. Subsegmental vessel occlusion in the right lower lobe, subacute chronic and new since the prior PET CT of 4/2015. Multiple chronic emboli are seen in segmental and subsegmental arteries of the lower lobes bilaterally. The pulmonary arteries are moderately enlarged. No evidence of right heart strain. Bilateral lower lobe scarring which could relate to previous infarct. Mild centrilobular emphysema in the upper lungs. No pleural effusions noted. Scattered pulmonary micronodules. The previously measured right middle lobe nodule currently measures 5 mm on image 102 of series 8, and is unchanged in size. This is likely benign. Reactive mediastinal and right hilar adenopathy which is unchanged. Mediastinal lipomatosis is noted. Mild. Left ninth rib tip expansile bony remodeling which appears stable as compared to the previous exam. Please note that the cartilaginous components of these lesions cannot be accurately assessed by CT. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. Status post cholecystectomy. Left splenic hypoattenuating lesion appears unchanged compared to 8/30/2015. Left renal cystic lesion appears unchanged.
anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['subsegmental', 'right', 'lower']clinical findings_fin: {'subsegmental vessel occlusion': {'clinical finding': 'subsegmental vessel occlusion', 'existence': 'pos_dx', 'descriptive_term': 'subsegmental vessel', 'observation': 'occlusion'}}anatomical entity_fin: {'arteries': {'location descriptor': 'subsegmental'}, 'lobes': {'location descriptor': 'lower'}}location descriptor_fin: ['subsegmental', 'lower']clinical findings_fin: {'multiple chronic emboli': {'clinical finding': 'multiple chronic emboli', 'existence': 'pos_dx', 'descriptive_term': 'multiple chronic', 'observation': 'emboli', 'quantity_term': 'multiple', 'temporal_term': 'chronic'}}anatomical entity_fin: {'pulmonary arteries': {}}clinical findings_fin: {'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}}anatomical entity_fin: {'heart': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'right heart strain': {'clinical finding': 'right heart strain', 'existence': 'neg_dx', 'descriptive_term': 'right heart', 'observation': 'strain'}}anatomical entity_fin: {'lobe': {'location descriptor': 'bilateral lower'}}location descriptor_fin: ['bilateral', 'lower']clinical findings_fin: {'bilateral lower lobe scarring': {'clinical finding': 'bilateral lower lobe scarring', 'existence': 'pos_dx', 'descriptive_term': 'bilateral lower lobe', 'observation': 'scarr'}, 'previous infarct': {'clinical finding': 'previous infarct', 'cf_snomed': {'infarct': 55641003}, 'existence': 'pos_dx', 'descriptive_term': 'previous', 'observation': 'infarct', 'temporal_term': 'previous'}}anatomical entity_fin: {'lungs': {'location descriptor': 'upper'}}location descriptor_fin: ['upper']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: {'pleural effusions': {'clinical finding': 'pleural effusions', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}}clinical findings_fin: {'scattered pulmonary micronodules': {'clinical finding': 'scattered pulmonary micronodules', 'existence': 'pos_dx', 'descriptive_term': 'scattered pulmonary', 'observation': 'micronodule'}}size_fin: [{'size': '5 mm', 'size_descriptor': 'nodule'}]anatomical entity_fin: {'middle': {'location descriptor': 'right'}, 'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'previously measured right middle lobe nodule': {'clinical finding': 'previously measured right middle lobe nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'previously measured right middle lobe', 'observation': 'nodule'}}clinical findings_fin: {'this is likely benign': {'clinical finding': 'this is likely benign'}}location descriptor_fin: ['right']clinical findings_fin: {'reactive mediastinal and right hilar adenopathy': {'clinical finding': 'reactive mediastinal and right hilar adenopathy', 'existence': 'pos_dx', 'descriptive_term': 'reactive mediastinal and right hilar', 'observation': 'adenopathy'}}clinical findings_fin: {'mediastinal lipomatosis': {'clinical finding': 'mediastinal lipomatosis', 'cf_snomed': {'lipomatosis': 402693001}, 'existence': 'pos_dx', 'descriptive_term': 'mediastinal', 'observation': 'lipomatosis'}}anatomical entity_fin: {'rib': {}}location descriptor_fin: ['left']clinical findings_fin: {'left ninth rib tip expansile bony remodeling': {'clinical finding': 'left ninth rib tip expansile bony remodeling', 'existence': 'pos_dx', 'descriptive_term': 'left ninth rib tip expansile bony', 'observation': 'remodeling'}}clinical findings_fin: {'these lesions': {'clinical finding': 'these lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'unc_dx', 'descriptive_term': 'these', 'observation': 'lesion'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}procedure_fin: ['cholecystectomy']location descriptor_fin: ['left']clinical findings_fin: {'left splenic hypoattenuating lesion': {'clinical finding': 'left splenic hypoattenuating lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'left splenic hypoattenuating', 'observation': 'lesion'}}location descriptor_fin: ['left']clinical findings_fin: {'left renal cystic lesion': {'clinical finding': 'left renal cystic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'left renal cystic', 'observation': 'lesion'}}
