. Technically excellent quality infusion of the pulmonary vasculature. No evidence of acute pulmonary embolism. Pulmonary artery is enlarged measuring up to 33 mm suggestive of pulmonary hypertension. Moderate centrilobular emphysema. Trace bilateral pleural effusions with overlying compressive atelectasis. No focal air space opacity. No suspicious masses or nodules. Cardiomegaly without pericardial effusion. Right atrium and right ventricle are dilated with straight intraventricular septum. Mild dilatation of the descending portion of the aortic arch and the proximal descending portion of the intrathoracic aorta at the isthmus measuring up to 4.3 cm in the transverse dimension. No mediastinal hematoma. Atherosclerotic calcifications of the aorta and its branches with mild coronary artery calcifications. Multiple calcified hilar and mediastinal nodes consistent with prior infection. The esophagus is dilated and filled with air. NG tube with side hole in the distal esophagus and tip in the stomach. Endotracheal tube in place above the carina. Right central venous catheter with tip in the SVC. Mild degenerative thoracic spine. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. Indeterminate left adrenal nodule which measures up to 2.4 cm and is mildly enlarged when compared to previous CT examination. The adrenal lesion does not meet CT criteria for adenoma and could be an atypical adenoma however malignancy cannot be excluded without dedicated imaging. Trace abdominal ascites. Dilatation and unsharp margins of the gallbladder neck compared to previous exam. No intrahepatic biliary dilatation. Numerous hepatic and renal hypodensities, incompletely characterized, but appear similar to prior study, and likely represent simple cysts. Nonobstructing left renal calculi. Hypoattenuating lesions in the pancreas too small to accurately characterize but may reflect a side branch IPMNs given the patients age.
anatomical entity_fin: {'vasculature': {}}procedure_fin: ['infusion']clinical findings_fin: {'pulmonary': {'clinical finding': 'pulmonary', 'existence': 'pos_dx', 'observation': 'pulmonary'}}clinical findings_fin: {'acute pulmonary embolism': {'clinical finding': 'acute pulmonary embolism', 'cf_snomed': {'acute pulmonary embolism': 706870000}, 'existence': 'neg_dx', 'descriptive_term': 'acute pulmonary', 'observation': 'embolism', 'strength_term': 'acute', 'temporal_term': 'acute'}}size_fin: [{'size': '33 mm'}]anatomical entity_fin: {'pulmonary artery': {}}clinical findings_fin: {'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}, 'pulmonary hypertension': {'clinical finding': 'pulmonary hypertension', 'cf_snomed': {'pulmonary hypertension': 70995007}, 'existence': 'unc_dx', 'descriptive_term': 'pulmonary', 'observation': 'hypertension'}}clinical findings_fin: {'moderate centrilobular emphysema': {'clinical finding': 'moderate centrilobular emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'descriptive_term': 'moderate centrilobular', 'observation': 'emphysema', 'strength_term': 'moderate'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral pleural effusions': {'clinical finding': 'bilateral pleural effusions', 'cf_snomed': {'bilateral pleural effusion': 425802001}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral pleural', 'observation': 'effusion'}, 'overlying compressive atelectasis': {'clinical finding': 'overlying compressive atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'overlying compressive', 'observation': 'atelectasis'}}clinical findings_fin: {'focal air space opacity': {'clinical finding': 'focal air space opacity', 'cf_snomed': {'opacity': 128305008}, 'existence': 'neg_dx', 'descriptive_term': 'focal air space', 'observation': 'opacity'}}clinical findings_fin: {'suspicious masses': {'clinical finding': 'suspicious masses', 'existence': 'neg_dx', 'descriptive_term': 'suspicious', 'observation': 'mass'}, 'nodules': {'clinical finding': 'nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'observation': 'nodule'}}clinical findings_fin: {'cardiomegaly': {'clinical finding': 'cardiomegaly', 'cf_snomed': {'cardiomegaly': 8186001}, 'existence': 'pos_dx', 'observation': 'cardiomegaly'}, 'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'pos_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}anatomical entity_fin: {'right atrium': {}, 'right ventricle': {}}clinical findings_fin: {'dilated': {'clinical finding': 'dilated', 'existence': 'pos_dx', 'observation': 'dilated'}}size_fin: [{'size': '4.3 cm', 'size_descriptor': 'dilatation'}]anatomical entity_fin: {'aortic arch': {}, 'aorta': {}}location descriptor_fin: ['proximal']clinical findings_fin: {'mild dilatation