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. Stable right apical scarring. Stable emphysema. Stable micronodules. New multifocal high attenuation foci within the right lower lobe consistent with known aspiration of oral contrast. Stable right pleural thickening. No significant abnormality noted. Mild. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Abdominal aortic ectasia unchanged. Moderately severe. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Enlarged prostate. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted

imaging observation_fin: ['apical']location descriptor_fin: ['right']clinical findings_fin: {'stable right apical scarring': {'clinical finding': 'stable right apical scarring', 'existence': 'pos_dx', 'descriptive_term': 'stable right apical', 'observation': 'scarr', 'strength_term': 'stable', 'change_term': 'stable'}}clinical findings_fin: {'stable emphysema': {'clinical finding': 'stable emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'descriptive_term': 'stable', 'observation': 'emphysema', 'strength_term': 'stable', 'change_term': 'stable'}}clinical findings_fin: {'stable micronodules': {'clinical finding': 'stable micronodules', 'existence': 'pos_dx', 'descriptive_term': 'stable', 'observation': 'micronodule', 'strength_term': 'stable', 'change_term': 'stable'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}imaging observation_fin: ['foci']location descriptor_fin: ['right', 'lower']non-anatomical substance_fin: ['oral contrast']clinical findings_fin: {'new multifocal high attenuation foci': {'clinical finding': 'new multifocal high attenuation foci', 'existence': 'pos_dx', 'descriptive_term': 'new multifocal high attenuation', 'observation': 'foci', 'temporal_term': 'new'}, 'known aspiration': {'clinical finding': 'known aspiration', 'existence': 'pos_dx', 'descriptive_term': 'known', 'observation': 'aspiration'}}location descriptor_fin: ['right']clinical findings_fin: {'stable right pleural thickening': {'clinical finding': 'stable right pleural thickening', 'existence': 'pos_dx', 'descriptive_term': 'stable right pleural', 'observation': 'thickening', '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: {'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'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'abdominal aortic ectasia': {'clinical finding': 'abdominal aortic ectasia', 'cf_snomed': {'abdominal aortic ectasia': 142121000119101}, 'existence': 'pos_dx', 'descriptive_term': 'abdominal aortic', 'observation': 'ectasia'}}clinical findings_fin: {'moderately severe': {'clinical finding': 'moderately severe'}}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'}}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'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: imaging observation_fin: ['apical']location descriptor_fin: ['right']clinical findings_fin: {'stable right apical scarring': {'clinical finding': 'stable right apical scarring', 'existence': 'pos_dx', 'descriptive_term': 'stable right apical', 'observation': 'scarr', 'strength_term': 'stable', 'change_term': 'stable'}}clinical findings_fin: {'stable emphysema': {'clinical finding': 'stable emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'descriptive_term': 'stable', 'observation': 'emphysema', 'strength_term': 'stable', 'change_term': 'stable'}}clinical findings_fin: {'stable micronodules': {'clinical finding': 'stable micronodules', 'existence': 'pos_dx', 'descriptive_term': 'stable', 'observation': 'micronodule', 'strength_term': 'stable', 'change_term': 'stable'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}imaging observation_fin: ['foci']location descriptor_fin: ['right', 'lower']non-anatomical substance_fin: ['oral contrast']clinical findings_fin: {'new multifocal high attenuation foci': {'clinical finding': 'new multifocal high attenuation foci', 'existence': 'pos_dx', 'descriptive_term': 'new multifocal high attenuation', 'observation': 'foci', 'temporal_term': 'new'}, 'known aspiration': {'clinical finding': 'known aspiration', 'existence': 'pos_dx', 'descriptive_term': 'known', 'observation': 'aspiration'}}location descriptor_fin: ['right']clinical findings_fin: {'stable right pleural thickening': {'clinical finding': 'stable right pleural thickening', 'existence': 'pos_dx', 'descriptive_term': 'stable right pleural', 'observation': 'thickening', '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: {'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'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'abdominal aortic ectasia': {'clinical finding': 'abdominal aortic ectasia', 'cf_snomed': {'abdominal aortic ectasia': 142121000119101}, 'existence': 'pos_dx', 'descriptive_term': 'abdominal aortic', 'observation': 'ectasia'}}clinical findings_fin: {'moderately severe': {'clinical finding': 'moderately severe'}}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'}}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] . Stable right apical scarring. Stable emphysema. Stable micronodules. New multifocal high attenuation foci within the right lower lobe consistent with known aspiration of oral contrast. Stable right pleural thickening. No significant abnormality noted. Mild. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Abdominal aortic ectasia unchanged. Moderately severe. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Enlarged prostate. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted </s>

There is right posterior parieto-occipital soft tissue swelling. There is expected evolution of the previously identified subarachnoid hemorrhage, now layering within the left sylvian fissure, occipital horns of the lateral ventricles, and foramen magnum. There is stable small subdural hemorrhage layering along the right cerebellar tentorium. A right cerebellar hemorrhagic contusion measures 1.9 x 1.1, not substantially changed. There is subtle area of hyperdensity within the medial aspect of the right cerebellum, not substantially changed from prior. There is a subtle area of hyperdensity along the inferior left frontal lobe , possible subarachnoid hemorrhage versus peripheral contusion, more conspicuous compared to prior. There is no midline shift or herniation. There is no intracranial mass or evidence of mass-effect. Gray-white differentiation is maintained. There is mild prominence of the sulci and ventricles, compatible with mild generalized parenchymal volume loss, expected for patients age. There is no hydrocephalus. There are subcortical and periventricular lucencies which are nonspecific, but most compatible with small vessel ischemic disease. Retained secretions are identified within hypoplastic maxillary sinuses, more conspicuous on the left. Mastoid air cells are clear. Calvarium is intact.

