. Left pleural effusion and overlying consolidation with scattered groundglass opacities in this region. Irregularly marginated 8 mm nodule superior segment left lower lobe image 134 series 5 which should be followed in the future as this could represent a small lung cancer. Mild centrilobular emphysema is noted. Innumerable small micronodules some of which are calcified, likely benign. Moderate cardiomegaly, the right atrium quite dilated. Normal caliber right main pulmonary artery. Calcified mediastinal and hilar lymph nodes from healed granulomatous disease, but no other evidence of lymphadenopathy. Single chamber left subclavian pacemaker noted. Moderate. No significant abnormality noted. Absence of enteric contrast material limits sensitivity for abdominal pathology. Mild intrahepatic biliary ductal dilatation. Innumerable splenic calcifications from most likely prior histoplasmosis.
location descriptor_fin: ['left']clinical findings_fin: {'left pleural effusion': {'clinical finding': 'left pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'left pleural', 'observation': 'effusion'}, 'overlying consolidation': {'clinical finding': 'overlying consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'pos_dx', 'descriptive_term': 'overlying', 'observation': 'consolidation'}, 'scattered groundglass opacities': {'clinical finding': 'scattered groundglass opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'scattered groundglass', 'observation': 'opacity'}}size_fin: [{'size': '8 mm', 'size_descriptor': 'nodule'}]anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['superior', 'left', 'lower']clinical findings_fin: {'irregularly marginated 8 mm nodule': {'clinical finding': 'irregularly marginated 8 mm nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'irregularly marginated 8 mm', 'observation': 'nodule'}, 'small lung cancer': {'clinical finding': 'small lung cancer', 'existence': 'unc_dx', 'descriptive_term': 'small lung', 'observation': 'cancer', 'strength_term': 'small'}}clinical findings_fin: {'mild centrilobular emphysema': {'clinical finding': 'mild centrilobular emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'descriptive_term': 'mild centrilobular', 'observation': 'emphysema', 'strength_term': 'mild'}}clinical findings_fin: {'innumerable small micronodules': {'clinical finding': 'innumerable small micronodules', 'existence': 'pos_dx', 'descriptive_term': 'innumerable small', 'observation': 'micronodule', 'strength_term': 'small'}}anatomical entity_fin: {'right atrium': {}}clinical findings_fin: {'moderate cardiomegaly': {'clinical finding': 'moderate cardiomegaly', 'cf_snomed': {'cardiomegaly': 8186001}, 'existence': 'pos_dx', 'descriptive_term': 'moderate', 'observation': 'cardiomegaly', 'strength_term': 'moderate'}, 'dilated': {'clinical finding': 'dilated', 'existence': 'pos_dx', 'observation': 'dilated'}}anatomical entity_fin: {'main pulmonary artery': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'normal caliber right main pulmonary artery': {'clinical finding': 'normal caliber right main pulmonary artery'}}clinical findings_fin: {'calcified mediastinal and hilar lymph nodes': {'clinical finding': 'calcified mediastinal and hilar lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'calcified mediastinal and hilar lymph', 'observation': 'node', 'change_term': 'calcified'}, 'healed granulomatous disease': {'clinical finding': 'healed granulomatous disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'healed granulomatous', 'observation': 'disease', 'strength_term': 'healed', 'change_term': 'healed'}, 'lymphadenopathy': {'clinical finding': 'lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'observation': 'lymphadenopathy'}}location descriptor_fin: ['left']object_fin: ['pacemaker']clinical findings_fin: {'single chamber left subclavian pacemaker noted': {'clinical finding': 'single chamber left subclavian pacemaker noted'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'mild intrahepatic biliary ductal dilatation': {'clinical finding': 'mild intrahepatic biliary ductal dilatation', 'cf_snomed': {'dilatation': 25322007}, 'existence': 'pos_dx', 'descriptive_term': 'mild intrahepatic biliary ductal', 'observation': 'dilatation', 'strength_term': 'mild'}}clinical findings_fin: {'innumerable splenic calcifications': {'clinical finding': 'innumerable splenic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'innumerable splenic', 'observation': 'calcification'}, 'most likely prior histoplasmosis': {'clinical finding': 'most likely prior histoplasmosis', 'cf_snomed': {'histoplasmosis': 12962009}, 'existence': 'pos_dx', 'descriptive_term': 'most likely prior', 'observation': 'histoplasmosis', 'quantity_term': 'most'}}
