. Stable bilateral paramediastinal postradiation fibrotic changes. Interval decrease in size of the left pleural-based necrotic mass at the left lung base now measuring 3.1 cm previously measuring 3.9 cm. The solid component of this mass now measuring 18 mm previously measuring 24 mm. Additional left pleural nodules unchanged. Soft tissue within the anterior mediastinum possibly representing post-therapeutic changes is similar in appearance to the prior exams. No hilar or mediastinal lymphadenopathy identified. Cardiac size is normal without evidence of a pericardial effusion. Right Port-A-Cath with its tip in the SVC. Mild. Right chest port. Status post median sternotomy. Mild degenerative changes in the thoracic spine. Absence of enteric contrast material limits sensitivity for abdominal pathology. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Absence of enteric contrast material limits sensitivity for GI pathology. No gross abnormalities noted. Continued interval decrease in the left subdiaphragmatic soft tissue. No significant abnormality noted.
location descriptor_fin: ['bilateral']clinical findings_fin: {'stable bilateral paramediastinal postradiation fibrotic changes': {'clinical finding': 'stable bilateral paramediastinal postradiation fibrotic changes', 'existence': 'pos_dx', 'descriptive_term': 'stable bilateral paramediastinal postradiation fibrotic', 'observation': 'change', 'strength_term': 'stable', 'change_term': 'stable'}}size_fin: [{'size': '3.1 cm'}, {'size': '3.9 cm'}]anatomical entity_fin: {'left lung': {}, 'base': {}}location descriptor_fin: ['left']clinical findings_fin: {'left pleural-based necrotic mass': {'clinical finding': 'left pleural-based necrotic mass', 'existence': 'pos_dx', 'descriptive_term': 'left pleural-based necrotic', 'observation': 'mass'}}size_fin: [{'size': '18 mm'}, {'size': '24 mm'}]clinical findings_fin: {'this mass': {'clinical finding': 'this mass', 'existence': 'pos_dx', 'descriptive_term': 'this', 'observation': 'mass'}}location descriptor_fin: ['left']clinical findings_fin: {'additional left pleural nodules': {'clinical finding': 'additional left pleural nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'additional left pleural', 'observation': 'nodule'}}anatomical entity_fin: {'anterior mediastinum': {}}clinical findings_fin: {'soft tissue': {'clinical finding': 'soft tissue', 'existence': 'pos_dx', 'descriptive_term': 'soft', 'observation': 'tissue'}, 'post-therapeutic changes': {'clinical finding': 'post-therapeutic changes', 'existence': 'unc_dx', 'descriptive_term': 'post-therapeutic', 'observation': 'change'}}clinical findings_fin: {'hilar or mediastinal lymphadenopathy': {'clinical finding': 'hilar or mediastinal lymphadenopathy', 'cf_snomed': {'mediastinal lymphadenopathy': 52324001}, 'existence': 'neg_dx', 'descriptive_term': 'hilar or mediastinal', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}location descriptor_fin: ['right']object_fin: ['port']clinical findings_fin: {'right port-a-cath': {'clinical finding': 'right port-a-cath', 'existence': 'pos_dx', 'descriptive_term': 'right', 'observation': 'port-a-'}}anatomical entity_fin: {'chest': {'location descriptor': 'right'}}location descriptor_fin: ['right']object_fin: ['port']location descriptor_fin: ['median']clinical findings_fin: {'post median sternotomy': {'clinical finding': 'post median sternotomy', 'existence': 'pos_dx', 'descriptive_term': 'post median', 'observation': 'sternotomy'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'mild degenerative changes': {'clinical finding': 'mild degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'mild degenerative', 'observation': 'change', 'strength_term': 'mild'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'gross abnormalities': {'clinical finding': 'gross abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'gross', 'observation': 'abnormality'}}location descriptor_fin: ['left']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: location descriptor_fin: ['bilateral']clinical findings_fin: {'stable bilateral paramediastinal postradiation fibrotic changes': {'clinical finding': 'stable bilateral paramediastinal postradiation fibrotic changes', 'existence': 'pos_dx', 'descriptive_term': 'stable bilateral paramediastinal postradiation fibrotic', 'observation': 'change', 'strength_term': 'stable', 'change_term': 'stable'}}size_fin: [{'size': '3.1 cm'}, {'size': '3.9 cm'}]anatomical entity_fin: {'left lung': {}, 'base': {}}location descriptor_fin: ['left']clinical findings_fin: {'left pleural-based necrotic mass': {'clinical finding': 'left pleural-based necrotic mass', 'existence': 'pos_dx', 'descriptive_term': 'left pleural-based necrotic', 'observation': 'mass'}}size_fin: [{'size': '18 mm'}, {'size': '24 mm'}]clinical findings_fin: {'this mass': {'clinical finding': 'this mass', 'existence': 'pos_dx', 'descriptive_term': 'this', 'observation': 'mass'}}location descriptor_fin: ['left']clinical findings_fin: {'additional left pleural nodules': {'clinical finding': 'additional left pleural nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'additional left pleural', 'observation': 'nodule'}}anatomical entity_fin: {'anterior mediastinum': {}}clinical findings_fin: {'soft tissue': {'clinical finding': 'soft tissue', 'existence': 'pos_dx', 'descriptive_term': 'soft', 'observation': 'tissue'}, 'post-therapeutic changes': {'clinical finding': 'post-therapeutic changes', 'existence': 'unc_dx', 'descriptive_term': 'post-therapeutic', 'observation': 'change'}}clinical findings_fin: {'hilar or mediastinal lymphadenopathy': {'clinical finding': 'hilar or mediastinal lymphadenopathy', 'cf_snomed': {'mediastinal lymphadenopathy': 52324001}, 'existence': 'neg_dx', 'descriptive_term': 'hilar or mediastinal', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}location descriptor_fin: ['right']object_fin: ['port']clinical findings_fin: {'right port-a-cath': {'clinical finding': 'right port-a-cath', 'existence': 'pos_dx', 'descriptive_term': 'right', 'observation': 'port-a-'}}anatomical entity_fin: {'chest': {'location descriptor': 'right'}}location descriptor_fin: ['right']object_fin: ['port']location descriptor_fin: ['median']clinical findings_fin: {'post median sternotomy': {'clinical finding': 'post median sternotomy', 'existence': 'pos_dx', 'descriptive_term': 'post median', 'observation': 'sternotomy'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'mild degenerative changes': {'clinical finding': 'mild degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'mild degenerative', 'observation': 'change', 'strength_term': 'mild'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'gross abnormalities': {'clinical finding': 'gross abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'gross', 'observation': 'abnormality'}}location descriptor_fin: ['left']clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . Stable bilateral paramediastinal postradiation fibrotic changes. Interval decrease in size of the left pleural-based necrotic mass at the left lung base now measuring 3.1 cm previously measuring 3.9 cm. The solid component of this mass now measuring 18 mm previously measuring 24 mm. Additional left pleural nodules unchanged. Soft tissue within the anterior mediastinum possibly representing post-therapeutic changes is similar in appearance to the prior exams. No hilar or mediastinal lymphadenopathy identified. Cardiac size is normal without evidence of a pericardial effusion. Right Port-A-Cath with its tip in the SVC. Mild. Right chest port. Status post median sternotomy. Mild degenerative changes in the thoracic spine. Absence of enteric contrast material limits sensitivity for abdominal pathology. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Absence of enteric contrast material limits sensitivity for GI pathology. No gross abnormalities noted. Continued interval decrease in the left subdiaphragmatic soft tissue. No significant abnormality noted. </s>