. There is a trace left pleural effusion and basilar atelectasis. There are scattered pulmonary micronodules in the right middle lobe and upper lobes. 7 mm right middle lobe pulmonary nodule on image 46 of series 8 is unchanged. There is mild upper lobe predominant emphysematous changes. The lungs are suboptimally evaluated due to motion artifact. Heart size is enlarged with left ventricular hypertrophy. No pericardial effusion. Ascending aorta is normal in caliber. There is a intramural hematoma and a type B dissection extending from the level of the subclavian artery to the upper abdomen. Overall the configuration of the intramural hematoma or dissection is not significantly changed. No significant abnormality noted. Liver is normal in morphology. There are multiple hepatic cysts. Probable hemangioma located in segment 8 of the liver. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Left lower pole renal cyst. No hydronephrosis in either kidney. Calcific arteriosclerotic disease affects the aorta. Extensive calcific arterial sclerotic disease with areas of focal dissection and chronic intramural hematoma. The celiac and superior mesenteric arteries are patent. The inferior mesenteric artery is thrombosed at its origin. There is backfilling of this branch. Post surgical changes in the colon. Postsurgical changes in the left lower abdominal wall. No significant abnormality noted. The prostate is enlarged. No significant abnormality noted. No significant abnormality noted. Postsurgical changes in the colon. Nonspecific sclerotic focus in the left ilium. No significant abnormality noted
location descriptor_fin: ['left']clinical findings_fin: {'pleural effusion': {'clinical finding': 'pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}, 'basilar atelectasis': {'clinical finding': 'basilar atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'basilar', 'observation': 'atelectasis'}}anatomical entity_fin: {'middle': {'location descriptor': 'right'}, 'lobe': {}, 'lobes': {'location descriptor': 'upper'}}location descriptor_fin: ['right', 'upper']clinical findings_fin: {'scattered pulmonary micronodules': {'clinical finding': 'scattered pulmonary micronodules', 'existence': 'pos_dx', 'descriptive_term': 'scattered pulmonary', 'observation': 'micronodule'}}size_fin: [{'size': '7 mm', 'size_descriptor': 'nodule'}]anatomical entity_fin: {'middle': {'location descriptor': 'right'}, 'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'right middle lobe pulmonary nodule': {'clinical finding': 'right middle lobe pulmonary nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'right middle lobe pulmonary', 'observation': 'nodule'}}anatomical entity_fin: {'lobe': {'location descriptor': 'upper'}}location descriptor_fin: ['upper']clinical findings_fin: {'mild upper lobe predominant emphysematous changes': {'clinical finding': 'mild upper lobe predominant emphysematous changes', 'existence': 'pos_dx', 'descriptive_term': 'mild upper lobe predominant emphysematous', 'observation': 'change', 'strength_term': 'mild'}}anatomical entity_fin: {'lungs': {}}artifact_fin: ['motion artifact']clinical findings_fin: {'motion artifact': {'clinical finding': 'motion artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'pos_dx', 'descriptive_term': 'motion', 'observation': 'artifact'}}anatomical entity_fin: {'heart': {}}location descriptor_fin: ['left']clinical findings_fin: {'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}, 'left ventricular hypertrophy': {'clinical finding': 'left ventricular hypertrophy', 'cf_snomed': {'left ventricular hypertrophy': 55827005}, 'existence': 'pos_dx', 'descriptive_term': 'left ventricular', 'observation': 'hypertrophy'}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}anatomical entity_fin: {'ascending aorta': {}}clinical findings_fin: {'ascending aorta is normal in caliber': {'clinical finding': 'ascending aorta is normal in caliber'}}anatomical entity_fin: {'subclavian artery': {}, 'upper abdomen': {}}imaging observation_fin: ['hematoma']clinical findings_fin: {'intramural hematoma': {'clinical finding': 'intramural hematoma', 'cf_snomed': {'intramural hematoma': 54493002}, 'existence': 'pos_dx', 'descriptive_term': 'intramural', 'observation': 'hematoma'}, 'type b dissection': {'clinical finding': 'type b dissection', 'existence': 'pos_dx', 'descriptive_term': 'type b', 'observation': 'dissection'}}imaging observation_fin: ['hematoma']clinical findings_fin: {'intramural hematoma': {'clinical finding': 'intramural hematoma', 'cf_snomed': {'intramural hematoma': 54493002}, 'existence': 'unc_dx', 'descriptive_term': 'intramural', 'observation': 'hematoma'}, 'dissection': {'clinical finding': 'dissection', 'existence': 'unc_dx', 'observation': 'dissection'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'liver is normal in morphology': {'clinical finding': 'liver is normal in morphology'}}clinical findings_fin: {'multiple hepatic cysts': {'clinical finding': 'multiple hepatic cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'multiple hepatic', 'observation': 'cyst', 'quantity_term': 'multiple'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'probable hemangioma': {'clinical finding': 'probable hemangioma', 'cf_snomed': {'hemangioma': 400210000}, 'existence': 'pos_dx', 'descriptive_term': 'probable', 'observation': 'hemangioma'}}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: {'pole': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'left