. Interval decrease in the known left upper lobe nodule now measuring 14 mm x 24 mm previously measuring 15 mm x 31 mm. There is increased septal thickening, interstitial edema, and left apical scarring compatible with post radiation changes. New loculated left pleural effusion posteriorly in the left upper lobe. Stable centrilobular and paraseptal emphysema. No new pulmonary lesions identified. No hilar mediastinal lymphadenopathy. Cardiac size is normal without evidence of a pericardial effusion. Mild. No significant abnormality noted. Absence of enteric contrast material limits sensitivity for abdominal pathology. No significant abnormality noted. Splenic calcification. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Absence of enteric contrast material limits sensitivity for GI pathology. No gross abnormalities noted. No significant abnormality noted. Mild aneurysmal dilatation of the distal abdominal aorta with atherosclerotic changes of the aorta and iliac arteries.
size_fin: [{'size': '14 mm x 24 mm'}, {'size': '15 mm x 31 mm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'known left upper lobe nodule': {'clinical finding': 'known left upper lobe nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'known left upper lobe', 'observation': 'nodule'}}imaging observation_fin: ['apical']location descriptor_fin: ['left']clinical findings_fin: {'increased septal thickening': {'clinical finding': 'increased septal thickening', 'existence': 'pos_dx', 'descriptive_term': 'increased septal', 'observation': 'thickening', 'strength_term': 'increased', 'change_term': 'increased'}, 'interstitial edema': {'clinical finding': 'interstitial edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'descriptive_term': 'interstitial', 'observation': 'edema'}, 'left apical scarring': {'clinical finding': 'left apical scarring', 'existence': 'pos_dx', 'descriptive_term': 'left apical', 'observation': 'scarr'}, 'post radiation changes': {'clinical finding': 'post radiation changes', 'existence': 'pos_dx', 'descriptive_term': 'post radiation', 'observation': 'change'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'new loculated left pleural effusion': {'clinical finding': 'new loculated left pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'new loculated left pleural', 'observation': 'effusion', 'temporal_term': 'new'}}location descriptor_fin: ['centrilobular']clinical findings_fin: {'stable centrilobular and paraseptal emphysema': {'clinical finding': 'stable centrilobular and paraseptal emphysema', 'cf_snomed': {'paraseptal emphysema': 31898008}, 'existence': 'pos_dx', 'descriptive_term': 'stable centrilobular and paraseptal', 'observation': 'emphysema', 'strength_term': 'stable', 'change_term': 'stable'}}clinical findings_fin: {'new pulmonary lesions': {'clinical finding': 'new pulmonary lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'new pulmonary', 'observation': 'lesion', 'temporal_term': 'new'}}clinical findings_fin: {'hilar mediastinal lymphadenopathy': {'clinical finding': 'hilar mediastinal lymphadenopathy', 'cf_snomed': {'mediastinal lymphadenopathy': 52324001}, 'existence': 'neg_dx', 'descriptive_term': 'hilar mediastinal', 'observation': 'lymphadenopathy'}}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: {'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': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'splenic calcification': {'clinical finding': 'splenic calcification', 'existence': 'pos_dx', 'descriptive_term': 'splenic', 'observation': 'calcification'}}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: {'gi': {'clinical finding': 'gi', 'existence': 'unc_dx', 'observation': 'gi'}}clinical findings_fin: {'gross abnormalities': {'clinical finding': 'gross abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'gross', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'abdominal aorta': {'location descriptor': 'distal'}, 'aorta': {}, 'arteries': {}}location descriptor_fin: ['distal']clinical findings_fin: {'mild aneurysmal dilatation': {'clinical finding': 'mild aneurysmal dilatation', 'cf_snomed': {'dilatation': 25322007}, 'existence': 'pos_dx', 'descriptive_term': 'mild aneurysmal', 'observation': 'dilatation', 'strength_term': 'mild'}, 'atherosclerotic changes': {'clinical finding': 'atherosclerotic changes', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'change'}}
