. Scattered areas of relative lucency may reflect focal air trapping or emphysematous disease. No suspicious pulmonary nodule. No pleural effusion. Severe calcified coronary artery disease. No significant abnormality noted. Mild hepatic steatosis. Too small to characterize hepatic segment 2 focus. Previously seen right hepatic 2 cm focus not well delineated on current study. Status post cholecystectomy with dilatation of common bile duct, measuring up to 1.7 cm, CBD tapers distally, no significant intrahepatic biliary duct dilatation. Indeterminant subcentimeter splenic hypoattenuating lesion, image 104 series Curvilinear vascular calcifications seen at level of pancreatic head or uncinate process. Improved pancreatic duct dilatation. Stable heterogeneous left adrenal mass measuring 5.2 x 4.2 cm, image 110 series Tiny foci of internal microscopic fat suggested, favoring adrenal myelolipoma, atypical adrenal adenoma another differential consideration. Unchanged bilateral renal lesions, including lower pole right renal cyst. Additional too small to characterize renal lesions seen. Left pelvic kidney with indeterminant renal cyst, measuring 1.7 x 1.6 cm, similar to prior study. Stable renal cortical scarring, especially lower pole of left kidney. No hydronephrosis or perinephric free fluid. Moderate to severe calcified aortobiiliac atherosclerotic disease. Scattered left-sided colonic diverticula without evidence of acute diverticulitis. Status post hysterectomy. Pessary device present. No significant abnormality noted. Severe spinal degenerative disease. Grade 1 L4 on L5 anterolisthesis. No significant abnormality noted.
clinical findings_fin: {'focal air trapping': {'clinical finding': 'focal air trapping', 'cf_snomed': {'air trapping': 76171001}, 'existence': 'unc_dx', 'descriptive_term': 'focal air', 'observation': 'trapping'}, 'emphysematous disease': {'clinical finding': 'emphysematous disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'unc_dx', 'descriptive_term': 'emphysematous', 'observation': 'disease'}}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: {'pleural effusion': {'clinical finding': 'pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}}anatomical entity_fin: {'coronary artery': {}}clinical findings_fin: {'severe calcified coronary artery disease': {'clinical finding': 'severe calcified coronary artery disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'severe calcified coronary artery', 'observation': 'disease', 'strength_term': 'severe', 'change_term': 'calcified'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'mild hepatic steatosis': {'clinical finding': 'mild hepatic steatosis', 'cf_snomed': {'steatosis': 1187537008}, 'existence': 'pos_dx', 'descriptive_term': 'mild hepatic', 'observation': 'steatosis', 'strength_term': 'mild'}}clinical findings_fin: {'too small to characterize': {'clinical finding': 'too small to characterize'}}size_fin: [{'size': '2 cm', 'size_descriptor': 'focus'}]location descriptor_fin: ['right']clinical findings_fin: {'previously seen right hepatic 2 cm focus': {'clinical finding': 'previously seen right hepatic 2 cm focus', 'existence': 'neg_dx', 'descriptive_term': 'previously seen right hepatic 2 cm', 'observation': 'focus'}}size_fin: [{'size': '1.7 cm', 'size_descriptor': 'cholecystectomy'}]anatomical entity_fin: {'common bile duct': {}, 'duct': {}}procedure_fin: ['cholecystectomy']clinical findings_fin: {'significant intrahepatic biliary duct dilatation': {'clinical finding': 'significant intrahepatic biliary duct dilatation', 'cf_snomed': {'dilatation': 25322007}}}anatomical entity_fin: {'head': {}}clinical findings_fin: {'indeterminant subcentimeter splenic hypoattenuating lesion': {'clinical finding': 'indeterminant subcentimeter splenic hypoattenuating lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'indeterminant subcentimeter splenic hypoattenuating', 'observation': 'lesion'}, 'curvilinear vascular calcifications': {'clinical finding': 'curvilinear vascular calcifications', 'cf_snomed': {'vascular calcification': 237897009}, 'existence': 'pos_dx', 'descriptive_term': 'curvilinear vascular', 'observation': 'calcification'}}anatomical entity_fin: {'pancreatic duct': {}}size_fin: [{'size': '5.2 x 4.2 cm', 'size_descriptor': 'mass'}]imaging observation_fin: ['foci', 'fat']location descriptor_fin: ['left']clinical findings_fin: {'stable heterogeneous left adrenal mass': {'clinical finding': 'stable heterogeneous left adrenal mass', 'cf_snomed': {'adrenal mass': 237783006}, 'existence': 'pos_dx', 'descriptive_term': 'stable heterogeneous left adrenal', 'observation': 'mass', 'strength_term': 'stable', 'change_term': 'stable'}, 'tiny foci': {'clinical finding': 'tiny foci', 'existence': 'unc_dx', 'descriptive_term': 'tiny', 'observation': 'foci', 'strength_term': 'tiny'}, 'internal microscopic fat': {'clinical finding': 'internal microscopic fat', 'existence': 'unc_dx', 'descriptive_term': 'internal microscopic', 'observation': 'fat'}, 'adrenal myelolipoma': {'clinical finding': 'adrenal myelolipoma', 'cf_snomed': {'myelolipoma': 20810002}, 'existence': 'unc_dx', 'descriptive_term': 'adrenal', 'observation': 'myelolipoma'}, 'atypical adrenal adenoma': {'clinical finding': 'atypical adrenal adenoma', 'cf_snomed': {'adrenal adenoma': 255036008}, 'existence': 'unc_dx', 'descriptive_term': 'atypical adrenal', 'observation': 'adenoma'}}anatomical entity_fin: {'pole': {'location descriptor': 'lower'}}location descriptor_fin: ['bilateral', 'lower', 'right']clinical findings_fin: {'unchanged bilateral renal lesions': {'clinical finding': 'unchanged bilateral renal lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'unchanged bilateral renal', 'observation': 'lesion', 'strength_term': 'unchanged', 'change_term': 'unchanged'}, 'lower pole right renal cyst': {'clinical finding': 'lower pole right renal cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'lower pole right renal', 'observation': 'cyst'}}clinical findings_fin: {'renal lesions': {'clinical finding': 'renal lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'renal', 'observation': 'lesion'}}size_fin: [{'size': '1.7 x 1.6 cm'}]location descriptor_fin: ['left']clinical findings_fin: {'left pelvic kidney': {'clinical finding': 'left pelvic kidney', 'cf_snomed': {'pelvic kidney': 56108007}, 'existence': 'pos_dx', 'descriptive_term': 'left pelvic', 'observation': 'kidney'}, 'indeterminant renal cyst': {'clinical finding': 'indeterminant renal cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'indeterminant renal', 'observation': 'cyst'}}anatomical entity_fin: {'pole': {'location descriptor': 'lower'}, 'left kidney': {}}location descriptor_fin: ['lower']clinical findings_fin: {'stable renal cortical scarring': {'clinical finding': 'stable renal cortical scarring', 'existence': 'pos_dx', 'descriptive_term': 'stable renal cortical', 'observation': 'scarr', 'strength_term': 'stable', 'change_term': 'stable'}}clinical findings_fin: {'hydronephrosis': {'clinical finding': 'hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'neg_dx', 'observation': 'hydronephrosis'}, 'perinephric free fluid': {'clinical finding': 'perinephric free fluid', 'existence': 'neg_dx', 'descriptive_term': 'perinephric free', 'observation': 'fluid'}}clinical findings_fin: {'moderate to severe calcified aortobiiliac atherosclerotic disease': {'clinical finding': 'moderate to severe calcified aortobiiliac atherosclerotic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'moderate to severe calcified aortobiiliac atherosclerotic', 'observation': 'disease', 'strength_term': 'moderate - severe', 'change_term': 'calcified'}}location descriptor_fin: ['left']clinical findings_fin: {'acute diverticulitis': {'clinical finding': 'acute diverticulitis', 'cf_snomed': {'diverticulitis': 307496006}, 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'diverticulitis', 'strength_term': 'acute', 'temporal_term': 'acute'}}procedure_fin: ['hysterectomy']clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'severe spinal degenerative disease': {'clinical finding': 'severe spinal degenerative disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'severe spinal degenerative', 'observation': 'disease', 'strength_term': 'severe'}}clinical findings_fin: {'anterolisthesis': {'clinical finding': 'anterolisthesis', 'existence': 'pos_dx', 'observation': 'anterolisthesis'}}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: {'focal air trapping': {'clinical finding': 'focal air trapping', 'cf_snomed': {'air trapping': 76171001}, 'existence': 'unc_dx', 'descriptive_term': 'focal air', 'observation': 'trapping'}, 'emphysematous disease': {'clinical finding': 'emphysematous disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'unc_dx', 'descriptive_term': 'emphysematous', 'observation': 'disease'}}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: {'pleural effusion': {'clinical finding': 'pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}}anatomical entity_fin: {'coronary artery': {}}clinical findings_fin: {'severe calcified coronary artery disease': {'clinical finding': 'severe calcified coronary artery disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'severe calcified coronary artery', 'observation': 'disease', 'strength_term': 'severe', 'change_term': 'calcified'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'mild hepatic steatosis': {'clinical finding': 'mild hepatic steatosis', 'cf_snomed': {'steatosis': 1187537008}, 'existence': 'pos_dx', 'descriptive_term': 'mild hepatic', 'observation': 'steatosis', 'strength_term': 'mild'}}clinical findings_fin: {'too small to characterize': {'clinical finding': 'too small to characterize'}}size_fin: [{'size': '2 cm', 'size_descriptor': 'focus'}]location descriptor_fin: ['right']clinical findings_fin: {'previously seen right hepatic 2 cm focus': {'clinical finding': 'previously seen right hepatic 2 cm focus', 'existence': 'neg_dx', 'descriptive_term': 'previously seen right hepatic 2 cm', 'observation': 'focus'}}size_fin: [{'size': '1.7 cm', 'size_descriptor': 'cholecystectomy'}]anatomical entity_fin: {'common bile duct': {}, 'duct': {}}procedure_fin: ['cholecystectomy']clinical findings_fin: {'significant intrahepatic biliary duct dilatation': {'clinical finding': 'significant intrahepatic biliary duct dilatation', 'cf_snomed': {'dilatation': 25322007}}}anatomical entity_fin: {'head': {}}clinical findings_fin: {'indeterminant subcentimeter splenic hypoattenuating lesion': {'clinical finding': 'indeterminant subcentimeter splenic hypoattenuating lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'indeterminant subcentimeter splenic hypoattenuating', 'observation': 'lesion'}, 'curvilinear vascular calcifications': {'clinical finding': 'curvilinear vascular calcifications', 'cf_snomed': {'vascular calcification': 237897009}, 'existence': 'pos_dx', 'descriptive_term': 'curvilinear vascular', 'observation': 'calcification'}}anatomical entity_fin: {'pancreatic duct': {}}size_fin: [{'size': '5.2 x 4.2 cm', 'size_descriptor': 'mass'}]imaging observation_fin: ['foci', 'fat']location descriptor_fin: ['left']clinical findings_fin: {'stable heterogeneous left adrenal mass': {'clinical finding': 'stable heterogeneous left adrenal mass', 'cf_snomed': {'adrenal mass': 237783006}, 'existence': 'pos_dx', 'descriptive_term': 'stable heterogeneous left adrenal', 'observation': 'mass', 'strength_term': 'stable', 'change_term': 'stable'}, 'tiny foci': {'clinical finding': 'tiny foci', 'existence': 'unc_dx', 'descriptive_term': 'tiny', 'observation': 'foci', 'strength_term': 'tiny'}, 'internal microscopic fat': {'clinical finding': 'internal microscopic fat', 'existence': 'unc_dx', 'descriptive_term': 'internal microscopic', 'observation': 'fat'}, 'adrenal myelolipoma': {'clinical finding': 'adrenal myelolipoma', 'cf_snomed': {'myelolipoma': 20810002}, 'existence': 'unc_dx', 'descriptive_term': 'adrenal', 'observation': 'myelolipoma'}, 'atypical adrenal adenoma': {'clinical finding': 'atypical adrenal adenoma', 'cf_snomed': {'adrenal adenoma': 255036008}, 'existence': 'unc_dx', 'descriptive_term': 'atypical adrenal', 'observation': 'adenoma'}}anatomical entity_fin: {'pole': {'location descriptor': 'lower'}}location descriptor_fin: ['bilateral', 'lower', 'right']clinical findings_fin: {'unchanged bilateral renal lesions': {'clinical finding': 'unchanged bilateral renal lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'unchanged bilateral renal', 'observation': 'lesion', 'strength_term': 'unchanged', 'change_term': 'unchanged'}, 'lower pole right renal cyst': {'clinical finding': 'lower pole right renal cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'lower pole right renal', 'observation': 'cyst'}}clinical findings_fin: {'renal lesions': {'clinical finding': 'renal lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'renal', 'observation': 'lesion'}}size_fin: [{'size': '1.7 x 1.6 cm'}]location descriptor_fin: ['left']clinical findings_fin: {'left pelvic kidney': {'clinical finding': 'left pelvic kidney', 'cf_snomed': {'pelvic kidney': 56108007}, 'existence': 'pos_dx', 'descriptive_term': 'left pelvic', 'observation': 'kidney'}, 'indeterminant renal cyst': {'clinical finding': 'indeterminant renal cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'indeterminant renal', 'observation': 'cyst'}}anatomical entity_fin: {'pole': {'location descriptor': 'lower'}, 'left kidney': {}}location descriptor_fin: ['lower']clinical findings_fin: {'stable renal cortical scarring': {'clinical finding': 'stable renal cortical scarring', 'existence': 'pos_dx', 'descriptive_term': 'stable renal cortical', 'observation': 'scarr', 'strength_term': 'stable', 'change_term': 'stable'}}clinical findings_fin: {'hydronephrosis': {'clinical finding': 'hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'neg_dx', 'observation': 'hydronephrosis'}, 'perinephric free fluid': {'clinical finding': 'perinephric free fluid', 'existence': 'neg_dx', 'descriptive_term': 'perinephric free', 'observation': 'fluid'}}clinical findings_fin: {'moderate to severe calcified aortobiiliac atherosclerotic disease': {'clinical finding': 'moderate to severe calcified aortobiiliac atherosclerotic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'moderate to severe calcified aortobiiliac atherosclerotic', 'observation': 'disease', 'strength_term': 'moderate - severe', 'change_term': 'calcified'}}location descriptor_fin: ['left']clinical findings_fin: {'acute diverticulitis': {'clinical finding': 'acute diverticulitis', 'cf_snomed': {'diverticulitis': 307496006}, 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'diverticulitis', 'strength_term': 'acute', 'temporal_term': 'acute'}}procedure_fin: ['hysterectomy']clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'severe spinal degenerative disease': {'clinical finding': 'severe spinal degenerative disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'severe spinal degenerative', 'observation': 'disease', 'strength_term': 'severe'}}clinical findings_fin: {'anterolisthesis': {'clinical finding': 'anterolisthesis', 'existence': 'pos_dx', 'observation': 'anterolisthesis'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . Scattered areas of relative lucency may reflect focal air trapping or emphysematous disease. No suspicious pulmonary nodule. No pleural effusion. Severe calcified coronary artery disease. No significant abnormality noted. Mild hepatic steatosis. Too small to characterize hepatic segment 2 focus. Previously seen right hepatic 2 cm focus not well delineated on current study. Status post cholecystectomy with dilatation of common bile duct, measuring up to 1.7 cm, CBD tapers distally, no significant intrahepatic biliary duct dilatation. Indeterminant subcentimeter splenic hypoattenuating lesion, image 104 series Curvilinear vascular calcifications seen at level of pancreatic head or uncinate process. Improved pancreatic duct dilatation. Stable heterogeneous left adrenal mass measuring 5.2 x 4.2 cm, image 110 series Tiny foci of internal microscopic fat suggested, favoring adrenal myelolipoma, atypical adrenal adenoma another differential consideration. Unchanged bilateral renal lesions, including lower pole right renal cyst. Additional too small to characterize renal lesions seen. Left pelvic kidney with indeterminant renal cyst, measuring 1.7 x 1.6 cm, similar to prior study. Stable renal cortical scarring, especially lower pole of left kidney. No hydronephrosis or perinephric free fluid. Moderate to severe calcified aortobiiliac atherosclerotic disease. Scattered left-sided colonic diverticula without evidence of acute diverticulitis. Status post hysterectomy. Pessary device present. No significant abnormality noted. Severe spinal degenerative disease. Grade 1 L4 on L5 anterolisthesis. No significant abnormality noted. </s>