The absence of intravenous and oral contrast limits evaluation of the solid organs and of the bowels. Scattered pulmonary micronodules, some of which are calcified, the largest in the right middle lobe measures 3 mm , nonspecific, likely postinfectious or inflammatory in etiology. Linear scarring or atelectasis is present in the left lower lobe. Mild left pleural thickening. Mild upper lobe predominant centrilobular emphysema. The heart size is within normal limits, no significant pericardial effusion. Patulous esophagus and likely small hiatal hernia. Surgical clips are seen in the mediastinum. Subcentimeter mediastinal nodes, nonspecific. Severe and or or coronary artery stents. Large bilateral axillary lymph nodes. A reference left axillary node measures 19 mm. Skin thickening in the axillary region is nonspecific, but may be related to patients stated rash. Chronic right posterior rib fractures. Status post sternotomy. Scattered multilevel degenerative changes of the thoracolumbar spine. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. No significant abnormality noted.
anatomical entity_fin: {'solid organs': {}, 'bowels': {}}non-anatomical substance_fin: ['oral contrast']size_fin: [{'size': '3 mm', 'size_descriptor': 'micronodules'}]anatomical entity_fin: {'middle': {'location descriptor': 'right'}, 'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'scattered pulmonary micronodules': {'clinical finding': 'scattered pulmonary micronodules', 'existence': 'pos_dx', 'descriptive_term': 'scattered pulmonary', 'observation': 'micronodule'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'linear scarring': {'clinical finding': 'linear scarring', 'existence': 'pos_dx', 'descriptive_term': 'linear', 'observation': 'scarr'}, 'atelectasis': {'clinical finding': 'atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'unc_dx', 'observation': 'atelectasis'}}location descriptor_fin: ['left']clinical findings_fin: {'mild left pleural thickening': {'clinical finding': 'mild left pleural thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild left pleural', 'observation': 'thickening', 'strength_term': 'mild'}}anatomical entity_fin: {'lobe': {'location descriptor': 'upper'}}location descriptor_fin: ['upper']clinical findings_fin: {'mild upper lobe predominant centrilobular emphysema': {'clinical finding': 'mild upper lobe predominant centrilobular emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'descriptive_term': 'mild upper lobe predominant centrilobular', 'observation': 'emphysema', 'strength_term': 'mild'}}anatomical entity_fin: {'heart': {}}clinical findings_fin: {'significant pericardial effusion': {'clinical finding': 'significant pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'significant pericardial', 'observation': 'effusion'}}anatomical entity_fin: {'esophagus': {}}clinical findings_fin: {'likely small hiatal hernia': {'clinical finding': 'likely small hiatal hernia', 'cf_snomed': {'hiatal hernia': 84089009}, 'existence': 'pos_dx', 'descriptive_term': 'likely small hiatal', 'observation': 'hernia', 'strength_term': 'small'}}anatomical entity_fin: {'mediastinum': {}}object_fin: ['surgical clips']clinical findings_fin: {'surgical clips': {'clinical finding': 'surgical clips', 'existence': 'pos_dx', 'descriptive_term': 'surgical', 'observation': 'clip'}}clinical findings_fin: {'subcentimeter mediastinal nodes': {'clinical finding': 'subcentimeter mediastinal nodes', 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter mediastinal', 'observation': 'node'}}anatomical entity_fin: {'coronary artery': {}}clinical findings_fin: {'severe and or or coronary artery stents': {'clinical finding': 'severe and or or coronary artery stents', 'existence': 'pos_dx', 'descriptive_term': 'severe and or or coronary artery', 'observation': 'stent', 'strength_term': 'severe'}}anatomical entity_fin: {'axillary lymph nodes': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'large bilateral axillary lymph nodes': {'clinical finding': 'large bilateral axillary lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'large bilateral axillary lymph', 'observation': 'node', 'strength_term': 'large'}}size_fin: [{'size': '19 mm'}]location descriptor_fin: ['left']clinical findings_fin: {'reference left axillary node': {'clinical finding': 'reference left axillary node', 'existence': 'pos_dx', 'descriptive_term': 'reference left axillary', 'observation': 'node'}}anatomical entity_fin: {'axillary region': {}}clinical findings_fin: {'skin thickening': {'clinical finding': 'skin thickening', 'existence': 'pos_dx', 'descriptive_term': 'skin', 'observation': 'thickening'}, 'stated rash': {'clinical finding': 'stated rash', 'existence': 'pos_dx', 'descriptive_term': 'stated', 'observation': 'rash'}}anatomical entity_fin: {'posterior rib': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'chronic right posterior rib fractures': {'clinical finding': 'chronic right posterior rib fractures', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'chronic right posterior rib', 'observation': 'fracture', 'temporal_term': 'chronic'}}clinical findings_fin: {'sternotomy': {'clinical finding': 'sternotomy', 'existence': 'pos_dx', 'observation': 'sternotomy'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'scattered multilevel degenerative changes': {'clinical finding': 'scattered multilevel degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'scattered multilevel 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: anatomical entity_fin: {'solid organs': {}, 'bowels': {}}non-anatomical substance_fin: ['oral contrast']size_fin: [{'size': '3 mm', 'size_descriptor': 'micronodules'}]anatomical entity_fin: {'middle': {'location descriptor': 'right'}, 'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'scattered pulmonary micronodules': {'clinical finding': 'scattered pulmonary micronodules', 'existence': 'pos_dx', 'descriptive_term': 'scattered pulmonary', 'observation': 'micronodule'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'linear scarring': {'clinical finding': 'linear scarring', 'existence': 'pos_dx', 'descriptive_term': 'linear', 'observation': 'scarr'}, 'atelectasis': {'clinical finding': 'atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'unc_dx', 'observation': 'atelectasis'}}location descriptor_fin: ['left']clinical findings_fin: {'mild left pleural thickening': {'clinical finding': 'mild left pleural thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild left pleural', 'observation': 'thickening', 'strength_term': 'mild'}}anatomical entity_fin: {'lobe': {'location descriptor': 'upper'}}location descriptor_fin: ['upper']clinical findings_fin: {'mild upper lobe predominant centrilobular emphysema': {'clinical finding': 'mild upper lobe predominant centrilobular emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'descriptive_term': 'mild upper lobe predominant centrilobular', 'observation': 'emphysema', 'strength_term': 'mild'}}anatomical entity_fin: {'heart': {}}clinical findings_fin: {'significant pericardial effusion': {'clinical finding': 'significant pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'significant pericardial', 'observation': 'effusion'}}anatomical entity_fin: {'esophagus': {}}clinical findings_fin: {'likely small hiatal hernia': {'clinical finding': 'likely small hiatal hernia', 'cf_snomed': {'hiatal hernia': 84089009}, 'existence': 'pos_dx', 'descriptive_term': 'likely small hiatal', 'observation': 'hernia', 'strength_term': 'small'}}anatomical entity_fin: {'mediastinum': {}}object_fin: ['surgical clips']clinical findings_fin: {'surgical clips': {'clinical finding': 'surgical clips', 'existence': 'pos_dx', 'descriptive_term': 'surgical', 'observation': 'clip'}}clinical findings_fin: {'subcentimeter mediastinal nodes': {'clinical finding': 'subcentimeter mediastinal nodes', 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter mediastinal', 'observation': 'node'}}anatomical entity_fin: {'coronary artery': {}}clinical findings_fin: {'severe and or or coronary artery stents': {'clinical finding': 'severe and or or coronary artery stents', 'existence': 'pos_dx', 'descriptive_term': 'severe and or or coronary artery', 'observation': 'stent', 'strength_term': 'severe'}}anatomical entity_fin: {'axillary lymph nodes': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'large bilateral axillary lymph nodes': {'clinical finding': 'large bilateral axillary lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'large bilateral axillary lymph', 'observation': 'node', 'strength_term': 'large'}}size_fin: [{'size': '19 mm'}]location descriptor_fin: ['left']clinical findings_fin: {'reference left axillary node': {'clinical finding': 'reference left axillary node', 'existence': 'pos_dx', 'descriptive_term': 'reference left axillary', 'observation': 'node'}}anatomical entity_fin: {'axillary region': {}}clinical findings_fin: {'skin thickening': {'clinical finding': 'skin thickening', 'existence': 'pos_dx', 'descriptive_term': 'skin', 'observation': 'thickening'}, 'stated rash': {'clinical finding': 'stated rash', 'existence': 'pos_dx', 'descriptive_term': 'stated', 'observation': 'rash'}}anatomical entity_fin: {'posterior rib': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'chronic right posterior rib fractures': {'clinical finding': 'chronic right posterior rib fractures', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'chronic right posterior rib', 'observation': 'fracture', 'temporal_term': 'chronic'}}clinical findings_fin: {'sternotomy': {'clinical finding': 'sternotomy', 'existence': 'pos_dx', 'observation': 'sternotomy'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'scattered multilevel degenerative changes': {'clinical finding': 'scattered multilevel degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'scattered multilevel 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] The absence of intravenous and oral contrast limits evaluation of the solid organs and of the bowels. Scattered pulmonary micronodules, some of which are calcified, the largest in the right middle lobe measures 3 mm , nonspecific, likely postinfectious or inflammatory in etiology. Linear scarring or atelectasis is present in the left lower lobe. Mild left pleural thickening. Mild upper lobe predominant centrilobular emphysema. The heart size is within normal limits, no significant pericardial effusion. Patulous esophagus and likely small hiatal hernia. Surgical clips are seen in the mediastinum. Subcentimeter mediastinal nodes, nonspecific. Severe and or or coronary artery stents. Large bilateral axillary lymph nodes. A reference left axillary node measures 19 mm. Skin thickening in the axillary region is nonspecific, but may be related to patients stated rash. Chronic right posterior rib fractures. Status post sternotomy. Scattered multilevel degenerative changes of the thoracolumbar spine. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. No significant abnormality noted. </s>