. Previous identified left lingular nodule has significantly decreased and is obscured by posttherapy changes and not accurately measurable. Residual posttherapy scarring or atelectasis. Surgical clips and calcifications in the left upper lobe again noted. Left lower lobe pulmonary micronodules, unchanged. Right upper lobe ground glass nodule has not significantly changed, measuring 5 mm , previously 4 mm. No new pulmonary nodules or masses. Moderate to marked upper lobe predominant centrilobular and paraseptal emphysema. No pleural effusions. Right thyroid lobe dense calcification. Small nonenlarged mediastinal lymph nodes. No significant mediastinal or hilar lymphadenopathy. Heart size is normal with no pericardial effusion. Severe coronary artery calcifications. Stable multilevel compression deformities and vertebroplasties. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. Postsurgical changes of a cholecystectomy. Interval resolution of pneumobilia. No significant abnormality noted. No significant abnormality noted. Bilateral renal artery stents. Left atrophic kidney. No significant abnormality noted. Atherosclerotic calcification of the abdominal aorta and its branches. Absence of enteric contrast material limits sensitivity for GI pathology. No gross abnormalities noted. Degenerative changes. No significant abnormality noted.
location descriptor_fin: ['left']clinical findings_fin: {'previous identified left lingular nodule': {'clinical finding': 'previous identified left lingular nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'previous identified left lingular', 'observation': 'nodule', 'temporal_term': 'previous'}, 'posttherapy changes': {'clinical finding': 'posttherapy changes', 'existence': 'unc_dx', 'descriptive_term': 'posttherapy', 'observation': 'change'}}clinical findings_fin: {'residual posttherapy scarring': {'clinical finding': 'residual posttherapy scarring', 'existence': 'unc_dx', 'descriptive_term': 'residual posttherapy', 'observation': 'scarr', 'temporal_term': 'residual'}, 'atelectasis': {'clinical finding': 'atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'unc_dx', 'observation': 'atelectasis'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}}location descriptor_fin: ['left', 'upper']object_fin: ['surgical clips']clinical findings_fin: {'surgical clips': {'clinical finding': 'surgical clips', 'existence': 'pos_dx', 'descriptive_term': 'surgical', 'observation': 'clip'}, 'calcifications': {'clinical finding': 'calcifications', 'existence': 'pos_dx', 'observation': 'calcification'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'left lower lobe pulmonary micronodules': {'clinical finding': 'left lower lobe pulmonary micronodules', 'existence': 'pos_dx', 'descriptive_term': 'left lower lobe pulmonary', 'observation': 'micronodule'}}size_fin: [{'size': '5 mm'}, {'size': '4 mm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right upper'}}location descriptor_fin: ['right', 'upper']clinical findings_fin: {'right upper lobe ground glass nodule': {'clinical finding': 'right upper lobe ground glass nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'right upper lobe ground glass', 'observation': 'nodule'}}clinical findings_fin: {'new pulmonary nodules': {'clinical finding': 'new pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'new pulmonary', 'observation': 'nodule', 'temporal_term': 'new'}, 'masses': {'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass'}}anatomical entity_fin: {'lobe': {'location descriptor': 'upper'}}location descriptor_fin: ['upper', 'centrilobular']clinical findings_fin: {'moderate to marked upper lobe predominant centrilobular and paraseptal emphysema': {'clinical finding': 'moderate to marked upper lobe predominant centrilobular and paraseptal emphysema', 'cf_snomed': {'paraseptal emphysema': 31898008}, 'existence': 'pos_dx', 'descriptive_term': 'moderate to marked upper lobe predominant centrilobular and paraseptal', 'observation': 'emphysema', 'strength_term': 'moderate'}}clinical findings_fin: {'pleural effusions': {'clinical finding': 'pleural effusions', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}}anatomical entity_fin: {'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'right thyroid lobe dense calcification': {'clinical finding': 'right thyroid lobe dense calcification', 'existence': 'pos_dx', 'descriptive_term': 'right thyroid lobe dense', 'observation': 'calcification'}}anatomical entity_fin: {'mediastinal lymph nodes': {}}clinical findings_fin: {'small nonenlarged mediastinal lymph nodes': {'clinical finding': 'small nonenlarged mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small nonenlarged mediastinal lymph', 'observation': 'node', 'strength_term': 'small'}}clinical