. Technically adequate examination. No evidence of acute pulmonary embolism. Main pulmonary artery is normal caliber. Endotracheal tube terminates approximately 3.5 cm above the carina. Bibasilar atelectasis or consolidation, right greater than left, with obstruction of the distal airways. Diffuse apical predominant centrilobular groundglass nodules. No suspicious nodules or masses are identified. Cardiac size is upper limits of normal with no significant pericardial effusion. Aorta is normal in caliber. Small amount of pneumomediastinum likely reflects recent surgery. Considerable soft tissue density in the retrosternal anterior mediastinum, significantly increased. No significant hilar or mediastinal lymphadenopathy. Pericardial drain noted. LVAD in place with anastomosis of the ascending aorta, pulmonary artery, left ventricle, and right ventricle. Sternotomy hardware intact. Right central venous catheter tip terminates in the SVC. None. Bilateral chest tubes in place. No lymphadenopathy. Multiple right-sided rib fractures are noted. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. Splenic calcifications noted.
clinical findings_fin: {'acute pulmonary embolism': {'clinical finding': 'acute pulmonary embolism', 'cf_snomed': {'acute pulmonary embolism': 706870000}, 'existence': 'neg_dx', 'descriptive_term': 'acute pulmonary', 'observation': 'embolism', 'strength_term': 'acute', 'temporal_term': 'acute'}}anatomical entity_fin: {'main pulmonary artery': {}}clinical findings_fin: {'main pulmonary artery is normal caliber': {'clinical finding': 'main pulmonary artery is normal caliber'}}size_fin: [{'size': '3.5 cm', 'size_descriptor': 'tube'}]anatomical entity_fin: {'carina': {}}object_fin: ['endotracheal tube']clinical findings_fin: {'endotracheal tube': {'clinical finding': 'endotracheal tube', 'existence': 'pos_dx', 'descriptive_term': 'endotracheal', 'observation': 'tube'}}anatomical entity_fin: {'airways': {'location descriptor': 'distal'}}location descriptor_fin: ['right', 'left', 'distal']clinical findings_fin: {'bibasilar atelectasis': {'clinical finding': 'bibasilar atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'bibasilar', 'observation': 'atelectasis'}, 'consolidation': {'clinical finding': 'consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'unc_dx', 'observation': 'consolidation'}, 'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'pos_dx', 'observation': 'obstruction'}}imaging observation_fin: ['apical']location descriptor_fin: ['centrilobular']clinical findings_fin: {'apical predominant centrilobular groundglass nodules': {'clinical finding': 'apical predominant centrilobular groundglass nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'apical predominant centrilobular groundglass', 'observation': 'nodule'}}clinical findings_fin: {'suspicious nodules': {'clinical finding': 'suspicious nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious', 'observation': 'nodule'}, 'masses': {'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass'}}location descriptor_fin: ['upper']clinical findings_fin: {'significant pericardial effusion': {'clinical finding': 'significant pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'significant pericardial', 'observation': 'effusion'}}anatomical entity_fin: {'aorta': {}}clinical findings_fin: {'aorta is normal in caliber': {'clinical finding': 'aorta is normal in caliber'}}clinical findings_fin: {'pneumomediastinum': {'clinical finding': 'pneumomediastinum', 'existence': 'pos_dx', 'observation': 'pneumomediastinum'}}anatomical entity_fin: {'anterior mediastinum': {}}imaging observation_fin: ['soft tissue density']clinical findings_fin: {'considerable soft tissue density': {'clinical finding': 'considerable soft tissue density', 'existence': 'pos_dx', 'descriptive_term': 'considerable soft tissue', 'observation': 'density'}}clinical findings_fin: {'significant hilar or mediastinal lymphadenopathy': {'clinical finding': 'significant hilar or mediastinal lymphadenopathy', 'cf_snomed': {'mediastinal lymphadenopathy': 52324001}, 'existence': 'neg_dx', 'descriptive_term': 'significant hilar or mediastinal', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'pericardial drain noted': {'clinical finding': 'pericardial drain noted'}}anatomical entity_fin: {'anastomosis': {}, 'ascending aorta': {}, 'pulmonary artery': {}, 'left ventricle': {}, 'right ventricle': {}}clinical findings_fin: {'lvad': {'clinical finding': 'lvad', 'existence': 'pos_dx', 'observation': 'lvad'}}clinical findings_fin: {'sternotomy hardware': {'clinical finding': 'sternotomy hardware', 'existence': 'pos_dx', 'descriptive_term': 'sternotomy', 'observation': 'hardware'}, 'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}location descriptor_fin: ['right']object_fin: ['central venous catheter']clinical findings_fin: {'central venous catheter': {'clinical finding': 'central venous catheter', 'existence': 'pos_dx', 'descriptive_term': 'central venous', 'observation': 'catheter'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral chest tubes': {'clinical finding': 'bilateral chest tubes', 'existence': 'pos_dx', 'descriptive_term': 'bilateral chest', 'observation': 'tube'}}clinical findings_fin: {'lymphadenopathy': {'clinical finding': 'lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'rib': {}}location descriptor_fin: ['right']clinical findings_fin: {'multiple right-sided rib fractures': {'clinical finding': 'multiple right-sided rib fractures', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'multiple right-sided rib', 'observation': 'fracture', 'quantity_term': 'multiple'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'splenic calcifications': {'clinical finding': 'splenic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'splenic', 'observation': 'calcification'}}