location descriptor_fin: ['right', 'posterior']clinical findings_fin: {'right posterior parieto-occipital soft tissue swelling': {'clinical finding': 'right posterior parieto-occipital soft tissue swelling', 'cf_snomed': {'soft tissue swelling': 298349001}, 'existence': 'pos_dx', 'descriptive_term': 'right posterior parieto-occipital soft tissue', 'observation': 'swell'}}anatomical entity_fin: {'lateral ventricles': {}, 'foramen magnum': {}}location descriptor_fin: ['left']clinical findings_fin: {'previously identified subarachnoid hemorrhage': {'clinical finding': 'previously identified subarachnoid hemorrhage', 'cf_snomed': {'subarachnoid hemorrhage': 21454007}, 'existence': 'unc_dx', 'descriptive_term': 'previously identified subarachnoid', 'observation': 'hemorrhage'}, 'left sylvian fissure': {'clinical finding': 'left sylvian fissure', 'cf_snomed': {'fissure': 47393002}, 'existence': 'pos_dx', 'descriptive_term': 'left sylvian', 'observation': 'fissure'}}location descriptor_fin: ['right']clinical findings_fin: {'stable small subdural hemorrhage': {'clinical finding': 'stable small subdural hemorrhage', 'cf_snomed': {'subdural hemorrhage': 35486000}, 'existence': 'pos_dx', 'descriptive_term': 'stable small subdural', 'observation': 'hemorrhage', 'strength_term': 'stable - small', 'change_term': 'stable'}}size_fin: [{'size': '1.9 x 1.1', 'size_descriptor': 'contusion'}]location descriptor_fin: ['right']clinical findings_fin: {'right cerebellar hemorrhagic contusion': {'clinical finding': 'right cerebellar hemorrhagic contusion', 'cf_snomed': {'hemorrhagic contusion': 870557002}, 'existence': 'pos_dx', 'descriptive_term': 'right cerebellar hemorrhagic', 'observation': 'contusion'}}anatomical entity_fin: {'cerebellum': {'location descriptor': 'right'}}location descriptor_fin: ['medial', 'right']clinical findings_fin: {'hyperdensity': {'clinical finding': 'hyperdensity', 'existence': 'pos_dx', 'observation': 'hyperdensity'}, 'changed': {'clinical finding': 'changed', 'existence': 'neg_dx', 'observation': 'change'}}anatomical entity_fin: {'left frontal lobe': {'location descriptor': 'inferior'}}location descriptor_fin: ['inferior', 'peripheral']clinical findings_fin: {'hyperdensity': {'clinical finding': 'hyperdensity', 'existence': 'pos_dx', 'observation': 'hyperdensity'}, 'possible subarachnoid hemorrhage': {'clinical finding': 'possible subarachnoid hemorrhage', 'cf_snomed': {'subarachnoid hemorrhage': 21454007}, 'existence': 'pos_dx', 'descriptive_term': 'possible subarachnoid', 'observation': 'hemorrhage'}, 'peripheral contusion': {'clinical finding': 'peripheral contusion', 'cf_snomed': {'contusion': 125667009}, 'existence': 'unc_dx', 'descriptive_term': 'peripheral', 'observation': 'contusion'}}location descriptor_fin: ['midline']clinical findings_fin: {'herniation': {'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'}}clinical findings_fin: {'intracranial mass': {'clinical finding': 'intracranial mass', 'cf_snomed': {'intracranial mass': 85974009}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'mass'}, 'mass-effect': {'clinical finding': 'mass-effect', 'existence': 'neg_dx', 'observation': 'mass'}}clinical findings_fin: {'gray-white differentiation is maintained': {'clinical finding': 'gray-white differentiation is maintained', 'change_term': 'maintained'}}clinical findings_fin: {'mild generalized parenchymal volume loss': {'clinical finding': 'mild generalized parenchymal volume loss', 'existence': 'pos_dx', 'descriptive_term': 'mild generalized parenchymal volume', 'observation': 'loss', 'strength_term': 'mild'}}clinical findings_fin: {'hydrocephalus': {'clinical finding': 'hydrocephalus', 'cf_snomed': {'hydrocephalus': 230745008}, 'existence': 'neg_dx', 'observation': 'hydrocephalus'}}clinical findings_fin: {'small vessel ischemic disease': {'clinical finding': 'small vessel ischemic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'small vessel ischemic', 'observation': 'disease', 'strength_term': 'small'}}location descriptor_fin: ['left']clinical findings_fin: {'retained secretions are identified within hypoplastic maxillary sinuses , more conspicuous': {'clinical finding': 'retained secretions are identified within hypoplastic maxillary sinuses , more conspicuous'}}anatomical entity_fin: {'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'pos_dx', 'observation': 'intact'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['right', 'posterior']clinical findings_fin: {'right posterior parieto-occipital soft tissue swelling': {'clinical finding': 'right posterior parieto-occipital soft tissue swelling', 'cf_snomed': {'soft tissue swelling': 298349001}, 'existence': 'pos_dx', 'descriptive_term': 'right posterior parieto-occipital soft tissue', 'observation': 'swell'}}anatomical entity_fin: {'lateral ventricles': {}, 'foramen magnum': {}}location descriptor_fin: ['left']clinical findings_fin: {'previously identified subarachnoid hemorrhage': {'clinical finding': 'previously identified subarachnoid hemorrhage', 'cf_snomed': {'subarachnoid hemorrhage': 21454007}, 'existence': 'unc_dx', 'descriptive_term': 'previously identified subarachnoid', 'observation': 'hemorrhage'}, 'left sylvian fissure': {'clinical finding': 'left sylvian fissure', 'cf_snomed': {'fissure': 47393002}, 'existence': 'pos_dx', 'descriptive_term': 'left sylvian', 'observation': 'fissure'}}location descriptor_fin: ['right']clinical findings_fin: {'stable small subdural hemorrhage': {'clinical finding': 'stable small subdural hemorrhage', 'cf_snomed': {'subdural hemorrhage': 35486000}, 'existence': 'pos_dx', 'descriptive_term': 'stable small subdural', 'observation': 'hemorrhage', 'strength_term': 'stable - small', 'change_term': 'stable'}}size_fin: [{'size': '1.9 x 1.1', 'size_descriptor': 'contusion'}]location descriptor_fin: ['right']clinical findings_fin: {'right cerebellar hemorrhagic contusion': {'clinical finding': 'right cerebellar hemorrhagic contusion', 'cf_snomed': {'hemorrhagic contusion': 870557002}, 'existence': 'pos_dx', 'descriptive_term': 'right cerebellar hemorrhagic', 'observation': 'contusion'}}anatomical entity_fin: {'cerebellum': {'location descriptor': 'right'}}location descriptor_fin: ['medial', 'right']clinical findings_fin: {'hyperdensity': {'clinical finding': 'hyperdensity', 'existence': 'pos_dx', 'observation': 'hyperdensity'}, 'changed': {'clinical finding': 'changed', 'existence': 'neg_dx', 'observation': 'change'}}anatomical entity_fin: {'left frontal lobe': {'location descriptor': 'inferior'}}location descriptor_fin: ['inferior', 'peripheral']clinical findings_fin: {'hyperdensity': {'clinical finding': 'hyperdensity', 'existence': 'pos_dx', 'observation': 'hyperdensity'}, 'possible subarachnoid hemorrhage': {'clinical finding': 'possible subarachnoid hemorrhage', 'cf_snomed': {'subarachnoid hemorrhage': 21454007}, 'existence': 'pos_dx', 'descriptive_term': 'possible subarachnoid', 'observation': 'hemorrhage'}, 'peripheral contusion': {'clinical finding': 'peripheral contusion', 'cf_snomed': {'contusion': 125667009}, 'existence': 'unc_dx', 'descriptive_term': 'peripheral', 'observation': 'contusion'}}location descriptor_fin: ['midline']clinical findings_fin: {'herniation': {'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'}}clinical findings_fin: {'intracranial mass': {'clinical finding': 'intracranial mass', 'cf_snomed': {'intracranial mass': 85974009}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'mass'}, 'mass-effect': {'clinical finding': 'mass-effect', 'existence': 'neg_dx', 'observation': 'mass'}}clinical findings_fin: {'gray-white differentiation is maintained': {'clinical finding': 'gray-white differentiation is maintained', 'change_term': 'maintained'}}clinical findings_fin: {'mild generalized parenchymal volume loss': {'clinical finding': 'mild generalized parenchymal volume loss', 'existence': 'pos_dx', 'descriptive_term': 'mild generalized parenchymal volume', 'observation': 'loss', 'strength_term': 'mild'}}clinical findings_fin: {'hydrocephalus': {'clinical finding': 'hydrocephalus', 'cf_snomed': {'hydrocephalus': 230745008}, 'existence': 'neg_dx', 'observation': 'hydrocephalus'}}clinical findings_fin: {'small vessel ischemic disease': {'clinical finding': 'small vessel ischemic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'small vessel ischemic', 'observation': 'disease', 'strength_term': 'small'}}location descriptor_fin: ['left']clinical findings_fin: {'retained secretions are identified within hypoplastic maxillary sinuses , more conspicuous': {'clinical finding': 'retained secretions are identified within hypoplastic maxillary sinuses , more conspicuous'}}anatomical entity_fin: {'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'pos_dx', 'observation': 'intact'}} [/INST] There is right posterior parieto-occipital soft tissue swelling. There is expected evolution of the previously identified subarachnoid hemorrhage, now layering within the left sylvian fissure, occipital horns of the lateral ventricles, and foramen magnum. There is stable small subdural hemorrhage layering along the right cerebellar tentorium. A right cerebellar hemorrhagic contusion measures 1.9 x 1.1, not substantially changed. There is subtle area of hyperdensity within the medial aspect of the right cerebellum, not substantially changed from prior. There is a subtle area of hyperdensity along the inferior left frontal lobe , possible subarachnoid hemorrhage versus peripheral contusion, more conspicuous compared to prior. There is no midline shift or herniation. There is no intracranial mass or evidence of mass-effect. Gray-white differentiation is maintained. There is mild prominence of the sulci and ventricles, compatible with mild generalized parenchymal volume loss, expected for patients age. There is no hydrocephalus. There are subcortical and periventricular lucencies which are nonspecific, but most compatible with small vessel ischemic disease. Retained secretions are identified within hypoplastic maxillary sinuses, more conspicuous on the left. Mastoid air cells are clear. Calvarium is intact. </s>

