. Increased right paramediastinal fibrotic changes consistent with radiation fibrosis. Right basilar ground glass opacity with subpleural sparing likely reflects radiation pneumonitis. No suspicious pulmonary nodules or masses are identified. Postsurgical changes related to sternotomy and resection of the right anterior mediastinal mass. No residual soft tissue is evident to suggest recurrence. No hilar or mediastinal lymphadenopathy is present. The main pulmonary artery measures 3.5 cm in maximal diameter, which is nonspecific finding, but can be seen in the setting of pulmonary hypertension. The heart size is normal and there is no pericardial effusion. None. No significant lymphadenopathy noted. No significant lymphadenopathy noted. Postsurgical changes related to sternotomy, with intact sternotomy fixation hardware. Absence of enteric contrast material limits sensitivity for abdominal pathology. Cholelithiasis without evidence of cholecystitis. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant lymphadenopathy noted. Absence of enteric contrast material limits sensitivity for GI pathology. Densely calcified mesenteric masses likely reflect calcified lymph nodes. No significant abnormality noted. No significant abnormality noted.
location descriptor_fin: ['right']clinical findings_fin: {'increased right paramediastinal fibrotic changes': {'clinical finding': 'increased right paramediastinal fibrotic changes', 'existence': 'pos_dx', 'descriptive_term': 'increased right paramediastinal fibrotic', 'observation': 'change', 'strength_term': 'increased', 'change_term': 'increased'}, 'radiation fibrosis': {'clinical finding': 'radiation fibrosis', 'existence': 'pos_dx', 'descriptive_term': 'radiation', 'observation': 'fibrosis'}}location descriptor_fin: ['right']clinical findings_fin: {'basilar ground glass opacity': {'clinical finding': 'basilar ground glass opacity', 'cf_snomed': {'ground glass opacity': 1217294009}, 'existence': 'pos_dx', 'descriptive_term': 'basilar ground glass', 'observation': 'opacity'}, 'radiation pneumonitis': {'clinical finding': 'radiation pneumonitis', 'cf_snomed': {'radiation pneumonitis': 84004001}, 'existence': 'pos_dx', 'descriptive_term': 'radiation', 'observation': 'pneumonitis'}}clinical findings_fin: {'suspicious pulmonary nodules': {'clinical finding': 'suspicious pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious pulmonary', 'observation': 'nodule'}, 'masses': {'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass'}}location descriptor_fin: ['right', 'anterior']clinical findings_fin: {'postsurgical changes': {'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'}, 'sternotomy': {'clinical finding': 'sternotomy', 'existence': 'pos_dx', 'observation': 'sternotomy'}, 'right anterior mediastinal mass': {'clinical finding': 'right anterior mediastinal mass', 'cf_snomed': {'mediastinal mass': 94147001}, 'existence': 'pos_dx', 'descriptive_term': 'right anterior mediastinal', 'observation': 'mass'}}clinical findings_fin: {'residual': {'clinical finding': 'residual', 'existence': 'neg_dx', 'observation': 'residual'}, 'recurrence': {'clinical finding': 'recurrence', 'existence': 'unc_dx', 'observation': 'recurrence'}}clinical findings_fin: {'hilar or mediastinal lymphadenopathy': {'clinical finding': 'hilar or mediastinal lymphadenopathy', 'cf_snomed': {'mediastinal lymphadenopathy': 52324001}, 'existence': 'neg_dx', 'descriptive_term': 'hilar or mediastinal', 'observation': 'lymphadenopathy'}}size_fin: [{'size': '3.5 cm', 'size_descriptor': 'artery'}]anatomical entity_fin: {'main pulmonary artery': {}}clinical findings_fin: {'pulmonary hypertension': {'clinical finding': 'pulmonary hypertension', 'cf_snomed': {'pulmonary hypertension': 70995007}, 'existence': 'unc_dx', 'descriptive_term': 'pulmonary', 'observation': 'hypertension'}}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: {'significant lymphadenopathy': {'clinical finding': 'significant lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'significant lymphadenopathy': {'clinical finding': 'significant lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'postsurgical changes': {'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'}, 'sternotomy': {'clinical finding': 'sternotomy', 'existence': 'pos_dx', 'observation': 'sternotomy'}, 'intact sternotomy fixation hardware': {'clinical finding': 'intact sternotomy fixation hardware', 'existence': 'pos_dx', 'descriptive_term': 'intact sternotomy fixation', 'observation': 'hardware', 'change_term': 'intact'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'cholelithiasis': {'clinical finding': 'cholelithiasis', 'existence': 'pos_dx', 'observation': 'cholelithiasis'}, 'cholecystitis': {'clinical finding': 'cholecystitis', 'cf_snomed': {'cholecystitis': 76581006}, 'existence': 'neg_dx', 'observation': 'cholecystitis'}}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 lymphadenopathy': {'clinical finding': 'significant lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'densely calcified mesenteric masses': {'clinical finding': 'densely calcified mesenteric masses', 'existence': 'unc_dx', 'descriptive_term': 'densely calcified mesenteric', 'observation': 'mass', 'change_term': 'calcified'}, 'calcified lymph nodes': {'clinical finding': 'calcified lymph nodes', 'cf_snomed': {'calcified lymph nodes': 191394000}, 'existence': 'unc_dx', 'descriptive_term': 'calcified lymph', 'observation': 'node', 'change_term': 'calcified'}}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'}}