of the descending portion of the aortic arch': {'clinical finding': 'mild dilatation of the descending portion of the aortic arch', 'cf_snomed': {'dilatation': 25322007}}}imaging observation_fin: ['hematoma']clinical findings_fin: {'mediastinal hematoma': {'clinical finding': 'mediastinal hematoma', 'cf_snomed': {'hematoma': 385494008}, 'existence': 'neg_dx', 'descriptive_term': 'mediastinal', 'observation': 'hematoma'}}anatomical entity_fin: {'aorta': {}}clinical findings_fin: {'atherosclerotic calcifications': {'clinical finding': 'atherosclerotic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'}, 'mild coronary artery calcifications': {'clinical finding': 'mild coronary artery calcifications', 'existence': 'pos_dx', 'descriptive_term': 'mild coronary artery', 'observation': 'calcification', 'strength_term': 'mild'}}clinical findings_fin: {'multiple calcified hilar and mediastinal nodes': {'clinical finding': 'multiple calcified hilar and mediastinal nodes', 'existence': 'pos_dx', 'descriptive_term': 'multiple calcified hilar and mediastinal', 'observation': 'node', 'quantity_term': 'multiple', 'change_term': 'calcified'}, 'prior infection': {'clinical finding': 'prior infection', 'existence': 'pos_dx', 'descriptive_term': 'prior', 'observation': 'infection'}}anatomical entity_fin: {'esophagus': {}}clinical findings_fin: {'dilated': {'clinical finding': 'dilated', 'existence': 'pos_dx', 'observation': 'dilated'}}anatomical entity_fin: {'esophagus': {'location descriptor': 'distal'}, 'stomach': {}}location descriptor_fin: ['distal']object_fin: ['tube']clinical findings_fin: {'side hole': {'clinical finding': 'side hole', 'existence': 'pos_dx', 'descriptive_term': 'side', 'observation': 'hole'}}anatomical entity_fin: {'carina': {}}object_fin: ['endotracheal tube']clinical findings_fin: {'endotracheal tube': {'clinical finding': 'endotracheal tube', 'existence': 'pos_dx', 'descriptive_term': 'endotracheal', 'observation': 'tube'}}location descriptor_fin: ['right']object_fin: ['central venous catheter']clinical findings_fin: {'right central venous catheter': {'clinical finding': 'right central venous catheter', 'existence': 'pos_dx', 'descriptive_term': 'right central venous', 'observation': 'catheter'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'mild degenerative thoracic spine': {'clinical finding': 'mild degenerative thoracic spine'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}size_fin: [{'size': '2.4 cm', 'size_descriptor': 'nodule'}]location descriptor_fin: ['left']clinical findings_fin: {'indeterminate left adrenal nodule': {'clinical finding': 'indeterminate left adrenal nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'indeterminate left adrenal', 'observation': 'nodule'}, 'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}}clinical findings_fin: {'adrenal lesion': {'clinical finding': 'adrenal lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'unc_dx', 'descriptive_term': 'adrenal', 'observation': 'lesion'}, 'adenoma': {'clinical finding': 'adenoma', 'cf_snomed': {'adenoma': 1187379001}, 'existence': 'neg_dx', 'observation': 'adenoma'}, 'atypical adenoma': {'clinical finding': 'atypical adenoma', 'cf_snomed': {'atypical adenoma': 24482001}, 'existence': 'unc_dx', 'descriptive_term': 'atypical', 'observation': 'adenoma'}, 'malignancy': {'clinical finding': 'malignancy', 'existence': 'unc_dx', 'observation': 'malignancy'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'abdominal ascites': {'clinical finding': 'abdominal ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'abdominal', 'observation': 'ascite'}}anatomical entity_fin: {'gallbladder': {}, 'neck': {}}imaging observation_fin: ['margins']clinical findings_fin: {'numerous hepatic and renal hypodensities': {'clinical finding': 'numerous hepatic and renal hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'numerous hepatic and renal', 'observation': 'hypodensity', 'quantity_term': 'numerous'}, 'simple cysts': {'clinical finding': 'simple cysts', 'cf_snomed': {'simple cyst': 367644007}, 'existence': 'pos_dx', 'descriptive_term': 'simple', 'observation': 'cyst'}}location descriptor_fin: ['left']clinical findings_fin: {'left renal calculi': {'clinical finding': 'left renal calculi', 'existence': 'pos_dx', 'descriptive_term': 'left renal', 'observation': 'calculi'}}anatomical entity_fin: {'pancreas': {}}clinical findings_fin: {'hypoattenuating lesions': {'clinical finding': 'hypoattenuating lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'hypoattenuating', 'observation': 'lesion'}, 'ipmns': {'clinical finding': 'ipmns', 'existence': 'unc_dx', 'observation': 'ipmn'}}
