. Multiple bilateral calcified and noncalcified pulmonary nodules. The largest is on the left in the lower lobe and measures 5 mm. No evidence of infection or edema. No pleural effusion or pneumothorax. The heart size is normal, there is no pericardial effusion. The aortic valve leaflets are heavily calcified and there is atherosclerotic calcification of the aorta and its branches. The aorta is normal in caliber. Severe. No supraclavicular or axillary lymphadenopathy. Degenerative changes affect the imaged spine. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. Cholelithiasis. Heavily calcified, tortuous splenic artery is aneurysmal measuring up to 10 mm. Fatty atrophy of the pancreas with sparing in the tail. Calcifications may be related to chronic pancreatitis.
location descriptor_fin: ['bilateral']clinical findings_fin: {'multiple bilateral calcified and noncalcified pulmonary nodules': {'clinical finding': 'multiple bilateral calcified and noncalcified pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'multiple bilateral calcified and noncalcified pulmonary', 'observation': 'nodule', 'quantity_term': 'multiple', 'change_term': 'calcified'}}size_fin: [{'size': '5 mm', 'size_descriptor': 'left'}]anatomical entity_fin: {'lobe': {'location descriptor': 'lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'infection': {'clinical finding': 'infection', 'existence': 'neg_dx', 'observation': 'infection'}, 'edema': {'clinical finding': 'edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'neg_dx', 'observation': 'edema'}}clinical findings_fin: {'pleural effusion': {'clinical finding': 'pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}, 'pneumothorax': {'clinical finding': 'pneumothorax', 'cf_snomed': {'pneumothorax': 36118008}, 'existence': 'neg_dx', 'observation': 'pneumothorax'}}anatomical entity_fin: {'heart': {}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}anatomical entity_fin: {'aortic valve': {}, 'aorta': {}}clinical findings_fin: {'calcified': {'clinical finding': 'calcified', 'existence': 'pos_dx', 'observation': 'calcified'}, 'atherosclerotic calcification': {'clinical finding': 'atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'}}anatomical entity_fin: {'aorta': {}}clinical findings_fin: {'aorta is normal in caliber': {'clinical finding': 'aorta is normal in caliber'}}clinical findings_fin: {'supraclavicular or axillary lymphadenopathy': {'clinical finding': 'supraclavicular or axillary lymphadenopathy', 'cf_snomed': {'axillary lymphadenopathy': 127189005}, 'existence': 'neg_dx', 'descriptive_term': 'supraclavicular or axillary', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'degenerative changes': {'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}size_fin: [{'size': '10 mm', 'size_descriptor': 'artery'}]anatomical entity_fin: {'splenic artery': {}}clinical findings_fin: {'calcified': {'clinical finding': 'calcified', 'existence': 'pos_dx', 'observation': 'calcified'}, 'tortuous': {'clinical finding': 'tortuous', 'existence': 'pos_dx', 'observation': 'tortuous'}, 'aneurysmal': {'clinical finding': 'aneurysmal', 'existence': 'pos_dx', 'observation': 'aneurysmal'}}anatomical entity_fin: {'pancreas': {}}clinical findings_fin: {'fatty atrophy': {'clinical finding': 'fatty atrophy', 'cf_snomed': {'fatty atrophy': 42335002}, 'existence': 'pos_dx', 'descriptive_term': 'fatty', 'observation': 'atrophy'}, 'tail': {'clinical finding': 'tail', 'existence': 'pos_dx', 'observation': 'tail'}}clinical findings_fin: {'calcifications': {'clinical finding': 'calcifications', 'existence': 'unc_dx', 'observation': 'calcification'}, 'chronic pancreatitis': {'clinical finding': 'chronic pancreatitis', 'cf_snomed': {'chronic pancreatitis': 235494005}, 'existence': 'unc_dx', 'descriptive_term': 'chronic', 'observation': 'pancreatitis', 'temporal_term': 'chronic'}}
