. Since the immediate prior study, there has been interval improvement in multifocal groundglass and nodular opacities particularly in the left lung, with residual groundglass opacity in the right upper lobe. Additionally, there has been interval development of new peribronchial vascular nodularity in the right lower lobe, suggestive of aspiration, as well as interval increase in bilateral pleural effusions, right greater than left, with loculated foci of air on the right consistent with loculated hydropneumothorax. Linear high density surgical material is seen in the right lung related to recent wedge biopsies. There is no evidence of air trapping on expiratory images. Very mild peripheral bronchiolectasis is again seen, without peripheral reticulation to suggest fibrosis. Persistent thickening of the fissures, similar to prior. The heart size is within normal limits, with small pericardial effusion which is minimally decreased when compared to prior. Hypoattenuation of the blood pool is suggestive of anemia. Left jugular catheter tip is seen at the cavoatrial junction. Subcentimeter mediastinal lymph nodes appear similar to prior. Small hiatal hernia. Mild. Scattered multilevel degenerative changes of the thoracolumbar spine. Diffuse soft tissue anasarca is again seen. Prominent axillary lymph nodes are not significantly changed. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. Hyperattenuation of the liver and spleen is again seen. Trace free fluid in the abdomen.
anatomical entity_fin: {'left lung': {}, 'lobe': {'location descriptor': 'right upper'}}location descriptor_fin: ['right', 'upper']clinical findings_fin: {'multifocal groundglass and nodular opacities': {'clinical finding': 'multifocal groundglass and nodular opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'multifocal groundglass and nodular', 'observation': 'opacity'}, 'residual groundglass opacity': {'clinical finding': 'residual groundglass opacity', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'residual groundglass', 'observation': 'opacity', 'temporal_term': 'residual'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}imaging observation_fin: ['foci']location descriptor_fin: ['right', 'lower', 'bilateral', 'left']clinical findings_fin: {'new peribronchial vascular nodularity': {'clinical finding': 'new peribronchial vascular nodularity', 'existence': 'pos_dx', 'descriptive_term': 'new peribronchial vascular', 'observation': 'nodularity', 'temporal_term': 'new'}, 'aspiration': {'clinical finding': 'aspiration', 'existence': 'unc_dx', 'observation': 'aspiration'}, 'bilateral pleural effusions': {'clinical finding': 'bilateral pleural effusions', 'cf_snomed': {'bilateral pleural effusion': 425802001}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral pleural', 'observation': 'effusion'}, 'loculated foci': {'clinical finding': 'loculated foci', 'existence': 'pos_dx', 'descriptive_term': 'loculated', 'observation': 'foci'}, 'loculated hydropneumothorax': {'clinical finding': 'loculated hydropneumothorax', 'cf_snomed': {'hydropneumothorax': 65933003}, 'existence': 'pos_dx', 'descriptive_term': 'loculated', 'observation': 'hydropneumothorax'}}anatomical entity_fin: {'right lung': {}}imaging observation_fin: ['wedge']procedure_fin: ['biopsies']clinical findings_fin: {'linear high density surgical material': {'clinical finding': 'linear high density surgical material', 'existence': 'pos_dx', 'descriptive_term': 'linear high density surgical', 'observation': 'material'}}clinical findings_fin: {'air trapping': {'clinical finding': 'air trapping', 'cf_snomed': {'air trapping': 76171001}, 'existence': 'neg_dx', 'descriptive_term': 'air', 'observation': 'trapping'}}imaging observation_fin: ['reticulation']location descriptor_fin: ['peripheral']clinical findings_fin: {'very mild peripheral bronchiolectasis': {'clinical finding': 'very mild peripheral bronchiolectasis', 'cf_snomed': {'bronchiolectasis': 29424000}, 'existence': 'pos_dx', 'descriptive_term': 'very mild peripheral', 'observation': 'bronchiolectasis', 'strength_term': 'mild'}, 'peripheral reticulation': {'clinical finding': 'peripheral reticulation', 'existence': 'neg_dx', 'descriptive_term': 'peripheral', 'observation': 'reticulation'}, 'fibrosis': {'clinical finding': 'fibrosis', 'existence': 'unc_dx', 