. There are new groundglass nodular opacities predominantly in bilateral upper lobes. Bilateral moderate pleural effusions, right greater than left with overlying atelectasis or consolidation. The previously seen right lower lobe opacity is obscured due to new pleural effusion and atelectasis. The central airways are patent. No pneumothorax. Right upper extremity PICC and central line tip is in the right atrium. Moderate cardiomegaly with a small pericardial effusion. Mildly prominent prevascular and paratracheal lymph nodes likely reactive in etiology not significantly changed since the prior exam. Again noted is linear mural calcification extending from the distal left brachiocephalic vein into the anterior mid SVC, unchanged. No significant axillary, cardiophrenic, internal mammary, retrocrural lymphadenopathy. The osseous structures are within normal limits. The visualized liver, bilateral kidneys, pancreas, spleen, and adrenal glands are within normal limits.
anatomical entity_fin: {'lobes': {'location descriptor': 'bilateral upper'}}location descriptor_fin: ['bilateral', 'upper']clinical findings_fin: {'new groundglass nodular opacities': {'clinical finding': 'new groundglass nodular opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'new groundglass nodular', 'observation': 'opacity', 'temporal_term': 'new'}}location descriptor_fin: ['bilateral', 'right', 'left']clinical findings_fin: {'bilateral moderate pleural effusions': {'clinical finding': 'bilateral moderate pleural effusions', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral moderate pleural', 'observation': 'effusion', 'strength_term': 'moderate'}, 'overlying atelectasis': {'clinical finding': 'overlying atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'overlying', 'observation': 'atelectasis'}, 'consolidation': {'clinical finding': 'consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'unc_dx', 'observation': 'consolidation'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'previously seen right lower lobe opacity': {'clinical finding': 'previously seen right lower lobe opacity', 'cf_snomed': {'opacity': 128305008}, 'existence': 'unc_dx', 'descriptive_term': 'previously seen right lower lobe', 'observation': 'opacity'}, 'new pleural effusion': {'clinical finding': 'new pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'new pleural', 'observation': 'effusion', 'temporal_term': 'new'}, 'atelectasis': {'clinical finding': 'atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'observation': 'atelectasis'}}anatomical entity_fin: {'airways': {'location descriptor': 'central'}}location descriptor_fin: ['central']clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'pos_dx', 'observation': 'patent'}}clinical findings_fin: {'pneumothorax': {'clinical finding': 'pneumothorax', 'cf_snomed': {'pneumothorax': 36118008}, 'existence': 'neg_dx', 'observation': 'pneumothorax'}}anatomical entity_fin: {'upper extremity': {'location descriptor': 'right'}, 'right atrium': {}}location descriptor_fin: ['right', 'central']clinical findings_fin: {'central line': {'clinical finding': 'central line', 'existence': 'pos_dx', 'descriptive_term': 'central', 'observation': 'line'}}clinical findings_fin: {'moderate cardiomegaly': {'clinical finding': 'moderate cardiomegaly', 'cf_snomed': {'cardiomegaly': 8186001}, 'existence': 'pos_dx', 'descriptive_term': 'moderate', 'observation': 'cardiomegaly', 'strength_term': 'moderate'}, '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'}}clinical findings_fin: {'mildly prominent prevascular and paratracheal lymph nodes': {'clinical finding': 'mildly prominent prevascular and paratracheal lymph nodes', 'existence': 'unc_dx', 'descriptive_term': 'mildly prominent prevascular and paratracheal lymph', 'observation': 'node', 'strength_term': 'mildly - prominent'}}anatomical entity_fin: {'brachiocephalic vein': {'location descriptor': 'distal left'}}location descriptor_fin: ['distal', 'left', 'anterior']clinical findings_fin: {'linear mural calcification': {'clinical finding': 'linear mural calcification', 'existence': 'pos_dx', 'descriptive_term': 'linear mural', 'observation': 'calcification'}}clinical findings_fin: {'significant axillary, cardiophrenic, internal mammary, retrocrural lymphadenopathy': {'clinical finding': 'significant axillary, cardiophrenic, internal mammary, retrocrural lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'descriptive_term': 'significant axillary cardiophrenic internal mammary retrocrural', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'osseous structures are within normal limits': {'clinical finding': 'osseous structures are within normal limits'}}anatomical entity_fin: {'liver': {}, 'kidneys': {'location descriptor': 'bilateral'}, 'pancreas': {}, 'spleen': {}, 'adrenal glands': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'visualized liver , bilateral kidneys , pancreas , spleen , and adrenal glands': {'clinical finding': 'visualized liver , bilateral kidneys , pancreas , spleen , and adrenal glands'}}
