. Biapical scarring consistent with radiation reaction is unchanged. Scattered pulmonary micronodules. No suspicious pulmonary nodules. Persistent right middle lobe consolidation or partial atelectasis. Right lower lobe clustered nodular tree-in-bud opacities have increased. These findings are likely related to aspiration. No pleural effusion or pneumothorax. The heart size is normal, there is no pericardial effusion. Mildly enlarged left lower paratracheal lymph node measures 8 mm , unchanged. No hilar lymphadenopathy. None. No supraclavicular or axillary lymphadenopathy. The osseous structures are within normal limits for the patients age. Bifid right fourth rib, a normal variant. Absence of enteric contrast material limits sensitivity for abdominal pathology. 8 mm hypoattenuating lesion in the tail of pancreas is unchanged.
clinical findings_fin: {'biapical scarring': {'clinical finding': 'biapical scarring', 'existence': 'pos_dx', 'descriptive_term': 'biapical', 'observation': 'scarr'}}clinical findings_fin: {'scattered pulmonary micronodules': {'clinical finding': 'scattered pulmonary micronodules', 'existence': 'pos_dx', 'descriptive_term': 'scattered pulmonary', 'observation': 'micronodule'}}clinical findings_fin: {'suspicious pulmonary nodules': {'clinical finding': 'suspicious pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious pulmonary', 'observation': 'nodule'}}anatomical entity_fin: {'middle': {'location descriptor': 'right'}, 'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'persistent right middle lobe consolidation': {'clinical finding': 'persistent right middle lobe consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'pos_dx', 'descriptive_term': 'persistent right middle lobe', 'observation': 'consolidation', 'temporal_term': 'persistent'}, 'partial atelectasis': {'clinical finding': 'partial atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'unc_dx', 'descriptive_term': 'partial', 'observation': 'atelectasis', 'strength_term': 'partial'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}imaging observation_fin: ['tree-in-bud']location descriptor_fin: ['right', 'lower']clinical findings_fin: {'opacities': {'clinical finding': 'opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'observation': 'opacity'}}clinical findings_fin: {'aspiration': {'clinical finding': 'aspiration', 'existence': 'unc_dx', 'observation': 'aspiration'}}clinical findings_fin: {'pleural effusion': {'clinical finding': 'pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}, 'pneumothorax': {'clinical finding': 'pneumothorax', 'cf_snomed': {'pneumothorax': 36118008}, 'existence': 'neg_dx', 'observation': 'pneumothorax'}}anatomical entity_fin: {'heart': {}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}size_fin: [{'size': '8 mm', 'size_descriptor': 'node'}]location descriptor_fin: ['left', 'lower']clinical findings_fin: {'mildly enlarged left lower paratracheal lymph node': {'clinical finding': 'mildly enlarged left lower paratracheal lymph node', 'cf_snomed': {'left lower paratracheal lymph node': 127936005}, 'existence': 'pos_dx', 'descriptive_term': 'mildly enlarged left lower paratracheal lymph', 'observation': 'node', 'strength_term': 'mildly - enlarged', 'change_term': 'enlarged'}}clinical findings_fin: {'hilar lymphadenopathy': {'clinical finding': 'hilar lymphadenopathy', 'cf_snomed': {'hilar lymphadenopathy': 87500009}, 'existence': 'neg_dx', 'descriptive_term': 'hilar', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'supraclavicular or axillary lymphadenopathy': {'clinical finding': 'supraclavicular or axillary lymphadenopathy', 'cf_snomed': {'axillary lymphadenopathy': 127189005}, 'existence': 'neg_dx', 'descriptive_term': 'supraclavicular or axillary', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'normal limits for the patients age': {'clinical finding': 'normal limits for the patients age'}}anatomical entity_fin: {'rib': {}, 'normal variant': {}}location descriptor_fin: ['right']clinical findings_fin: {'normal variant': {'clinical finding': 'normal variant', 'existence': 'pos_dx', 'descriptive_term': 'normal', 'observation': 'variant', 'strength_term': 'normal'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}size_fin: [{'size': '8 mm', 'size_descriptor': 'lesion'}]anatomical entity_fin: {'tail of pancreas': {}}clinical findings_fin: {'8 mm hypoattenuating lesion': {'clinical finding': '8 mm hypoattenuating lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': '8 mm hypoattenuating', 'observation': 'lesion'}}
