. Central airways are patent. No pneumothorax. Small left pleural effusion overlying subsegmental atelectasis. Bilateral diffuse groundglass opacities with mild sparing in the anterior lungs, progressed since the prior exam. Unchanged stippled calcifications in bilateral upper lobes compatible with metastatic calcification from patients underlying renal failure. There is persistent bronchial wall thickening and intralobular septal thickening primarily at the lung bases. Focal areas of air trapping are noted at lung bases. Suture material in the right upper lobe from prior wedge resection. Relative hypoattenuation of the blood pool is suggestive of anemia. Mild cardiomegaly without pericardial effusion. Scattered subcentimeter mediastinal and hilar lymph nodes, some of which are of higher CT attenuation than soft tissue. Unchanged reference precarinal lymph node measuring 10 mm. Right internal jugular central venous catheter tip is in the right atrium. Severe. Coronary artery stent is again noted. Sclerotic focus in the right sixth rib is unchanged. Multiple chest wall collaterals are again noted. No significant axillary, subpectoral, internal mammary, cardiophrenic, or retrocrural lymphadenopathy. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. Increased attenuation of the liver may reflect hemosiderin deposition.
anatomical entity_fin: {'airways': {'location descriptor': 'central'}}location descriptor_fin: ['central']clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}clinical findings_fin: {'pneumothorax': {'clinical finding': 'pneumothorax', 'cf_snomed': {'pneumothorax': 36118008}, 'existence': 'neg_dx', 'observation': 'pneumothorax'}}location descriptor_fin: ['left', 'subsegmental']clinical findings_fin: {'small left pleural effusion': {'clinical finding': 'small left pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'small left pleural', 'observation': 'effusion', 'strength_term': 'small'}, 'subsegmental atelectasis': {'clinical finding': 'subsegmental atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'subsegmental', 'observation': 'atelectasis'}}anatomical entity_fin: {'lungs': {'location descriptor': 'anterior'}}location descriptor_fin: ['bilateral', 'anterior']clinical findings_fin: {'bilateral diffuse groundglass opacities': {'clinical finding': 'bilateral diffuse groundglass opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral diffuse groundglass', 'observation': 'opacity'}}anatomical entity_fin: {'lobes': {'location descriptor': 'bilateral upper'}}location descriptor_fin: ['bilateral', 'upper']clinical findings_fin: {'unchanged stippled calcifications': {'clinical finding': 'unchanged stippled calcifications', 'existence': 'pos_dx', 'descriptive_term': 'unchanged stippled', 'observation': 'calcification', 'strength_term': 'unchanged', 'change_term': 'unchanged'}, 'metastatic calcification': {'clinical finding': 'metastatic calcification', 'cf_snomed': {'metastatic calcification': 309760004}, 'existence': 'pos_dx', 'descriptive_term': 'metastatic', 'observation': 'calcification'}, 'renal failure': {'clinical finding': 'renal failure', 'cf_snomed': {'failure': 76797004}, 'existence': 'pos_dx', 'descriptive_term': 'renal', 'observation': 'failure'}}anatomical entity_fin: {'lung': {}, 'bases': {}}clinical findings_fin: {'persistent bronchial wall thickening': {'clinical finding': 'persistent bronchial wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'persistent bronchial wall', 'observation': 'thickening', 'temporal_term': 'persistent'}, 'intralobular septal thickening': {'clinical finding': 'intralobular septal thickening', 'existence': 'pos_dx', 'descriptive_term': 'intralobular septal', 'observation': 'thickening'}}anatomical entity_fin: {'lung': {}, 'bases': {}}clinical findings_fin: {'air trapping': {'clinical finding': 'air trapping', 'cf_snomed': {'air trapping': 76171001}, 'existence': 'pos_dx', 'descriptive_term': 'air', 'observation': 'trapping'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right upper'}}imaging observation_fin: ['wedge']location descriptor_fin: ['right', 'upper']object_fin: ['suture']imaging observation_fin: ['blood']clinical findings_fin: {'relative hypoattenuation': {'clinical finding': 'relative hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'relative', 'observation': 'hypoattenuation'}, 'anemia': {'clinical finding': 'anemia', 'cf_snomed': {'anemia': 271737000}, 'existence': 'unc_dx', 'observation': 'anemia'}}clinical findings_fin: {'mild cardiomegaly': {'clinical finding': 'mild cardiomegaly', 'cf_snomed': {'cardiomegaly': 8186001}, 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'cardiomegaly', 'strength_term': 'mild'}, 'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}clinical findings_fin: {'scattered subcentimeter mediastinal and hilar lymph nodes': {'clinical finding': 'scattered