. Tracheostomy tube in appropriate position. Small amount of debris within the upper trachea compatible with secretions versus aspirated material. Additional scattered basilar predominant thin-walled cysts with subcentimeter calcified and noncalcified nonspecific micronodules. Scattered foci of air adjacent to the lower trachea or carina may represent diverticula. While the cystic appearance is not classic it can be seen with amyloidosis. Mild tracheal bronchomalacia bilateral anterior upper lobe cystic bronchiectasis and airway disease typical of amyloid No pneumothorax or pleural effusion. Minimally apical scarring. Scattered, subcentimeter calcified and noncalcified mediastinal and hilar lymph nodes. Heart size is normal without pericardial effusion. None. No significant axillary, subpectoral, internal mammary, cardiophrenic, or retrocrural lymphadenopathy. The osseous structures are within normal limits. Absence of enteric contrast material limits sensitivity for abdominal pathology. Mildly enlarged gastrohepatic lymph nodes.
object_fin: ['tracheostomy tube']clinical findings_fin: {'tracheostomy tube': {'clinical finding': 'tracheostomy tube', 'existence': 'pos_dx', 'descriptive_term': 'tracheostomy', 'observation': 'tube'}}anatomical entity_fin: {'trachea': {'location descriptor': 'upper'}}location descriptor_fin: ['upper']clinical findings_fin: {'debris': {'clinical finding': 'debris', 'existence': 'pos_dx', 'observation': 'debris'}, 'aspirated material': {'clinical finding': 'aspirated material', 'existence': 'pos_dx', 'descriptive_term': 'aspirated', 'observation': 'material'}}clinical findings_fin: {'additional scattered basilar predominant thin-walled cysts': {'clinical finding': 'additional scattered basilar predominant thin-walled cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'additional scattered basilar predominant thin-walled', 'observation': 'cyst'}, 'subcentimeter calcified and noncalcified nonspecific micronodules': {'clinical finding': 'subcentimeter calcified and noncalcified nonspecific micronodules', 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter calcified and noncalcified nonspecific', 'observation': 'micronodule', 'change_term': 'calcified'}}anatomical entity_fin: {'trachea': {'location descriptor': 'lower'}, 'carina': {}}imaging observation_fin: ['foci']location descriptor_fin: ['adjacent', 'lower']clinical findings_fin: {'scattered foci': {'clinical finding': 'scattered foci', 'existence': 'pos_dx', 'descriptive_term': 'scattered', 'observation': 'foci'}, 'diverticula': {'clinical finding': 'diverticula', 'existence': 'unc_dx', 'observation': 'diverticula'}}clinical findings_fin: {'cystic': {'clinical finding': 'cystic', 'existence': 'unc_dx', 'observation': 'cystic'}, 'amyloidosis': {'clinical finding': 'amyloidosis', 'cf_snomed': {'amyloidosis': 17602002}, 'existence': 'unc_dx', 'observation': 'amyloidosis'}}anatomical entity_fin: {'lobe': {'location descriptor': 'anterior upper'}, 'airway': {}, 'amyloid': {}}location descriptor_fin: ['bilateral', 'anterior', 'upper']clinical findings_fin: {'mild tracheal bronchomalacia': {'clinical finding': 'mild tracheal bronchomalacia', 'cf_snomed': {'bronchomalacia': 54203008}, 'existence': 'pos_dx', 'descriptive_term': 'mild tracheal', 'observation': 'bronchomalacia', 'strength_term': 'mild'}, 'bilateral anterior upper lobe cystic bronchiectasis': {'clinical finding': 'bilateral anterior upper lobe cystic bronchiectasis', 'cf_snomed': {'bronchiectasis': 12295008}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral anterior upper lobe cystic', 'observation': 'bronchiectasis'}, 'airway disease': {'clinical finding': 'airway disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'airway', 'observation': 'disease'}, 'amyloid no pneumothorax': {'clinical finding': 'amyloid no pneumothorax', 'cf_snomed': {'pneumothorax': 36118008}, 'existence': 'unc_dx', 'descriptive_term': 'amyloid no', 'observation': 'pneumothorax', 'quantity_term': 'no'}, 'pleural effusion': {'clinical finding': 'pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}}imaging observation_fin: ['apical']clinical findings_fin: {'minimally apical scarring': {'clinical finding': 'minimally apical scarring', 'existence': 'pos_dx', 'descriptive_term': 'minimally apical', 'observation': 'scarr'}}clinical findings_fin: {'scattered, subcentimeter calcified and noncalcified mediastinal and hilar lymph nodes': {'clinical finding': 'scattered, subcentimeter calcified and noncalcified mediastinal and hilar lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'scattered subcentimeter calcified and noncalcified mediastinal and hilar lymph', 'observation': 'node', 'change_term': 'calcified'}}anatomical entity_fin: {'heart': {}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'pos_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}clinical findings_fin: {'significant axillary, subpectoral, internal mammary, cardiophrenic, or retrocrural lymphadenopathy': {'clinical finding': 'significant axillary, subpectoral, internal mammary, cardiophrenic, or retrocrural lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'descriptive_term': 'significant axillary subpectoral internal mammary cardiophrenic or retrocrural', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'osseous structures are within normal limits': {'clinical finding': 'osseous structures are within normal limits'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'mildly enlarged gastrohepatic lymph nodes': {'clinical finding': 'mildly enlarged gastrohepatic lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'mildly enlarged gastrohepatic lymph', 'observation': 'node', 'strength_term': 'mildly - enlarged', 'change_term': 'enlarged'}}