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'biapical scarring': {'clinical finding': 'biapical scarring', 'existence': 'pos_dx', 'descriptive_term': 'biapical', 'observation': 'scarr'}}clinical findings_fin: {'scattered pulmonary micronodules': {'clinical finding': 'scattered pulmonary micronodules', 'existence': 'pos_dx', 'descriptive_term': 'scattered pulmonary', 'observation': 'micronodule'}}clinical findings_fin: {'suspicious pulmonary nodules': {'clinical finding': 'suspicious pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious pulmonary', 'observation': 'nodule'}}anatomical entity_fin: {'middle': {'location descriptor': 'right'}, 'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'persistent right middle lobe consolidation': {'clinical finding': 'persistent right middle lobe consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'pos_dx', 'descriptive_term': 'persistent right middle lobe', 'observation': 'consolidation', 'temporal_term': 'persistent'}, 'partial atelectasis': {'clinical finding': 'partial atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'unc_dx', 'descriptive_term': 'partial', 'observation': 'atelectasis', 'strength_term': 'partial'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}imaging observation_fin: ['tree-in-bud']location descriptor_fin: ['right', 'lower']clinical findings_fin: {'opacities': {'clinical finding': 'opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'observation': 'opacity'}}clinical findings_fin: {'aspiration': {'clinical finding': 'aspiration', 'existence': 'unc_dx', 'observation': 'aspiration'}}clinical findings_fin: {'pleural effusion': {'clinical finding': 'pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}, 'pneumothorax': {'clinical finding': 'pneumothorax', 'cf_snomed': {'pneumothorax': 36118008}, 'existence': 'neg_dx', 'observation': 'pneumothorax'}}anatomical entity_fin: {'heart': {}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}size_fin: [{'size': '8 mm', 'size_descriptor': 'node'}]location descriptor_fin: ['left', 'lower']clinical findings_fin: {'mildly enlarged left lower paratracheal lymph node': {'clinical finding': 'mildly enlarged left lower paratracheal lymph node', 'cf_snomed': {'left lower paratracheal lymph node': 127936005}, 'existence': 'pos_dx', 'descriptive_term': 'mildly enlarged left lower paratracheal lymph', 'observation': 'node', 'strength_term': 'mildly - enlarged', 'change_term': 'enlarged'}}clinical findings_fin: {'hilar lymphadenopathy': {'clinical finding': 'hilar lymphadenopathy', 'cf_snomed': {'hilar lymphadenopathy': 87500009}, 'existence': 'neg_dx', 'descriptive_term': 'hilar', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'supraclavicular or axillary lymphadenopathy': {'clinical finding': 'supraclavicular or axillary lymphadenopathy', 'cf_snomed': {'axillary lymphadenopathy': 127189005}, 'existence': 'neg_dx', 'descriptive_term': 'supraclavicular or axillary', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'normal limits for the patients age': {'clinical finding': 'normal limits for the patients age'}}anatomical entity_fin: {'rib': {}, 'normal variant': {}}location descriptor_fin: ['right']clinical findings_fin: {'normal variant': {'clinical finding': 'normal variant', 'existence': 'pos_dx', 'descriptive_term': 'normal', 'observation': 'variant', 'strength_term': 'normal'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}size_fin: [{'size': '8 mm', 'size_descriptor': 'lesion'}]anatomical entity_fin: {'tail of pancreas': {}}clinical findings_fin: {'8 mm hypoattenuating lesion': {'clinical finding': '8 mm hypoattenuating lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': '8 mm hypoattenuating', 'observation': 'lesion'}} [/INST] . Biapical scarring consistent with radiation reaction is unchanged. Scattered pulmonary micronodules. No suspicious pulmonary nodules. Persistent right middle lobe consolidation or partial atelectasis. Right lower lobe clustered nodular tree-in-bud opacities have increased. These findings are likely related to aspiration. No pleural effusion or pneumothorax. The heart size is normal, there is no pericardial effusion. Mildly enlarged left lower paratracheal lymph node measures 8 mm , unchanged. No hilar lymphadenopathy. None. No supraclavicular or axillary lymphadenopathy. The osseous structures are within normal limits for the patients age. Bifid right fourth rib, a normal variant. Absence of enteric contrast material limits sensitivity for abdominal pathology. 8 mm hypoattenuating lesion in the tail of pancreas is unchanged. </s>