. Upper lobe predominant emphysematous changes with pleural parenchymal thickening at the apices. There are postsurgical changes in the right middle lobe. Heart size is normal. No pericardial effusion. No mediastinal lymphadenopathy. No significant abnormality noted. Status post resection of the segment 6 lesion. The segment 5 lesion is unchanged. No new lesions. The hepatic and portal veins are patent. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Scattered colonic diverticula. No bowel obstruction. No significant abnormality noted. No significant abnormality noted. Endometrial thickness measures over 12 mm. There are enhancing fibroids in the lower uterine segment. No significant abnormality noted. No significant abnormality noted. Postsurgical changes in the rectosigmoid. Multiple pelvic fractures. No significant abnormality noted.
anatomical entity_fin: {'lobe': {'location descriptor': 'upper'}, 'apices': {}}location descriptor_fin: ['upper']clinical findings_fin: {'upper lobe predominant emphysematous changes': {'clinical finding': 'upper lobe predominant emphysematous changes', 'existence': 'pos_dx', 'descriptive_term': 'upper lobe predominant emphysematous', 'observation': 'change'}, 'thickening': {'clinical finding': 'thickening', 'existence': 'pos_dx', 'observation': 'thickening'}}anatomical entity_fin: {'middle': {'location descriptor': 'right'}, 'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'postsurgical changes': {'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'}}anatomical entity_fin: {'heart': {}}clinical findings_fin: {'heart size is normal': {'clinical finding': 'heart size is normal'}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}clinical findings_fin: {'mediastinal lymphadenopathy': {'clinical finding': 'mediastinal lymphadenopathy', 'cf_snomed': {'mediastinal lymphadenopathy': 52324001}, 'existence': 'neg_dx', 'descriptive_term': 'mediastinal', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'segment 6 lesion': {'clinical finding': 'segment 6 lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'segment 6', 'observation': 'lesion'}}clinical findings_fin: {'segment 5 lesion': {'clinical finding': 'segment 5 lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'segment 5', 'observation': 'lesion'}}clinical findings_fin: {'new lesions': {'clinical finding': 'new lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'new', 'observation': 'lesion', 'temporal_term': 'new'}}anatomical entity_fin: {'portal veins': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'pos_dx', 'observation': 'patent'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'scattered colonic diverticula': {'clinical finding': 'scattered colonic diverticula'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'bowel obstruction': {'clinical finding': 'bowel obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'descriptive_term': 'bowel', 'observation': 'obstruction'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}size_fin: [{'size': '12 mm', 'size_descriptor': 'thickness'}]anatomical entity_fin: {'lower uterine segment': {}}imaging observation_fin: ['enhancing']clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'postsurgical changes': {'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'}}clinical findings_fin: {'multiple pelvic fractures': {'clinical finding': 'multiple pelvic fractures', 'cf_snomed': {'multiple pelvic fractures': 263222005}, 'existence': 'pos_dx', 'descriptive_term': 'multiple pelvic', 'observation': 'fracture', 'quantity_term': 'multiple'}}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: anatomical entity_fin: {'lobe': {'location descriptor': 'upper'}, 'apices': {}}location descriptor_fin: ['upper']clinical findings_fin: {'upper lobe predominant emphysematous changes': {'clinical finding': 'upper lobe predominant emphysematous changes', 'existence': 'pos_dx', 'descriptive_term': 'upper lobe predominant emphysematous', 'observation': 'change'}, 'thickening': {'clinical finding': 'thickening', 'existence': 'pos_dx', 'observation': 'thickening'}}anatomical entity_fin: {'middle': {'location descriptor': 'right'}, 'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'postsurgical changes': {'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'}}anatomical entity_fin: {'heart': {}}clinical findings_fin: {'heart size is normal': {'clinical finding': 'heart size is normal'}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}clinical findings_fin: {'mediastinal lymphadenopathy': {'clinical finding': 'mediastinal lymphadenopathy', 'cf_snomed': {'mediastinal lymphadenopathy': 52324001}, 'existence': 'neg_dx', 'descriptive_term': 'mediastinal', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'segment 6 lesion': {'clinical finding': 'segment 6 lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'segment 6', 'observation': 'lesion'}}clinical findings_fin: {'segment 5 lesion': {'clinical finding': 'segment 5 lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'segment 5', 'observation': 'lesion'}}clinical findings_fin: {'new lesions': {'clinical finding': 'new lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'new', 'observation': 'lesion', 'temporal_term': 'new'}}anatomical entity_fin: {'portal veins': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'pos_dx', 'observation': 'patent'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'scattered colonic diverticula': {'clinical finding': 'scattered colonic diverticula'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'bowel obstruction': {'clinical finding': 'bowel obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'descriptive_term': 'bowel', 'observation': 'obstruction'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}size_fin: [{'size': '12 mm', 'size_descriptor': 'thickness'}]anatomical entity_fin: {'lower uterine segment': {}}imaging observation_fin: ['enhancing']clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'postsurgical changes': {'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'}}clinical findings_fin: {'multiple pelvic fractures': {'clinical finding': 'multiple pelvic fractures', 'cf_snomed': {'multiple pelvic fractures': 263222005}, 'existence': 'pos_dx', 'descriptive_term': 'multiple pelvic', 'observation': 'fracture', 'quantity_term': 'multiple'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . Upper lobe predominant emphysematous changes with pleural parenchymal thickening at the apices. There are postsurgical changes in the right middle lobe. Heart size is normal. No pericardial effusion. No mediastinal lymphadenopathy. No significant abnormality noted. Status post resection of the segment 6 lesion. The segment 5 lesion is unchanged. No new lesions. The hepatic and portal veins are patent. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Scattered colonic diverticula. No bowel obstruction. No significant abnormality noted. No significant abnormality noted. Endometrial thickness measures over 12 mm. There are enhancing fibroids in the lower uterine segment. No significant abnormality noted. No significant abnormality noted. Postsurgical changes in the rectosigmoid. Multiple pelvic fractures. No significant abnormality noted. </s>