<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['left']clinical findings_fin: {'left pleural effusion': {'clinical finding': 'left pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'left pleural', 'observation': 'effusion'}, 'overlying consolidation': {'clinical finding': 'overlying consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'pos_dx', 'descriptive_term': 'overlying', 'observation': 'consolidation'}, 'scattered groundglass opacities': {'clinical finding': 'scattered groundglass opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'scattered groundglass', 'observation': 'opacity'}}size_fin: [{'size': '8 mm', 'size_descriptor': 'nodule'}]anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['superior', 'left', 'lower']clinical findings_fin: {'irregularly marginated 8 mm nodule': {'clinical finding': 'irregularly marginated 8 mm nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'irregularly marginated 8 mm', 'observation': 'nodule'}, 'small lung cancer': {'clinical finding': 'small lung cancer', 'existence': 'unc_dx', 'descriptive_term': 'small lung', 'observation': 'cancer', 'strength_term': 'small'}}clinical findings_fin: {'mild centrilobular emphysema': {'clinical finding': 'mild centrilobular emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'descriptive_term': 'mild centrilobular', 'observation': 'emphysema', 'strength_term': 'mild'}}clinical findings_fin: {'innumerable small micronodules': {'clinical finding': 'innumerable small micronodules', 'existence': 'pos_dx', 'descriptive_term': 'innumerable small', 'observation': 'micronodule', 'strength_term': 'small'}}anatomical entity_fin: {'right atrium': {}}clinical findings_fin: {'moderate cardiomegaly': {'clinical finding': 'moderate cardiomegaly', 'cf_snomed': {'cardiomegaly': 8186001}, 'existence': 'pos_dx', 'descriptive_term': 'moderate', 'observation': 'cardiomegaly', 'strength_term': 'moderate'}, 'dilated': {'clinical finding': 'dilated', 'existence': 'pos_dx', 'observation': 'dilated'}}anatomical entity_fin: {'main pulmonary artery': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'normal caliber right main pulmonary artery': {'clinical finding': 'normal caliber right main pulmonary artery'}}clinical findings_fin: {'calcified mediastinal and hilar lymph nodes': {'clinical finding': 'calcified mediastinal and hilar lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'calcified mediastinal and hilar lymph', 'observation': 'node', 'change_term': 'calcified'}, 'healed granulomatous disease': {'clinical finding': 'healed granulomatous disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'healed granulomatous', 'observation': 'disease', 'strength_term': 'healed', 'change_term': 'healed'}, 'lymphadenopathy': {'clinical finding': 'lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'observation': 'lymphadenopathy'}}location descriptor_fin: ['left']object_fin: ['pacemaker']clinical findings_fin: {'single chamber left subclavian pacemaker noted': {'clinical finding': 'single chamber left subclavian pacemaker noted'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'mild intrahepatic biliary ductal dilatation': {'clinical finding': 'mild intrahepatic biliary ductal dilatation', 'cf_snomed': {'dilatation': 25322007}, 'existence': 'pos_dx', 'descriptive_term': 'mild intrahepatic biliary ductal', 'observation': 'dilatation', 'strength_term': 'mild'}}clinical findings_fin: {'innumerable splenic calcifications': {'clinical finding': 'innumerable splenic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'innumerable splenic', 'observation': 'calcification'}, 'most likely prior histoplasmosis': {'clinical finding': 'most likely prior histoplasmosis', 'cf_snomed': {'histoplasmosis': 12962009}, 'existence': 'pos_dx', 'descriptive_term': 'most likely prior', 'observation': 'histoplasmosis', 'quantity_term': 'most'}} [/INST] . Left pleural effusion and overlying consolidation with scattered groundglass opacities in this region. Irregularly marginated 8 mm nodule superior segment left lower lobe image 134 series 5 which should be followed in the future as this could represent a small lung cancer. Mild centrilobular emphysema is noted. Innumerable small micronodules some of which are calcified, likely benign. Moderate cardiomegaly, the right atrium quite dilated. Normal caliber right main pulmonary artery. Calcified mediastinal and hilar lymph nodes from healed granulomatous disease, but no other evidence of lymphadenopathy. Single chamber left subclavian pacemaker noted. Moderate. No significant abnormality noted. Absence of enteric contrast material limits sensitivity for abdominal pathology. Mild intrahepatic biliary ductal dilatation. Innumerable splenic calcifications from most likely prior histoplasmosis. </s>