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['subsegmental', 'right', 'lower']clinical findings_fin: {'subsegmental vessel occlusion': {'clinical finding': 'subsegmental vessel occlusion', 'existence': 'pos_dx', 'descriptive_term': 'subsegmental vessel', 'observation': 'occlusion'}}anatomical entity_fin: {'arteries': {'location descriptor': 'subsegmental'}, 'lobes': {'location descriptor': 'lower'}}location descriptor_fin: ['subsegmental', 'lower']clinical findings_fin: {'multiple chronic emboli': {'clinical finding': 'multiple chronic emboli', 'existence': 'pos_dx', 'descriptive_term': 'multiple chronic', 'observation': 'emboli', 'quantity_term': 'multiple', 'temporal_term': 'chronic'}}anatomical entity_fin: {'pulmonary arteries': {}}clinical findings_fin: {'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}}anatomical entity_fin: {'heart': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'right heart strain': {'clinical finding': 'right heart strain', 'existence': 'neg_dx', 'descriptive_term': 'right heart', 'observation': 'strain'}}anatomical entity_fin: {'lobe': {'location descriptor': 'bilateral lower'}}location descriptor_fin: ['bilateral', 'lower']clinical findings_fin: {'bilateral lower lobe scarring': {'clinical finding': 'bilateral lower lobe scarring', 'existence': 'pos_dx', 'descriptive_term': 'bilateral lower lobe', 'observation': 'scarr'}, 'previous infarct': {'clinical finding': 'previous infarct', 'cf_snomed': {'infarct': 55641003}, 'existence': 'pos_dx', 'descriptive_term': 'previous', 'observation': 'infarct', 'temporal_term': 'previous'}}anatomical entity_fin: {'lungs': {'location descriptor': 'upper'}}location descriptor_fin: ['upper']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: {'pleural effusions': {'clinical finding': 'pleural effusions', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}}clinical findings_fin: {'scattered pulmonary micronodules': {'clinical finding': 'scattered pulmonary micronodules', 'existence': 'pos_dx', 'descriptive_term': 'scattered pulmonary', 'observation': 'micronodule'}}size_fin: [{'size': '5 mm', 'size_descriptor': 'nodule'}]anatomical entity_fin: {'middle': {'location descriptor': 'right'}, 'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'previously measured right middle lobe nodule': {'clinical finding': 'previously measured right middle lobe nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'previously measured right middle lobe', 'observation': 'nodule'}}clinical findings_fin: {'this is likely benign': {'clinical finding': 'this is likely benign'}}location descriptor_fin: ['right']clinical findings_fin: {'reactive mediastinal and right hilar adenopathy': {'clinical finding': 'reactive mediastinal and right hilar adenopathy', 'existence': 'pos_dx', 'descriptive_term': 'reactive mediastinal and right hilar', 'observation': 'adenopathy'}}clinical findings_fin: {'mediastinal lipomatosis': {'clinical finding': 'mediastinal lipomatosis', 'cf_snomed': {'lipomatosis': 402693001}, 'existence': 'pos_dx', 'descriptive_term': 'mediastinal', 'observation': 'lipomatosis'}}anatomical entity_fin: {'rib': {}}location descriptor_fin: ['left']clinical findings_fin: {'left ninth rib tip expansile bony remodeling': {'clinical finding': 'left ninth rib tip expansile bony remodeling', 'existence': 'pos_dx', 'descriptive_term': 'left ninth rib tip expansile bony', 'observation': 'remodeling'}}clinical findings_fin: {'these lesions': {'clinical finding': 'these lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'unc_dx', 'descriptive_term': 'these', 'observation': 'lesion'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}procedure_fin: ['cholecystectomy']location descriptor_fin: ['left']clinical findings_fin: {'left splenic hypoattenuating lesion': {'clinical finding': 'left splenic hypoattenuating lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'left splenic hypoattenuating', 'observation': 'lesion'}}location descriptor_fin: ['left']clinical findings_fin: {'left renal cystic lesion': {'clinical finding': 'left renal cystic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'left renal cystic', 'observation': 'lesion'}} [/INST] . Subsegmental vessel occlusion in the right lower lobe, subacute chronic and new since the prior PET CT of 4/2015. Multiple chronic emboli are seen in segmental and subsegmental arteries of the lower lobes bilaterally. The pulmonary arteries are moderately enlarged. No evidence of right heart strain. Bilateral lower lobe scarring which could relate to previous infarct. Mild centrilobular emphysema in the upper lungs. No pleural effusions noted. Scattered pulmonary micronodules. The previously measured right middle lobe nodule currently measures 5 mm on image 102 of series 8, and is unchanged in size. This is likely benign. Reactive mediastinal and right hilar adenopathy which is unchanged. Mediastinal lipomatosis is noted. Mild. Left ninth rib tip expansile bony remodeling which appears stable as compared to the previous exam. Please note that the cartilaginous components of these lesions cannot be accurately assessed by CT. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. Status post cholecystectomy. Left splenic hypoattenuating lesion appears unchanged compared to 8/30/2015. Left renal cystic lesion appears unchanged. </s>