. Central airways are patent. Moderate centrilobular and paraseptal emphysema. Spiculated subpleural solid right upper lobe pulmonary nodule measures 23 x 15 mm , previously 15 x 18 mm. Scattered calcified and noncalcified pulmonary micronodules are unchanged. Cardiac size within normal limits without significant pericardial effusion. Aorta and great vessels are normal in caliber. Moderate to severe atherosclerosis of the aorta and its major branches. Multiple small and mildly enlarged mediastinal lymph nodes. For reference, left paratracheal lymph node measures 11 mm, slightly increased since prior. No significant hilar lymphadenopathy. Punctate calcification in the right thyroid gland. Mild. No lymphadenopathy. Sternotomy hardware noted. Absence of enteric contrast material limits sensitivity for abdominal pathology. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Bilateral low attenuation foci compatible with renal cysts. No significant abnormality noted. No significant abnormality noted. Absence of enteric contrast material limits sensitivity for GI pathology. No gross abnormalities noted. Mild degenerative changes of the thoracolumbar spine. Sclerotic focus in T11 vertebral body compatible with a bone island. Extensive, heavily calcification of the left and right common iliac arteries. The right common iliac artery lumen is narrowed to 4 mm by atherosclerotic calcification. Fat-containing ventral hernia.
anatomical entity_fin: {'airways': {'location descriptor': 'central'}}location descriptor_fin: ['central']clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}location descriptor_fin: ['centrilobular']clinical findings_fin: {'moderate centrilobular and paraseptal emphysema': {'clinical finding': 'moderate centrilobular and paraseptal emphysema', 'cf_snomed': {'paraseptal emphysema': 31898008}, 'existence': 'pos_dx', 'descriptive_term': 'moderate centrilobular and paraseptal', 'observation': 'emphysema', 'strength_term': 'moderate'}}size_fin: [{'size': '23 x 15 mm'}, {'size': '15 x 18 mm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right upper'}}location descriptor_fin: ['right', 'upper']clinical findings_fin: {'spiculated subpleural solid right upper lobe pulmonary nodule': {'clinical finding': 'spiculated subpleural solid right upper lobe pulmonary nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'spiculated subpleural solid right upper lobe pulmonary', 'observation': 'nodule'}}clinical findings_fin: {'scattered calcified and noncalcified pulmonary micronodules': {'clinical finding': 'scattered calcified and noncalcified pulmonary micronodules', 'existence': 'pos_dx', 'descriptive_term': 'scattered calcified and noncalcified pulmonary', 'observation': 'micronodule', 'change_term': 'calcified'}}clinical findings_fin: {'significant pericardial effusion': {'clinical finding': 'significant pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'pos_dx', 'descriptive_term': 'significant pericardial', 'observation': 'effusion'}}anatomical entity_fin: {'aorta': {}}clinical findings_fin: {'aorta and great vessels are normal in caliber': {'clinical finding': 'aorta and great vessels are normal in caliber'}}anatomical entity_fin: {'aorta': {}}clinical findings_fin: {'moderate to severe atherosclerosis': {'clinical finding': 'moderate to severe atherosclerosis', 'cf_snomed': {'atherosclerosis': 38716007}, 'existence': 'pos_dx', 'descriptive_term': 'moderate to severe', 'observation': 'atherosclerosis', 'strength_term': 'moderate - severe'}}anatomical entity_fin: {'mediastinal lymph nodes': {}}clinical findings_fin: {'multiple small and mildly enlarged mediastinal lymph nodes': {'clinical finding': 'multiple small and mildly enlarged mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'multiple small and mildly enlarged mediastinal lymph', 'observation': 'node', 'strength_term': 'small - mildly - enlarged', 'quantity_term': 'multiple', 'change_term': 'enlarged'}}size_fin: [{'size': '11 mm'}]location descriptor_fin: ['left']clinical findings_fin: {'left paratracheal lymph node': {'clinical finding': 'left paratracheal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'left paratracheal lymph', 'observation': 'node'}}clinical findings_fin: {'significant hilar lymphadenopathy': {'clinical finding': 'significant hilar lymphadenopathy', 'cf_snomed': {'hilar lymphadenopathy': 87500009}, 'existence': 'neg_dx', 'descriptive_term': 'significant hilar', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'thyroid gland': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'punctate calcification': {'clinical finding': 'punctate calcification', 'cf_snomed': {'punctate calcification': 129755006}, 'existence': 'pos_dx', 'descriptive_term': 'punctate', 'observation': 'calcification'}, 'right thyroid': {'clinical finding': 'right thyroid', 'existence': 'pos_dx', 'descriptive_term': 'right', 'observation': 'thyroid'}}clinical findings_fin: {'lymphadenopathy': {'clinical finding': 'lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'sternotomy hardware': {'clinical finding': 'sternotomy hardware', 'existence': 'pos_dx', 'descriptive_term': 'sternotomy', 'observation': 'hardware'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}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: ['foci']location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral low attenuation foci': {'clinical finding': 'bilateral low attenuation foci', 'existence': 'pos_dx', 'descriptive_term': 'bilateral low attenuation', 'observation': 'foci'}, 'renal cysts': {'clinical finding': 'renal cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'renal', 'observation': 'cyst'}}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: {'gi': {'clinical finding': 'gi', 'existence': 'unc_dx', 'observation': 'gi'}}clinical findings_fin: {'gross abnormalities': {'clinical finding': 'gross abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'gross', 'observation': 'abnormality'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'mild degenerative changes': {'clinical finding': 'mild degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'mild degenerative', 'observation': 'change', 'strength_term': 'mild'}}anatomical entity_fin: {'t11 vertebral body': {}, 'bone': {}}clinical findings_fin: {'sclerotic focus': {'clinical finding': 'sclerotic focus', 'existence': 'pos_dx', 'descriptive_term': 'sclerotic', 'observation': 'focus'}}anatomical entity_fin: {'common iliac arteries': {'location descriptor': 'right'}}location descriptor_fin: ['left', 'right']clinical findings_fin: {'extensive, heavily calcification': {'clinical finding': 'extensive, heavily calcification', 'existence': 'pos_dx', 'descriptive_term': 'extensive heavily', 'observation': 'calcification', 'strength_term': 'extensive - heavily'}}size_fin: [{'size': '4 mm'}]anatomical entity_fin: {'common iliac artery': {'location descriptor': 'right'}, 'lumen': {}}location descriptor_fin: ['right']clinical findings_fin: {'narrowed': {'clinical finding': 'narrowed', 'existence': 'pos_dx', 'observation': 'narrow'}, 'atherosclerotic calcification': {'clinical finding': 'atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'}}imaging observation_fin: ['fat']clinical findings_fin: {'fat-containing ventral hernia': {'clinical finding': 'fat-containing ventral hernia', 'cf_snomed': {'hernia': 414403008}, 'existence': 'pos_dx', 'descriptive_term': 'fat-containing ventral', 'observation': 'hernia'}}
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'airways': {'location descriptor': 'central'}}location descriptor_fin: ['central']clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}location descriptor_fin: ['centrilobular']clinical findings_fin: {'moderate centrilobular and paraseptal emphysema': {'clinical finding': 'moderate centrilobular and paraseptal emphysema', 'cf_snomed': {'paraseptal emphysema': 31898008}, 'existence': 'pos_dx', 'descriptive_term': 'moderate centrilobular and paraseptal', 'observation': 'emphysema', 'strength_term': 'moderate'}}size_fin: [{'size': '23 x 15 mm'}, {'size': '15 x 18 mm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right upper'}}location descriptor_fin: ['right', 'upper']clinical findings_fin: {'spiculated subpleural solid right upper lobe pulmonary nodule': {'clinical finding': 'spiculated subpleural solid right upper lobe pulmonary nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'spiculated subpleural solid right upper lobe pulmonary', 'observation': 'nodule'}}clinical findings_fin: {'scattered calcified and noncalcified pulmonary micronodules': {'clinical finding': 'scattered calcified and noncalcified pulmonary micronodules', 'existence': 'pos_dx', 'descriptive_term': 'scattered calcified and noncalcified pulmonary', 'observation': 'micronodule', 'change_term': 'calcified'}}clinical findings_fin: {'significant pericardial effusion': {'clinical finding': 'significant pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'pos_dx', 'descriptive_term': 'significant pericardial', 'observation': 'effusion'}}anatomical entity_fin: {'aorta': {}}clinical findings_fin: {'aorta and great vessels are normal in caliber': {'clinical finding': 'aorta and great vessels are normal in caliber'}}anatomical entity_fin: {'aorta': {}}clinical findings_fin: {'moderate to severe atherosclerosis': {'clinical finding': 'moderate to severe atherosclerosis', 'cf_snomed': {'atherosclerosis': 38716007}, 'existence': 'pos_dx', 'descriptive_term': 'moderate to severe', 'observation': 'atherosclerosis', 'strength_term': 'moderate - severe'}}anatomical entity_fin: {'mediastinal lymph nodes': {}}clinical findings_fin: {'multiple small and mildly enlarged mediastinal lymph nodes': {'clinical finding': 'multiple small and mildly enlarged mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'multiple small and mildly enlarged mediastinal lymph', 'observation': 'node', 'strength_term': 'small - mildly - enlarged', 'quantity_term': 'multiple', 