. The left main coronary artery arises normally from the left sinus of valsalva, takes a tortuous course and bifurcates into the left anterior descending and left circumflex coronary arteries. There are no significant stenoses present in the left main. The left anterior descending coronary artery courses normally in the anterior interventricular groove, one large bifurcating diagonal and septal branches. There are no significant stenoses in the LAD. There is tortuosity of the LAD and its branches. The left circumflex coronary artery is a non-dominant tortuous artery, coursing normally in the left AV groove. It gives rise to a bifurcating proximal obtuse marginal and a second large OM2 before terminating in the posterior AV groove. There are no significant stenoses in the LCx. The right coronary artery is large and arises normally from the right sinus of valsalva. It is the dominant coronary artery supplying a posterior descending artery and a posterolateral branch. The right coronary ery and posterior descending arteries are tortuous without significant stenoses. The left ventricle is normal in size. Visually the right ventricular late diastolic volume is within normal limits. Visually, the left atrial volume appears to be normal in size. There are 3 distinct right pulmonary veins and 2 left pulmonary veins which drain normally into the left atrium. There is no evidence of left atrial appendage thrombus. The right atrial volume appears to be normal in size. The superior and inferior vena cavae are grossly normal. The coronary sinus is normal in size. There is no calcification on the aortic or mitral valves. The visualized portions of the thoracic aorta demonstrate no evidence of dissection or aneurysm. The aortic arch is not included in the field-of-view. The main pulmonary artery is normal in size. The pericardium is normal in thickness. There is no pericardial effusion. There is limited visualization of the lungs in the X, Y and Z axis directions. Within the central portions of the visualized lungs, there is evidence of mild centrilobular and paraseptal emphysema.
anatomical entity_fin: {'coronary artery': {}, 'circumflex coronary arteries': {'location descriptor': 'left'}}location descriptor_fin: ['left', 'anterior']clinical findings_fin: {'tortuous': {'clinical finding': 'tortuous', 'existence': 'pos_dx', 'observation': 'tortuous'}}location descriptor_fin: ['left']clinical findings_fin: {'significant stenoses': {'clinical finding': 'significant stenoses', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'stenoses'}}anatomical entity_fin: {'coronary artery': {}}location descriptor_fin: ['left', 'anterior']clinical findings_fin: {'significant stenoses': {'clinical finding': 'significant stenoses', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'stenoses'}}anatomical entity_fin: {'circumflex coronary artery': {'location descriptor': 'left'}, 'artery': {}}location descriptor_fin: ['left']clinical findings_fin: {'non-dominant tortuous': {'clinical finding': 'non-dominant tortuous', 'existence': 'pos_dx', 'descriptive_term': 'non-dominant', 'observation': 'tortuous'}}location descriptor_fin: ['proximal', 'posterior']clinical findings_fin: {'second large om2': {'clinical finding': 'second large om2', 'existence': 'pos_dx', 'descriptive_term': 'second large', 'observation': 'om2', 'strength_term': 'large'}}clinical findings_fin: {'significant stenoses': {'clinical finding': 'significant stenoses', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'stenoses'}}anatomical entity_fin: {'right coronary artery': {}}location descriptor_fin: ['right']anatomical entity_fin: {'coronary artery': {}, 'posterior descending artery': {}}anatomical entity_fin: {'posterior descending arteries': {}}location descriptor_fin: ['right']clinical findings_fin: {'tortuous': {'clinical finding': 'tortuous', 'existence': 'pos_dx', 'observation': 'tortuous'}, 'significant stenoses': {'clinical finding': 'significant stenoses', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'stenoses'}}anatomical entity_fin: {'left ventricle': {}}clinical findings_fin: {'left ventricle is normal in size': {'clinical finding': 'left ventricle is normal in size'}}location descriptor_fin: ['right']clinical findings_fin: {'right ventricular late diastolic volume': {'clinical finding': 'right ventricular late diastolic volume', 'existence': 'pos_dx', 'descriptive_term': 'right ventricular late diastolic', 'observation': 'volume'}}location descriptor_fin: ['left']clinical findings_fin: {'left atrial volume': {'clinical finding': 'left atrial volume', 'existence': 'pos_dx', 'descriptive_term': 'left atrial', 'observation': 'volume'}}anatomical entity_fin: {'pulmonary veins': {'location descriptor': 'left'}, 'left atrium': {}}location descriptor_fin: ['right', 'left']clinical findings_fin: {'are 3 distinct right pulmonary veins and 2 left pulmonary veins': {'clinical finding': 'are 3 distinct right pulmonary veins and 2 left pulmonary veins'}}anatomical entity_fin: {'left atrial appendage': {}}clinical findings_fin: {'left atrial appendage thrombus': {'clinical finding': 'left atrial appendage thrombus', 'cf_snomed': {'thrombus': 396339007}, 'existence': 'neg_dx', 'descriptive_term': 'left atrial appendage', 'observation': 'thrombus'}}location descriptor_fin: ['right']clinical findings_fin: {'right atrial volume': {'clinical finding': 'right atrial volume', 'existence': 'pos_dx', 'descriptive_term': 'right atrial', 'observation': 'volume'}}location descriptor_fin: ['superior', 'inferior']clinical findings_fin: {'superior and inferior vena cavae are grossly normal': {'clinical finding': 'superior and inferior vena cavae are grossly normal'}}anatomical entity_fin: {'coronary sinus': {}}clinical findings_fin: {'coronary sinus is normal in size': {'clinical finding': 'coronary sinus is normal in size', 'cf_snomed': {'sinus': 419351001}}}anatomical entity_fin: {'mitral valves': {}}clinical findings_fin: {'calcification': {'clinical finding': 'calcification', 'existence': 'neg_dx', 'observation': 'calcification'}}anatomical entity_fin: {'thoracic aorta': {}}clinical findings_fin: {'dissection': {'clinical finding': 'dissection', 'existence': 'neg_dx', 'observation': 'dissection'}, 'aneurysm': {'clinical finding': 'aneurysm', 'cf_snomed': {'aneurysm': 432119003}, 'existence': 'neg_dx', 'observation': 'aneurysm'}}anatomical entity_fin: {'aortic arch': {}}clinical findings_fin: {'not included in the field - of - view': {'clinical finding': 'not included in the field - of - view'}}anatomical entity_fin: {'main pulmonary artery': {}}clinical findings_fin: {'main pulmonary artery is normal in size': {'clinical finding': 'main pulmonary artery is normal in size'}}anatomical entity_fin: {'pericardium': {}}clinical findings_fin: {'pericardium is normal in thickness': {'clinical finding': 'pericardium is normal in thickness'}}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: {'lungs': {}, 'axis': {}}clinical findings_fin: {'is limited visualization of the lungs in the x , y and z axis directions': {'clinical finding': 'is limited visualization of the lungs in the x , y and z axis directions'}}anatomical entity_fin: {'lungs': {}}location descriptor_fin: ['central', 'centrilobular']clinical findings_fin: {'mild centrilobular and paraseptal emphysema': {'clinical finding': 'mild centrilobular and paraseptal emphysema', 'cf_snomed': {'paraseptal emphysema': 31898008}, 'existence': 'pos_dx', 'descriptive_term': 'mild centrilobular and paraseptal', 'observation': 'emphysema', 'strength_term': 'mild'}}
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'coronary artery': {}, 'circumflex coronary arteries': {'location descriptor': 'left'}}location descriptor_fin: ['left', 'anterior']clinical findings_fin: {'tortuous': {'clinical finding': 'tortuous', 'existence': 'pos_dx', 'observation': 'tortuous'}}location descriptor_fin: ['left']clinical findings_fin: {'significant stenoses': {'clinical finding': 'significant stenoses', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'stenoses'}}anatomical entity_fin: {'coronary artery': {}}location descriptor_fin: ['left', 'anterior']clinical findings_fin: {'significant stenoses': {'clinical finding': 'significant stenoses', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'stenoses'}}anatomical entity_fin: {'circumflex coronary artery': {'location descriptor': 'left'}, 'artery': {}}location descriptor_fin: ['left']clinical findings_fin: {'non-dominant tortuous': {'clinical finding': 'non-dominant tortuous', 'existence': 'pos_dx', 'descriptive_term': 'non-dominant', 'observation': 'tortuous'}}location descriptor_fin: ['proximal', 'posterior']clinical findings_fin: {'second large om2': {'clinical finding': 'second large om2', 'existence': 'pos_dx', 'descriptive_term': 'second large', 'observation': 'om2', 'strength_term': 'large'}}clinical findings_fin: {'significant stenoses': {'clinical finding': 'significant stenoses', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'stenoses'}}anatomical entity_fin: {'right coronary artery': {}}location descriptor_fin: ['right']anatomical entity_fin: {'coronary artery': {}, 'posterior descending artery': {}}anatomical entity_fin: {'posterior descending arteries': {}}location descriptor_fin: ['right']clinical findings_fin: {'tortuous': {'clinical finding': 'tortuous', 'existence': 'pos_dx', 'observation': 'tortuous'}, 'significant stenoses': {'clinical finding': 'significant stenoses', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'stenoses'}}anatomical entity_fin: {'left ventricle': {}}clinical findings_fin: {'left ventricle is normal in size': {'clinical finding': 'left ventricle is normal in size'}}location descriptor_fin: ['right']clinical findings_fin: {'right ventricular late diastolic volume': {'clinical finding': 'right ventricular late diastolic volume', 'existence': 'pos_dx', 'descriptive_term': 'right ventricular late diastolic', 'observation': 'volume'}}location descriptor_fin: ['left']clinical findings_fin: {'left atrial volume': {'clinical finding': 'left atrial volume', 'existence': 'pos_dx', 'descriptive_term': 