<s>[INST] Write the finding section for a radiology report based on the following information: size_fin: [{'size': '14 mm x 24 mm'}, {'size': '15 mm x 31 mm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'known left upper lobe nodule': {'clinical finding': 'known left upper lobe nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'known left upper lobe', 'observation': 'nodule'}}imaging observation_fin: ['apical']location descriptor_fin: ['left']clinical findings_fin: {'increased septal thickening': {'clinical finding': 'increased septal thickening', 'existence': 'pos_dx', 'descriptive_term': 'increased septal', 'observation': 'thickening', 'strength_term': 'increased', 'change_term': 'increased'}, 'interstitial edema': {'clinical finding': 'interstitial edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'descriptive_term': 'interstitial', 'observation': 'edema'}, 'left apical scarring': {'clinical finding': 'left apical scarring', 'existence': 'pos_dx', 'descriptive_term': 'left apical', 'observation': 'scarr'}, 'post radiation changes': {'clinical finding': 'post radiation changes', 'existence': 'pos_dx', 'descriptive_term': 'post radiation', 'observation': 'change'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'new loculated left pleural effusion': {'clinical finding': 'new loculated left pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'new loculated left pleural', 'observation': 'effusion', 'temporal_term': 'new'}}location descriptor_fin: ['centrilobular']clinical findings_fin: {'stable centrilobular and paraseptal emphysema': {'clinical finding': 'stable centrilobular and paraseptal emphysema', 'cf_snomed': {'paraseptal emphysema': 31898008}, 'existence': 'pos_dx', 'descriptive_term': 'stable centrilobular and paraseptal', 'observation': 'emphysema', 'strength_term': 'stable', 'change_term': 'stable'}}clinical findings_fin: {'new pulmonary lesions': {'clinical finding': 'new pulmonary lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'new pulmonary', 'observation': 'lesion', 'temporal_term': 'new'}}clinical findings_fin: {'hilar mediastinal lymphadenopathy': {'clinical finding': 'hilar mediastinal lymphadenopathy', 'cf_snomed': {'mediastinal lymphadenopathy': 52324001}, 'existence': 'neg_dx', 'descriptive_term': 'hilar mediastinal', 'observation': 'lymphadenopathy'}}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: {'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': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'splenic calcification': {'clinical finding': 'splenic calcification', 'existence': 'pos_dx', 'descriptive_term': 'splenic', 'observation': 'calcification'}}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: {'gi': {'clinical finding': 'gi', 'existence': 'unc_dx', 'observation': 'gi'}}clinical findings_fin: {'gross abnormalities': {'clinical finding': 'gross abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'gross', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'abdominal aorta': {'location descriptor': 'distal'}, 'aorta': {}, 'arteries': {}}location descriptor_fin: ['distal']clinical findings_fin: {'mild aneurysmal dilatation': {'clinical finding': 'mild aneurysmal dilatation', 'cf_snomed': {'dilatation': 25322007}, 'existence': 'pos_dx', 'descriptive_term': 'mild aneurysmal', 'observation': 'dilatation', 'strength_term': 'mild'}, 'atherosclerotic changes': {'clinical finding': 'atherosclerotic changes', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'change'}} [/INST] . Interval decrease in the known left upper lobe nodule now measuring 14 mm x 24 mm previously measuring 15 mm x 31 mm. There is increased septal thickening, interstitial edema, and left apical scarring compatible with post radiation changes. New loculated left pleural effusion posteriorly in the left upper lobe. Stable centrilobular and paraseptal emphysema. No new pulmonary lesions identified. No hilar mediastinal lymphadenopathy. Cardiac size is normal without evidence of a pericardial effusion. Mild. No significant abnormality noted. Absence of enteric contrast material limits sensitivity for abdominal pathology. No significant abnormality noted. Splenic calcification. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Absence of enteric contrast material limits sensitivity for GI pathology. No gross abnormalities noted. No significant abnormality noted. Mild aneurysmal dilatation of the distal abdominal aorta with atherosclerotic changes of the aorta and iliac arteries. </s>