. Moderate to severe right greater than left centrilobular emphysema. No suspicious nodule or mass. Extensive bilateral pleural thickening and calcification consistent with asbestosis related pleural disease. Probable right lower lobe rounded atelectasis again noted. Pleural thickening at the right base posterolaterally is unchanged measuring 8 mm. No significant change in small loculated right pleural effusion. Status post CABG with median sternotomy wires intact. The heart size is normal without pericardial effusion. Scattered lymph nodes without significant lymphadenopathy. Severe. No suspicious osseous lesions. No significant lymphadenopathy. Absence of enteric contrast material limits sensitivity for abdominal pathology. Small hiatal hernia.
location descriptor_fin: ['right', 'left']clinical findings_fin: {'left centrilobular emphysema': {'clinical finding': 'left centrilobular emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'descriptive_term': 'left centrilobular', 'observation': 'emphysema'}}clinical findings_fin: {'suspicious nodule': {'clinical finding': 'suspicious nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious', 'observation': 'nodule'}, 'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'extensive bilateral pleural thickening': {'clinical finding': 'extensive bilateral pleural thickening', 'existence': 'pos_dx', 'descriptive_term': 'extensive bilateral pleural', 'observation': 'thickening', 'strength_term': 'extensive'}, 'calcification': {'clinical finding': 'calcification', 'existence': 'pos_dx', 'observation': 'calcification'}, 'asbestosis related pleural disease': {'clinical finding': 'asbestosis related pleural disease', 'cf_snomed': {'asbestosis': 22607003, 'related': 262094002, 'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'asbestosis related pleural', 'observation': 'disease'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'probable right lower lobe rounded atelectasis': {'clinical finding': 'probable right lower lobe rounded atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'probable right lower lobe rounded', 'observation': 'atelectasis'}}size_fin: [{'size': '8 mm', 'size_descriptor': 'thickening'}]anatomical entity_fin: {'base': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'pleural thickening': {'clinical finding': 'pleural thickening', 'existence': 'pos_dx', 'descriptive_term': 'pleural', 'observation': 'thickening'}}location descriptor_fin: ['right']clinical findings_fin: {'significant change': {'clinical finding': 'significant change', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'change'}, 'small loculated right pleural effusion': {'clinical finding': 'small loculated right pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'small loculated right pleural', 'observation': 'effusion', 'strength_term': 'small'}}location descriptor_fin: ['median']clinical findings_fin: {'median sternotomy wires': {'clinical finding': 'median sternotomy wires', 'existence': 'pos_dx', 'descriptive_term': 'median sternotomy', 'observation': 'wire'}, 'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}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'}}clinical findings_fin: {'scattered lymph nodes': {'clinical finding': 'scattered lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'scattered lymph', 'observation': 'node'}, 'significant lymphadenopathy': {'clinical finding': 'significant lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'suspicious osseous lesions': {'clinical finding': 'suspicious osseous lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious osseous', 'observation': 'lesion'}}clinical findings_fin: {'significant lymphadenopathy': {'clinical finding': 'significant lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'small hiatal hernia': {'clinical finding': 'small hiatal hernia', 'cf_snomed': {'hiatal hernia': 84089009}, 'existence': 'pos_dx', 'descriptive_term': 'small hiatal', 'observation': 'hernia', 'strength_term': 'small'}}
<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['right', 'left']clinical findings_fin: {'left centrilobular emphysema': {'clinical finding': 'left centrilobular emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'descriptive_term': 'left centrilobular', 'observation': 'emphysema'}}clinical findings_fin: {'suspicious nodule': {'clinical finding': 'suspicious nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious', 'observation': 'nodule'}, 'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'extensive bilateral pleural thickening': {'clinical finding': 'extensive bilateral pleural thickening', 'existence': 'pos_dx', 'descriptive_term': 'extensive bilateral pleural', 'observation': 'thickening', 'strength_term': 'extensive'}, 'calcification': {'clinical finding': 'calcification', 'existence': 'pos_dx', 'observation': 'calcification'}, 'asbestosis related pleural disease': {'clinical finding': 'asbestosis related pleural disease', 'cf_snomed': {'asbestosis': 22607003, 'related': 262094002, 'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'asbestosis related pleural', 'observation': 'disease'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'probable right lower lobe rounded atelectasis': {'clinical finding': 'probable right lower lobe rounded atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'probable right lower lobe rounded', 'observation': 'atelectasis'}}size_fin: [{'size': '8 mm', 'size_descriptor': 'thickening'}]anatomical entity_fin: {'base': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'pleural thickening': {'clinical finding': 'pleural thickening', 'existence': 'pos_dx', 'descriptive_term': 'pleural', 'observation': 'thickening'}}location descriptor_fin: ['right']clinical findings_fin: {'significant change': {'clinical finding': 'significant change', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'change'}, 'small loculated right pleural effusion': {'clinical finding': 'small loculated right pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'small loculated right pleural', 'observation': 'effusion', 'strength_term': 'small'}}location descriptor_fin: ['median']clinical findings_fin: {'median sternotomy wires': {'clinical finding': 'median sternotomy wires', 'existence': 'pos_dx', 'descriptive_term': 'median sternotomy', 'observation': 'wire'}, 'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}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'}}clinical findings_fin: {'scattered lymph nodes': {'clinical finding': 'scattered lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'scattered lymph', 'observation': 'node'}, 'significant lymphadenopathy': {'clinical finding': 'significant lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'suspicious osseous lesions': {'clinical finding': 'suspicious osseous lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious osseous', 'observation': 'lesion'}}clinical findings_fin: {'significant lymphadenopathy': {'clinical finding': 'significant lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'small hiatal hernia': {'clinical finding': 'small hiatal hernia', 'cf_snomed': {'hiatal hernia': 84089009}, 'existence': 'pos_dx', 'descriptive_term': 'small hiatal', 'observation': 'hernia', 'strength_term': 'small'}} [/INST] . Moderate to severe right greater than left centrilobular emphysema. No suspicious nodule or mass. Extensive bilateral pleural thickening and calcification consistent with asbestosis related pleural disease. Probable right lower lobe rounded atelectasis again noted. Pleural thickening at the right base posterolaterally is unchanged measuring 8 mm. No significant change in small loculated right pleural effusion. Status post CABG with median sternotomy wires intact. The heart size is normal without pericardial effusion. Scattered lymph nodes without significant lymphadenopathy. Severe. No suspicious osseous lesions. No significant lymphadenopathy. Absence of enteric contrast material limits sensitivity for abdominal pathology. Small hiatal hernia. </s>