. Right paramediastinal radiation fibrosis is again noted. Unchanged reference right upper lobe nodule measuring 3 mm. Right middle lobe reference lesion measures 4 mm, unchanged additional scattered subcentimeter calcified and noncalcified micronodules are unchanged. No significant mediastinal or hilar lymphadenopathy. Residual soft tissue surrounding the right main and upper lobe bronchus is unchanged in appearance. Calcified subcarinal lymph nodes. The heart size is normal without pericardial effusion. Severe. Evidence of prior left neck dissection. No significant chest wall lymphadenopathy. No significant retrocrural lymphadenopathy. Severe degenerative changes to the endplates of the upper thoracic spine and lower lumbar spine. Absence of enteric contrast material limits sensitivity for abdominal pathology. Subcentimeter hypoattenuating focus in the right lobe of liver, unchanged and too small to further characterize. Calcified granuloma in the liver. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Lymph nodes adjacent to the tail of the pancreas are unchanged. No significant lymphadenopathy. Severe atherosclerotic calcification of the aorta and its branch vessels without aneurysmal dilatation. Absence of enteric contrast material limits sensitivity for GI pathology. No gross abnormalities noted. No significant abnormality noted. No significant abnormality noted.
location descriptor_fin: ['right']clinical findings_fin: {'paramediastinal radiation fibrosis': {'clinical finding': 'paramediastinal radiation fibrosis', 'existence': 'pos_dx', 'descriptive_term': 'paramediastinal radiation', 'observation': 'fibrosis'}}size_fin: [{'size': '3 mm', 'size_descriptor': 'reference'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right upper'}}location descriptor_fin: ['right', 'upper']clinical findings_fin: {'unchanged reference right upper lobe nodule': {'clinical finding': 'unchanged reference right upper lobe nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'unchanged reference right upper lobe', 'observation': 'nodule', 'strength_term': 'unchanged', 'change_term': 'unchanged'}}size_fin: [{'size': '4 mm'}]anatomical entity_fin: {'middle': {'location descriptor': 'right'}, 'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'right middle lobe reference lesion': {'clinical finding': 'right middle lobe reference lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'right middle lobe reference', 'observation': 'lesion'}, 'additional scattered subcentimeter calcified and noncalcified micronodules': {'clinical finding': 'additional scattered subcentimeter calcified and noncalcified micronodules', 'existence': 'pos_dx', 'descriptive_term': 'additional scattered subcentimeter calcified and noncalcified', 'observation': 'micronodule', 'change_term': 'calcified'}}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: {'upper lobe bronchus': {}}location descriptor_fin: ['right']clinical findings_fin: {'residual soft tissue': {'clinical finding': 'residual soft tissue', 'existence': 'pos_dx', 'descriptive_term': 'residual soft', 'observation': 'tissue', 'temporal_term': 'residual'}}anatomical entity_fin: {'subcarinal lymph nodes': {}}clinical findings_fin: {'calcified subcarinal lymph nodes': {'clinical finding': 'calcified subcarinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'calcified subcarinal lymph', 'observation': 'node', 'change_term': 'calcified'}}anatomical entity_fin: {'heart': {}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'pos_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}anatomical entity_fin: {'neck': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'prior left neck dissection': {'clinical finding': 'prior left neck dissection', 'existence': 'pos_dx', 'descriptive_term': 'prior left neck', 'observation': 'dissection'}}anatomical entity_fin: {'chest wall': {}}clinical findings_fin: {'significant chest wall lymphadenopathy': {'clinical finding': 'significant chest wall lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'descriptive_term': 'significant chest wall', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'significant retrocrural lymphadenopathy': {'clinical finding': 'significant retrocrural lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'descriptive_term': 'significant retrocrural', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'spine': {}}location descriptor_fin: ['upper', 'lower']clinical findings_fin: {'severe degenerative changes': {'clinical finding': 'severe degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'severe degenerative', 'observation': 'change', 'strength_term': 'severe'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}anatomical entity_fin: {'right lobe of liver': {}}clinical findings_fin: {'subcentimeter hypoattenuating focus': {'clinical finding': 'subcentimeter hypoattenuating focus', 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter hypoattenuating', 'observation': 'focus'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'calcified granuloma': {'clinical finding': 'calcified granuloma', 'cf_snomed': {'calcified granuloma': 48391002}, 'existence': 'pos_dx', 'descriptive_term': 'calcified', 'observation': 'granuloma', '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'}}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: {'pancreas': {}}location descriptor_fin: ['adjacent']clinical findings_fin: {'lymph nodes': {'clinical finding': 'lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'lymph', 'observation': 'node'}, 'tail': {'clinical finding': 'tail', 'existence': 'pos_dx', 'observation': 'tail'}}clinical findings_fin: {'significant lymphadenopathy': {'clinical finding': 'significant lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'aorta': {}}clinical findings_fin: {'severe atherosclerotic calcification': {'clinical finding': 'severe atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'severe atherosclerotic', 'observation': 'calcification', 'strength_term': 'severe'}, 'aneurysmal': {'clinical finding': 'aneurysmal', 'existence': 'neg_dx', 'observation': 'aneurysmal'}}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'}}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: {'paramediastinal radiation fibrosis': {'clinical finding': 'paramediastinal radiation fibrosis', 'existence': 'pos_dx', 'descriptive_term': 'paramediastinal radiation', 'observation': 'fibrosis'}}size_fin: [{'size': '3 mm', 'size_descriptor': 'reference'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right upper'}}location descriptor_fin: ['right', 'upper']clinical findings_fin: {'unchanged reference right upper lobe nodule': {'clinical finding': 'unchanged reference right upper lobe nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'unchanged reference right upper lobe', 'observation': 'nodule', 'strength_term': 'unchanged', 'change_term': 'unchanged'}}size_fin: [{'size': '4 mm'}]anatomical entity_fin: {'middle': {'location descriptor': 'right'}, 'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'right middle lobe reference lesion': {'clinical finding': 'right middle lobe reference lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'right middle lobe reference', 'observation': 'lesion'}, 'additional scattered subcentimeter calcified and noncalcified micronodules': {'clinical finding': 'additional scattered subcentimeter calcified and noncalcified micronodules', 'existence': 'pos_dx', 'descriptive_term': 'additional scattered subcentimeter calcified and noncalcified', 'observation': 'micronodule', 'change_term': 'calcified'}}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: {'upper lobe bronchus': {}}location descriptor_fin: ['right']clinical findings_fin: {'residual soft tissue': {'clinical finding': 'residual soft tissue', 'existence': 'pos_dx', 'descriptive_term': 'residual soft', 'observation': 'tissue', 'temporal_term': 'residual'}}anatomical entity_fin: {'subcarinal lymph nodes': {}}clinical findings_fin: {'calcified subcarinal lymph nodes': {'clinical finding': 'calcified subcarinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'calcified subcarinal lymph', 'observation': 'node', 'change_term': 'calcified'}}anatomical entity_fin: {'heart': {}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'pos_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}anatomical entity_fin: {'neck': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'prior left neck dissection': {'clinical finding': 'prior left neck dissection', 'existence': 'pos_dx', 'descriptive_term': 'prior left neck', 'observation': 'dissection'}}anatomical entity_fin: {'chest wall': {}}clinical findings_fin: {'significant chest wall lymphadenopathy': {'clinical finding': 'significant chest wall lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'descriptive_term': 'significant chest wall', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'significant retrocrural lymphadenopathy': {'clinical finding': 'significant retrocrural lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'descriptive_term': 'significant retrocrural', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'spine': {}}location descriptor_fin: ['upper', 'lower']clinical findings_fin: {'severe degenerative changes': {'clinical finding': 'severe degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'severe degenerative', 'observation': 'change', 'strength_term': 'severe'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}anatomical entity_fin: {'right lobe of liver': {}}clinical findings_fin: {'subcentimeter hypoattenuating focus': {'clinical finding': 'subcentimeter hypoattenuating focus', 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter hypoattenuating', 'observation': 'focus'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'calcified granuloma': {'clinical finding': 'calcified granuloma', 'cf_snomed': {'calcified granuloma': 48391002}, 'existence': 'pos_dx', 'descriptive_term': 'calcified', 'observation': 'granuloma', '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'}}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: {'pancreas': {}}location descriptor_fin: ['adjacent']clinical findings_fin: {'lymph nodes': {'clinical finding': 'lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'lymph', 'observation': 'node'}, 'tail': {'clinical finding': 'tail', 'existence': 'pos_dx', 'observation': 'tail'}}clinical findings_fin: {'significant lymphadenopathy': {'clinical finding': 'significant lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'aorta': {}}clinical findings_fin: {'severe atherosclerotic calcification': {'clinical finding': 'severe atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'severe atherosclerotic', 'observation': 'calcification', 'strength_term': 'severe'}, 'aneurysmal': {'clinical finding': 'aneurysmal', 'existence': 'neg_dx', 'observation': 'aneurysmal'}}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'}}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] . Right paramediastinal radiation fibrosis is again noted. Unchanged reference right upper lobe nodule measuring 3 mm. Right middle lobe reference lesion measures 4 mm, unchanged additional scattered subcentimeter calcified and noncalcified micronodules are unchanged. No significant mediastinal or hilar lymphadenopathy. Residual soft tissue surrounding the right main and upper lobe bronchus is unchanged in appearance. Calcified subcarinal lymph nodes. The heart size is normal without pericardial effusion. Severe. Evidence of prior left neck dissection. No significant chest wall lymphadenopathy. No significant retrocrural lymphadenopathy. Severe degenerative changes to the endplates of the upper thoracic spine and lower lumbar spine. Absence of enteric contrast material limits sensitivity for abdominal pathology. Subcentimeter hypoattenuating focus in the right lobe of liver, unchanged and too small to further characterize. Calcified granuloma in the liver. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Lymph nodes adjacent to the tail of the pancreas are unchanged. No significant lymphadenopathy. Severe atherosclerotic calcification of the aorta and its branch vessels without aneurysmal dilatation. Absence of enteric contrast material limits sensitivity for GI pathology. No gross abnormalities noted. No significant abnormality noted. No significant abnormality noted. </s>