. Paramediastinal fibrosis, probably secondary to radiation, stable. No suspicious pulmonary nodule. Unchanged trace pericardial effusion. Status post esophagectomy with gastric pull up. Moderate coronary artery calcifications. No significant abnormality noted. Subcentimeter left thyroid nodule, which contains calcification, unchanged. Cholelithiasis with no adjacent inflammatory changes to suggest acute cholecystitis. Few nonspecific punctate hypodense lesions, favor benign etiology. No significant abnormality noted. No significant abnormality noted. Bilateral simple renal cysts, unchanged. No hydronephrosis. No lymphadenopathy. Stable small gastrohepatic ligament lymph node measuring 0.9 x 0.9 cm. Status post esophagectomy and gastric pull up. The small and large bowel are normal in caliber. No evidence of bowel obstruction or ileus. Degenerative changes of the thoracic and lumbar spine. No suspicious osseous lesion. Mild atherosclerotic calcification of the aorta and its branches. Enlarged prostate measuring up to 5.8 cm, unchanged. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted1.
clinical findings_fin: {'paramediastinal fibrosis': {'clinical finding': 'paramediastinal fibrosis', 'existence': 'pos_dx', 'descriptive_term': 'paramediastinal', 'observation': 'fibrosis'}}clinical findings_fin: {'suspicious pulmonary nodule': {'clinical finding': 'suspicious pulmonary nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious pulmonary', 'observation': 'nodule'}}clinical findings_fin: {'unchanged trace pericardial effusion': {'clinical finding': 'unchanged trace pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'pos_dx', 'descriptive_term': 'unchanged trace pericardial', 'observation': 'effusion', 'strength_term': 'unchanged', 'change_term': 'unchanged'}}procedure_fin: ['esophagectomy']clinical findings_fin: {'moderate coronary artery calcifications': {'clinical finding': 'moderate coronary artery calcifications', 'existence': 'pos_dx', 'descriptive_term': 'moderate coronary artery', 'observation': 'calcification', 'strength_term': 'moderate'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}location descriptor_fin: ['left']clinical findings_fin: {'subcentimeter left thyroid nodule': {'clinical finding': 'subcentimeter left thyroid nodule', 'cf_snomed': {'thyroid nodule': 237495005}, 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter left thyroid', 'observation': 'nodule'}, 'calcification': {'clinical finding': 'calcification', 'existence': 'pos_dx', 'observation': 'calcification'}}location descriptor_fin: ['adjacent']clinical findings_fin: {'cholelithiasis': {'clinical finding': 'cholelithiasis', 'existence': 'pos_dx', 'observation': 'cholelithiasis'}, 'adjacent inflammatory changes': {'clinical finding': 'adjacent inflammatory changes', 'existence': 'neg_dx', 'descriptive_term': 'adjacent inflammatory', 'observation': 'change'}, 'acute cholecystitis': {'clinical finding': 'acute cholecystitis', 'cf_snomed': {'acute cholecystitis': 65275009}, 'existence': 'unc_dx', 'descriptive_term': 'acute', 'observation': 'cholecystitis', 'strength_term': 'acute', 'temporal_term': 'acute'}}clinical findings_fin: {'few nonspecific punctate hypodense lesions': {'clinical finding': 'few nonspecific punctate hypodense lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'few nonspecific punctate hypodense', 'observation': 'lesion', 'quantity_term': 'few'}}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'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral simple renal cysts': {'clinical finding': 'bilateral simple renal cysts', 'cf_snomed': {'simple renal cyst': 77945009}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral simple renal', 'observation': 'cyst'}}clinical findings_fin: {'hydronephrosis': {'clinical finding': 'hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'neg_dx', 'observation': 'hydronephrosis'}}clinical findings_fin: {'lymphadenopathy': {'clinical finding': 'lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'observation': 'lymphadenopathy'}}size_fin: [{'size': '0.9 x 0.9 cm', 'size_descriptor': 'node'}]anatomical entity_fin: {'gastrohepatic ligament': {}}clinical findings_fin: {'stable small gastrohepatic ligament lymph node': {'clinical finding': 'stable small gastrohepatic ligament lymph node', 'existence': 'pos_dx', 'descriptive_term': 'stable small gastrohepatic ligament lymph', 'observation': 'node', 'strength_term': 'stable - small', 'change_term': 'stable'}}procedure_fin: ['esophagectomy']anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'small and large bowel are normal': {'clinical finding': 'small and large bowel are normal'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'bowel obstruction': {'clinical finding': 'bowel obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'descriptive_term': 'bowel', 'observation': 'obstruction'}, 'ileus': {'clinical finding': 'ileus', 'existence': 'neg_dx', 'observation': 'ileus'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'degenerative changes': {'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'}}clinical findings_fin: {'suspicious osseous lesion': {'clinical finding': 'suspicious osseous lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious osseous', 'observation': 'lesion'}}anatomical entity_fin: {'aorta': {}}clinical findings_fin: {'mild atherosclerotic calcification': {'clinical finding': 'mild atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'mild atherosclerotic', 'observation': 'calcification', 'strength_term': 'mild'}}size_fin: [{'size': '5.8 cm', 'size_descriptor': 'prostate'}]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'}}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'}}
