. Acute right middle lobe subsegmental pulmonary embolism without associated infarction. The pulmonary artery size is normal without right heart strain. Bilateral dependent atelectasis. No focal air space opacity. No pleural effusion. No suspicious nodules or masses. Normal heart size without pericardial effusion. No hilar or mediastinal lymphadenopathy. No significant abnormality noted. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. Multiple surgical clips are noted in the tail of the pancreas, and the right and left lobe of the liver. New 3 cm subcapsular hypoattenuating lesion at the dome of the liver suspicious for fluid collection. Status post splenectomy.
anatomical entity_fin: {'middle': {'location descriptor': 'right'}, 'lobe': {}}location descriptor_fin: ['right', 'subsegmental']clinical findings_fin: {'acute right middle lobe subsegmental pulmonary embolism': {'clinical finding': 'acute right middle lobe subsegmental pulmonary embolism', 'cf_snomed': {'pulmonary embolism': 59282003}, 'existence': 'pos_dx', 'descriptive_term': 'acute right middle lobe subsegmental pulmonary', 'observation': 'embolism', 'strength_term': 'acute', 'temporal_term': 'acute'}, 'associated infarction': {'clinical finding': 'associated infarction', 'existence': 'neg_dx', 'descriptive_term': 'associated', 'observation': 'infarction'}}anatomical entity_fin: {'pulmonary artery': {}, 'heart': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'right heart strain': {'clinical finding': 'right heart strain', 'existence': 'pos_dx', 'descriptive_term': 'right heart', 'observation': 'strain'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral dependent atelectasis': {'clinical finding': 'bilateral dependent atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral dependent', 'observation': 'atelectasis'}}clinical findings_fin: {'focal air space opacity': {'clinical finding': 'focal air space opacity', 'cf_snomed': {'opacity': 128305008}, 'existence': 'neg_dx', 'descriptive_term': 'focal air space', 'observation': 'opacity'}}clinical findings_fin: {'pleural effusion': {'clinical finding': 'pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}}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'}}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: {'hilar or mediastinal lymphadenopathy': {'clinical finding': 'hilar or mediastinal lymphadenopathy', 'cf_snomed': {'mediastinal lymphadenopathy': 52324001}, 'existence': 'neg_dx', 'descriptive_term': 'hilar or mediastinal', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}anatomical entity_fin: {'pancreas': {}, 'lobe': {'location descriptor': 'left'}, 'liver': {}}location descriptor_fin: ['right', 'left']object_fin: ['surgical clips']clinical findings_fin: {'multiple surgical clips': {'clinical finding': 'multiple surgical clips', 'existence': 'pos_dx', 'descriptive_term': 'multiple surgical', 'observation': 'clip', 'quantity_term': 'multiple'}, 'tail': {'clinical finding': 'tail', 'existence': 'pos_dx', 'observation': 'tail'}}size_fin: [{'size': '3 cm', 'size_descriptor': 'lesion'}]anatomical entity_fin: {'liver': {}}clinical findings_fin: {'new 3 cm subcapsular hypoattenuating lesion': {'clinical finding': 'new 3 cm subcapsular hypoattenuating lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'new 3 cm subcapsular hypoattenuating', 'observation': 'lesion', 'temporal_term': 'new'}, 'fluid collection': {'clinical finding': 'fluid collection', 'existence': 'pos_dx', 'descriptive_term': 'fluid', 'observation': 'collection'}}procedure_fin: ['splenectomy']
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'middle': {'location descriptor': 'right'}, 'lobe': {}}location descriptor_fin: ['right', 'subsegmental']clinical findings_fin: {'acute right middle lobe subsegmental pulmonary embolism': {'clinical finding': 'acute right middle lobe subsegmental pulmonary embolism', 'cf_snomed': {'pulmonary embolism': 59282003}, 'existence': 'pos_dx', 'descriptive_term': 'acute right middle lobe subsegmental pulmonary', 'observation': 'embolism', 'strength_term': 'acute', 'temporal_term': 'acute'}, 'associated infarction': {'clinical finding': 'associated infarction', 'existence': 'neg_dx', 'descriptive_term': 'associated', 'observation': 'infarction'}}anatomical entity_fin: {'pulmonary artery': {}, 'heart': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'right heart strain': {'clinical finding': 'right heart strain', 'existence': 'pos_dx', 'descriptive_term': 'right heart', 'observation': 'strain'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral dependent atelectasis': {'clinical finding': 'bilateral dependent atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral dependent', 'observation': 'atelectasis'}}clinical findings_fin: {'focal air space opacity': {'clinical finding': 'focal air space opacity', 'cf_snomed': {'opacity': 128305008}, 'existence': 'neg_dx', 'descriptive_term': 'focal air space', 'observation': 'opacity'}}clinical findings_fin: {'pleural effusion': {'clinical finding': 'pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}}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'}}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: {'hilar or mediastinal lymphadenopathy': {'clinical finding': 'hilar or mediastinal lymphadenopathy', 'cf_snomed': {'mediastinal lymphadenopathy': 52324001}, 'existence': 'neg_dx', 'descriptive_term': 'hilar or mediastinal', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}anatomical entity_fin: {'pancreas': {}, 'lobe': {'location descriptor': 'left'}, 'liver': {}}location descriptor_fin: ['right', 'left']object_fin: ['surgical clips']clinical findings_fin: {'multiple surgical clips': {'clinical finding': 'multiple surgical clips', 'existence': 'pos_dx', 'descriptive_term': 'multiple surgical', 'observation': 'clip', 'quantity_term': 'multiple'}, 'tail': {'clinical finding': 'tail', 'existence': 'pos_dx', 'observation': 'tail'}}size_fin: [{'size': '3 cm', 'size_descriptor': 'lesion'}]anatomical entity_fin: {'liver': {}}clinical findings_fin: {'new 3 cm subcapsular hypoattenuating lesion': {'clinical finding': 'new 3 cm subcapsular hypoattenuating lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'new 3 cm subcapsular hypoattenuating', 'observation': 'lesion', 'temporal_term': 'new'}, 'fluid collection': {'clinical finding': 'fluid collection', 'existence': 'pos_dx', 'descriptive_term': 'fluid', 'observation': 'collection'}}procedure_fin: ['splenectomy'] [/INST] . Acute right middle lobe subsegmental pulmonary embolism without associated infarction. The pulmonary artery size is normal without right heart strain. Bilateral dependent atelectasis. No focal air space opacity. No pleural effusion. No suspicious nodules or masses. Normal heart size without pericardial effusion. No hilar or mediastinal lymphadenopathy. No significant abnormality noted. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. Multiple surgical clips are noted in the tail of the pancreas, and the right and left lobe of the liver. New 3 cm subcapsular hypoattenuating lesion at the dome of the liver suspicious for fluid collection. Status post splenectomy. </s>