We see no imaging findings to suggest osteomyelitis. Mild osteoarthritis affects the left hip. No frank joint effusion. There is mild atrophy of the musculature of the hip. No abscess is identified. A small amount of free fluid is seen within the pelvis. Mild reticulation of the subcutaneous fat along the lateral aspect of the hip suggests edema but is nonspecific.

clinical findings_fin: {'osteomyelitis': {'clinical finding': 'osteomyelitis', 'cf_snomed': {'osteomyelitis': 60168000}, 'existence': 'unc_dx', 'observation': 'osteomyelitis'}}anatomical entity_fin: {'hip': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'mild osteoarthritis': {'clinical finding': 'mild osteoarthritis', 'cf_snomed': {'osteoarthritis': 396275006}, 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'osteoarthritis', 'strength_term': 'mild'}}clinical findings_fin: {'frank joint effusion': {'clinical finding': 'frank joint effusion', 'cf_snomed': {'effusion': 41699000}, 'existence': 'neg_dx', 'descriptive_term': 'frank joint', 'observation': 'effusion'}}anatomical entity_fin: {'musculature': {}, 'hip': {}}clinical findings_fin: {'mild atrophy': {'clinical finding': 'mild atrophy', 'cf_snomed': {'atrophy': 13331008}, 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'atrophy', 'strength_term': 'mild'}}clinical findings_fin: {'abscess': {'clinical finding': 'abscess', 'cf_snomed': {'abscess': 128477000}, 'existence': 'neg_dx', 'observation': 'abscess'}}anatomical entity_fin: {'pelvis': {}}clinical findings_fin: {'free fluid': {'clinical finding': 'free fluid', 'existence': 'pos_dx', 'descriptive_term': 'free', 'observation': 'fluid'}}anatomical entity_fin: {'subcutaneous fat': {}, 'hip': {}}imaging observation_fin: ['reticulation']location descriptor_fin: ['lateral']clinical findings_fin: {'mild reticulation': {'clinical finding': 'mild reticulation', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'reticulation', 'strength_term': 'mild'}, 'edema': {'clinical finding': 'edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'unc_dx', 'observation': 'edema'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'osteomyelitis': {'clinical finding': 'osteomyelitis', 'cf_snomed': {'osteomyelitis': 60168000}, 'existence': 'unc_dx', 'observation': 'osteomyelitis'}}anatomical entity_fin: {'hip': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'mild osteoarthritis': {'clinical finding': 'mild osteoarthritis', 'cf_snomed': {'osteoarthritis': 396275006}, 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'osteoarthritis', 'strength_term': 'mild'}}clinical findings_fin: {'frank joint effusion': {'clinical finding': 'frank joint effusion', 'cf_snomed': {'effusion': 41699000}, 'existence': 'neg_dx', 'descriptive_term': 'frank joint', 'observation': 'effusion'}}anatomical entity_fin: {'musculature': {}, 'hip': {}}clinical findings_fin: {'mild atrophy': {'clinical finding': 'mild atrophy', 'cf_snomed': {'atrophy': 13331008}, 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'atrophy', 'strength_term': 'mild'}}clinical findings_fin: {'abscess': {'clinical finding': 'abscess', 'cf_snomed': {'abscess': 128477000}, 'existence': 'neg_dx', 'observation': 'abscess'}}anatomical entity_fin: {'pelvis': {}}clinical findings_fin: {'free fluid': {'clinical finding': 'free fluid', 'existence': 'pos_dx', 'descriptive_term': 'free', 'observation': 'fluid'}}anatomical entity_fin: {'subcutaneous fat': {}, 'hip': {}}imaging observation_fin: ['reticulation']location descriptor_fin: ['lateral']clinical findings_fin: {'mild reticulation': {'clinical finding': 'mild reticulation', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'reticulation', 'strength_term': 'mild'}, 'edema': {'clinical finding': 'edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'unc_dx', 'observation': 'edema'}} [/INST] We see no imaging findings to suggest osteomyelitis. Mild osteoarthritis affects the left hip. No frank joint effusion. There is mild atrophy of the musculature of the hip. No abscess is identified. A small amount of free fluid is seen within the pelvis. Mild reticulation of the subcutaneous fat along the lateral aspect of the hip suggests edema but is nonspecific. </s>

There is no evidence of acute intracranial hemorrhage. The ventricles appear smaller than expected and there is a partially empty sella. There is no mass effect or herniation. There is moderate mucosal thickening of the left sphenoid sinus, left posterior ethmoid air cells, with resultant opacification of the left sphenoethmoidal recess. There is an air-fluid level is present in the left maxillary sinus. There is mild opacification of the left ostiomeatal complex. There is mild septal deviation to the left with a septal bony spur which touches the left inferior turbinate. The mastoid air cells are clear. The skull and extracranial soft tissues are unremarkable.

