. The reference pulmonary nodules appear unchanged from the prior exam. Reference left upper lobe nodule measures approximately 1.2 x 0.7 cm, previously 1.2 x 0.6 cm on image 30 of series Reference nodule in the right middle lobe measures 1.3 x 1.4 cm, previously 1.3 x 1.4 cm on series 6 image 68. Vascular calcifications of the aorta and its branches. Mild coronary artery calcifications. Right chest port with catheter tip in the SVC. Small low attenuation foci are unchanged and too small to characterize. Pneumobilia consistent with the patients history of hepaticojejunostomy. No significant abnormality noted. Postoperative appearance of prior Whipples procedure without mass. Small amount of soft tissue density along the SMA is nonspecific but may represent post operative changes, appearing similar to the prior study. Small amount of air within the main pancreatic duct. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Postoperative suture in the left upper quadrant. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Large amount of stool noted throughout the colon. No significant abnormality noted. Small amount of free fluid in the pelvis is nonspecific but abnormal in a male patient.
clinical findings_fin: {'reference pulmonary nodules': {'clinical finding': 'reference pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'reference pulmonary', 'observation': 'nodule'}}size_fin: [{'size': '1.2 x 0.7 cm'}, {'size': '1.2 x 0.6 cm'}, {'size': '1.3 x 1.4 cm'}, {'size': '1.3 x 1.4 cm'}]anatomical entity_fin: {'lobe': {}, 'middle': {'location descriptor': 'right'}}location descriptor_fin: ['left', 'upper', 'right']clinical findings_fin: {'reference left upper lobe nodule': {'clinical finding': 'reference left upper lobe nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'reference left upper lobe', 'observation': 'nodule'}, 'series reference nodule': {'clinical finding': 'series reference nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'series reference', 'observation': 'nodule'}}anatomical entity_fin: {'aorta': {}}clinical findings_fin: {'vascular calcifications': {'clinical finding': 'vascular calcifications', 'cf_snomed': {'vascular calcification': 237897009}, 'existence': 'pos_dx', 'descriptive_term': 'vascular', 'observation': 'calcification'}}clinical findings_fin: {'mild coronary artery calcifications': {'clinical finding': 'mild coronary artery calcifications', 'existence': 'pos_dx', 'descriptive_term': 'mild coronary artery', 'observation': 'calcification', 'strength_term': 'mild'}}anatomical entity_fin: {'chest': {'location descriptor': 'right'}}location descriptor_fin: ['right']object_fin: ['port', 'catheter']imaging observation_fin: ['foci']clinical findings_fin: {'small low attenuation foci': {'clinical finding': 'small low attenuation foci', 'existence': 'pos_dx', 'descriptive_term': 'small low attenuation', 'observation': 'foci', 'strength_term': 'small'}}procedure_fin: ['hepaticojejunostomy']clinical findings_fin: {'pneumobilia consistent with the patients history of hepaticojejunostomy': {'clinical finding': 'pneumobilia consistent with the patients history of hepaticojejunostomy'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}}imaging observation_fin: ['soft tissue density']clinical findings_fin: {'soft tissue density': {'clinical finding': 'soft tissue density', 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'density'}, 'nonspecific': {'clinical finding': 'nonspecific', 'existence': 'pos_dx', 'observation': 'nonspecific'}, 'post operative changes': {'clinical finding': 'post operative changes', 'existence': 'unc_dx', 'descriptive_term': 'post operative', 'observation': 'change'}}anatomical entity_fin: {'main pancreatic duct': {}}clinical findings_fin: {'small amount of air within the main pancreatic duct': {'clinical finding': 'small amount of air within the main pancreatic duct'}}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'}}anatomical entity_fin: {'quadrant': {'location descriptor': 'left upper'}}location descriptor_fin: ['left', 'upper']object_fin: ['suture']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'}}imaging observation_fin: ['colon']clinical findings_fin: {'large amount of stool noted throughout the colon': {'clinical finding': 'large amount of stool noted throughout the colon'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'pelvis': {}}clinical findings_fin: {'free fluid': {'clinical finding': 'free fluid', 'existence': 'pos_dx', 'descriptive_term': 'free', 'observation': 'fluid'}}