lower pole renal cyst': {'clinical finding': 'left lower pole renal cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'left lower pole renal', 'observation': 'cyst'}}anatomical entity_fin: {'kidney': {}}clinical findings_fin: {'hydronephrosis': {'clinical finding': 'hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'neg_dx', 'observation': 'hydronephrosis'}}anatomical entity_fin: {'aorta': {}}clinical findings_fin: {'calcific arteriosclerotic disease': {'clinical finding': 'calcific arteriosclerotic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'calcific arteriosclerotic', 'observation': 'disease'}}imaging observation_fin: ['hematoma']clinical findings_fin: {'extensive calcific arterial sclerotic disease': {'clinical finding': 'extensive calcific arterial sclerotic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'extensive calcific arterial sclerotic', 'observation': 'disease', 'strength_term': 'extensive'}, 'focal dissection': {'clinical finding': 'focal dissection', 'existence': 'pos_dx', 'descriptive_term': 'focal', 'observation': 'dissection'}, 'chronic intramural hematoma': {'clinical finding': 'chronic intramural hematoma', 'cf_snomed': {'intramural hematoma': 54493002}, 'existence': 'pos_dx', 'descriptive_term': 'chronic intramural', 'observation': 'hematoma', 'temporal_term': 'chronic'}}anatomical entity_fin: {'superior mesenteric arteries': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}anatomical entity_fin: {'inferior mesenteric artery': {}, 'origin': {}}clinical findings_fin: {'inferior mesenteric artery is thrombosed at its origin': {'clinical finding': 'inferior mesenteric artery is thrombosed at its origin', 'change_term': 'thrombosed'}}imaging observation_fin: ['colon']clinical findings_fin: {'post surgical changes': {'clinical finding': 'post surgical changes', 'existence': 'pos_dx', 'descriptive_term': 'post surgical', 'observation': 'change'}}anatomical entity_fin: {'abdominal': {'location descriptor': 'left lower'}, 'wall': {}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'postsurgical changes': {'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'prostate': {}}clinical findings_fin: {'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}}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'}}imaging observation_fin: ['colon']clinical findings_fin: {'postsurgical changes': {'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'}}anatomical entity_fin: {'ilium': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'nonspecific sclerotic': {'clinical finding': 'nonspecific sclerotic', 'existence': 'pos_dx', 'descriptive_term': 'nonspecific', 'observation': 'sclerotic'}}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: ['left']clinical findings_fin: {'pleural effusion': {'clinical finding': 'pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}, 'basilar atelectasis': {'clinical finding': 'basilar atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'basilar', 'observation': 'atelectasis'}}anatomical entity_fin: {'middle': {'location descriptor': 'right'}, 'lobe': {}, 'lobes': {'location descriptor': 'upper'}}location descriptor_fin: ['right', 'upper']clinical findings_fin: {'scattered pulmonary micronodules': {'clinical finding': 'scattered pulmonary micronodules', 'existence': 'pos_dx', 'descriptive_term': 'scattered pulmonary', 'observation': 'micronodule'}}size_fin: [{'size': '7 mm', 'size_descriptor': 'nodule'}]anatomical entity_fin: {'middle': {'location descriptor': 'right'}, 'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'right middle lobe pulmonary nodule': {'clinical finding': 'right middle lobe pulmonary nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'right middle lobe pulmonary', 'observation': 'nodule'}}anatomical entity_fin: {'lobe': {'location descriptor': 'upper'}}location descriptor_fin: ['upper']clinical findings_fin: {'mild upper lobe predominant emphysematous changes': {'clinical finding': 'mild upper lobe predominant emphysematous changes', 'existence': 'pos_dx', 'descriptive_term': 'mild upper lobe predominant emphysematous', 'observation': 'change', 'strength_term': 'mild'}}anatomical entity_fin: {'lungs': {}}artifact_fin: ['motion artifact']clinical findings_fin: {'motion artifact': {'clinical finding': 'motion artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'pos_dx', 'descriptive_term': 'motion', 'observation': 'artifact'}}anatomical entity_fin: {'heart': {}}location descriptor_fin: ['left']clinical findings_fin: {'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}, 'left ventricular hypertrophy': {'clinical finding': 'left ventricular hypertrophy', 'cf_snomed': {'left ventricular hypertrophy': 55827005}, 'existence': 'pos_dx', 'descriptive_term': 'left ventricular', 'observation': 'hypertrophy'}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}anatomical entity_fin: {'ascending aorta': {}}clinical findings_fin: {'ascending aorta is normal in caliber': {'clinical finding': 'ascending aorta is normal in caliber'}}anatomical entity_fin: {'subclavian artery': {}, 'upper abdomen': {}}imaging observation_fin: ['hematoma']clinical findings_fin: {'intramural hematoma': {'clinical finding': 'intramural hematoma', 'cf_snomed': {'intramural hematoma': 54493002}, 'existence': 'pos_dx', 'descriptive_term': 'intramural', 'observation': 'hematoma'}, 'type b dissection': {'clinical finding': 'type b dissection', 'existence': 'pos_dx', 