clinical findings_fin: {'acute intracranial hemorrhage': {'clinical finding': 'acute intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'acute intracranial', 'observation': 'hemorrhage', 'strength_term': 'acute', 'temporal_term': 'acute'}}clinical findings_fin: {'ventricles appear smaller than expected and there is a partially empty sella': {'clinical finding': 'ventricles appear smaller than expected and there is a partially empty sella'}}clinical findings_fin: {'mass effect': {'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect'}, 'herniation': {'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'}}anatomical entity_fin: {'sphenoid sinus': {'location descriptor': 'left'}, 'cells': {}, 'sphenoethmoidal recess': {'location descriptor': 'left'}}location descriptor_fin: ['left', 'posterior']clinical findings_fin: {'moderate mucosal thickening': {'clinical finding': 'moderate mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'moderate mucosal', 'observation': 'thickening', 'strength_term': 'moderate'}, 'resultant opacification': {'clinical finding': 'resultant opacification', 'existence': 'pos_dx', 'descriptive_term': 'resultant', 'observation': 'opacification'}}anatomical entity_fin: {'fluid': {}, 'maxillary sinus': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'air-fluid': {'clinical finding': 'air-fluid', 'existence': 'pos_dx', 'observation': 'air'}}location descriptor_fin: ['left']clinical findings_fin: {'mild opacification': {'clinical finding': 'mild opacification', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'opacification', 'strength_term': 'mild'}}location descriptor_fin: ['left', 'inferior']clinical findings_fin: {'mild septal deviation': {'clinical finding': 'mild septal deviation', 'existence': 'pos_dx', 'descriptive_term': 'mild septal', 'observation': 'deviation', 'strength_term': 'mild'}, 'septal bony spur': {'clinical finding': 'septal bony spur', 'existence': 'pos_dx', 'descriptive_term': 'septal bony', 'observation': 'spur'}}anatomical entity_fin: {'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'skull': {}}clinical findings_fin: {'skull and extracranial soft tissues are unremarkable': {'clinical finding': 'skull and extracranial soft tissues are unremarkable'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'acute intracranial hemorrhage': {'clinical finding': 'acute intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'acute intracranial', 'observation': 'hemorrhage', 'strength_term': 'acute', 'temporal_term': 'acute'}}clinical findings_fin: {'ventricles appear smaller than expected and there is a partially empty sella': {'clinical finding': 'ventricles appear smaller than expected and there is a partially empty sella'}}clinical findings_fin: {'mass effect': {'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect'}, 'herniation': {'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'}}anatomical entity_fin: {'sphenoid sinus': {'location descriptor': 'left'}, 'cells': {}, 'sphenoethmoidal recess': {'location descriptor': 'left'}}location descriptor_fin: ['left', 'posterior']clinical findings_fin: {'moderate mucosal thickening': {'clinical finding': 'moderate mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'moderate mucosal', 'observation': 'thickening', 'strength_term': 'moderate'}, 'resultant opacification': {'clinical finding': 'resultant opacification', 'existence': 'pos_dx', 'descriptive_term': 'resultant', 'observation': 'opacification'}}anatomical entity_fin: {'fluid': {}, 'maxillary sinus': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'air-fluid': {'clinical finding': 'air-fluid', 'existence': 'pos_dx', 'observation': 'air'}}location descriptor_fin: ['left']clinical findings_fin: {'mild opacification': {'clinical finding': 'mild opacification', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'opacification', 'strength_term': 'mild'}}location descriptor_fin: ['left', 'inferior']clinical findings_fin: {'mild septal deviation': {'clinical finding': 'mild septal deviation', 'existence': 'pos_dx', 'descriptive_term': 'mild septal', 'observation': 'deviation', 'strength_term': 'mild'}, 'septal bony spur': {'clinical finding': 'septal bony spur', 'existence': 'pos_dx', 'descriptive_term': 'septal bony', 'observation': 'spur'}}anatomical entity_fin: {'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'skull': {}}clinical findings_fin: {'skull and extracranial soft tissues are unremarkable': {'clinical finding': 'skull and extracranial soft tissues are unremarkable'}} [/INST] There is no evidence of acute intracranial hemorrhage. The ventricles appear smaller than expected and there is a partially empty sella. There is no mass effect or herniation. There is moderate mucosal thickening of the left sphenoid sinus, left posterior ethmoid air cells, with resultant opacification of the left sphenoethmoidal recess. There is an air-fluid level is present in the left maxillary sinus. There is mild opacification of the left ostiomeatal complex. There is mild septal deviation to the left with a septal bony spur which touches the left inferior turbinate. The mastoid air cells are clear. The skull and extracranial soft tissues are unremarkable. </s>

There has been an interval decrease in the degree of cytotoxic edema and mass effect associated with the previously described large right middle cerebral artery territory infarct. The lateral ventricles are now symmetric in appearance although remaining somewhat prominent for age. The petechial internal foci of hemorrhage associated with the infarct has also decreased in conspicuity in the interim consistent with expected evolutionThere are no new areas of acute intracranial hemorrhage identified. The ventricles and sulci are within normal limits. There is no midline shift. Postsurgical changes related to right craniectomy are again seen with stable mild herniation of the edematous right hemispheric stroke through the craniectomy defect. The osseous structures are otherwise intact. The visualized portions of the paranasal sinuses and mastoid air cells are grossly clear. Aneurysm clip in the right sylvian fissure and more posteriorly located coil mass from prior aneurysm are again identified with beam hardening artifact, limiting assessment through the region of the artifact.