<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['right']clinical findings_fin: {'increased right paramediastinal fibrotic changes': {'clinical finding': 'increased right paramediastinal fibrotic changes', 'existence': 'pos_dx', 'descriptive_term': 'increased right paramediastinal fibrotic', 'observation': 'change', 'strength_term': 'increased', 'change_term': 'increased'}, 'radiation fibrosis': {'clinical finding': 'radiation fibrosis', 'existence': 'pos_dx', 'descriptive_term': 'radiation', 'observation': 'fibrosis'}}location descriptor_fin: ['right']clinical findings_fin: {'basilar ground glass opacity': {'clinical finding': 'basilar ground glass opacity', 'cf_snomed': {'ground glass opacity': 1217294009}, 'existence': 'pos_dx', 'descriptive_term': 'basilar ground glass', 'observation': 'opacity'}, 'radiation pneumonitis': {'clinical finding': 'radiation pneumonitis', 'cf_snomed': {'radiation pneumonitis': 84004001}, 'existence': 'pos_dx', 'descriptive_term': 'radiation', 'observation': 'pneumonitis'}}clinical findings_fin: {'suspicious pulmonary nodules': {'clinical finding': 'suspicious pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious pulmonary', 'observation': 'nodule'}, 'masses': {'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass'}}location descriptor_fin: ['right', 'anterior']clinical findings_fin: {'postsurgical changes': {'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'}, 'sternotomy': {'clinical finding': 'sternotomy', 'existence': 'pos_dx', 'observation': 'sternotomy'}, 'right anterior mediastinal mass': {'clinical finding': 'right anterior mediastinal mass', 'cf_snomed': {'mediastinal mass': 94147001}, 'existence': 'pos_dx', 'descriptive_term': 'right anterior mediastinal', 'observation': 'mass'}}clinical findings_fin: {'residual': {'clinical finding': 'residual', 'existence': 'neg_dx', 'observation': 'residual'}, 'recurrence': {'clinical finding': 'recurrence', 'existence': 'unc_dx', 'observation': 'recurrence'}}clinical findings_fin: {'hilar or mediastinal lymphadenopathy': {'clinical finding': 'hilar or mediastinal lymphadenopathy', 'cf_snomed': {'mediastinal lymphadenopathy': 52324001}, 'existence': 'neg_dx', 'descriptive_term': 'hilar or mediastinal', 'observation': 'lymphadenopathy'}}size_fin: [{'size': '3.5 cm', 'size_descriptor': 'artery'}]anatomical entity_fin: {'main pulmonary artery': {}}clinical findings_fin: {'pulmonary hypertension': {'clinical finding': 'pulmonary hypertension', 'cf_snomed': {'pulmonary hypertension': 70995007}, 'existence': 'unc_dx', 'descriptive_term': 'pulmonary', 'observation': 'hypertension'}}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: {'significant lymphadenopathy': {'clinical finding': 'significant lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'significant lymphadenopathy': {'clinical finding': 'significant lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'postsurgical changes': {'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'}, 'sternotomy': {'clinical finding': 'sternotomy', 'existence': 'pos_dx', 'observation': 'sternotomy'}, 'intact sternotomy fixation hardware': {'clinical finding': 'intact sternotomy fixation hardware', 'existence': 'pos_dx', 'descriptive_term': 'intact sternotomy fixation', 'observation': 'hardware', 'change_term': 'intact'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'cholelithiasis': {'clinical finding': 'cholelithiasis', 'existence': 'pos_dx', 'observation': 'cholelithiasis'}, 'cholecystitis': {'clinical finding': 'cholecystitis', 'cf_snomed': {'cholecystitis': 76581006}, 'existence': 'neg_dx', 'observation': 'cholecystitis'}}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 lymphadenopathy': {'clinical finding': 'significant lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'densely calcified mesenteric masses': {'clinical finding': 'densely calcified mesenteric masses', 'existence': 'unc_dx', 'descriptive_term': 'densely calcified mesenteric', 'observation': 'mass', 'change_term': 'calcified'}, 'calcified lymph nodes': {'clinical finding': 'calcified lymph nodes', 'cf_snomed': {'calcified lymph nodes': 191394000}, 'existence': 'unc_dx', 'descriptive_term': 'calcified lymph', 'observation': 'node', 'change_term': 'calcified'}}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'}} [/INST] . Increased right paramediastinal fibrotic changes consistent with radiation fibrosis. Right basilar ground glass opacity with subpleural sparing likely reflects radiation pneumonitis. No suspicious pulmonary nodules or masses are identified. Postsurgical changes related to sternotomy and resection of the right anterior mediastinal mass. No residual soft tissue is evident to suggest recurrence. No hilar or mediastinal lymphadenopathy is present. The main pulmonary artery measures 3.5 cm in maximal diameter, which is nonspecific finding, but can be seen in the setting of pulmonary hypertension. The heart size is normal and there is no pericardial effusion. None. No significant lymphadenopathy noted. No significant lymphadenopathy noted. Postsurgical changes related to sternotomy, with intact sternotomy fixation hardware. Absence of enteric contrast material limits sensitivity for abdominal pathology. Cholelithiasis without evidence of cholecystitis. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant lymphadenopathy noted. Absence of enteric contrast material limits sensitivity for GI pathology. Densely calcified mesenteric masses likely reflect calcified lymph nodes. No significant abnormality noted. No significant abnormality noted. </s>