'change_term': 'enlarged'}}size_fin: [{'size': '11 mm'}]location descriptor_fin: ['left']clinical findings_fin: {'left paratracheal lymph node': {'clinical finding': 'left paratracheal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'left paratracheal lymph', 'observation': 'node'}}clinical findings_fin: {'significant hilar lymphadenopathy': {'clinical finding': 'significant hilar lymphadenopathy', 'cf_snomed': {'hilar lymphadenopathy': 87500009}, 'existence': 'neg_dx', 'descriptive_term': 'significant hilar', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'thyroid gland': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'punctate calcification': {'clinical finding': 'punctate calcification', 'cf_snomed': {'punctate calcification': 129755006}, 'existence': 'pos_dx', 'descriptive_term': 'punctate', 'observation': 'calcification'}, 'right thyroid': {'clinical finding': 'right thyroid', 'existence': 'pos_dx', 'descriptive_term': 'right', 'observation': 'thyroid'}}clinical findings_fin: {'lymphadenopathy': {'clinical finding': 'lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'sternotomy hardware': {'clinical finding': 'sternotomy hardware', 'existence': 'pos_dx', 'descriptive_term': 'sternotomy', 'observation': 'hardware'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}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: ['foci']location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral low attenuation foci': {'clinical finding': 'bilateral low attenuation foci', 'existence': 'pos_dx', 'descriptive_term': 'bilateral low attenuation', 'observation': 'foci'}, 'renal cysts': {'clinical finding': 'renal cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'renal', 'observation': 'cyst'}}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: {'gi': {'clinical finding': 'gi', 'existence': 'unc_dx', 'observation': 'gi'}}clinical findings_fin: {'gross abnormalities': {'clinical finding': 'gross abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'gross', 'observation': 'abnormality'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'mild degenerative changes': {'clinical finding': 'mild degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'mild degenerative', 'observation': 'change', 'strength_term': 'mild'}}anatomical entity_fin: {'t11 vertebral body': {}, 'bone': {}}clinical findings_fin: {'sclerotic focus': {'clinical finding': 'sclerotic focus', 'existence': 'pos_dx', 'descriptive_term': 'sclerotic', 'observation': 'focus'}}anatomical entity_fin: {'common iliac arteries': {'location descriptor': 'right'}}location descriptor_fin: ['left', 'right']clinical findings_fin: {'extensive, heavily calcification': {'clinical finding': 'extensive, heavily calcification', 'existence': 'pos_dx', 'descriptive_term': 'extensive heavily', 'observation': 'calcification', 'strength_term': 'extensive - heavily'}}size_fin: [{'size': '4 mm'}]anatomical entity_fin: {'common iliac artery': {'location descriptor': 'right'}, 'lumen': {}}location descriptor_fin: ['right']clinical findings_fin: {'narrowed': {'clinical finding': 'narrowed', 'existence': 'pos_dx', 'observation': 'narrow'}, 'atherosclerotic calcification': {'clinical finding': 'atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'}}imaging observation_fin: ['fat']clinical findings_fin: {'fat-containing ventral hernia': {'clinical finding': 'fat-containing ventral hernia', 'cf_snomed': {'hernia': 414403008}, 'existence': 'pos_dx', 'descriptive_term': 'fat-containing ventral', 'observation': 'hernia'}} [/INST] . Central airways are patent. Moderate centrilobular and paraseptal emphysema. Spiculated subpleural solid right upper lobe pulmonary nodule measures 23 x 15 mm , previously 15 x 18 mm. Scattered calcified and noncalcified pulmonary micronodules are unchanged. Cardiac size within normal limits without significant pericardial effusion. Aorta and great vessels are normal in caliber. Moderate to severe atherosclerosis of the aorta and its major branches. Multiple small and mildly enlarged mediastinal lymph nodes. For reference, left paratracheal lymph node measures 11 mm, slightly increased since prior. No significant hilar lymphadenopathy. Punctate calcification in the right thyroid gland. Mild. No lymphadenopathy. Sternotomy hardware noted. Absence of enteric contrast material limits sensitivity for abdominal pathology. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Bilateral low attenuation foci compatible with renal cysts. No significant abnormality noted. No significant abnormality noted. Absence of enteric contrast material limits sensitivity for GI pathology. No gross abnormalities noted. Mild degenerative changes of the thoracolumbar spine. Sclerotic focus in T11 vertebral body compatible with a bone island. Extensive, heavily calcification of the left and right common iliac arteries. The right common iliac artery lumen is narrowed to 4 mm by atherosclerotic calcification. Fat-containing ventral hernia. </s>