anatomical entity_fin: {'right middle cerebral artery': {}}clinical findings_fin: {'cytotoxic edema': {'clinical finding': 'cytotoxic edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'descriptive_term': 'cytotoxic', 'observation': 'edema'}, 'mass effect': {'clinical finding': 'mass effect', 'existence': 'pos_dx', 'descriptive_term': 'mass', 'observation': 'effect'}, 'previously described large right middle cerebral artery territory infarct': {'clinical finding': 'previously described large right middle cerebral artery territory infarct', 'cf_snomed': {'infarct': 55641003}, 'existence': 'pos_dx', 'descriptive_term': 'previously described large right middle cerebral artery territory', 'observation': 'infarct', 'strength_term': 'large'}}anatomical entity_fin: {'lateral ventricles': {}}clinical findings_fin: {'symmetric': {'clinical finding': 'symmetric', 'existence': 'pos_dx', 'observation': 'symmetric'}, 'prominent': {'clinical finding': 'prominent', 'existence': 'pos_dx', 'observation': 'prominent'}}imaging observation_fin: ['foci']clinical findings_fin: {'petechial internal foci': {'clinical finding': 'petechial internal foci', 'existence': 'pos_dx', 'descriptive_term': 'petechial internal', 'observation': 'foci'}, 'hemorrhage': {'clinical finding': 'hemorrhage', 'cf_snomed': {'hemorrhage': 50960005}, 'existence': 'pos_dx', 'observation': 'hemorrhage'}, 'infarct': {'clinical finding': 'infarct', 'cf_snomed': {'infarct': 55641003}, 'existence': 'pos_dx', 'observation': 'infarct'}, 'acute intracranial hemorrhage': {'clinical finding': 'acute intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'acute intracranial', 'observation': 'hemorrhage', 'strength_term': 'acute', 'temporal_term': 'acute'}}clinical findings_fin: {'ventricles and sulci are within normal limits': {'clinical finding': 'ventricles and sulci are within normal limits'}}location descriptor_fin: ['midline']clinical findings_fin: {'midline shift': {'clinical finding': 'midline shift', 'cf_snomed': {'shift': 9546005}, 'existence': 'neg_dx', 'descriptive_term': 'midline', 'observation': 'shift'}}location descriptor_fin: ['right']clinical findings_fin: {'postsurgical changes': {'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'}, 'right craniectomy': {'clinical finding': 'right craniectomy', 'existence': 'pos_dx', 'descriptive_term': 'right', 'observation': 'craniectomy'}, 'stable mild herniation': {'clinical finding': 'stable mild herniation', 'existence': 'pos_dx', 'descriptive_term': 'stable mild', 'observation': 'herniation', 'strength_term': 'stable - mild', 'change_term': 'stable'}, 'edematous right hemispheric stroke': {'clinical finding': 'edematous right hemispheric stroke', 'existence': 'pos_dx', 'descriptive_term': 'edematous right hemispheric', 'observation': 'stroke'}, 'craniectomy defect': {'clinical finding': 'craniectomy defect', 'cf_snomed': {'defect': 6920004}, 'existence': 'pos_dx', 'descriptive_term': 'craniectomy', 'observation': 'defect'}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'pos_dx', 'observation': 'intact'}}anatomical entity_fin: {'paranasal sinuses': {}, 'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'}}imaging observation_fin: ['assessment']location descriptor_fin: ['right']object_fin: ['aneurysm clip', 'coil']clinical findings_fin: {'aneurysm clip': {'clinical finding': 'aneurysm clip', 'cf_snomed': {'aneurysm': 432119003}, 'existence': 'pos_dx', 'descriptive_term': 'aneurysm', 'observation': 'clip'}, 'right sylvian fissure': {'clinical finding': 'right sylvian fissure', 'cf_snomed': {'fissure': 47393002}, 'existence': 'pos_dx', 'descriptive_term': 'right sylvian', 'observation': 'fissure'}, 'more posteriorly located coil mass': {'clinical finding': 'more posteriorly located coil mass', 'existence': 'pos_dx', 'descriptive_term': 'more posteriorly located coil', 'observation': 'mass', 'quantity_term': 'more'}, 'prior aneurysm': {'clinical finding': 'prior aneurysm', 'cf_snomed': {'aneurysm': 432119003}, 'existence': 'pos_dx', 'descriptive_term': 'prior', 'observation': 'aneurysm'}, 'beam hardening artifact': {'clinical finding': 'beam hardening artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'pos_dx', 'descriptive_term': 'beam hardening', 'observation': 'artifact'}, 'artifact': {'clinical finding': 'artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'pos_dx', 'observation': 'artifact'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'right middle cerebral artery': {}}clinical findings_fin: {'cytotoxic edema': {'clinical finding': 'cytotoxic edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'descriptive_term': 'cytotoxic', 'observation': 'edema'}, 'mass effect': {'clinical finding': 'mass effect', 'existence': 'pos_dx', 'descriptive_term': 'mass', 'observation': 'effect'}, 'previously described large right middle cerebral artery territory infarct': {'clinical finding': 'previously described large right middle cerebral artery territory infarct', 'cf_snomed': {'infarct': 55641003}, 'existence': 'pos_dx', 'descriptive_term': 'previously described large right middle cerebral artery territory', 'observation': 'infarct', 'strength_term': 'large'}}anatomical entity_fin: {'lateral ventricles': {}}clinical findings_fin: {'symmetric': {'clinical finding': 'symmetric', 'existence': 'pos_dx', 'observation': 'symmetric'}, 'prominent': {'clinical finding': 'prominent', 'existence': 'pos_dx', 'observation': 'prominent'}}imaging observation_fin: ['foci']clinical findings_fin: {'petechial internal foci': {'clinical finding': 'petechial internal foci', 'existence': 'pos_dx', 'descriptive_term': 'petechial internal', 'observation': 'foci'}, 'hemorrhage': {'clinical finding': 'hemorrhage', 'cf_snomed': {'hemorrhage': 50960005}, 'existence': 'pos_dx', 'observation': 'hemorrhage'}, 'infarct': {'clinical finding': 'infarct', 'cf_snomed': {'infarct': 55641003}, 'existence': 'pos_dx', 'observation': 'infarct'}, 'acute intracranial hemorrhage': {'clinical finding': 'acute intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'acute intracranial', 'observation': 'hemorrhage', 'strength_term': 'acute', 'temporal_term': 'acute'}}clinical findings_fin: {'ventricles and sulci are within normal limits': {'clinical finding': 'ventricles and sulci are within normal limits'}}location descriptor_fin: ['midline']clinical findings_fin: {'midline shift': {'clinical finding': 'midline shift', 'cf_snomed': {'shift': 9546005}, 'existence': 'neg_dx', 'descriptive_term': 'midline', 'observation': 'shift'}}location descriptor_fin: ['right']clinical findings_fin: {'postsurgical changes': {'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'}, 'right craniectomy': {'clinical finding': 'right craniectomy', 'existence': 'pos_dx', 'descriptive_term': 'right', 'observation': 'craniectomy'}, 'stable mild herniation': {'clinical finding': 'stable mild herniation', 'existence': 'pos_dx', 'descriptive_term': 'stable mild', 'observation': 'herniation', 'strength_term': 'stable - mild', 'change_term': 'stable'}, 'edematous right hemispheric stroke': {'clinical finding': 'edematous right hemispheric stroke', 'existence': 'pos_dx', 'descriptive_term': 'edematous right hemispheric', 'observation': 'stroke'}, 'craniectomy defect': {'clinical finding': 'craniectomy defect', 'cf_snomed': {'defect': 6920004}, 'existence': 'pos_dx', 'descriptive_term': 'craniectomy', 'observation': 'defect'}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'pos_dx', 'observation': 'intact'}}anatomical entity_fin: {'paranasal sinuses': {}, 'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'}}imaging observation_fin: ['assessment']location descriptor_fin: ['right']object_fin: ['aneurysm clip', 'coil']clinical findings_fin: {'aneurysm clip': {'clinical finding': 'aneurysm clip', 'cf_snomed': {'aneurysm': 432119003}, 'existence': 'pos_dx', 'descriptive_term': 'aneurysm', 'observation': 'clip'}, 'right sylvian fissure': {'clinical finding': 'right sylvian fissure', 'cf_snomed': {'fissure': 47393002}, 'existence': 'pos_dx', 'descriptive_term': 'right sylvian', 'observation': 'fissure'}, 'more posteriorly located coil mass': {'clinical finding': 'more posteriorly located coil mass', 'existence': 'pos_dx', 'descriptive_term': 'more posteriorly located coil', 'observation': 'mass', 'quantity_term': 'more'}, 'prior aneurysm': {'clinical finding': 'prior aneurysm', 'cf_snomed': {'aneurysm': 432119003}, 'existence': 'pos_dx', 'descriptive_term': 'prior', 'observation': 'aneurysm'}, 'beam hardening artifact': {'clinical finding': 'beam hardening artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'pos_dx', 'descriptive_term': 'beam hardening', 'observation': 'artifact'}, 'artifact': {'clinical finding': 'artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'pos_dx', 'observation': 'artifact'}} [/INST] There has been an interval decrease in the degree of cytotoxic edema and mass effect associated with the previously described large right middle cerebral artery territory infarct. The lateral ventricles are now symmetric in appearance although remaining somewhat prominent for age. The petechial internal foci of hemorrhage associated with the infarct has also decreased in conspicuity in the interim consistent with expected evolutionThere are no new areas of acute intracranial hemorrhage identified. The ventricles and sulci are within normal limits. There is no midline shift. Postsurgical changes related to right craniectomy are again seen with stable mild herniation of the edematous right hemispheric stroke through the craniectomy defect. The osseous structures are otherwise intact. The visualized portions of the paranasal sinuses and mastoid air cells are grossly clear. Aneurysm clip in the right sylvian fissure and more posteriorly located coil mass from prior aneurysm are again identified with beam hardening artifact, limiting assessment through the region of the artifact. </s>