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'vasculature': {}}procedure_fin: ['infusion']clinical findings_fin: {'pulmonary': {'clinical finding': 'pulmonary', 'existence': 'pos_dx', 'observation': 'pulmonary'}}clinical findings_fin: {'acute pulmonary embolism': {'clinical finding': 'acute pulmonary embolism', 'cf_snomed': {'acute pulmonary embolism': 706870000}, 'existence': 'neg_dx', 'descriptive_term': 'acute pulmonary', 'observation': 'embolism', 'strength_term': 'acute', 'temporal_term': 'acute'}}size_fin: [{'size': '33 mm'}]anatomical entity_fin: {'pulmonary artery': {}}clinical findings_fin: {'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}, 'pulmonary hypertension': {'clinical finding': 'pulmonary hypertension', 'cf_snomed': {'pulmonary hypertension': 70995007}, 'existence': 'unc_dx', 'descriptive_term': 'pulmonary', 'observation': 'hypertension'}}clinical findings_fin: {'moderate centrilobular emphysema': {'clinical finding': 'moderate centrilobular emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'descriptive_term': 'moderate centrilobular', 'observation': 'emphysema', 'strength_term': 'moderate'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral pleural effusions': {'clinical finding': 'bilateral pleural effusions', 'cf_snomed': {'bilateral pleural effusion': 425802001}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral pleural', 'observation': 'effusion'}, 'overlying compressive atelectasis': {'clinical finding': 'overlying compressive atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'overlying compressive', 'observation': 'atelectasis'}}clinical findings_fin: {'focal air space opacity': {'clinical finding': 'focal air space opacity', 'cf_snomed': {'opacity': 128305008}, 'existence': 'neg_dx', 'descriptive_term': 'focal air space', 'observation': 'opacity'}}clinical findings_fin: {'suspicious masses': {'clinical finding': 'suspicious masses', 'existence': 'neg_dx', 'descriptive_term': 'suspicious', 'observation': 'mass'}, 'nodules': {'clinical finding': 'nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'observation': 'nodule'}}clinical findings_fin: {'cardiomegaly': {'clinical finding': 'cardiomegaly', 'cf_snomed': {'cardiomegaly': 8186001}, 'existence': 'pos_dx', 'observation': 'cardiomegaly'}, 'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'pos_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}anatomical entity_fin: {'right atrium': {}, 'right ventricle': {}}clinical findings_fin: {'dilated': {'clinical finding': 'dilated', 'existence': 'pos_dx', 'observation': 'dilated'}}size_fin: [{'size': '4.3 cm', 'size_descriptor': 'dilatation'}]anatomical entity_fin: {'aortic arch': {}, 'aorta': {}}location descriptor_fin: ['proximal']clinical findings_fin: {'mild dilatation of the descending portion of the aortic arch': {'clinical finding': 'mild dilatation of the descending portion of the aortic arch', 'cf_snomed': {'dilatation': 25322007}}}imaging observation_fin: ['hematoma']clinical findings_fin: {'mediastinal hematoma': {'clinical finding': 'mediastinal hematoma', 'cf_snomed': {'hematoma': 385494008}, 'existence': 'neg_dx', 'descriptive_term': 'mediastinal', 'observation': 'hematoma'}}anatomical entity_fin: {'aorta': {}}clinical findings_fin: {'atherosclerotic calcifications': {'clinical finding': 'atherosclerotic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'}, 'mild coronary artery calcifications': {'clinical finding': 'mild coronary artery calcifications', 'existence': 'pos_dx', 'descriptive_term': 'mild coronary artery', 'observation': 'calcification', 'strength_term': 'mild'}}clinical findings_fin: {'multiple calcified hilar and mediastinal nodes': {'clinical finding': 'multiple calcified hilar and mediastinal nodes', 'existence': 'pos_dx', 'descriptive_term': 'multiple calcified hilar and mediastinal', 'observation': 'node', 'quantity_term': 'multiple', 'change_term': 'calcified'}, 'prior infection': {'clinical finding': 'prior infection', 'existence': 'pos_dx', 'descriptive_term': 'prior', 'observation': 'infection'}}anatomical entity_fin: {'esophagus': {}}clinical findings_fin: {'dilated': {'clinical finding': 'dilated', 'existence': 'pos_dx', 'observation': 'dilated'}}anatomical entity_fin: {'esophagus': {'location descriptor': 'distal'}, 'stomach': {}}location descriptor_fin: ['distal']object_fin: ['tube']clinical findings_fin: {'side hole': {'clinical finding': 'side hole', 'existence': 'pos_dx', 'descriptive_term': 'side', 'observation': 'hole'}}anatomical entity_fin: {'carina': {}}object_fin: ['endotracheal tube']clinical findings_fin: {'endotracheal tube': {'clinical finding': 'endotracheal tube', 'existence': 'pos_dx', 'descriptive_term': 