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'paramediastinal fibrosis': {'clinical finding': 'paramediastinal fibrosis', 'existence': 'pos_dx', 'descriptive_term': 'paramediastinal', 'observation': 'fibrosis'}}clinical findings_fin: {'suspicious pulmonary nodule': {'clinical finding': 'suspicious pulmonary nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious pulmonary', 'observation': 'nodule'}}clinical findings_fin: {'unchanged trace pericardial effusion': {'clinical finding': 'unchanged trace pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'pos_dx', 'descriptive_term': 'unchanged trace pericardial', 'observation': 'effusion', 'strength_term': 'unchanged', 'change_term': 'unchanged'}}procedure_fin: ['esophagectomy']clinical findings_fin: {'moderate coronary artery calcifications': {'clinical finding': 'moderate coronary artery calcifications', 'existence': 'pos_dx', 'descriptive_term': 'moderate coronary artery', 'observation': 'calcification', 'strength_term': 'moderate'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}location descriptor_fin: ['left']clinical findings_fin: {'subcentimeter left thyroid nodule': {'clinical finding': 'subcentimeter left thyroid nodule', 'cf_snomed': {'thyroid nodule': 237495005}, 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter left thyroid', 'observation': 'nodule'}, 'calcification': {'clinical finding': 'calcification', 'existence': 'pos_dx', 'observation': 'calcification'}}location descriptor_fin: ['adjacent']clinical findings_fin: {'cholelithiasis': {'clinical finding': 'cholelithiasis', 'existence': 'pos_dx', 'observation': 'cholelithiasis'}, 'adjacent inflammatory changes': {'clinical finding': 'adjacent inflammatory changes', 'existence': 'neg_dx', 'descriptive_term': 'adjacent inflammatory', 'observation': 'change'}, 'acute cholecystitis': {'clinical finding': 'acute cholecystitis', 'cf_snomed': {'acute cholecystitis': 65275009}, 'existence': 'unc_dx', 'descriptive_term': 'acute', 'observation': 'cholecystitis', 'strength_term': 'acute', 'temporal_term': 'acute'}}clinical findings_fin: {'few nonspecific punctate hypodense lesions': {'clinical finding': 'few nonspecific punctate hypodense lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'few nonspecific punctate hypodense', 'observation': 'lesion', 'quantity_term': 'few'}}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'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral simple renal cysts': {'clinical finding': 'bilateral simple renal cysts', 'cf_snomed': {'simple renal cyst': 77945009}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral simple renal', 'observation': 'cyst'}}clinical findings_fin: {'hydronephrosis': {'clinical finding': 'hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'neg_dx', 'observation': 'hydronephrosis'}}clinical findings_fin: {'lymphadenopathy': {'clinical finding': 'lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'observation': 'lymphadenopathy'}}size_fin: [{'size': '0.9 x 0.9 cm', 'size_descriptor': 'node'}]anatomical entity_fin: {'gastrohepatic ligament': {}}clinical findings_fin: {'stable small gastrohepatic ligament lymph node': {'clinical finding': 'stable small gastrohepatic ligament lymph node', 'existence': 'pos_dx', 'descriptive_term': 'stable small gastrohepatic ligament lymph', 'observation': 'node', 'strength_term': 'stable - small', 'change_term': 'stable'}}procedure_fin: ['esophagectomy']anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'small and large bowel are normal': {'clinical finding': 'small and large bowel are normal'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'bowel obstruction': {'clinical finding': 'bowel obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'descriptive_term': 'bowel', 'observation': 'obstruction'}, 'ileus': {'clinical finding': 'ileus', 'existence': 'neg_dx', 'observation': 'ileus'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'degenerative changes': {'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'}}clinical findings_fin: {'suspicious osseous lesion': {'clinical finding': 'suspicious osseous lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious osseous', 'observation': 'lesion'}}anatomical entity_fin: {'aorta': {}}clinical findings_fin: {'mild atherosclerotic calcification': {'clinical finding': 'mild atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'mild atherosclerotic', 'observation': 'calcification', 'strength_term': 'mild'}}size_fin: [{'size': '5.8 cm', 'size_descriptor': 'prostate'}]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'}}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'}} [/INST] . Paramediastinal fibrosis, probably secondary to radiation, stable. No suspicious pulmonary nodule. Unchanged trace pericardial effusion. Status post esophagectomy with gastric pull up. Moderate coronary artery calcifications. No significant abnormality noted. Subcentimeter left thyroid nodule, which contains calcification, unchanged. Cholelithiasis with no adjacent inflammatory changes to suggest acute cholecystitis. Few nonspecific punctate hypodense lesions, favor benign etiology. No significant abnormality noted. No significant abnormality noted. Bilateral simple renal cysts, unchanged. No hydronephrosis. No lymphadenopathy. Stable small gastrohepatic ligament lymph node measuring 0.9 x 0.9 cm. Status post esophagectomy and gastric pull up. The small and large bowel are normal in caliber. No evidence of bowel obstruction or ileus. Degenerative changes of the thoracic and lumbar spine. No suspicious osseous lesion. Mild atherosclerotic calcification of the aorta and its branches. Enlarged prostate measuring up to 5.8 cm, unchanged. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted1. </s>