. Benign-appearing left lower lobe micronodule, unchanged. Severe mixed interstitial and paraseptal emphysema, with basilar subpleural fibrosis, unchanged. No lymphadenopathy. Heart size and pericardium are normal. Mild. No significant abnormality noted. Absence of enteric contrast material limits sensitivity for abdominal pathology. Presumed hepatic hemangioma image 132 series 3 significantly more enhanced than on prior studies but the difference likely due to differences in the phase of contrast. Multiple stable hepatic cyst like hypodensities, likely benign. Innumerable calcified hepatic granulomata. No significant abnormality noted. Unchanged left renal scarring. No significant abnormality noted. No significant abnormality noted. Absence of enteric contrast material limits sensitivity for GI pathology. No gross abnormalities noted. No significant abnormality noted. No significant abnormality noted.

anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'benign-appearing left lower lobe micronodule': {'clinical finding': 'benign-appearing left lower lobe micronodule', 'existence': 'pos_dx', 'descriptive_term': 'benign-appearing left lower lobe', 'observation': 'micronodule', 'strength_term': 'benign'}}clinical findings_fin: {'severe mixed interstitial and paraseptal emphysema': {'clinical finding': 'severe mixed interstitial and paraseptal emphysema', 'cf_snomed': {'paraseptal emphysema': 31898008}, 'existence': 'pos_dx', 'descriptive_term': 'severe mixed interstitial and paraseptal', 'observation': 'emphysema', 'strength_term': 'severe'}, 'basilar subpleural fibrosis': {'clinical finding': 'basilar subpleural fibrosis', 'existence': 'pos_dx', 'descriptive_term': 'basilar subpleural', 'observation': 'fibrosis'}}clinical findings_fin: {'lymphadenopathy': {'clinical finding': 'lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'heart': {}, 'pericardium': {}}clinical findings_fin: {'heart size and pericardium are normal': {'clinical finding': 'heart size and pericardium are normal'}}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'}}clinical findings_fin: {'hepatic hemangioma': {'clinical finding': 'hepatic hemangioma', 'cf_snomed': {'hemangioma': 400210000}, 'existence': 'unc_dx', 'descriptive_term': 'hepatic', 'observation': 'hemangioma'}, 'contrast': {'clinical finding': 'contrast', 'existence': 'unc_dx', 'observation': 'contrast'}}clinical findings_fin: {'multiple stable hepatic cyst': {'clinical finding': 'multiple stable hepatic cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'multiple stable hepatic', 'observation': 'cyst', 'strength_term': 'stable', 'quantity_term': 'multiple', 'change_term': 'stable'}, 'hypodensities': {'clinical finding': 'hypodensities', 'existence': 'pos_dx', 'observation': 'hypodensity'}}clinical findings_fin: {'innumerable calcified hepatic granulomata': {'clinical finding': 'innumerable calcified hepatic granulomata', 'existence': 'pos_dx', 'descriptive_term': 'innumerable calcified hepatic', 'observation': 'granulomata', 'change_term': 'calcified'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}location descriptor_fin: ['left']clinical findings_fin: {'unchanged left renal scarring': {'clinical finding': 'unchanged left renal scarring', 'cf_snomed': {'renal scarring': 441872001}, 'existence': 'pos_dx', 'descriptive_term': 'unchanged left renal', 'observation': 'scarr', 'strength_term': 'unchanged', 'change_term': 'unchanged'}}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: {'gi': {'clinical finding': 'gi', 'existence': 'unc_dx', 'observation': 'gi'}}clinical findings_fin: {'gross abnormalities': {'clinical finding': 'gross abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'gross', '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'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'benign-appearing left lower lobe micronodule': {'clinical finding': 'benign-appearing left lower lobe micronodule', 'existence': 'pos_dx', 'descriptive_term': 'benign-appearing left lower lobe', 'observation': 'micronodule', 'strength_term': 'benign'}}clinical findings_fin: {'severe mixed interstitial and paraseptal emphysema': {'clinical finding': 'severe mixed interstitial and paraseptal emphysema', 'cf_snomed': {'paraseptal emphysema': 31898008}, 'existence': 'pos_dx', 'descriptive_term': 'severe mixed interstitial and paraseptal', 'observation': 'emphysema', 'strength_term': 'severe'}, 'basilar subpleural fibrosis': {'clinical finding': 'basilar subpleural fibrosis', 'existence': 'pos_dx', 'descriptive_term': 'basilar subpleural', 'observation': 'fibrosis'}}clinical findings_fin: {'lymphadenopathy': {'clinical finding': 'lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'heart': {}, 'pericardium': {}}clinical findings_fin: {'heart size and pericardium are normal': {'clinical finding': 'heart size and pericardium are normal'}}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'}}clinical findings_fin: {'hepatic hemangioma': {'clinical finding': 'hepatic hemangioma', 'cf_snomed': {'hemangioma': 400210000}, 'existence': 'unc_dx', 'descriptive_term': 'hepatic', 'observation': 'hemangioma'}, 'contrast': {'clinical finding': 'contrast', 'existence': 'unc_dx', 'observation': 'contrast'}}clinical findings_fin: {'multiple stable hepatic cyst': {'clinical finding': 'multiple stable hepatic cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'multiple stable hepatic', 'observation': 'cyst', 'strength_term': 'stable', 'quantity_term': 'multiple', 'change_term': 'stable'}, 'hypodensities': {'clinical finding': 'hypodensities', 'existence': 'pos_dx', 'observation': 'hypodensity'}}clinical findings_fin: {'innumerable calcified hepatic granulomata': {'clinical finding': 'innumerable calcified hepatic granulomata', 'existence': 'pos_dx', 'descriptive_term': 'innumerable calcified hepatic', 'observation': 'granulomata', 'change_term': 'calcified'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}location descriptor_fin: ['left']clinical findings_fin: {'unchanged left renal scarring': {'clinical finding': 'unchanged left renal scarring', 'cf_snomed': {'renal scarring': 441872001}, 'existence': 'pos_dx', 'descriptive_term': 'unchanged left renal', 'observation': 'scarr', 'strength_term': 'unchanged', 'change_term': 'unchanged'}}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: {'gi': {'clinical finding': 'gi', 'existence': 'unc_dx', 'observation': 'gi'}}clinical findings_fin: {'gross abnormalities': {'clinical finding': 'gross abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'gross', '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] . Benign-appearing left lower lobe micronodule, unchanged. Severe mixed interstitial and paraseptal emphysema, with basilar subpleural fibrosis, unchanged. No lymphadenopathy. Heart size and pericardium are normal. Mild. No significant abnormality noted. Absence of enteric contrast material limits sensitivity for abdominal pathology. Presumed hepatic hemangioma image 132 series 3 significantly more enhanced than on prior studies but the difference likely due to differences in the phase of contrast. Multiple stable hepatic cyst like hypodensities, likely benign. Innumerable calcified hepatic granulomata. No significant abnormality noted. Unchanged left renal scarring. No significant abnormality noted. No significant abnormality noted. Absence of enteric contrast material limits sensitivity for GI pathology. No gross abnormalities noted. No significant abnormality noted. No significant abnormality noted. </s>