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'acute pulmonary embolism': {'clinical finding': 'acute pulmonary embolism', 'cf_snomed': {'acute pulmonary embolism': 706870000}, 'existence': 'neg_dx', 'descriptive_term': 'acute pulmonary', 'observation': 'embolism', 'strength_term': 'acute', 'temporal_term': 'acute'}}anatomical entity_fin: {'main pulmonary artery': {}}clinical findings_fin: {'main pulmonary artery is normal caliber': {'clinical finding': 'main pulmonary artery is normal caliber'}}size_fin: [{'size': '3.5 cm', 'size_descriptor': 'tube'}]anatomical entity_fin: {'carina': {}}object_fin: ['endotracheal tube']clinical findings_fin: {'endotracheal tube': {'clinical finding': 'endotracheal tube', 'existence': 'pos_dx', 'descriptive_term': 'endotracheal', 'observation': 'tube'}}anatomical entity_fin: {'airways': {'location descriptor': 'distal'}}location descriptor_fin: ['right', 'left', 'distal']clinical findings_fin: {'bibasilar atelectasis': {'clinical finding': 'bibasilar atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'bibasilar', 'observation': 'atelectasis'}, 'consolidation': {'clinical finding': 'consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'unc_dx', 'observation': 'consolidation'}, 'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'pos_dx', 'observation': 'obstruction'}}imaging observation_fin: ['apical']location descriptor_fin: ['centrilobular']clinical findings_fin: {'apical predominant centrilobular groundglass nodules': {'clinical finding': 'apical predominant centrilobular groundglass nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'apical predominant centrilobular groundglass', 'observation': 'nodule'}}clinical findings_fin: {'suspicious nodules': {'clinical finding': 'suspicious nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious', 'observation': 'nodule'}, 'masses': {'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass'}}location descriptor_fin: ['upper']clinical findings_fin: {'significant pericardial effusion': {'clinical finding': 'significant pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'significant pericardial', 'observation': 'effusion'}}anatomical entity_fin: {'aorta': {}}clinical findings_fin: {'aorta is normal in caliber': {'clinical finding': 'aorta is normal in caliber'}}clinical findings_fin: {'pneumomediastinum': {'clinical finding': 'pneumomediastinum', 'existence': 'pos_dx', 'observation': 'pneumomediastinum'}}anatomical entity_fin: {'anterior mediastinum': {}}imaging observation_fin: ['soft tissue density']clinical findings_fin: {'considerable soft tissue density': {'clinical finding': 'considerable soft tissue density', 'existence': 'pos_dx', 'descriptive_term': 'considerable soft tissue', 'observation': 'density'}}clinical findings_fin: {'significant hilar or mediastinal lymphadenopathy': {'clinical finding': 'significant hilar or mediastinal lymphadenopathy', 'cf_snomed': {'mediastinal lymphadenopathy': 52324001}, 'existence': 'neg_dx', 'descriptive_term': 'significant hilar or mediastinal', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'pericardial drain noted': {'clinical finding': 'pericardial drain noted'}}anatomical entity_fin: {'anastomosis': {}, 'ascending aorta': {}, 'pulmonary artery': {}, 'left ventricle': {}, 'right ventricle': {}}clinical findings_fin: {'lvad': {'clinical finding': 'lvad', 'existence': 'pos_dx', 'observation': 'lvad'}}clinical findings_fin: {'sternotomy hardware': {'clinical finding': 'sternotomy hardware', 'existence': 'pos_dx', 'descriptive_term': 'sternotomy', 'observation': 'hardware'}, 'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}location descriptor_fin: ['right']object_fin: ['central venous catheter']clinical findings_fin: {'central venous catheter': {'clinical finding': 'central venous catheter', 'existence': 'pos_dx', 'descriptive_term': 'central venous', 'observation': 'catheter'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral chest tubes': {'clinical finding': 'bilateral chest tubes', 'existence': 'pos_dx', 'descriptive_term': 'bilateral chest', 'observation': 'tube'}}clinical findings_fin: {'lymphadenopathy': {'clinical finding': 'lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'rib': {}}location descriptor_fin: ['right']clinical findings_fin: {'multiple right-sided rib fractures': {'clinical finding': 'multiple right-sided rib fractures', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'multiple right-sided rib', 'observation': 'fracture', 'quantity_term': 'multiple'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'splenic calcifications': {'clinical finding': 'splenic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'splenic', 'observation': 'calcification'}} [/INST] . Technically adequate examination. No evidence of acute pulmonary embolism. Main pulmonary artery is normal caliber. Endotracheal tube terminates approximately 3.5 cm above the carina. Bibasilar atelectasis or consolidation, right greater than left, with obstruction of the distal airways. Diffuse apical predominant centrilobular groundglass nodules. No suspicious nodules or masses are identified. Cardiac size is upper limits of normal with no significant pericardial effusion. Aorta is normal in caliber. Small amount of pneumomediastinum likely reflects recent surgery. Considerable soft tissue density in the retrosternal anterior mediastinum, significantly increased. No significant hilar or mediastinal lymphadenopathy. Pericardial drain noted. LVAD in place with anastomosis of the ascending aorta, pulmonary artery, left ventricle, and right ventricle. Sternotomy hardware intact. Right central venous catheter tip terminates in the SVC. None. Bilateral chest tubes in place. No lymphadenopathy. Multiple right-sided rib fractures are noted. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. Splenic calcifications noted. </s>