<s>[INST] Write the finding section for a radiology report based on the following information: object_fin: ['tracheostomy tube']clinical findings_fin: {'tracheostomy tube': {'clinical finding': 'tracheostomy tube', 'existence': 'pos_dx', 'descriptive_term': 'tracheostomy', 'observation': 'tube'}}anatomical entity_fin: {'trachea': {'location descriptor': 'upper'}}location descriptor_fin: ['upper']clinical findings_fin: {'debris': {'clinical finding': 'debris', 'existence': 'pos_dx', 'observation': 'debris'}, 'aspirated material': {'clinical finding': 'aspirated material', 'existence': 'pos_dx', 'descriptive_term': 'aspirated', 'observation': 'material'}}clinical findings_fin: {'additional scattered basilar predominant thin-walled cysts': {'clinical finding': 'additional scattered basilar predominant thin-walled cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'additional scattered basilar predominant thin-walled', 'observation': 'cyst'}, 'subcentimeter calcified and noncalcified nonspecific micronodules': {'clinical finding': 'subcentimeter calcified and noncalcified nonspecific micronodules', 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter calcified and noncalcified nonspecific', 'observation': 'micronodule', 'change_term': 'calcified'}}anatomical entity_fin: {'trachea': {'location descriptor': 'lower'}, 'carina': {}}imaging observation_fin: ['foci']location descriptor_fin: ['adjacent', 'lower']clinical findings_fin: {'scattered foci': {'clinical finding': 'scattered foci', 'existence': 'pos_dx', 'descriptive_term': 'scattered', 'observation': 'foci'}, 'diverticula': {'clinical finding': 'diverticula', 'existence': 'unc_dx', 'observation': 'diverticula'}}clinical findings_fin: {'cystic': {'clinical finding': 'cystic', 'existence': 'unc_dx', 'observation': 'cystic'}, 'amyloidosis': {'clinical finding': 'amyloidosis', 'cf_snomed': {'amyloidosis': 17602002}, 'existence': 'unc_dx', 'observation': 'amyloidosis'}}anatomical entity_fin: {'lobe': {'location descriptor': 'anterior upper'}, 'airway': {}, 'amyloid': {}}location descriptor_fin: ['bilateral', 'anterior', 'upper']clinical findings_fin: {'mild tracheal bronchomalacia': {'clinical finding': 'mild tracheal bronchomalacia', 'cf_snomed': {'bronchomalacia': 54203008}, 'existence': 'pos_dx', 'descriptive_term': 'mild tracheal', 'observation': 'bronchomalacia', 'strength_term': 'mild'}, 'bilateral anterior upper lobe cystic bronchiectasis': {'clinical finding': 'bilateral anterior upper lobe cystic bronchiectasis', 'cf_snomed': {'bronchiectasis': 12295008}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral anterior upper lobe cystic', 'observation': 'bronchiectasis'}, 'airway disease': {'clinical finding': 'airway disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'airway', 'observation': 'disease'}, 'amyloid no pneumothorax': {'clinical finding': 'amyloid no pneumothorax', 'cf_snomed': {'pneumothorax': 36118008}, 'existence': 'unc_dx', 'descriptive_term': 'amyloid no', 'observation': 'pneumothorax', 'quantity_term': 'no'}, 'pleural effusion': {'clinical finding': 'pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}}imaging observation_fin: ['apical']clinical findings_fin: {'minimally apical scarring': {'clinical finding': 'minimally apical scarring', 'existence': 'pos_dx', 'descriptive_term': 'minimally apical', 'observation': 'scarr'}}clinical findings_fin: {'scattered, subcentimeter calcified and noncalcified mediastinal and hilar lymph nodes': {'clinical finding': 'scattered, subcentimeter calcified and noncalcified mediastinal and hilar lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'scattered subcentimeter calcified and noncalcified mediastinal and hilar lymph', 'observation': 'node', 'change_term': 'calcified'}}anatomical entity_fin: {'heart': {}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'pos_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}clinical findings_fin: {'significant axillary, subpectoral, internal mammary, cardiophrenic, or retrocrural lymphadenopathy': {'clinical finding': 'significant axillary, subpectoral, internal mammary, cardiophrenic, or retrocrural lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'descriptive_term': 'significant axillary subpectoral internal mammary cardiophrenic or retrocrural', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'osseous structures are within normal limits': {'clinical finding': 'osseous structures are within normal limits'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'mildly enlarged gastrohepatic lymph nodes': {'clinical finding': 'mildly enlarged gastrohepatic lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'mildly enlarged gastrohepatic lymph', 'observation': 'node', 'strength_term': 'mildly - enlarged', 'change_term': 'enlarged'}} [/INST] . Tracheostomy tube in appropriate position. Small amount of debris within the upper trachea compatible with secretions versus aspirated material. Additional scattered basilar predominant thin-walled cysts with subcentimeter calcified and noncalcified nonspecific micronodules. Scattered foci of air adjacent to the lower trachea or carina may represent diverticula. While the cystic appearance is not classic it can be seen with amyloidosis. Mild tracheal bronchomalacia bilateral anterior upper lobe cystic bronchiectasis and airway disease typical of amyloid No pneumothorax or pleural effusion. Minimally apical scarring. Scattered, subcentimeter calcified and noncalcified mediastinal and hilar lymph nodes. Heart size is normal without pericardial effusion. None. No significant axillary, subpectoral, internal mammary, cardiophrenic, or retrocrural lymphadenopathy. The osseous structures are within normal limits. Absence of enteric contrast material limits sensitivity for abdominal pathology. Mildly enlarged gastrohepatic lymph nodes. </s>