<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['bilateral']clinical findings_fin: {'multiple bilateral calcified and noncalcified pulmonary nodules': {'clinical finding': 'multiple bilateral calcified and noncalcified pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'multiple bilateral calcified and noncalcified pulmonary', 'observation': 'nodule', 'quantity_term': 'multiple', 'change_term': 'calcified'}}size_fin: [{'size': '5 mm', 'size_descriptor': 'left'}]anatomical entity_fin: {'lobe': {'location descriptor': 'lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'infection': {'clinical finding': 'infection', 'existence': 'neg_dx', 'observation': 'infection'}, 'edema': {'clinical finding': 'edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'neg_dx', 'observation': 'edema'}}clinical findings_fin: {'pleural effusion': {'clinical finding': 'pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}, 'pneumothorax': {'clinical finding': 'pneumothorax', 'cf_snomed': {'pneumothorax': 36118008}, 'existence': 'neg_dx', 'observation': 'pneumothorax'}}anatomical entity_fin: {'heart': {}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}anatomical entity_fin: {'aortic valve': {}, 'aorta': {}}clinical findings_fin: {'calcified': {'clinical finding': 'calcified', 'existence': 'pos_dx', 'observation': 'calcified'}, 'atherosclerotic calcification': {'clinical finding': 'atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'}}anatomical entity_fin: {'aorta': {}}clinical findings_fin: {'aorta is normal in caliber': {'clinical finding': 'aorta is normal in caliber'}}clinical findings_fin: {'supraclavicular or axillary lymphadenopathy': {'clinical finding': 'supraclavicular or axillary lymphadenopathy', 'cf_snomed': {'axillary lymphadenopathy': 127189005}, 'existence': 'neg_dx', 'descriptive_term': 'supraclavicular or axillary', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'degenerative changes': {'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}size_fin: [{'size': '10 mm', 'size_descriptor': 'artery'}]anatomical entity_fin: {'splenic artery': {}}clinical findings_fin: {'calcified': {'clinical finding': 'calcified', 'existence': 'pos_dx', 'observation': 'calcified'}, 'tortuous': {'clinical finding': 'tortuous', 'existence': 'pos_dx', 'observation': 'tortuous'}, 'aneurysmal': {'clinical finding': 'aneurysmal', 'existence': 'pos_dx', 'observation': 'aneurysmal'}}anatomical entity_fin: {'pancreas': {}}clinical findings_fin: {'fatty atrophy': {'clinical finding': 'fatty atrophy', 'cf_snomed': {'fatty atrophy': 42335002}, 'existence': 'pos_dx', 'descriptive_term': 'fatty', 'observation': 'atrophy'}, 'tail': {'clinical finding': 'tail', 'existence': 'pos_dx', 'observation': 'tail'}}clinical findings_fin: {'calcifications': {'clinical finding': 'calcifications', 'existence': 'unc_dx', 'observation': 'calcification'}, 'chronic pancreatitis': {'clinical finding': 'chronic pancreatitis', 'cf_snomed': {'chronic pancreatitis': 235494005}, 'existence': 'unc_dx', 'descriptive_term': 'chronic', 'observation': 'pancreatitis', 'temporal_term': 'chronic'}} [/INST] . Multiple bilateral calcified and noncalcified pulmonary nodules. The largest is on the left in the lower lobe and measures 5 mm. No evidence of infection or edema. No pleural effusion or pneumothorax. The heart size is normal, there is no pericardial effusion. The aortic valve leaflets are heavily calcified and there is atherosclerotic calcification of the aorta and its branches. The aorta is normal in caliber. Severe. No supraclavicular or axillary lymphadenopathy. Degenerative changes affect the imaged spine. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. Cholelithiasis. Heavily calcified, tortuous splenic artery is aneurysmal measuring up to 10 mm. Fatty atrophy of the pancreas with sparing in the tail. Calcifications may be related to chronic pancreatitis. </s>