Exam is limited by poor contrast opacification, likely related to patients cardiac status. Redemonstration of heterogeneous ill-defined soft tissue mass with areas of calcification in the groin extending to the pelvis and proximal thigh, representing known sarcoma. This mass remains poorly marginated and difficult to measure accurately, yet measures approximately 10 x 8 cm in axial dimension. Again seen is cystic or necrotic components adjacent to the sarcoma just inferior to the pubic bone measuring approximately 9.1 x 3.3 cm , previously 9.2 x 3.5 cm. There is interval development of lobulated cystic or necrotic lesion centered in the abductor magnus musculature measuring 4.5 x 3.4 cm axial dimension and 10.5 cm in craniocaudal dimension. There is no specific associated additional evidence to suggest infection. There is diffuse subcutaneous reticulation and skin thickening of the left thigh. Enlarged necrotic appearing lymph node anterior to the left external iliac vessels measuring 2.5 x 2.9 cm. Small fat-containing right inguinal hernia noted. Incomplete visualization of lytic lesion in the presumed L4 vertebral body.

clinical findings_fin: {'poor contrast opacification': {'clinical finding': 'poor contrast opacification', 'existence': 'pos_dx', 'descriptive_term': 'poor contrast', 'observation': 'opacification'}}anatomical entity_fin: {'pelvis': {}, 'thigh': {'location descriptor': 'proximal'}}location descriptor_fin: ['proximal']clinical findings_fin: {'heterogeneous ill-defined soft tissue mass': {'clinical finding': 'heterogeneous ill-defined soft tissue mass', 'cf_snomed': {'soft tissue mass': 278002000}, 'existence': 'pos_dx', 'descriptive_term': 'heterogeneous ill-defined soft tissue', 'observation': 'mass', 'strength_term': 'ill-defined'}, 'calcification': {'clinical finding': 'calcification', 'existence': 'pos_dx', 'observation': 'calcification'}, 'known sarcoma': {'clinical finding': 'known sarcoma', 'cf_snomed': {'sarcoma': 424413001}, 'existence': 'pos_dx', 'descriptive_term': 'known', 'observation': 'sarcoma'}}size_fin: [{'size': '10 x 8 cm'}]clinical findings_fin: {'this mass': {'clinical finding': 'this mass', 'existence': 'pos_dx', 'descriptive_term': 'this', 'observation': 'mass'}}size_fin: [{'size': '9.1 x 3.3 cm'}, {'size': '9.2 x 3.5 cm'}]location descriptor_fin: ['adjacent', 'inferior']clinical findings_fin: {'sarcoma': {'clinical finding': 'sarcoma', 'cf_snomed': {'sarcoma': 424413001}, 'existence': 'pos_dx', 'observation': 'sarcoma'}}size_fin: [{'size': '4.5 x 3.4 cm'}, {'size': '10.5 cm'}]anatomical entity_fin: {'musculature': {}}clinical findings_fin: {'lobulated cystic or necrotic lesion': {'clinical finding': 'lobulated cystic or necrotic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'lobulated cystic or necrotic', 'observation': 'lesion', 'change_term': 'lobulated'}}clinical findings_fin: {'infection': {'clinical finding': 'infection', 'existence': 'unc_dx', 'observation': 'infection'}}anatomical entity_fin: {'thigh': {'location descriptor': 'left'}}imaging observation_fin: ['reticulation']location descriptor_fin: ['left']clinical findings_fin: {'diffuse subcutaneous reticulation': {'clinical finding': 'diffuse subcutaneous reticulation', 'existence': 'pos_dx', 'descriptive_term': 'diffuse subcutaneous', 'observation': 'reticulation'}, 'skin thickening': {'clinical finding': 'skin thickening', 'existence': 'pos_dx', 'descriptive_term': 'skin', 'observation': 'thickening'}}size_fin: [{'size': '2.5 x 2.9 cm', 'size_descriptor': 'anterior'}]location descriptor_fin: ['anterior', 'left', 'external']clinical findings_fin: {'enlarged necrotic appearing lymph node': {'clinical finding': 'enlarged necrotic appearing lymph node', 'existence': 'pos_dx', 'descriptive_term': 'enlarged necrotic appearing lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'}}imaging observation_fin: ['fat']location descriptor_fin: ['right']clinical findings_fin: {'small fat-containing right inguinal hernia': {'clinical finding': 'small fat-containing right inguinal hernia', 'cf_snomed': {'right inguinal hernia': 236021006}, 'existence': 'pos_dx', 'descriptive_term': 'small fat-containing right inguinal', 'observation': 'hernia', 'strength_term': 'small'}}anatomical entity_fin: {'l4 vertebral body': {}}clinical findings_fin: {'lytic lesion': {'clinical finding': 'lytic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'lytic', 'observation': 'lesion'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'poor contrast opacification': {'clinical finding': 'poor contrast opacification', 'existence': 'pos_dx', 'descriptive_term': 'poor contrast', 'observation': 'opacification'}}anatomical entity_fin: {'pelvis': {}, 'thigh': {'location descriptor': 'proximal'}}location descriptor_fin: ['proximal']clinical findings_fin: {'heterogeneous ill-defined soft tissue mass': {'clinical finding': 'heterogeneous ill-defined soft tissue mass', 'cf_snomed': {'soft tissue mass': 278002000}, 'existence': 'pos_dx', 'descriptive_term': 'heterogeneous ill-defined soft tissue', 'observation': 'mass', 'strength_term': 'ill-defined'}, 'calcification': {'clinical finding': 'calcification', 'existence': 'pos_dx', 'observation': 'calcification'}, 'known sarcoma': {'clinical finding': 'known sarcoma', 'cf_snomed': {'sarcoma': 424413001}, 'existence': 'pos_dx', 'descriptive_term': 'known', 'observation': 'sarcoma'}}size_fin: [{'size': '10 x 8 cm'}]clinical findings_fin: {'this mass': {'clinical finding': 'this mass', 'existence': 'pos_dx', 'descriptive_term': 'this', 'observation': 'mass'}}size_fin: [{'size': '9.1 x 3.3 cm'}, {'size': '9.2 x 3.5 cm'}]location descriptor_fin: ['adjacent', 'inferior']clinical findings_fin: {'sarcoma': {'clinical finding': 'sarcoma', 'cf_snomed': {'sarcoma': 424413001}, 'existence': 'pos_dx', 'observation': 'sarcoma'}}size_fin: [{'size': '4.5 x 3.4 cm'}, {'size': '10.5 cm'}]anatomical entity_fin: {'musculature': {}}clinical findings_fin: {'lobulated cystic or necrotic lesion': {'clinical finding': 'lobulated cystic or necrotic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'lobulated cystic or necrotic', 'observation': 'lesion', 'change_term': 'lobulated'}}clinical findings_fin: {'infection': {'clinical finding': 'infection', 'existence': 'unc_dx', 'observation': 'infection'}}anatomical entity_fin: {'thigh': {'location descriptor': 'left'}}imaging observation_fin: ['reticulation']location descriptor_fin: ['left']clinical findings_fin: {'diffuse subcutaneous reticulation': {'clinical finding': 'diffuse subcutaneous reticulation', 'existence': 'pos_dx', 'descriptive_term': 'diffuse subcutaneous', 'observation': 'reticulation'}, 'skin thickening': {'clinical finding': 'skin thickening', 'existence': 'pos_dx', 'descriptive_term': 'skin', 'observation': 'thickening'}}size_fin: [{'size': '2.5 x 2.9 cm', 'size_descriptor': 'anterior'}]location descriptor_fin: ['anterior', 'left', 'external']clinical findings_fin: {'enlarged necrotic appearing lymph node': {'clinical finding': 'enlarged necrotic appearing lymph node', 'existence': 'pos_dx', 'descriptive_term': 'enlarged necrotic appearing lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'}}imaging observation_fin: ['fat']location descriptor_fin: ['right']clinical findings_fin: {'small fat-containing right inguinal hernia': {'clinical finding': 'small fat-containing right inguinal hernia', 'cf_snomed': {'right inguinal hernia': 236021006}, 'existence': 'pos_dx', 'descriptive_term': 'small fat-containing right inguinal', 'observation': 'hernia', 'strength_term': 'small'}}anatomical entity_fin: {'l4 vertebral body': {}}clinical findings_fin: {'lytic lesion': {'clinical finding': 'lytic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'lytic', 'observation': 'lesion'}} [/INST] Exam is limited by poor contrast opacification, likely related to patients cardiac status. Redemonstration of heterogeneous ill-defined soft tissue mass with areas of calcification in the groin extending to the pelvis and proximal thigh, representing known sarcoma. This mass remains poorly marginated and difficult to measure accurately, yet measures approximately 10 x 8 cm in axial dimension. Again seen is cystic or necrotic components adjacent to the sarcoma just inferior to the pubic bone measuring approximately 9.1 x 3.3 cm , previously 9.2 x 3.5 cm. There is interval development of lobulated cystic or necrotic lesion centered in the abductor magnus musculature measuring 4.5 x 3.4 cm axial dimension and 10.5 cm in craniocaudal dimension. There is no specific associated additional evidence to suggest infection. There is diffuse subcutaneous reticulation and skin thickening of the left thigh. Enlarged necrotic appearing lymph node anterior to the left external iliac vessels measuring 2.5 x 2.9 cm. Small fat-containing right inguinal hernia noted. Incomplete visualization of lytic lesion in the presumed L4 vertebral body. </s>

