. No evidence of acute pulmonary embolism. Scattered areas of atelectasis and scarring without significant pleural effusion or focal consolidation. No suspicious pulmonary nodules or masses. Upper normal heart size without pericardial effusion. No significant mediastinal or hilar adenopathy. Soft tissue density material adjacent to the distal descending thoracic aorta is not significantly changed since the prior study. Moderate. Opacification of multiple collateral vessels in the mediastinum and chest wall, likely secondary to known prior left brachiocephalic and subclavian vein thrombus. Left central venous catheter tip in right atrium. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. Unchanged hiatal hernia. Reflux of contrast noted into the IVC and hepatic veins.
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'}}clinical findings_fin: {'atelectasis': {'clinical finding': 'atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'observation': 'atelectasis'}, 'scarring': {'clinical finding': 'scarring', 'existence': 'pos_dx', 'observation': 'scarr'}, 'significant pleural effusion': {'clinical finding': 'significant pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'significant pleural', 'observation': 'effusion'}, 'focal consolidation': {'clinical finding': 'focal consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'consolidation'}}clinical findings_fin: {'suspicious pulmonary nodules': {'clinical finding': 'suspicious pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious pulmonary', 'observation': 'nodule'}, 'masses': {'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass'}}anatomical entity_fin: {'heart': {}}location descriptor_fin: ['upper']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 adenopathy': {'clinical finding': 'significant mediastinal or hilar adenopathy', 'existence': 'neg_dx', 'descriptive_term': 'significant mediastinal or hilar', 'observation': 'adenopathy'}}anatomical entity_fin: {'descending thoracic aorta': {'location descriptor': 'distal'}}imaging observation_fin: ['soft tissue density']location descriptor_fin: ['adjacent', 'distal']clinical findings_fin: {'soft tissue density': {'clinical finding': 'soft tissue density', 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'density'}, 'changed': {'clinical finding': 'changed', 'existence': 'neg_dx', 'observation': 'change'}}anatomical entity_fin: {'mediastinum': {}, 'chest wall': {}, 'subclavian vein': {}}location descriptor_fin: ['left']clinical findings_fin: {'opacification': {'clinical finding': 'opacification', 'existence': 'pos_dx', 'observation': 'opacification'}, 'multiple collateral vessels': {'clinical finding': 'multiple collateral vessels', 'existence': 'pos_dx', 'descriptive_term': 'multiple collateral', 'observation': 'vessel', 'quantity_term': 'multiple'}, 'known prior left brachiocephalic and subclavian vein thrombus': {'clinical finding': 'known prior left brachiocephalic and subclavian vein thrombus', 'cf_snomed': {'thrombus': 396339007}, 'existence': 'pos_dx', 'descriptive_term': 'known prior left brachiocephalic and subclavian vein', 'observation': 'thrombus'}}anatomical entity_fin: {'right atrium': {}}location descriptor_fin: ['left']object_fin: ['central venous catheter']clinical findings_fin: {'left central venous catheter': {'clinical finding': 'left central venous catheter', 'existence': 'pos_dx', 'descriptive_term': 'left central venous', 'observation': 'catheter'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'unchanged hiatal hernia': {'clinical finding': 'unchanged hiatal hernia', 'cf_snomed': {'hiatal hernia': 84089009}, 'existence': 'pos_dx', 'descriptive_term': 'unchanged hiatal', 'observation': 'hernia', 'strength_term': 'unchanged', 'change_term': 'unchanged'}}anatomical entity_fin: {'hepatic veins': {}}clinical findings_fin: {'reflux': {'clinical finding': 'reflux', 'existence': 'pos_dx', 'observation': 'reflux'}, 'contrast': {'clinical finding': 'contrast', 'existence': 'pos_dx', 'observation': 'contrast'}}
<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'}}clinical findings_fin: {'atelectasis': {'clinical finding': 'atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'observation': 'atelectasis'}, 'scarring': {'clinical finding': 'scarring', 'existence': 'pos_dx', 'observation': 'scarr'}, 'significant pleural effusion': {'clinical finding': 'significant pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'significant pleural', 'observation': 'effusion'}, 'focal consolidation': {'clinical finding': 'focal consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'consolidation'}}clinical findings_fin: {'suspicious pulmonary nodules': {'clinical finding': 'suspicious pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious pulmonary', 'observation': 'nodule'}, 'masses': {'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass'}}anatomical entity_fin: {'heart': {}}location descriptor_fin: ['upper']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 adenopathy': {'clinical finding': 'significant mediastinal or hilar adenopathy', 'existence': 'neg_dx', 'descriptive_term': 'significant mediastinal or hilar', 'observation': 'adenopathy'}}anatomical entity_fin: {'descending thoracic aorta': {'location descriptor': 'distal'}}imaging observation_fin: ['soft tissue density']location descriptor_fin: ['adjacent', 'distal']clinical findings_fin: {'soft tissue density': {'clinical finding': 'soft tissue density', 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'density'}, 'changed': {'clinical finding': 'changed', 'existence': 'neg_dx', 'observation': 'change'}}anatomical entity_fin: {'mediastinum': {}, 'chest wall': {}, 'subclavian vein': {}}location descriptor_fin: ['left']clinical findings_fin: {'opacification': {'clinical finding': 'opacification', 'existence': 'pos_dx', 'observation': 'opacification'}, 'multiple collateral vessels': {'clinical finding': 'multiple collateral vessels', 'existence': 'pos_dx', 'descriptive_term': 'multiple collateral', 'observation': 'vessel', 'quantity_term': 'multiple'}, 'known prior left brachiocephalic and subclavian vein thrombus': {'clinical finding': 'known prior left brachiocephalic and subclavian vein thrombus', 'cf_snomed': {'thrombus': 396339007}, 'existence': 'pos_dx', 'descriptive_term': 'known prior left brachiocephalic and subclavian vein', 'observation': 'thrombus'}}anatomical entity_fin: {'right atrium': {}}location descriptor_fin: ['left']object_fin: ['central venous catheter']clinical findings_fin: {'left central venous catheter': {'clinical finding': 'left central venous catheter', 'existence': 'pos_dx', 'descriptive_term': 'left central venous', 'observation': 'catheter'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'unchanged hiatal hernia': {'clinical finding': 'unchanged hiatal hernia', 'cf_snomed': {'hiatal hernia': 84089009}, 'existence': 'pos_dx', 'descriptive_term': 'unchanged hiatal', 'observation': 'hernia', 'strength_term': 'unchanged', 'change_term': 'unchanged'}}anatomical entity_fin: {'hepatic veins': {}}clinical findings_fin: {'reflux': {'clinical finding': 'reflux', 'existence': 'pos_dx', 'observation': 'reflux'}, 'contrast': {'clinical finding': 'contrast', 'existence': 'pos_dx', 'observation': 'contrast'}} [/INST] . No evidence of acute pulmonary embolism. Scattered areas of atelectasis and scarring without significant pleural effusion or focal consolidation. No suspicious pulmonary nodules or masses. Upper normal heart size without pericardial effusion. No significant mediastinal or hilar adenopathy. Soft tissue density material adjacent to the distal descending thoracic aorta is not significantly changed since the prior study. Moderate. Opacification of multiple collateral vessels in the mediastinum and chest wall, likely secondary to known prior left brachiocephalic and subclavian vein thrombus. Left central venous catheter tip in right atrium. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. Unchanged hiatal hernia. Reflux of contrast noted into the IVC and hepatic veins. </s>