subcentimeter mediastinal and hilar lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'scattered subcentimeter mediastinal and hilar lymph', 'observation': 'node'}}size_fin: [{'size': '10 mm', 'size_descriptor': 'node'}]clinical findings_fin: {'unchanged reference precarinal lymph node': {'clinical finding': 'unchanged reference precarinal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'unchanged reference precarinal lymph', 'observation': 'node', 'strength_term': 'unchanged', 'change_term': 'unchanged'}}anatomical entity_fin: {'right atrium': {}}location descriptor_fin: ['right']object_fin: ['central venous catheter']clinical findings_fin: {'right internal jugular central venous catheter': {'clinical finding': 'right internal jugular central venous catheter', 'existence': 'pos_dx', 'descriptive_term': 'right internal jugular central venous', 'observation': 'catheter'}}anatomical entity_fin: {'coronary artery': {}}clinical findings_fin: {'coronary artery stent': {'clinical finding': 'coronary artery stent', 'existence': 'pos_dx', 'descriptive_term': 'coronary artery', 'observation': 'stent'}}anatomical entity_fin: {'rib': {}}location descriptor_fin: ['right']clinical findings_fin: {'sclerotic focus': {'clinical finding': 'sclerotic focus', 'existence': 'pos_dx', 'descriptive_term': 'sclerotic', 'observation': 'focus'}}anatomical entity_fin: {'chest wall': {}}clinical findings_fin: {'multiple chest wall collaterals': {'clinical finding': 'multiple chest wall collaterals', 'existence': 'pos_dx', 'descriptive_term': 'multiple chest wall', 'observation': 'collateral', 'quantity_term': 'multiple'}}clinical findings_fin: {'significant axillary, subpectoral, internal mammary, cardiophrenic, or retrocrural lymphadenopathy': {'clinical finding': 'significant axillary, subpectoral, internal mammary, cardiophrenic, or retrocrural lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'descriptive_term': 'significant axillary subpectoral internal mammary cardiophrenic or retrocrural', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'increased attenuation': {'clinical finding': 'increased attenuation', 'existence': 'pos_dx', 'descriptive_term': 'increased', 'observation': 'attenuation', 'strength_term': 'increased', 'change_term': 'increased'}, 'hemosiderin deposition': {'clinical finding': 'hemosiderin deposition', 'cf_snomed': {'deposition': 46595003}, 'existence': 'pos_dx', 'descriptive_term': 'hemosiderin', 'observation': 'deposition'}}
<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'}}clinical findings_fin: {'pneumothorax': {'clinical finding': 'pneumothorax', 'cf_snomed': {'pneumothorax': 36118008}, 'existence': 'neg_dx', 'observation': 'pneumothorax'}}location descriptor_fin: ['left', 'subsegmental']clinical findings_fin: {'small left pleural effusion': {'clinical finding': 'small left pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'small left pleural', 'observation': 'effusion', 'strength_term': 'small'}, 'subsegmental atelectasis': {'clinical finding': 'subsegmental atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'subsegmental', 'observation': 'atelectasis'}}anatomical entity_fin: {'lungs': {'location descriptor': 'anterior'}}location descriptor_fin: ['bilateral', 'anterior']clinical findings_fin: {'bilateral diffuse groundglass opacities': {'clinical finding': 'bilateral diffuse groundglass opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral diffuse groundglass', 'observation': 'opacity'}}anatomical entity_fin: {'lobes': {'location descriptor': 'bilateral upper'}}location descriptor_fin: ['bilateral', 'upper']clinical findings_fin: {'unchanged stippled calcifications': {'clinical finding': 'unchanged stippled calcifications', 'existence': 'pos_dx', 'descriptive_term': 'unchanged stippled', 'observation': 'calcification', 'strength_term': 'unchanged', 'change_term': 'unchanged'}, 'metastatic calcification': {'clinical finding': 'metastatic calcification', 'cf_snomed': {'metastatic calcification': 309760004}, 'existence': 'pos_dx', 'descriptive_term': 'metastatic', 'observation': 'calcification'}, 'renal failure': {'clinical finding': 'renal failure', 'cf_snomed': {'failure': 76797004}, 'existence': 'pos_dx', 'descriptive_term': 'renal', 'observation': 'failure'}}anatomical entity_fin: {'lung': {}, 'bases': {}}clinical findings_fin: {'persistent bronchial wall thickening': {'clinical finding': 'persistent bronchial wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'persistent bronchial wall', 'observation': 'thickening', 'temporal_term': 'persistent'}, 'intralobular septal thickening': {'clinical finding': 'intralobular septal thickening', 'existence': 'pos_dx', 'descriptive_term': 'intralobular septal', 'observation': 'thickening'}}anatomical entity_fin: {'lung': {}, 'bases': {}}clinical findings_fin: {'air trapping': {'clinical finding': 'air