'descriptive_term': 'type b', 'observation': 'dissection'}}imaging observation_fin: ['hematoma']clinical findings_fin: {'intramural hematoma': {'clinical finding': 'intramural hematoma', 'cf_snomed': {'intramural hematoma': 54493002}, 'existence': 'unc_dx', 'descriptive_term': 'intramural', 'observation': 'hematoma'}, 'dissection': {'clinical finding': 'dissection', 'existence': 'unc_dx', 'observation': 'dissection'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'liver is normal in morphology': {'clinical finding': 'liver is normal in morphology'}}clinical findings_fin: {'multiple hepatic cysts': {'clinical finding': 'multiple hepatic cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'multiple hepatic', 'observation': 'cyst', 'quantity_term': 'multiple'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'probable hemangioma': {'clinical finding': 'probable hemangioma', 'cf_snomed': {'hemangioma': 400210000}, 'existence': 'pos_dx', 'descriptive_term': 'probable', 'observation': 'hemangioma'}}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: {'pole': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'left lower pole renal cyst': {'clinical finding': 'left lower pole renal cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'left lower pole renal', 'observation': 'cyst'}}anatomical entity_fin: {'kidney': {}}clinical findings_fin: {'hydronephrosis': {'clinical finding': 'hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'neg_dx', 'observation': 'hydronephrosis'}}anatomical entity_fin: {'aorta': {}}clinical findings_fin: {'calcific arteriosclerotic disease': {'clinical finding': 'calcific arteriosclerotic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'calcific arteriosclerotic', 'observation': 'disease'}}imaging observation_fin: ['hematoma']clinical findings_fin: {'extensive calcific arterial sclerotic disease': {'clinical finding': 'extensive calcific arterial sclerotic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'extensive calcific arterial sclerotic', 'observation': 'disease', 'strength_term': 'extensive'}, 'focal dissection': {'clinical finding': 'focal dissection', 'existence': 'pos_dx', 'descriptive_term': 'focal', 'observation': 'dissection'}, 'chronic intramural hematoma': {'clinical finding': 'chronic intramural hematoma', 'cf_snomed': {'intramural hematoma': 54493002}, 'existence': 'pos_dx', 'descriptive_term': 'chronic intramural', 'observation': 'hematoma', 'temporal_term': 'chronic'}}anatomical entity_fin: {'superior mesenteric arteries': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}anatomical entity_fin: {'inferior mesenteric artery': {}, 'origin': {}}clinical findings_fin: {'inferior mesenteric artery is thrombosed at its origin': {'clinical finding': 'inferior mesenteric artery is thrombosed at its origin', 'change_term': 'thrombosed'}}imaging observation_fin: ['colon']clinical findings_fin: {'post surgical changes': {'clinical finding': 'post surgical changes', 'existence': 'pos_dx', 'descriptive_term': 'post surgical', 'observation': 'change'}}anatomical entity_fin: {'abdominal': {'location descriptor': 'left lower'}, 'wall': {}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'postsurgical changes': {'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'prostate': {}}clinical findings_fin: {'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}}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'}}imaging observation_fin: ['colon']clinical findings_fin: {'postsurgical changes': {'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'}}anatomical entity_fin: {'ilium': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'nonspecific sclerotic': {'clinical finding': 'nonspecific sclerotic', 'existence': 'pos_dx', 'descriptive_term': 'nonspecific', 'observation': 'sclerotic'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . There is a trace left pleural effusion and basilar atelectasis. There are scattered pulmonary micronodules in the right middle lobe and upper lobes. 7 mm right middle lobe pulmonary nodule on image 46 of series 8 is unchanged. There is mild upper lobe predominant emphysematous changes. The lungs are suboptimally evaluated due to motion artifact. Heart size is enlarged with left ventricular hypertrophy. No pericardial effusion. Ascending aorta is normal in caliber. There is a intramural hematoma and a type B dissection extending from the level of the subclavian artery to the upper abdomen. Overall the configuration of the intramural hematoma or dissection is not significantly changed. No significant abnormality noted. Liver is normal in morphology. There are multiple hepatic cysts. Probable hemangioma located in segment 8 of the liver. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Left lower pole renal cyst. No hydronephrosis in either kidney. Calcific arteriosclerotic disease affects the aorta. Extensive calcific arterial sclerotic disease with areas of focal dissection and chronic intramural hematoma. The celiac and superior mesenteric arteries are patent. The inferior mesenteric artery is thrombosed at its origin. There is backfilling of this branch. Post surgical changes in the colon. Postsurgical changes in the left lower abdominal wall. No significant abnormality noted. The prostate is enlarged. No significant abnormality noted. No significant abnormality noted. Postsurgical changes in the colon. Nonspecific sclerotic focus in the left ilium. No significant abnormality noted </s>