. Severe upper lobe predominant centrilobular emphysema. Left upper lobe postsurgical changes redemonstrated. New linear area of scarring or discoid atelectasis in the right upper lobe. Calcified granuloma in the left lower lobe. No suspicious pulmonary nodules or masses. No pleural effusions. No hilar or mediastinal lymphadenopathy. Cardiac size is normal without evidence of pericardial effusion. Moderate. Degenerative changes in the thoracic spine. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. Splenic calcification compatible with prior granulomatous disease.
anatomical entity_fin: {'lobe': {'location descriptor': 'upper'}}location descriptor_fin: ['upper']clinical findings_fin: {'severe upper lobe predominant centrilobular emphysema': {'clinical finding': 'severe upper lobe predominant centrilobular emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'descriptive_term': 'severe upper lobe predominant centrilobular', 'observation': 'emphysema', 'strength_term': 'severe'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'left upper lobe postsurgical changes': {'clinical finding': 'left upper lobe postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'left upper lobe postsurgical', 'observation': 'change'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right upper'}}location descriptor_fin: ['right', 'upper']clinical findings_fin: {'scarring': {'clinical finding': 'scarring', 'existence': 'unc_dx', 'observation': 'scarr'}, 'discoid atelectasis': {'clinical finding': 'discoid atelectasis', 'cf_snomed': {'discoid atelectasis': 40779009}, 'existence': 'unc_dx', 'descriptive_term': 'discoid', 'observation': 'atelectasis'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'calcified granuloma': {'clinical finding': 'calcified granuloma', 'cf_snomed': {'calcified granuloma': 48391002}, 'existence': 'pos_dx', 'descriptive_term': 'calcified', 'observation': 'granuloma', 'change_term': 'calcified'}}clinical findings_fin: {'suspicious pulmonary nodules': {'clinical finding': 'suspicious pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious pulmonary', 'observation': 'nodule'}, 'masses': {'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass'}}clinical findings_fin: {'pleural effusions': {'clinical finding': 'pleural effusions', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}}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'}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'degenerative changes': {'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'splenic calcification': {'clinical finding': 'splenic calcification', 'existence': 'pos_dx', 'descriptive_term': 'splenic', 'observation': 'calcification'}, 'prior granulomatous disease': {'clinical finding': 'prior granulomatous disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'prior granulomatous', 'observation': 'disease'}}
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'lobe': {'location descriptor': 'upper'}}location descriptor_fin: ['upper']clinical findings_fin: {'severe upper lobe predominant centrilobular emphysema': {'clinical finding': 'severe upper lobe predominant centrilobular emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'descriptive_term': 'severe upper lobe predominant centrilobular', 'observation': 'emphysema', 'strength_term': 'severe'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'left upper lobe postsurgical changes': {'clinical finding': 'left upper lobe postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'left upper lobe postsurgical', 'observation': 'change'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right upper'}}location descriptor_fin: ['right', 'upper']clinical findings_fin: {'scarring': {'clinical finding': 'scarring', 'existence': 'unc_dx', 'observation': 'scarr'}, 'discoid atelectasis': {'clinical finding': 'discoid atelectasis', 'cf_snomed': {'discoid atelectasis': 40779009}, 'existence': 'unc_dx', 'descriptive_term': 'discoid', 'observation': 'atelectasis'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'calcified granuloma': {'clinical finding': 'calcified granuloma', 'cf_snomed': {'calcified granuloma': 48391002}, 'existence': 'pos_dx', 'descriptive_term': 'calcified', 'observation': 'granuloma', 'change_term': 'calcified'}}clinical findings_fin: {'suspicious pulmonary nodules': {'clinical finding': 'suspicious pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious pulmonary', 'observation': 'nodule'}, 'masses': {'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass'}}clinical findings_fin: {'pleural effusions': {'clinical finding': 'pleural effusions', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}}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'}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'degenerative changes': {'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'splenic calcification': {'clinical finding': 'splenic calcification', 'existence': 'pos_dx', 'descriptive_term': 'splenic', 'observation': 'calcification'}, 'prior granulomatous disease': {'clinical finding': 'prior granulomatous disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'prior granulomatous', 'observation': 'disease'}} [/INST] . Severe upper lobe predominant centrilobular emphysema. Left upper lobe postsurgical changes redemonstrated. New linear area of scarring or discoid atelectasis in the right upper lobe. Calcified granuloma in the left lower lobe. No suspicious pulmonary nodules or masses. No pleural effusions. No hilar or mediastinal lymphadenopathy. Cardiac size is normal without evidence of pericardial effusion. Moderate. Degenerative changes in the thoracic spine. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. Splenic calcification compatible with prior granulomatous disease. </s>