. Demonstration of the new multifocal groundglass nodular opacities. Several are peripheral in location and a few demonstrate a more solid internal structure with a surrounding halo of groundglass. These are suggestive of atypical infection including aspergillosis as well as fungal etiologies. Small loculated right pleural effusion unchanged from the prior exam. Bronchial wall thickening redemonstrated. Left central venous catheter with its tip in the SVC. Cardiac size is normal. Small pericardial effusion slightly increased from the prior exam. Hypoattenuating blood pool compatible with anemia. Mildly prominent mediastinal lymph nodes. However, evaluation is limited without the use of IV contrast. None. Degenerative changes in the thoracic spine. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. No significant abnormality noted.
clinical findings_fin: {'new multifocal groundglass nodular opacities': {'clinical finding': 'new multifocal groundglass nodular opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'new multifocal groundglass nodular', 'observation': 'opacity', 'temporal_term': 'new'}}imaging observation_fin: ['halo']location descriptor_fin: ['peripheral']clinical findings_fin: {'more solid internal structure': {'clinical finding': 'more solid internal structure', 'existence': 'unc_dx', 'descriptive_term': 'more solid internal', 'observation': 'structure', 'quantity_term': 'more'}}clinical findings_fin: {'atypical infection': {'clinical finding': 'atypical infection', 'existence': 'unc_dx', 'descriptive_term': 'atypical', 'observation': 'infection'}, 'aspergillosis': {'clinical finding': 'aspergillosis', 'cf_snomed': {'aspergillosis': 65553006}, 'existence': 'unc_dx', 'observation': 'aspergillosis'}}location descriptor_fin: ['right']clinical findings_fin: {'small loculated right pleural effusion': {'clinical finding': 'small loculated right pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'small loculated right pleural', 'observation': 'effusion', 'strength_term': 'small'}}clinical findings_fin: {'wall thickening': {'clinical finding': 'wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'wall', 'observation': 'thickening'}}location descriptor_fin: ['left']object_fin: ['central venous catheter']clinical findings_fin: {'left central venous catheter': {'clinical finding': 'left central venous catheter', 'existence': 'pos_dx', 'descriptive_term': 'left central venous', 'observation': 'catheter'}}clinical findings_fin: {'cardiac size is normal': {'clinical finding': 'cardiac size is normal'}}clinical findings_fin: {'small pericardial effusion': {'clinical finding': 'small pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'pos_dx', 'descriptive_term': 'small pericardial', 'observation': 'effusion', 'strength_term': 'small'}}imaging observation_fin: ['blood']clinical findings_fin: {'hypoattenuating blood pool': {'clinical finding': 'hypoattenuating blood pool', 'existence': 'pos_dx', 'descriptive_term': 'hypoattenuating blood', 'observation': 'pool'}, 'anemia': {'clinical finding': 'anemia', 'cf_snomed': {'anemia': 271737000}, 'existence': 'pos_dx', 'observation': 'anemia'}}anatomical entity_fin: {'mediastinal lymph nodes': {}}clinical findings_fin: {'mildly prominent mediastinal lymph nodes': {'clinical finding': 'mildly prominent mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'mildly prominent mediastinal lymph', 'observation': 'node', 'strength_term': 'mildly - prominent'}}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: {'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: {'new multifocal groundglass nodular opacities': {'clinical finding': 'new multifocal groundglass nodular opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'new multifocal groundglass nodular', 'observation': 'opacity', 'temporal_term': 'new'}}imaging observation_fin: ['halo']location descriptor_fin: ['peripheral']clinical findings_fin: {'more solid internal structure': {'clinical finding': 'more solid internal structure', 'existence': 'unc_dx', 'descriptive_term': 'more solid internal', 'observation': 'structure', 'quantity_term': 'more'}}clinical findings_fin: {'atypical infection': {'clinical finding': 'atypical infection', 'existence': 'unc_dx', 'descriptive_term': 'atypical', 'observation': 'infection'}, 'aspergillosis': {'clinical finding': 'aspergillosis', 'cf_snomed': {'aspergillosis': 65553006}, 'existence': 'unc_dx', 'observation': 'aspergillosis'}}location descriptor_fin: ['right']clinical findings_fin: {'small loculated right pleural effusion': {'clinical finding': 'small loculated right pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'small loculated right pleural', 'observation': 'effusion', 'strength_term': 'small'}}clinical findings_fin: {'wall thickening': {'clinical finding': 'wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'wall', 'observation': 'thickening'}}location descriptor_fin: ['left']object_fin: ['central venous catheter']clinical findings_fin: {'left central venous catheter': {'clinical finding': 'left central venous catheter', 'existence': 'pos_dx', 'descriptive_term': 'left central venous', 'observation': 'catheter'}}clinical findings_fin: {'cardiac size is normal': {'clinical finding': 'cardiac size is normal'}}clinical findings_fin: {'small pericardial effusion': {'clinical finding': 'small pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'pos_dx', 'descriptive_term': 'small pericardial', 'observation': 'effusion', 'strength_term': 'small'}}imaging observation_fin: ['blood']clinical findings_fin: {'hypoattenuating blood pool': {'clinical finding': 'hypoattenuating blood pool', 'existence': 'pos_dx', 'descriptive_term': 'hypoattenuating blood', 'observation': 'pool'}, 'anemia': {'clinical finding': 'anemia', 'cf_snomed': {'anemia': 271737000}, 'existence': 'pos_dx', 'observation': 'anemia'}}anatomical entity_fin: {'mediastinal lymph nodes': {}}clinical findings_fin: {'mildly prominent mediastinal lymph nodes': {'clinical finding': 'mildly prominent mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'mildly prominent mediastinal lymph', 'observation': 'node', 'strength_term': 'mildly - prominent'}}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: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . Demonstration of the new multifocal groundglass nodular opacities. Several are peripheral in location and a few demonstrate a more solid internal structure with a surrounding halo of groundglass. These are suggestive of atypical infection including aspergillosis as well as fungal etiologies. Small loculated right pleural effusion unchanged from the prior exam. Bronchial wall thickening redemonstrated. Left central venous catheter with its tip in the SVC. Cardiac size is normal. Small pericardial effusion slightly increased from the prior exam. Hypoattenuating blood pool compatible with anemia. Mildly prominent mediastinal lymph nodes. However, evaluation is limited without the use of IV contrast. None. Degenerative changes in the thoracic spine. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. No significant abnormality noted. </s>