. Debris is noted within the trachea. Scattered benign-appearing calcified and noncalcified micronodules are again noted not significantly changed from the prior exam. No pneumothorax or pleural effusion. No suspicious nodule or mass. Small filling defect within the right innominate vein and propagates into the SVC likely related to prior Port-A-Cath. The heart size is normal without pericardial effusion. No significant mediastinal or hilar lymphadenopathy. Mild ventricular apex thinning. Mild. No significant lymphadenopathy. Mild degenerative disease affects the osseous structures. Superior end plate depression of L1 is unchanged. Unchanged subscapular lipoma. Interval port removal with subcutaneous gas and soft tissue attenuation in the port cavity. Absence of enteric contrast material limits sensitivity for abdominal pathology. Unchanged subcentimeter hypoattenuating foci in the liver too small to further characterize, probably benign. No significant abnormality noted. No significant abnormality noted. Unchanged hypoattenuating renal foci, likely cysts. No significant abnormality noted. Mildly prominent subcentimeter aortic lymph node not significantly changed since prior exam. Absence of enteric contrast material limits sensitivity for GI pathology. No gross abnormalities noted. Superior end plate depression of L1 is unchanged. No significant abnormality noted.
anatomical entity_fin: {'trachea': {}}clinical findings_fin: {'debris': {'clinical finding': 'debris', 'existence': 'pos_dx', 'observation': 'debris'}}clinical findings_fin: {'scattered benign-appearing calcified and noncalcified micronodules': {'clinical finding': 'scattered benign-appearing calcified and noncalcified micronodules', 'existence': 'pos_dx', 'descriptive_term': 'scattered benign-appearing calcified and noncalcified', 'observation': 'micronodule', 'strength_term': 'benign', 'change_term': 'calcified'}}clinical findings_fin: {'pneumothorax': {'clinical finding': 'pneumothorax', 'cf_snomed': {'pneumothorax': 36118008}, 'existence': 'neg_dx', 'observation': 'pneumothorax'}, 'pleural effusion': {'clinical finding': 'pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}}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'}}anatomical entity_fin: {'vein': {}}location descriptor_fin: ['right']object_fin: ['port']clinical findings_fin: {'small filling defect': {'clinical finding': 'small filling defect', 'cf_snomed': {'filling defect': 43468004}, 'existence': 'pos_dx', 'descriptive_term': 'small filling', 'observation': 'defect', 'strength_term': 'small'}, 'prior port-a-cath': {'clinical finding': 'prior port-a-cath', 'existence': 'unc_dx', 'descriptive_term': 'prior', 'observation': 'port-a-'}}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: {'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: {'apex': {}}clinical findings_fin: {'mild ventricular apex thinning': {'clinical finding': 'mild ventricular apex thinning', 'existence': 'pos_dx', 'descriptive_term': 'mild ventricular apex', 'observation': 'thinning', 'strength_term': 'mild'}}clinical findings_fin: {'significant lymphadenopathy': {'clinical finding': 'significant lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'mild degenerative disease': {'clinical finding': 'mild degenerative disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'mild degenerative', 'observation': 'disease', 'strength_term': 'mild'}}anatomical entity_fin: {'end plate': {'location descriptor': 'superior'}}location descriptor_fin: ['superior']clinical findings_fin: {'superior end plate depression': {'clinical finding': 'superior end plate depression', 'existence': 'pos_dx', 'descriptive_term': 'superior end plate', 'observation': 'depression', 'strength_term': 'superior'}}clinical findings_fin: {'unchanged subscapular lipoma': {'clinical finding': 'unchanged subscapular lipoma', 'cf_snomed': {'lipoma': 134328007}, 'existence': 'pos_dx', 'descriptive_term': 'unchanged subscapular', 'observation': 'lipoma', 'strength_term': 'unchanged', 'change_term': 'unchanged'}}object_fin: ['port']procedure_fin: ['port removal']clinical findings_fin: {'interval port removal': {'clinical finding': 