trapping', 'cf_snomed': {'air trapping': 76171001}, 'existence': 'pos_dx', 'descriptive_term': 'air', 'observation': 'trapping'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right upper'}}imaging observation_fin: ['wedge']location descriptor_fin: ['right', 'upper']object_fin: ['suture']imaging observation_fin: ['blood']clinical findings_fin: {'relative hypoattenuation': {'clinical finding': 'relative hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'relative', 'observation': 'hypoattenuation'}, 'anemia': {'clinical finding': 'anemia', 'cf_snomed': {'anemia': 271737000}, 'existence': 'unc_dx', 'observation': 'anemia'}}clinical findings_fin: {'mild cardiomegaly': {'clinical finding': 'mild cardiomegaly', 'cf_snomed': {'cardiomegaly': 8186001}, 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'cardiomegaly', 'strength_term': 'mild'}, 'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}clinical findings_fin: {'scattered subcentimeter mediastinal and hilar lymph nodes': {'clinical finding': 'scattered subcentimeter mediastinal and hilar lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'scattered subcentimeter mediastinal and hilar lymph', 'observation': 'node'}}size_fin: [{'size': '10 mm', 'size_descriptor': 'node'}]clinical findings_fin: {'unchanged reference precarinal lymph node': {'clinical finding': 'unchanged reference precarinal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'unchanged reference precarinal lymph', 'observation': 'node', 'strength_term': 'unchanged', 'change_term': 'unchanged'}}anatomical entity_fin: {'right atrium': {}}location descriptor_fin: ['right']object_fin: ['central venous catheter']clinical findings_fin: {'right internal jugular central venous catheter': {'clinical finding': 'right internal jugular central venous catheter', 'existence': 'pos_dx', 'descriptive_term': 'right internal jugular central venous', 'observation': 'catheter'}}anatomical entity_fin: {'coronary artery': {}}clinical findings_fin: {'coronary artery stent': {'clinical finding': 'coronary artery stent', 'existence': 'pos_dx', 'descriptive_term': 'coronary artery', 'observation': 'stent'}}anatomical entity_fin: {'rib': {}}location descriptor_fin: ['right']clinical findings_fin: {'sclerotic focus': {'clinical finding': 'sclerotic focus', 'existence': 'pos_dx', 'descriptive_term': 'sclerotic', 'observation': 'focus'}}anatomical entity_fin: {'chest wall': {}}clinical findings_fin: {'multiple chest wall collaterals': {'clinical finding': 'multiple chest wall collaterals', 'existence': 'pos_dx', 'descriptive_term': 'multiple chest wall', 'observation': 'collateral', 'quantity_term': 'multiple'}}clinical findings_fin: {'significant axillary, subpectoral, internal mammary, cardiophrenic, or retrocrural lymphadenopathy': {'clinical finding': 'significant axillary, subpectoral, internal mammary, cardiophrenic, or retrocrural lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'descriptive_term': 'significant axillary subpectoral internal mammary cardiophrenic or retrocrural', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'increased attenuation': {'clinical finding': 'increased attenuation', 'existence': 'pos_dx', 'descriptive_term': 'increased', 'observation': 'attenuation', 'strength_term': 'increased', 'change_term': 'increased'}, 'hemosiderin deposition': {'clinical finding': 'hemosiderin deposition', 'cf_snomed': {'deposition': 46595003}, 'existence': 'pos_dx', 'descriptive_term': 'hemosiderin', 'observation': 'deposition'}} [/INST] . Central airways are patent. No pneumothorax. Small left pleural effusion overlying subsegmental atelectasis. Bilateral diffuse groundglass opacities with mild sparing in the anterior lungs, progressed since the prior exam. Unchanged stippled calcifications in bilateral upper lobes compatible with metastatic calcification from patients underlying renal failure. There is persistent bronchial wall thickening and intralobular septal thickening primarily at the lung bases. Focal areas of air trapping are noted at lung bases. Suture material in the right upper lobe from prior wedge resection. Relative hypoattenuation of the blood pool is suggestive of anemia. Mild cardiomegaly without pericardial effusion. Scattered subcentimeter mediastinal and hilar lymph nodes, some of which are of higher CT attenuation than soft tissue. Unchanged reference precarinal lymph node measuring 10 mm. Right internal jugular central venous catheter tip is in the right atrium. Severe. Coronary artery stent is again noted. Sclerotic focus in the right sixth rib is unchanged. Multiple chest wall collaterals are again noted. No significant axillary, subpectoral, internal mammary, cardiophrenic, or retrocrural lymphadenopathy. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. Increased attenuation of the liver may reflect hemosiderin deposition. </s>