findings_fin: {'significant mediastinal or hilar lymphadenopathy': {'clinical finding': 'significant mediastinal or hilar lymphadenopathy', 'cf_snomed': {'hilar lymphadenopathy': 87500009}, 'existence': 'neg_dx', 'descriptive_term': 'significant mediastinal or hilar', 'observation': 'lymphadenopathy'}}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'}}clinical findings_fin: {'severe coronary artery calcifications': {'clinical finding': 'severe coronary artery calcifications', 'existence': 'pos_dx', 'descriptive_term': 'severe coronary artery', 'observation': 'calcification', 'strength_term': 'severe'}}procedure_fin: ['vertebroplasties']clinical findings_fin: {'stable multilevel compression deformities': {'clinical finding': 'stable multilevel compression deformities', 'cf_snomed': {'compression': 71173004}, 'existence': 'pos_dx', 'descriptive_term': 'stable multilevel compression', 'observation': 'deformity', 'strength_term': 'stable', 'change_term': 'stable'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}procedure_fin: ['cholecystectomy']clinical findings_fin: {'postsurgical changes': {'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'}}clinical findings_fin: {'interval resolution': {'clinical finding': 'interval resolution', 'existence': 'pos_dx', 'descriptive_term': 'interval', 'observation': 'resolution'}, 'pneumobilia': {'clinical finding': 'pneumobilia', 'existence': 'pos_dx', 'observation': 'pneumobilia'}}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: {'renal artery': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral renal artery stents': {'clinical finding': 'bilateral renal artery stents', 'existence': 'pos_dx', 'descriptive_term': 'bilateral renal artery', 'observation': 'stent'}}anatomical entity_fin: {'kidney': {}}location descriptor_fin: ['left']clinical findings_fin: {'left atrophic': {'clinical finding': 'left atrophic', 'existence': 'pos_dx', 'descriptive_term': 'left', 'observation': 'atrophic'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'abdominal aorta': {}}clinical findings_fin: {'atherosclerotic calcification': {'clinical finding': 'atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'}}clinical findings_fin: {'gross abnormalities': {'clinical finding': 'gross abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'gross', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}
<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['left']clinical findings_fin: {'previous identified left lingular nodule': {'clinical finding': 'previous identified left lingular nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'previous identified left lingular', 'observation': 'nodule', 'temporal_term': 'previous'}, 'posttherapy changes': {'clinical finding': 'posttherapy changes', 'existence': 'unc_dx', 'descriptive_term': 'posttherapy', 'observation': 'change'}}clinical findings_fin: {'residual posttherapy scarring': {'clinical finding': 'residual posttherapy scarring', 'existence': 'unc_dx', 'descriptive_term': 'residual posttherapy', 'observation': 'scarr', 'temporal_term': 'residual'}, 'atelectasis': {'clinical finding': 'atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'unc_dx', 'observation': 'atelectasis'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}}location descriptor_fin: ['left', 'upper']object_fin: ['surgical clips']clinical findings_fin: {'surgical clips': {'clinical finding': 'surgical clips', 'existence': 'pos_dx', 'descriptive_term': 'surgical', 'observation': 'clip'}, 'calcifications': {'clinical finding': 'calcifications', 'existence': 'pos_dx', 'observation': 'calcification'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'left lower lobe pulmonary micronodules': {'clinical finding': 'left lower lobe pulmonary micronodules', 'existence': 'pos_dx', 'descriptive_term': 'left lower lobe pulmonary', 'observation': 'micronodule'}}size_fin: [{'size': '5 mm'}, {'size': '4 mm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right upper'}}location descriptor_fin: ['right', 'upper']clinical findings_fin: {'right upper lobe ground glass nodule': {'clinical finding': 'right upper lobe ground glass nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'right upper lobe ground glass', 'observation': 'nodule'}}clinical findings_fin: {'new pulmonary nodules': {'clinical finding': 'new pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'new pulmonary', 'observation': 'nodule', 'temporal_term': 'new'}, 'masses': {'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass'}}anatomical entity_fin: {'lobe': {'location descriptor': 'upper'}}location descriptor_fin: ['upper', 'centrilobular']clinical findings_fin: {'moderate to marked upper lobe predominant centrilobular and paraseptal emphysema': {'clinical finding': 'moderate