. Loculated right pleural effusion and right pleural thickening with significant volume loss in the right lung and right paramediastinal and basilar fibrosis unchanged. Interval resolution of the previously noted small left pleural effusion. Stable left apical fibrosis. Severe centrilobular emphysema identified in the left lung. No new suspicious pulmonary nodules or masses. Chronic thrombus in the right pulmonary artery unchanged. Stable appearance of multinodular goiter. No hilar or mediastinal lymphadenopathy. Cardiac size is normal without evidence of a pericardial effusion. Mild. Status post right thoracotomy. Degenerative changes in the thoracic spine with partial collapse of the T5 and T9 vertebrae unchanged. Absence of enteric contrast material limits sensitivity for abdominal pathology. Stable hypoattenuating lesion involving the dome of the liver. No significant abnormality noted. No significant abnormality noted. Stable left renal cyst. No significant abnormality noted. No significant abnormality noted. Absence of enteric contrast material limits sensitivity for GI pathology. No gross abnormalities noted. Marked degenerative changes in the lumbar spine. No significant abnormality noted.
anatomical entity_fin: {'right lung': {}}location descriptor_fin: ['right']clinical findings_fin: {'loculated right pleural effusion': {'clinical finding': 'loculated right pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'loculated right pleural', 'observation': 'effusion'}, 'right pleural thickening': {'clinical finding': 'right pleural thickening', 'existence': 'pos_dx', 'descriptive_term': 'right pleural', 'observation': 'thickening'}, 'significant volume loss': {'clinical finding': 'significant volume loss', 'existence': 'pos_dx', 'descriptive_term': 'significant volume', 'observation': 'loss'}, 'right paramediastinal and basilar fibrosis': {'clinical finding': 'right paramediastinal and basilar fibrosis', 'existence': 'pos_dx', 'descriptive_term': 'right paramediastinal and basilar', 'observation': 'fibrosis'}}location descriptor_fin: ['left']clinical findings_fin: {'interval resolution': {'clinical finding': 'interval resolution', 'existence': 'pos_dx', 'descriptive_term': 'interval', 'observation': 'resolution'}, 'previously noted small left pleural effusion': {'clinical finding': 'previously noted small left pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'previously noted small left pleural', 'observation': 'effusion', 'strength_term': 'small'}}imaging observation_fin: ['apical']location descriptor_fin: ['left']clinical findings_fin: {'stable left apical fibrosis': {'clinical finding': 'stable left apical fibrosis', 'existence': 'pos_dx', 'descriptive_term': 'stable left apical', 'observation': 'fibrosis', 'strength_term': 'stable', 'change_term': 'stable'}}anatomical entity_fin: {'left lung': {}}clinical findings_fin: {'severe centrilobular emphysema': {'clinical finding': 'severe centrilobular emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'descriptive_term': 'severe centrilobular', 'observation': 'emphysema', 'strength_term': 'severe'}}clinical findings_fin: {'new suspicious pulmonary nodules': {'clinical finding': 'new suspicious pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'new suspicious pulmonary', 'observation': 'nodule', 'temporal_term': 'new'}, 'masses': {'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass'}}anatomical entity_fin: {'right pulmonary artery': {}}clinical findings_fin: {'chronic thrombus': {'clinical finding': 'chronic thrombus', 'cf_snomed': {'thrombus': 396339007}, 'existence': 'pos_dx', 'descriptive_term': 'chronic', 'observation': 'thrombus', 'temporal_term': 'chronic'}}clinical findings_fin: {'multinodular goiter': {'clinical finding': 'multinodular goiter', 'cf_snomed': {'multinodular goiter': 237570007}, 'existence': 'pos_dx', 'descriptive_term': 'multinodular', 'observation': 'goiter'}}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: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}location descriptor_fin: ['right']clinical findings_fin: {'post right thoracotomy': {'clinical finding': 'post right thoracotomy', 'existence': 'pos_dx', 'descriptive_term': 'post right', 'observation': 'thoracotomy'}}anatomical entity_fin: {'thoracic spine': {}, 'vertebrae': {}}clinical findings_fin: {'degenerative changes': {'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'}, 'partial collapse': {'clinical finding': 'partial collapse', 'cf_snomed': {'collapse': 271787007}, 'existence': 'pos_dx', 'descriptive_term': 'partial', 'observation': 'collapse', 'strength_term': 'partial'}}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': {}}clinical findings_fin: {'stable hypoattenuating lesion': {'clinical finding': 'stable hypoattenuating lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'stable hypoattenuating', 'observation': 'lesion', 'strength_term': 'stable', 'change_term': 'stable'}}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: ['left']clinical findings_fin: {'stable left renal cyst': {'clinical finding': 'stable left renal cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'stable left renal', 'observation': 'cyst', 'strength_term': 'stable', 'change_term': 'stable'}}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: {'gross abnormalities': {'clinical finding': 'gross abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'gross', 'observation': 'abnormality'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'marked degenerative changes': {'clinical finding': 'marked degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'marked degenerative', 'observation': 'change'}}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: {'right lung': {}}location descriptor_fin: ['right']clinical findings_fin: {'loculated right pleural effusion': {'clinical finding': 'loculated right pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'loculated right pleural', 'observation': 'effusion'}, 'right pleural thickening': {'clinical finding': 'right pleural thickening', 'existence': 'pos_dx', 'descriptive_term': 'right pleural', 'observation': 'thickening'}, 'significant volume loss': {'clinical finding': 'significant volume loss', 'existence': 'pos_dx', 'descriptive_term': 'significant volume', 'observation': 'loss'}, 'right paramediastinal and basilar fibrosis': {'clinical finding': 'right paramediastinal and basilar fibrosis', 'existence': 'pos_dx', 'descriptive_term': 'right paramediastinal and basilar', 'observation': 'fibrosis'}}location descriptor_fin: ['left']clinical findings_fin: {'interval resolution': {'clinical finding': 'interval resolution', 'existence': 'pos_dx', 'descriptive_term': 'interval', 'observation': 'resolution'}, 'previously noted small left pleural effusion': {'clinical finding': 'previously noted small left pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'previously noted small left pleural', 'observation': 'effusion', 'strength_term': 'small'}}imaging observation_fin: ['apical']location descriptor_fin: ['left']clinical findings_fin: {'stable left apical fibrosis': {'clinical finding': 'stable left apical fibrosis', 'existence': 'pos_dx', 'descriptive_term': 'stable left apical', 'observation': 'fibrosis', 'strength_term': 'stable', 'change_term': 'stable'}}anatomical entity_fin: {'left lung': {}}clinical findings_fin: {'severe centrilobular emphysema': {'clinical finding': 'severe centrilobular emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'descriptive_term': 'severe centrilobular', 'observation': 'emphysema', 'strength_term': 'severe'}}clinical findings_fin: {'new suspicious pulmonary nodules': {'clinical finding': 'new suspicious pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'new suspicious pulmonary', 'observation': 'nodule', 'temporal_term': 'new'}, 'masses': {'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass'}}anatomical entity_fin: {'right pulmonary artery': {}}clinical findings_fin: {'chronic thrombus': {'clinical finding': 'chronic thrombus', 'cf_snomed': {'thrombus': 396339007}, 'existence': 'pos_dx', 'descriptive_term': 'chronic', 'observation': 'thrombus', 'temporal_term': 'chronic'}}clinical findings_fin: {'multinodular goiter': {'clinical finding': 'multinodular goiter', 'cf_snomed': {'multinodular goiter': 237570007}, 'existence': 'pos_dx', 'descriptive_term': 'multinodular', 'observation': 'goiter'}}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: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}location descriptor_fin: ['right']clinical findings_fin: {'post right thoracotomy': {'clinical finding': 'post right thoracotomy', 'existence': 'pos_dx', 'descriptive_term': 'post right', 'observation': 'thoracotomy'}}anatomical entity_fin: {'thoracic spine': {}, 'vertebrae': {}}clinical findings_fin: {'degenerative changes': {'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'}, 'partial collapse': {'clinical finding': 'partial collapse', 'cf_snomed': {'collapse': 271787007}, 'existence': 'pos_dx', 'descriptive_term': 'partial', 'observation': 'collapse', 'strength_term': 'partial'}}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': {}}clinical findings_fin: {'stable hypoattenuating lesion': {'clinical finding': 'stable hypoattenuating lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'stable hypoattenuating', 'observation': 'lesion', 'strength_term': 'stable', 'change_term': 'stable'}}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: ['left']clinical findings_fin: {'stable left renal cyst': {'clinical finding': 'stable left renal cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'stable left renal', 'observation': 'cyst', 'strength_term': 'stable', 'change_term': 'stable'}}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: {'gross abnormalities': {'clinical finding': 'gross abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'gross', 'observation': 'abnormality'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'marked degenerative changes': {'clinical finding': 'marked degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'marked degenerative', 'observation': 'change'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . Loculated right pleural effusion and right pleural thickening with significant volume loss in the right lung and right paramediastinal and basilar fibrosis unchanged. Interval resolution of the previously noted small left pleural effusion. Stable left apical fibrosis. Severe centrilobular emphysema identified in the left lung. No new suspicious pulmonary nodules or masses. Chronic thrombus in the right pulmonary artery unchanged. Stable appearance of multinodular goiter. No hilar or mediastinal lymphadenopathy. Cardiac size is normal without evidence of a pericardial effusion. Mild. Status post right thoracotomy. Degenerative changes in the thoracic spine with partial collapse of the T5 and T9 vertebrae unchanged. Absence of enteric contrast material limits sensitivity for abdominal pathology. Stable hypoattenuating lesion involving the dome of the liver. No significant abnormality noted. No significant abnormality noted. Stable left renal cyst. No significant abnormality noted. No significant abnormality noted. Absence of enteric contrast material limits sensitivity for GI pathology. No gross abnormalities noted. Marked degenerative changes in the lumbar spine. No significant abnormality noted. </s>