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'lobes': {'location descriptor': 'bilateral upper'}}location descriptor_fin: ['bilateral', 'upper']clinical findings_fin: {'new groundglass nodular opacities': {'clinical finding': 'new groundglass nodular opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'new groundglass nodular', 'observation': 'opacity', 'temporal_term': 'new'}}location descriptor_fin: ['bilateral', 'right', 'left']clinical findings_fin: {'bilateral moderate pleural effusions': {'clinical finding': 'bilateral moderate pleural effusions', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral moderate pleural', 'observation': 'effusion', 'strength_term': 'moderate'}, 'overlying atelectasis': {'clinical finding': 'overlying atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'overlying', 'observation': 'atelectasis'}, 'consolidation': {'clinical finding': 'consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'unc_dx', 'observation': 'consolidation'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'previously seen right lower lobe opacity': {'clinical finding': 'previously seen right lower lobe opacity', 'cf_snomed': {'opacity': 128305008}, 'existence': 'unc_dx', 'descriptive_term': 'previously seen right lower lobe', 'observation': 'opacity'}, 'new pleural effusion': {'clinical finding': 'new pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'new pleural', 'observation': 'effusion', 'temporal_term': 'new'}, 'atelectasis': {'clinical finding': 'atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'observation': 'atelectasis'}}anatomical entity_fin: {'airways': {'location descriptor': 'central'}}location descriptor_fin: ['central']clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'pos_dx', 'observation': 'patent'}}clinical findings_fin: {'pneumothorax': {'clinical finding': 'pneumothorax', 'cf_snomed': {'pneumothorax': 36118008}, 'existence': 'neg_dx', 'observation': 'pneumothorax'}}anatomical entity_fin: {'upper extremity': {'location descriptor': 'right'}, 'right atrium': {}}location descriptor_fin: ['right', 'central']clinical findings_fin: {'central line': {'clinical finding': 'central line', 'existence': 'pos_dx', 'descriptive_term': 'central', 'observation': 'line'}}clinical findings_fin: {'moderate cardiomegaly': {'clinical finding': 'moderate cardiomegaly', 'cf_snomed': {'cardiomegaly': 8186001}, 'existence': 'pos_dx', 'descriptive_term': 'moderate', 'observation': 'cardiomegaly', 'strength_term': 'moderate'}, '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'}}clinical findings_fin: {'mildly prominent prevascular and paratracheal lymph nodes': {'clinical finding': 'mildly prominent prevascular and paratracheal lymph nodes', 'existence': 'unc_dx', 'descriptive_term': 'mildly prominent prevascular and paratracheal lymph', 'observation': 'node', 'strength_term': 'mildly - prominent'}}anatomical entity_fin: {'brachiocephalic vein': {'location descriptor': 'distal left'}}location descriptor_fin: ['distal', 'left', 'anterior']clinical findings_fin: {'linear mural calcification': {'clinical finding': 'linear mural calcification', 'existence': 'pos_dx', 'descriptive_term': 'linear mural', 'observation': 'calcification'}}clinical findings_fin: {'significant axillary, cardiophrenic, internal mammary, retrocrural lymphadenopathy': {'clinical finding': 'significant axillary, cardiophrenic, internal mammary, retrocrural lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'descriptive_term': 'significant axillary cardiophrenic internal mammary retrocrural', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'osseous structures are within normal limits': {'clinical finding': 'osseous structures are within normal limits'}}anatomical entity_fin: {'liver': {}, 'kidneys': {'location descriptor': 'bilateral'}, 'pancreas': {}, 'spleen': {}, 'adrenal glands': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'visualized liver , bilateral kidneys , pancreas , spleen , and adrenal glands': {'clinical finding': 'visualized liver , bilateral kidneys , pancreas , spleen , and adrenal glands'}} [/INST] . There are new groundglass nodular opacities predominantly in bilateral upper lobes. Bilateral moderate pleural effusions, right greater than left with overlying atelectasis or consolidation. The previously seen right lower lobe opacity is obscured due to new pleural effusion and atelectasis. The central airways are patent. No pneumothorax. Right upper extremity PICC and central line tip is in the right atrium. Moderate cardiomegaly with a small pericardial effusion. Mildly prominent prevascular and paratracheal lymph nodes likely reactive in etiology not significantly changed since the prior exam. Again noted is linear mural calcification extending from the distal left brachiocephalic vein into the anterior mid SVC, unchanged. No significant axillary, cardiophrenic, internal mammary, retrocrural lymphadenopathy. The osseous structures are within normal limits. The visualized liver, bilateral kidneys, pancreas, spleen, and adrenal glands are within normal limits. </s>