'interval port removal', 'existence': 'pos_dx', 'descriptive_term': 'interval port', 'observation': 'removal'}, 'subcutaneous gas': {'clinical finding': 'subcutaneous gas', 'existence': 'pos_dx', 'descriptive_term': 'subcutaneous', 'observation': 'gas'}, 'soft tissue attenuation': {'clinical finding': 'soft tissue attenuation', 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'attenuation'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}anatomical entity_fin: {'liver': {}}imaging observation_fin: ['foci']clinical findings_fin: {'unchanged subcentimeter hypoattenuating foci': {'clinical finding': 'unchanged subcentimeter hypoattenuating foci', 'existence': 'pos_dx', 'descriptive_term': 'unchanged subcentimeter hypoattenuating', 'observation': 'foci', 'strength_term': 'unchanged', 'change_term': 'unchanged'}}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: ['foci']clinical findings_fin: {'unchanged hypoattenuating renal foci': {'clinical finding': 'unchanged hypoattenuating renal foci', 'existence': 'pos_dx', 'descriptive_term': 'unchanged hypoattenuating renal', 'observation': 'foci', 'strength_term': 'unchanged', 'change_term': 'unchanged'}, 'likely cysts': {'clinical finding': 'likely cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'likely', 'observation': 'cyst'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'mildly prominent subcentimeter aortic lymph node': {'clinical finding': 'mildly prominent subcentimeter aortic lymph node', 'existence': 'neg_dx', 'descriptive_term': 'mildly prominent subcentimeter aortic lymph', 'observation': 'node', 'strength_term': 'mildly - prominent'}}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'}}anatomical entity_fin: {'end plate': {'location descriptor': 'superior'}}location descriptor_fin: ['superior']clinical findings_fin: {'superior end plate depression': {'clinical finding': 'superior end plate depression', 'existence': 'pos_dx', 'descriptive_term': 'superior end plate', 'observation': 'depression', 'strength_term': 'superior'}}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: anatomical entity_fin: {'trachea': {}}clinical findings_fin: {'debris': {'clinical finding': 'debris', 'existence': 'pos_dx', 'observation': 'debris'}}clinical findings_fin: {'scattered benign-appearing calcified and noncalcified micronodules': {'clinical finding': 'scattered benign-appearing calcified and noncalcified micronodules', 'existence': 'pos_dx', 'descriptive_term': 'scattered benign-appearing calcified and noncalcified', 'observation': 'micronodule', 'strength_term': 'benign', 'change_term': 'calcified'}}clinical findings_fin: {'pneumothorax': {'clinical finding': 'pneumothorax', 'cf_snomed': {'pneumothorax': 36118008}, 'existence': 'neg_dx', 'observation': 'pneumothorax'}, 'pleural effusion': {'clinical finding': 'pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}}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'}}anatomical entity_fin: {'vein': {}}location descriptor_fin: ['right']object_fin: ['port']clinical findings_fin: {'small filling defect': {'clinical finding': 'small filling defect', 'cf_snomed': {'filling defect': 43468004}, 'existence': 'pos_dx', 'descriptive_term': 'small filling', 'observation': 'defect', 'strength_term': 'small'}, 'prior port-a-cath': {'clinical finding': 'prior port-a-cath', 'existence': 'unc_dx', 'descriptive_term': 'prior', 'observation': 'port-a-'}}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: {'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: {'apex': {}}clinical findings_fin: {'mild ventricular apex thinning': {'clinical finding': 'mild ventricular apex thinning', 'existence': 'pos_dx', 'descriptive_term': 'mild ventricular apex', 'observation': 'thinning', 'strength_term': 'mild'}}clinical findings_fin: {'significant lymphadenopathy': {'clinical finding': 'significant lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'mild degenerative disease': {'clinical finding': 'mild degenerative disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'mild degenerative', 'observation': 'disease', 'strength_term': 'mild'}}anatomical entity_fin: {'end plate': {'location descriptor': 