'left atrial', 'observation': 'volume'}}anatomical entity_fin: {'pulmonary veins': {'location descriptor': 'left'}, 'left atrium': {}}location descriptor_fin: ['right', 'left']clinical findings_fin: {'are 3 distinct right pulmonary veins and 2 left pulmonary veins': {'clinical finding': 'are 3 distinct right pulmonary veins and 2 left pulmonary veins'}}anatomical entity_fin: {'left atrial appendage': {}}clinical findings_fin: {'left atrial appendage thrombus': {'clinical finding': 'left atrial appendage thrombus', 'cf_snomed': {'thrombus': 396339007}, 'existence': 'neg_dx', 'descriptive_term': 'left atrial appendage', 'observation': 'thrombus'}}location descriptor_fin: ['right']clinical findings_fin: {'right atrial volume': {'clinical finding': 'right atrial volume', 'existence': 'pos_dx', 'descriptive_term': 'right atrial', 'observation': 'volume'}}location descriptor_fin: ['superior', 'inferior']clinical findings_fin: {'superior and inferior vena cavae are grossly normal': {'clinical finding': 'superior and inferior vena cavae are grossly normal'}}anatomical entity_fin: {'coronary sinus': {}}clinical findings_fin: {'coronary sinus is normal in size': {'clinical finding': 'coronary sinus is normal in size', 'cf_snomed': {'sinus': 419351001}}}anatomical entity_fin: {'mitral valves': {}}clinical findings_fin: {'calcification': {'clinical finding': 'calcification', 'existence': 'neg_dx', 'observation': 'calcification'}}anatomical entity_fin: {'thoracic aorta': {}}clinical findings_fin: {'dissection': {'clinical finding': 'dissection', 'existence': 'neg_dx', 'observation': 'dissection'}, 'aneurysm': {'clinical finding': 'aneurysm', 'cf_snomed': {'aneurysm': 432119003}, 'existence': 'neg_dx', 'observation': 'aneurysm'}}anatomical entity_fin: {'aortic arch': {}}clinical findings_fin: {'not included in the field - of - view': {'clinical finding': 'not included in the field - of - view'}}anatomical entity_fin: {'main pulmonary artery': {}}clinical findings_fin: {'main pulmonary artery is normal in size': {'clinical finding': 'main pulmonary artery is normal in size'}}anatomical entity_fin: {'pericardium': {}}clinical findings_fin: {'pericardium is normal in thickness': {'clinical finding': 'pericardium is normal in thickness'}}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: {'lungs': {}, 'axis': {}}clinical findings_fin: {'is limited visualization of the lungs in the x , y and z axis directions': {'clinical finding': 'is limited visualization of the lungs in the x , y and z axis directions'}}anatomical entity_fin: {'lungs': {}}location descriptor_fin: ['central', 'centrilobular']clinical findings_fin: {'mild centrilobular and paraseptal emphysema': {'clinical finding': 'mild centrilobular and paraseptal emphysema', 'cf_snomed': {'paraseptal emphysema': 31898008}, 'existence': 'pos_dx', 'descriptive_term': 'mild centrilobular and paraseptal', 'observation': 'emphysema', 'strength_term': 'mild'}} [/INST] . The left main coronary artery arises normally from the left sinus of valsalva, takes a tortuous course and bifurcates into the left anterior descending and left circumflex coronary arteries. There are no significant stenoses present in the left main. The left anterior descending coronary artery courses normally in the anterior interventricular groove, one large bifurcating diagonal and septal branches. There are no significant stenoses in the LAD. There is tortuosity of the LAD and its branches. The left circumflex coronary artery is a non-dominant tortuous artery, coursing normally in the left AV groove. It gives rise to a bifurcating proximal obtuse marginal and a second large OM2 before terminating in the posterior AV groove. There are no significant stenoses in the LCx. The right coronary artery is large and arises normally from the right sinus of valsalva. It is the dominant coronary artery supplying a posterior descending artery and a posterolateral branch. The right coronary ery and posterior descending arteries are tortuous without significant stenoses. The left ventricle is normal in size. Visually the right ventricular late diastolic volume is within normal limits. Visually, the left atrial volume appears to be normal in size. There are 3 distinct right pulmonary veins and 2 left pulmonary veins which drain normally into the left atrium. There is no evidence of left atrial appendage thrombus. The right atrial volume appears to be normal in size. The superior and inferior vena cavae are grossly normal. The coronary sinus is normal in size. There is no calcification on the aortic or mitral valves. The visualized portions of the thoracic aorta demonstrate no evidence of dissection or aneurysm. The aortic arch is not included in the field-of-view. The main pulmonary artery is normal in size. The pericardium is normal in thickness. There is no pericardial effusion. There is limited visualization of the lungs in the X, Y and Z axis directions. Within the central portions of the visualized lungs, there is evidence of mild centrilobular and paraseptal emphysema. </s>