'observation': 'fibrosis'}}clinical findings_fin: {'persistent thickening': {'clinical finding': 'persistent thickening', 'existence': 'pos_dx', 'descriptive_term': 'persistent', 'observation': 'thickening', 'temporal_term': 'persistent'}, 'fissures': {'clinical finding': 'fissures', 'cf_snomed': {'fissure': 47393002}, 'existence': 'pos_dx', 'observation': 'fissure'}}anatomical entity_fin: {'heart': {}}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: {'anemia': {'clinical finding': 'anemia', 'cf_snomed': {'anemia': 271737000}, 'existence': 'unc_dx', 'observation': 'anemia'}}location descriptor_fin: ['left']object_fin: ['catheter']clinical findings_fin: {'left jugular catheter tip is seen at the cavoatrial junction': {'clinical finding': 'left jugular catheter tip is seen at the cavoatrial junction'}}anatomical entity_fin: {'mediastinal lymph nodes': {}}clinical findings_fin: {'subcentimeter mediastinal lymph nodes': {'clinical finding': 'subcentimeter mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter mediastinal lymph', 'observation': 'node'}}clinical findings_fin: {'small hiatal hernia': {'clinical finding': 'small hiatal hernia', 'cf_snomed': {'hiatal hernia': 84089009}, 'existence': 'pos_dx', 'descriptive_term': 'small hiatal', 'observation': 'hernia', 'strength_term': 'small'}}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'}}clinical findings_fin: {'diffuse soft tissue anasarca': {'clinical finding': 'diffuse soft tissue anasarca', 'cf_snomed': {'anasarca': 442433009}, 'existence': 'pos_dx', 'descriptive_term': 'diffuse soft tissue', 'observation': 'anasarca'}}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'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}anatomical entity_fin: {'liver': {}, 'spleen': {}}clinical findings_fin: {'hyperattenuation of the liver and spleen is again seen': {'clinical finding': 'hyperattenuation of the liver and spleen is again seen'}}anatomical entity_fin: {'abdomen': {}}clinical findings_fin: {'trace free fluid': {'clinical finding': 'trace free fluid', 'existence': 'pos_dx', 'descriptive_term': 'trace free', 'observation': 'fluid'}}
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'left lung': {}, 'lobe': {'location descriptor': 'right upper'}}location descriptor_fin: ['right', 'upper']clinical findings_fin: {'multifocal groundglass and nodular opacities': {'clinical finding': 'multifocal groundglass and nodular opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'multifocal groundglass and nodular', 'observation': 'opacity'}, 'residual groundglass opacity': {'clinical finding': 'residual groundglass opacity', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'residual groundglass', 'observation': 'opacity', 'temporal_term': 'residual'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}imaging observation_fin: ['foci']location descriptor_fin: ['right', 'lower', 'bilateral', 'left']clinical findings_fin: {'new peribronchial vascular nodularity': {'clinical finding': 'new peribronchial vascular nodularity', 'existence': 'pos_dx', 'descriptive_term': 'new peribronchial vascular', 'observation': 'nodularity', 'temporal_term': 'new'}, 'aspiration': {'clinical finding': 'aspiration', 'existence': 'unc_dx', 'observation': 'aspiration'}, 'bilateral pleural effusions': {'clinical finding': 'bilateral pleural effusions', 'cf_snomed': {'bilateral pleural effusion': 425802001}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral pleural', 'observation': 'effusion'}, 'loculated foci': {'clinical finding': 'loculated foci', 'existence': 'pos_dx', 'descriptive_term': 'loculated', 'observation': 'foci'}, 'loculated hydropneumothorax': {'clinical finding': 'loculated hydropneumothorax', 'cf_snomed': {'hydropneumothorax': 65933003}, 'existence': 'pos_dx', 'descriptive_term': 'loculated', 'observation': 'hydropneumothorax'}}anatomical entity_fin: {'right lung': {}}imaging observation_fin: ['wedge']procedure_fin: ['biopsies']clinical findings_fin: {'linear high density surgical material': {'clinical finding': 'linear high density surgical material', 'existence': 'pos_dx', 'descriptive_term': 'linear high density surgical', 'observation': 'material'}}clinical findings_fin: {'air trapping': {'clinical finding': 'air trapping', 'cf_snomed': {'air trapping': 76171001}, 'existence': 