to marked upper lobe predominant centrilobular and paraseptal emphysema', 'cf_snomed': {'paraseptal emphysema': 31898008}, 'existence': 'pos_dx', 'descriptive_term': 'moderate to marked upper lobe predominant centrilobular and paraseptal', 'observation': 'emphysema', 'strength_term': 'moderate'}}clinical findings_fin: {'pleural effusions': {'clinical finding': 'pleural effusions', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}}anatomical entity_fin: {'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'right thyroid lobe dense calcification': {'clinical finding': 'right thyroid lobe dense calcification', 'existence': 'pos_dx', 'descriptive_term': 'right thyroid lobe dense', 'observation': 'calcification'}}anatomical entity_fin: {'mediastinal lymph nodes': {}}clinical findings_fin: {'small nonenlarged mediastinal lymph nodes': {'clinical finding': 'small nonenlarged mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small nonenlarged mediastinal lymph', 'observation': 'node', 'strength_term': 'small'}}clinical findings_fin: {'significant mediastinal or hilar lymphadenopathy': {'clinical finding': 'significant mediastinal or hilar lymphadenopathy', 'cf_snomed': {'hilar lymphadenopathy': 87500009}, 'existence': 'neg_dx', 'descriptive_term': 'significant mediastinal or hilar', 'observation': 'lymphadenopathy'}}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'}}clinical findings_fin: {'severe coronary artery calcifications': {'clinical finding': 'severe coronary artery calcifications', 'existence': 'pos_dx', 'descriptive_term': 'severe coronary artery', 'observation': 'calcification', 'strength_term': 'severe'}}procedure_fin: ['vertebroplasties']clinical findings_fin: {'stable multilevel compression deformities': {'clinical finding': 'stable multilevel compression deformities', 'cf_snomed': {'compression': 71173004}, 'existence': 'pos_dx', 'descriptive_term': 'stable multilevel compression', 'observation': 'deformity', 'strength_term': 'stable', 'change_term': 'stable'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}procedure_fin: ['cholecystectomy']clinical findings_fin: {'postsurgical changes': {'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'}}clinical findings_fin: {'interval resolution': {'clinical finding': 'interval resolution', 'existence': 'pos_dx', 'descriptive_term': 'interval', 'observation': 'resolution'}, 'pneumobilia': {'clinical finding': 'pneumobilia', 'existence': 'pos_dx', 'observation': 'pneumobilia'}}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: {'renal artery': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral renal artery stents': {'clinical finding': 'bilateral renal artery stents', 'existence': 'pos_dx', 'descriptive_term': 'bilateral renal artery', 'observation': 'stent'}}anatomical entity_fin: {'kidney': {}}location descriptor_fin: ['left']clinical findings_fin: {'left atrophic': {'clinical finding': 'left atrophic', 'existence': 'pos_dx', 'descriptive_term': 'left', 'observation': 'atrophic'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'abdominal aorta': {}}clinical findings_fin: {'atherosclerotic calcification': {'clinical finding': 'atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'}}clinical findings_fin: {'gross abnormalities': {'clinical finding': 'gross abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'gross', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . Previous identified left lingular nodule has significantly decreased and is obscured by posttherapy changes and not accurately measurable. Residual posttherapy scarring or atelectasis. Surgical clips and calcifications in the left upper lobe again noted. Left lower lobe pulmonary micronodules, unchanged. Right upper lobe ground glass nodule has not significantly changed, measuring 5 mm , previously 4 mm. No new pulmonary nodules or masses. Moderate to marked upper lobe predominant centrilobular and paraseptal emphysema. No pleural effusions. Right thyroid lobe dense calcification. Small nonenlarged mediastinal lymph nodes. No significant mediastinal or hilar lymphadenopathy. Heart size is normal with no pericardial effusion. Severe coronary artery calcifications. Stable multilevel compression deformities and vertebroplasties. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. Postsurgical changes of a cholecystectomy. Interval resolution of pneumobilia. No significant abnormality noted. No significant abnormality noted. Bilateral renal artery stents. Left atrophic kidney. No significant abnormality noted. Atherosclerotic calcification of the abdominal aorta and its branches. Absence of enteric contrast material limits sensitivity for GI pathology. No gross abnormalities noted. Degenerative changes. No significant abnormality noted. </s>