'superior'}}location descriptor_fin: ['superior']clinical findings_fin: {'superior end plate depression': {'clinical finding': 'superior end plate depression', 'existence': 'pos_dx', 'descriptive_term': 'superior end plate', 'observation': 'depression', 'strength_term': 'superior'}}clinical findings_fin: {'unchanged subscapular lipoma': {'clinical finding': 'unchanged subscapular lipoma', 'cf_snomed': {'lipoma': 134328007}, 'existence': 'pos_dx', 'descriptive_term': 'unchanged subscapular', 'observation': 'lipoma', 'strength_term': 'unchanged', 'change_term': 'unchanged'}}object_fin: ['port']procedure_fin: ['port removal']clinical findings_fin: {'interval port removal': {'clinical finding': 'interval port removal', 'existence': 'pos_dx', 'descriptive_term': 'interval port', 'observation': 'removal'}, 'subcutaneous gas': {'clinical finding': 'subcutaneous gas', 'existence': 'pos_dx', 'descriptive_term': 'subcutaneous', 'observation': 'gas'}, 'soft tissue attenuation': {'clinical finding': 'soft tissue attenuation', 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'attenuation'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}anatomical entity_fin: {'liver': {}}imaging observation_fin: ['foci']clinical findings_fin: {'unchanged subcentimeter hypoattenuating foci': {'clinical finding': 'unchanged subcentimeter hypoattenuating foci', 'existence': 'pos_dx', 'descriptive_term': 'unchanged subcentimeter hypoattenuating', 'observation': 'foci', 'strength_term': 'unchanged', 'change_term': 'unchanged'}}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: ['foci']clinical findings_fin: {'unchanged hypoattenuating renal foci': {'clinical finding': 'unchanged hypoattenuating renal foci', 'existence': 'pos_dx', 'descriptive_term': 'unchanged hypoattenuating renal', 'observation': 'foci', 'strength_term': 'unchanged', 'change_term': 'unchanged'}, 'likely cysts': {'clinical finding': 'likely cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'likely', 'observation': 'cyst'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'mildly prominent subcentimeter aortic lymph node': {'clinical finding': 'mildly prominent subcentimeter aortic lymph node', 'existence': 'neg_dx', 'descriptive_term': 'mildly prominent subcentimeter aortic lymph', 'observation': 'node', 'strength_term': 'mildly - prominent'}}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'}}anatomical entity_fin: {'end plate': {'location descriptor': 'superior'}}location descriptor_fin: ['superior']clinical findings_fin: {'superior end plate depression': {'clinical finding': 'superior end plate depression', 'existence': 'pos_dx', 'descriptive_term': 'superior end plate', 'observation': 'depression', 'strength_term': 'superior'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . Debris is noted within the trachea. Scattered benign-appearing calcified and noncalcified micronodules are again noted not significantly changed from the prior exam. No pneumothorax or pleural effusion. No suspicious nodule or mass. Small filling defect within the right innominate vein and propagates into the SVC likely related to prior Port-A-Cath. The heart size is normal without pericardial effusion. No significant mediastinal or hilar lymphadenopathy. Mild ventricular apex thinning. Mild. No significant lymphadenopathy. Mild degenerative disease affects the osseous structures. Superior end plate depression of L1 is unchanged. Unchanged subscapular lipoma. Interval port removal with subcutaneous gas and soft tissue attenuation in the port cavity. Absence of enteric contrast material limits sensitivity for abdominal pathology. Unchanged subcentimeter hypoattenuating foci in the liver too small to further characterize, probably benign. No significant abnormality noted. No significant abnormality noted. Unchanged hypoattenuating renal foci, likely cysts. No significant abnormality noted. Mildly prominent subcentimeter aortic lymph node not significantly changed since prior exam. Absence of enteric contrast material limits sensitivity for GI pathology. No gross abnormalities noted. Superior end plate depression of L1 is unchanged. No significant abnormality noted. </s>