'endotracheal', 'observation': 'tube'}}location descriptor_fin: ['right']object_fin: ['central venous catheter']clinical findings_fin: {'right central venous catheter': {'clinical finding': 'right central venous catheter', 'existence': 'pos_dx', 'descriptive_term': 'right central venous', 'observation': 'catheter'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'mild degenerative thoracic spine': {'clinical finding': 'mild degenerative thoracic spine'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}size_fin: [{'size': '2.4 cm', 'size_descriptor': 'nodule'}]location descriptor_fin: ['left']clinical findings_fin: {'indeterminate left adrenal nodule': {'clinical finding': 'indeterminate left adrenal nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'indeterminate left adrenal', 'observation': 'nodule'}, 'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}}clinical findings_fin: {'adrenal lesion': {'clinical finding': 'adrenal lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'unc_dx', 'descriptive_term': 'adrenal', 'observation': 'lesion'}, 'adenoma': {'clinical finding': 'adenoma', 'cf_snomed': {'adenoma': 1187379001}, 'existence': 'neg_dx', 'observation': 'adenoma'}, 'atypical adenoma': {'clinical finding': 'atypical adenoma', 'cf_snomed': {'atypical adenoma': 24482001}, 'existence': 'unc_dx', 'descriptive_term': 'atypical', 'observation': 'adenoma'}, 'malignancy': {'clinical finding': 'malignancy', 'existence': 'unc_dx', 'observation': 'malignancy'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'abdominal ascites': {'clinical finding': 'abdominal ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'abdominal', 'observation': 'ascite'}}anatomical entity_fin: {'gallbladder': {}, 'neck': {}}imaging observation_fin: ['margins']clinical findings_fin: {'numerous hepatic and renal hypodensities': {'clinical finding': 'numerous hepatic and renal hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'numerous hepatic and renal', 'observation': 'hypodensity', 'quantity_term': 'numerous'}, 'simple cysts': {'clinical finding': 'simple cysts', 'cf_snomed': {'simple cyst': 367644007}, 'existence': 'pos_dx', 'descriptive_term': 'simple', 'observation': 'cyst'}}location descriptor_fin: ['left']clinical findings_fin: {'left renal calculi': {'clinical finding': 'left renal calculi', 'existence': 'pos_dx', 'descriptive_term': 'left renal', 'observation': 'calculi'}}anatomical entity_fin: {'pancreas': {}}clinical findings_fin: {'hypoattenuating lesions': {'clinical finding': 'hypoattenuating lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'hypoattenuating', 'observation': 'lesion'}, 'ipmns': {'clinical finding': 'ipmns', 'existence': 'unc_dx', 'observation': 'ipmn'}} [/INST] . Technically excellent quality infusion of the pulmonary vasculature. No evidence of acute pulmonary embolism. Pulmonary artery is enlarged measuring up to 33 mm suggestive of pulmonary hypertension. Moderate centrilobular emphysema. Trace bilateral pleural effusions with overlying compressive atelectasis. No focal air space opacity. No suspicious masses or nodules. Cardiomegaly without pericardial effusion. Right atrium and right ventricle are dilated with straight intraventricular septum. Mild dilatation of the descending portion of the aortic arch and the proximal descending portion of the intrathoracic aorta at the isthmus measuring up to 4.3 cm in the transverse dimension. No mediastinal hematoma. Atherosclerotic calcifications of the aorta and its branches with mild coronary artery calcifications. Multiple calcified hilar and mediastinal nodes consistent with prior infection. The esophagus is dilated and filled with air. NG tube with side hole in the distal esophagus and tip in the stomach. Endotracheal tube in place above the carina. Right central venous catheter with tip in the SVC. Mild degenerative thoracic spine. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. Indeterminate left adrenal nodule which measures up to 2.4 cm and is mildly enlarged when compared to previous CT examination. The adrenal lesion does not meet CT criteria for adenoma and could be an atypical adenoma however malignancy cannot be excluded without dedicated imaging. Trace abdominal ascites. Dilatation and unsharp margins of the gallbladder neck compared to previous exam. No intrahepatic biliary dilatation. Numerous hepatic and renal hypodensities, incompletely characterized, but appear similar to prior study, and likely represent simple cysts. Nonobstructing left renal calculi. Hypoattenuating lesions in the pancreas too small to accurately characterize but may reflect a side branch IPMNs given the patients age. </s>