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'reference pulmonary nodules': {'clinical finding': 'reference pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'reference pulmonary', 'observation': 'nodule'}}size_fin: [{'size': '1.2 x 0.7 cm'}, {'size': '1.2 x 0.6 cm'}, {'size': '1.3 x 1.4 cm'}, {'size': '1.3 x 1.4 cm'}]anatomical entity_fin: {'lobe': {}, 'middle': {'location descriptor': 'right'}}location descriptor_fin: ['left', 'upper', 'right']clinical findings_fin: {'reference left upper lobe nodule': {'clinical finding': 'reference left upper lobe nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'reference left upper lobe', 'observation': 'nodule'}, 'series reference nodule': {'clinical finding': 'series reference nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'series reference', 'observation': 'nodule'}}anatomical entity_fin: {'aorta': {}}clinical findings_fin: {'vascular calcifications': {'clinical finding': 'vascular calcifications', 'cf_snomed': {'vascular calcification': 237897009}, 'existence': 'pos_dx', 'descriptive_term': 'vascular', 'observation': 'calcification'}}clinical findings_fin: {'mild coronary artery calcifications': {'clinical finding': 'mild coronary artery calcifications', 'existence': 'pos_dx', 'descriptive_term': 'mild coronary artery', 'observation': 'calcification', 'strength_term': 'mild'}}anatomical entity_fin: {'chest': {'location descriptor': 'right'}}location descriptor_fin: ['right']object_fin: ['port', 'catheter']imaging observation_fin: ['foci']clinical findings_fin: {'small low attenuation foci': {'clinical finding': 'small low attenuation foci', 'existence': 'pos_dx', 'descriptive_term': 'small low attenuation', 'observation': 'foci', 'strength_term': 'small'}}procedure_fin: ['hepaticojejunostomy']clinical findings_fin: {'pneumobilia consistent with the patients history of hepaticojejunostomy': {'clinical finding': 'pneumobilia consistent with the patients history of hepaticojejunostomy'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}}imaging observation_fin: ['soft tissue density']clinical findings_fin: {'soft tissue density': {'clinical finding': 'soft tissue density', 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'density'}, 'nonspecific': {'clinical finding': 'nonspecific', 'existence': 'pos_dx', 'observation': 'nonspecific'}, 'post operative changes': {'clinical finding': 'post operative changes', 'existence': 'unc_dx', 'descriptive_term': 'post operative', 'observation': 'change'}}anatomical entity_fin: {'main pancreatic duct': {}}clinical findings_fin: {'small amount of air within the main pancreatic duct': {'clinical finding': 'small amount of air within the main pancreatic duct'}}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'}}anatomical entity_fin: {'quadrant': {'location descriptor': 'left upper'}}location descriptor_fin: ['left', 'upper']object_fin: ['suture']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'}}imaging observation_fin: ['colon']clinical findings_fin: {'large amount of stool noted throughout the colon': {'clinical finding': 'large amount of stool noted throughout the colon'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'pelvis': {}}clinical findings_fin: {'free fluid': {'clinical finding': 'free fluid', 'existence': 'pos_dx', 'descriptive_term': 'free', 'observation': 'fluid'}} [/INST] . The reference pulmonary nodules appear unchanged from the prior exam. Reference left upper lobe nodule measures approximately 1.2 x 0.7 cm, previously 1.2 x 0.6 cm on image 30 of series Reference nodule in the right middle lobe measures 1.3 x 1.4 cm, previously 1.3 x 1.4 cm on series 6 image 68. Vascular calcifications of the aorta and its branches. Mild coronary artery calcifications. Right chest port with catheter tip in the SVC. Small low attenuation foci are unchanged and too small to characterize. Pneumobilia consistent with the patients history of hepaticojejunostomy. No significant abnormality noted. Postoperative appearance of prior Whipples procedure without mass. Small amount of soft tissue density along the SMA is nonspecific but may represent post operative changes, appearing similar to the prior study. Small amount of air within the main pancreatic duct. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Postoperative suture in the left upper quadrant. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Large amount of stool noted throughout the colon. No significant abnormality noted. Small amount of free fluid in the pelvis is nonspecific but abnormal in a male patient. </s>