding': 'significant pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'significant pericardial', 'observation': 'effusion'}}anatomical entity_fin: {'aorta': {}}clinical findings_fin: {'aorta is normal in caliber': {'clinical finding': 'aorta is normal in caliber'}}clinical findings_fin: {'hilar or mediastinal lymphadenopathy': {'clinical finding': 'hilar or mediastinal lymphadenopathy', 'cf_snomed': {'mediastinal lymphadenopathy': 52324001}, 'existence': 'neg_dx', 'descriptive_term': 'hilar or mediastinal', 'observation': 'lymphadenopathy'}}size_fin: [{'size': '9 mm', 'size_descriptor': 'node'}]anatomical entity_fin: {'supraclavicular lymph node': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'enlarged left supraclavicular lymph node': {'clinical finding': 'enlarged left supraclavicular lymph node', 'existence': 'pos_dx', 'descriptive_term': 'enlarged left supraclavicular lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'}}anatomical entity_fin: {'axillary lymph nodes': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'multiple bilateral prominent benign-appearing axillary lymph nodes': {'clinical finding': 'multiple bilateral prominent benign-appearing axillary lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'multiple bilateral prominent benign-appearing axillary lymph', 'observation': 'node', 'strength_term': 'prominent - benign', 'quantity_term': 'multiple'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'mild to moderate degenerative changes': {'clinical finding': 'mild to moderate degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'mild to moderate degenerative', 'observation': 'change', 'strength_term': 'mild - moderate'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . Technically adequate examination. No evidence of acute pulmonary embolus. The main pulmonary artery is normal in caliber. No evidence of right heart strain. Central airways are patent. No focal consolidation, pneumothorax, or pleural effusion. Reference right middle lobe solid pulmonary nodule measures 6 mm , unchanged. Additional left lower lobe solid pulmonary nodule measures 5 mm, unchanged. New pulmonary micronodule in the right upper lobe likely represents bronchial mucous plugging. Cardiac size is within normal limits with no significant pericardial effusion. Aorta is normal in caliber. No hilar or mediastinal lymphadenopathy. None. Enlarged left supraclavicular lymph node measuring 9 mm , likely reactive. Multiple bilateral prominent benign-appearing axillary lymph nodes. Mild to moderate degenerative changes of the thoracic spine. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. No significant abnormality noted. </s>