. Suboptimal contrast opacification and severe motion artifact both from patient respiration and tachycardia limit evaluation. Chronic thrombus in branches of the right descending pulmonary artery and left lower lobe pulmonary artery are less well visualized on the current examination but appear similar. No filling defects are identified within the main pulmonary arteries. The presence of emboli beyond the lobar level cannot be excluded by this study. Mosaic attenuation of the lung parenchyma consistent with chronic thromboembolic disease. Basilar scarring bilaterally. No new focal opacities. No pleural fluid or signs of pulmonary edema. Cardiomegaly unchanged. Increase in volume of pericardial fluid, now moderate. Straightening of the intraventricular septum consistent with right heart strain. Coronary artery calcifications again noted. Prominent axillary lymph nodes not significantly changed. Within the lateral aspect of the left breast, a new solid soft tissue lesion measuring approximately 4.1-cm in AP dimension is incompletely visualized. This is of unclear etiology and may be correlated with mammography and physical examination. Numerous fluid-filled cystic lesions in the left breast could reflect dilated ducts, nonspecific. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. Limited scanning range. Unchanged cyst-like lesion in the upper pole the left kidney, incompletely characterized. Splenulus and small lymph nodes unchanged.
artifact_fin: ['motion artifact']clinical findings_fin: {'suboptimal contrast opacification': {'clinical finding': 'suboptimal contrast opacification', 'existence': 'pos_dx', 'descriptive_term': 'suboptimal contrast', 'observation': 'opacification'}, 'severe motion artifact': {'clinical finding': 'severe motion artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'pos_dx', 'descriptive_term': 'severe motion', 'observation': 'artifact', 'strength_term': 'severe'}}anatomical entity_fin: {'pulmonary artery': {}, 'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['right', 'left', 'lower']clinical findings_fin: {'chronic thrombus': {'clinical finding': 'chronic thrombus', 'cf_snomed': {'thrombus': 396339007}, 'existence': 'pos_dx', 'descriptive_term': 'chronic', 'observation': 'thrombus', 'temporal_term': 'chronic'}}anatomical entity_fin: {'main pulmonary arteries': {}}clinical findings_fin: {'filling defects': {'clinical finding': 'filling defects', 'cf_snomed': {'filling defect': 43468004}, 'existence': 'neg_dx', 'descriptive_term': 'filling', 'observation': 'defect'}}clinical findings_fin: {'emboli': {'clinical finding': 'emboli', 'existence': 'unc_dx', 'observation': 'emboli'}}anatomical entity_fin: {'lung parenchyma': {}}clinical findings_fin: {'mosaic attenuation': {'clinical finding': 'mosaic attenuation', 'existence': 'pos_dx', 'descriptive_term': 'mosaic', 'observation': 'attenuation'}, 'chronic thromboembolic disease': {'clinical finding': 'chronic thromboembolic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'chronic thromboembolic', 'observation': 'disease', 'temporal_term': 'chronic'}}clinical findings_fin: {'basilar scarring': {'clinical finding': 'basilar scarring', 'existence': 'pos_dx', 'descriptive_term': 'basilar', 'observation': 'scarr'}}clinical findings_fin: {'new focal opacities': {'clinical finding': 'new focal opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'neg_dx', 'descriptive_term': 'new focal', 'observation': 'opacity', 'temporal_term': 'new'}}clinical findings_fin: {'pleural fluid': {'clinical finding': 'pleural fluid', 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'fluid'}, 'pulmonary edema': {'clinical finding': 'pulmonary edema', 'cf_snomed': {'pulmonary edema': 19242006}, 'existence': 'neg_dx', 'descriptive_term': 'pulmonary', 'observation': 'edema'}}clinical findings_fin: {'cardiomegaly': {'clinical finding': 'cardiomegaly', 'cf_snomed': {'cardiomegaly': 8186001}, 'existence': 'pos_dx', 'observation': 'cardiomegaly'}}anatomical entity_fin: {'fluid': {}}anatomical entity_fin: {'heart': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'right heart strain': {'clinical finding': 'right heart strain', 'existence': 'pos_dx', 'descriptive_term': 'right heart', 'observation': 'strain'}}clinical findings_fin: {'coronary artery calcifications': {'clinical finding': 'coronary artery calcifications', 'existence': 'pos_dx', 'descriptive_term': 'coronary artery', 'observation': 'calcification'}}anatomical entity_fin: {'axillary lymph nodes': {}}clinical findings_fin: {'prominent axillary lymph nodes': {'clinical finding': 'prominent axillary lymph nodes', 'existence': 'neg_dx', 'descriptive_term': 'prominent axillary lymph', 'observation': 'node', 'strength_term': 'prominent'}}size_fin: [{'size': '4.1-cm'}]anatomical entity_fin: {'breast': {'location descriptor': 'left'}}location descriptor_fin: ['lateral', 'left']clinical findings_fin: {'new solid soft tissue lesion': {'clinical finding': 'new solid soft tissue lesion', 'cf_snomed': {'soft tissue lesion': 239953001}, 'existence': 'pos_dx', 'descriptive_term': 'new solid soft tissue', 'observation': 'lesion', 'temporal_term': 'new'}}imaging modality_fin: ['mammography']anatomical entity_fin: {'fluid': {}, 'breast': {'location descriptor': 'left'}, 'ducts': {}}location descriptor_fin: ['left']clinical findings_fin: {'numerous fluid-filled cystic lesions': {'clinical finding': 'numerous fluid-filled cystic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'numerous fluid-filled cystic', 'observation': 'lesion', 'quantity_term': 'numerous', 'change_term': 'filled'}, 'dilated': {'clinical finding': 'dilated', 'existence': 'unc_dx', 'observation': 'dilated'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}anatomical entity_fin: {'pole': {'location descriptor': 'upper'}, 'left kidney': {}}location descriptor_fin: ['upper']clinical findings_fin: {'unchanged cyst-like lesion': {'clinical finding': 'unchanged cyst-like lesion', 'cf_snomed': {'cyst': 441457006, 'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'unchanged cyst-like', 'observation': 'lesion', 'strength_term': 'unchanged', 'change_term': 'unchanged'}}clinical findings_fin: {'small lymph nodes': {'clinical finding': 'small lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small lymph', 'observation': 'node', 'strength_term': 'small'}}
<s>[INST] Write the finding section for a radiology report based on the following information: artifact_fin: ['motion artifact']clinical findings_fin: {'suboptimal contrast opacification': {'clinical finding': 'suboptimal contrast opacification', 'existence': 'pos_dx', 'descriptive_term': 'suboptimal contrast', 'observation': 'opacification'}, 'severe motion artifact': {'clinical finding': 'severe motion artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'pos_dx', 'descriptive_term': 'severe motion', 'observation': 'artifact', 'strength_term': 'severe'}}anatomical entity_fin: {'pulmonary artery': {}, 'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['right', 'left', 'lower']clinical findings_fin: {'chronic thrombus': {'clinical finding': 'chronic thrombus', 'cf_snomed': {'thrombus': 396339007}, 'existence': 'pos_dx', 'descriptive_term': 'chronic', 'observation': 'thrombus', 'temporal_term': 'chronic'}}anatomical entity_fin: {'main pulmonary arteries': {}}clinical findings_fin: {'filling defects': {'clinical finding': 'filling defects', 'cf_snomed': {'filling defect': 43468004}, 'existence': 'neg_dx', 'descriptive_term': 'filling', 'observation': 'defect'}}clinical findings_fin: {'emboli': {'clinical finding': 'emboli', 'existence': 'unc_dx', 'observation': 'emboli'}}anatomical entity_fin: {'lung parenchyma': {}}clinical findings_fin: {'mosaic attenuation': {'clinical finding': 'mosaic attenuation', 'existence': 'pos_dx', 'descriptive_term': 'mosaic', 'observation': 'attenuation'}, 'chronic thromboembolic disease': {'clinical finding': 'chronic thromboembolic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'chronic thromboembolic', 'observation': 'disease', 'temporal_term': 'chronic'}}clinical findings_fin: {'basilar scarring': {'clinical finding': 'basilar scarring', 'existence': 'pos_dx', 'descriptive_term': 'basilar', 'observation': 'scarr'}}clinical findings_fin: {'new focal opacities': {'clinical finding': 'new focal opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'neg_dx', 'descriptive_term': 'new focal', 'observation': 'opacity', 'temporal_term': 'new'}}clinical findings_fin: {'pleural fluid': {'clinical finding': 'pleural