'neg_dx', 'descriptive_term': 'air', 'observation': 'trapping'}}imaging observation_fin: ['reticulation']location descriptor_fin: ['peripheral']clinical findings_fin: {'very mild peripheral bronchiolectasis': {'clinical finding': 'very mild peripheral bronchiolectasis', 'cf_snomed': {'bronchiolectasis': 29424000}, 'existence': 'pos_dx', 'descriptive_term': 'very mild peripheral', 'observation': 'bronchiolectasis', 'strength_term': 'mild'}, 'peripheral reticulation': {'clinical finding': 'peripheral reticulation', 'existence': 'neg_dx', 'descriptive_term': 'peripheral', 'observation': 'reticulation'}, 'fibrosis': {'clinical finding': 'fibrosis', 'existence': 'unc_dx', 'observation': 'fibrosis'}}clinical findings_fin: {'persistent thickening': {'clinical finding': 'persistent thickening', 'existence': 'pos_dx', 'descriptive_term': 'persistent', 'observation': 'thickening', 'temporal_term': 'persistent'}, 'fissures': {'clinical finding': 'fissures', 'cf_snomed': {'fissure': 47393002}, 'existence': 'pos_dx', 'observation': 'fissure'}}anatomical entity_fin: {'heart': {}}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: {'anemia': {'clinical finding': 'anemia', 'cf_snomed': {'anemia': 271737000}, 'existence': 'unc_dx', 'observation': 'anemia'}}location descriptor_fin: ['left']object_fin: ['catheter']clinical findings_fin: {'left jugular catheter tip is seen at the cavoatrial junction': {'clinical finding': 'left jugular catheter tip is seen at the cavoatrial junction'}}anatomical entity_fin: {'mediastinal lymph nodes': {}}clinical findings_fin: {'subcentimeter mediastinal lymph nodes': {'clinical finding': 'subcentimeter mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter mediastinal lymph', 'observation': 'node'}}clinical findings_fin: {'small hiatal hernia': {'clinical finding': 'small hiatal hernia', 'cf_snomed': {'hiatal hernia': 84089009}, 'existence': 'pos_dx', 'descriptive_term': 'small hiatal', 'observation': 'hernia', 'strength_term': 'small'}}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'}}clinical findings_fin: {'diffuse soft tissue anasarca': {'clinical finding': 'diffuse soft tissue anasarca', 'cf_snomed': {'anasarca': 442433009}, 'existence': 'pos_dx', 'descriptive_term': 'diffuse soft tissue', 'observation': 'anasarca'}}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'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}anatomical entity_fin: {'liver': {}, 'spleen': {}}clinical findings_fin: {'hyperattenuation of the liver and spleen is again seen': {'clinical finding': 'hyperattenuation of the liver and spleen is again seen'}}anatomical entity_fin: {'abdomen': {}}clinical findings_fin: {'trace free fluid': {'clinical finding': 'trace free fluid', 'existence': 'pos_dx', 'descriptive_term': 'trace free', 'observation': 'fluid'}} [/INST] . Since the immediate prior study, there has been interval improvement in multifocal groundglass and nodular opacities particularly in the left lung, with residual groundglass opacity in the right upper lobe. Additionally, there has been interval development of new peribronchial vascular nodularity in the right lower lobe, suggestive of aspiration, as well as interval increase in bilateral pleural effusions, right greater than left, with loculated foci of air on the right consistent with loculated hydropneumothorax. Linear high density surgical material is seen in the right lung related to recent wedge biopsies. There is no evidence of air trapping on expiratory images. Very mild peripheral bronchiolectasis is again seen, without peripheral reticulation to suggest fibrosis. Persistent thickening of the fissures, similar to prior. The heart size is within normal limits, with small pericardial effusion which is minimally decreased when compared to prior. Hypoattenuation of the blood pool is suggestive of anemia. Left jugular catheter tip is seen at the cavoatrial junction. Subcentimeter mediastinal lymph nodes appear similar to prior. Small hiatal hernia. Mild. Scattered multilevel degenerative changes of the thoracolumbar spine. Diffuse soft tissue anasarca is again seen. Prominent axillary lymph nodes are not significantly changed. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. Hyperattenuation of the liver and spleen is again seen. Trace free fluid in the abdomen. </s>