fluid', 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'fluid'}, 'pulmonary edema': {'clinical finding': 'pulmonary edema', 'cf_snomed': {'pulmonary edema': 19242006}, 'existence': 'neg_dx', 'descriptive_term': 'pulmonary', 'observation': 'edema'}}clinical findings_fin: {'cardiomegaly': {'clinical finding': 'cardiomegaly', 'cf_snomed': {'cardiomegaly': 8186001}, 'existence': 'pos_dx', 'observation': 'cardiomegaly'}}anatomical entity_fin: {'fluid': {}}anatomical entity_fin: {'heart': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'right heart strain': {'clinical finding': 'right heart strain', 'existence': 'pos_dx', 'descriptive_term': 'right heart', 'observation': 'strain'}}clinical findings_fin: {'coronary artery calcifications': {'clinical finding': 'coronary artery calcifications', 'existence': 'pos_dx', 'descriptive_term': 'coronary artery', 'observation': 'calcification'}}anatomical entity_fin: {'axillary lymph nodes': {}}clinical findings_fin: {'prominent axillary lymph nodes': {'clinical finding': 'prominent axillary lymph nodes', 'existence': 'neg_dx', 'descriptive_term': 'prominent axillary lymph', 'observation': 'node', 'strength_term': 'prominent'}}size_fin: [{'size': '4.1-cm'}]anatomical entity_fin: {'breast': {'location descriptor': 'left'}}location descriptor_fin: ['lateral', 'left']clinical findings_fin: {'new solid soft tissue lesion': {'clinical finding': 'new solid soft tissue lesion', 'cf_snomed': {'soft tissue lesion': 239953001}, 'existence': 'pos_dx', 'descriptive_term': 'new solid soft tissue', 'observation': 'lesion', 'temporal_term': 'new'}}imaging modality_fin: ['mammography']anatomical entity_fin: {'fluid': {}, 'breast': {'location descriptor': 'left'}, 'ducts': {}}location descriptor_fin: ['left']clinical findings_fin: {'numerous fluid-filled cystic lesions': {'clinical finding': 'numerous fluid-filled cystic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'numerous fluid-filled cystic', 'observation': 'lesion', 'quantity_term': 'numerous', 'change_term': 'filled'}, 'dilated': {'clinical finding': 'dilated', 'existence': 'unc_dx', 'observation': 'dilated'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}anatomical entity_fin: {'pole': {'location descriptor': 'upper'}, 'left kidney': {}}location descriptor_fin: ['upper']clinical findings_fin: {'unchanged cyst-like lesion': {'clinical finding': 'unchanged cyst-like lesion', 'cf_snomed': {'cyst': 441457006, 'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'unchanged cyst-like', 'observation': 'lesion', 'strength_term': 'unchanged', 'change_term': 'unchanged'}}clinical findings_fin: {'small lymph nodes': {'clinical finding': 'small lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small lymph', 'observation': 'node', 'strength_term': 'small'}} [/INST] . Suboptimal contrast opacification and severe motion artifact both from patient respiration and tachycardia limit evaluation. Chronic thrombus in branches of the right descending pulmonary artery and left lower lobe pulmonary artery are less well visualized on the current examination but appear similar. No filling defects are identified within the main pulmonary arteries. The presence of emboli beyond the lobar level cannot be excluded by this study. Mosaic attenuation of the lung parenchyma consistent with chronic thromboembolic disease. Basilar scarring bilaterally. No new focal opacities. No pleural fluid or signs of pulmonary edema. Cardiomegaly unchanged. Increase in volume of pericardial fluid, now moderate. Straightening of the intraventricular septum consistent with right heart strain. Coronary artery calcifications again noted. Prominent axillary lymph nodes not significantly changed. Within the lateral aspect of the left breast, a new solid soft tissue lesion measuring approximately 4.1-cm in AP dimension is incompletely visualized. This is of unclear etiology and may be correlated with mammography and physical examination. Numerous fluid-filled cystic lesions in the left breast could reflect dilated ducts, nonspecific. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. Limited scanning range. Unchanged cyst-like lesion in the upper pole the left kidney, incompletely characterized. Splenulus and small lymph nodes unchanged. </s>