. New very small nodular opacities are noted within the right upper, right middle, and left upper lobes with minimal involvement of other lobes, though the largest nodule is within the left lower lobe on image 73 of series 4 measuring approximately 5 mm. Patent central airways. Small right pleural effusion. Tiny left pleural effusion. Right-sided PICC terminates within the right brachiocephalic vein, just proximal to the SVC. Decreased density of the blood pool suggestive of anemia. Mild. No significant abnormality noted. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. No significant abnormality noted.

size_fin: [{'size': '5 mm', 'size_descriptor': 'nodule'}]anatomical entity_fin: {'middle': {'location descriptor': 'right'}, 'lobes': {}, 'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['right', 'upper', 'left', 'lower']clinical findings_fin: {'new very small nodular opacities': {'clinical finding': 'new very small nodular opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'new very small nodular', 'observation': 'opacity', 'strength_term': 'small', 'temporal_term': 'new'}, 'largest nodule': {'clinical finding': 'largest nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'largest', 'observation': 'nodule'}}anatomical entity_fin: {'airways': {'location descriptor': 'central'}}location descriptor_fin: ['central']clinical findings_fin: {'patent central airways': {'clinical finding': 'patent central airways', 'change_term': 'patent'}}location descriptor_fin: ['right']clinical findings_fin: {'small right pleural effusion': {'clinical finding': 'small right pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'small right pleural', 'observation': 'effusion', 'strength_term': 'small'}}location descriptor_fin: ['left']clinical findings_fin: {'tiny left pleural effusion': {'clinical finding': 'tiny left pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'tiny left pleural', 'observation': 'effusion', 'strength_term': 'tiny'}}anatomical entity_fin: {'brachiocephalic vein': {'location descriptor': 'right'}}location descriptor_fin: ['right', 'proximal']clinical findings_fin: {'right-sided picc': {'clinical finding': 'right-sided picc', 'existence': 'pos_dx', 'descriptive_term': 'right-sided', 'observation': 'picc'}, 'right brachiocephalic': {'clinical finding': 'right brachiocephalic', 'existence': 'pos_dx', 'descriptive_term': 'right', 'observation': 'brachiocephalic'}}imaging observation_fin: ['blood']clinical findings_fin: {'decreased density': {'clinical finding': 'decreased density', 'cf_snomed': {'decreased density': 125150003}, 'existence': 'pos_dx', 'descriptive_term': 'decreased', 'observation': 'density', 'strength_term': 'decreased', 'change_term': 'decreased'}, 'anemia': {'clinical finding': 'anemia', 'cf_snomed': {'anemia': 271737000}, 'existence': 'unc_dx', 'observation': 'anemia'}}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': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: size_fin: [{'size': '5 mm', 'size_descriptor': 'nodule'}]anatomical entity_fin: {'middle': {'location descriptor': 'right'}, 'lobes': {}, 'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['right', 'upper', 'left', 'lower']clinical findings_fin: {'new very small nodular opacities': {'clinical finding': 'new very small nodular opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'new very small nodular', 'observation': 'opacity', 'strength_term': 'small', 'temporal_term': 'new'}, 'largest nodule': {'clinical finding': 'largest nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'largest', 'observation': 'nodule'}}anatomical entity_fin: {'airways': {'location descriptor': 'central'}}location descriptor_fin: ['central']clinical findings_fin: {'patent central airways': {'clinical finding': 'patent central airways', 'change_term': 'patent'}}location descriptor_fin: ['right']clinical findings_fin: {'small right pleural effusion': {'clinical finding': 'small right pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'small right pleural', 'observation': 'effusion', 'strength_term': 'small'}}location descriptor_fin: ['left']clinical findings_fin: {'tiny left pleural effusion': {'clinical finding': 'tiny left pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'tiny left pleural', 'observation': 'effusion', 'strength_term': 'tiny'}}anatomical entity_fin: {'brachiocephalic vein': {'location descriptor': 'right'}}location descriptor_fin: ['right', 'proximal']clinical findings_fin: {'right-sided picc': {'clinical finding': 'right-sided picc', 'existence': 'pos_dx', 'descriptive_term': 'right-sided', 'observation': 'picc'}, 'right brachiocephalic': {'clinical finding': 'right brachiocephalic', 'existence': 'pos_dx', 'descriptive_term': 'right', 'observation': 'brachiocephalic'}}imaging observation_fin: ['blood']clinical findings_fin: {'decreased density': {'clinical finding': 'decreased density', 'cf_snomed': {'decreased density': 125150003}, 'existence': 'pos_dx', 'descriptive_term': 'decreased', 'observation': 'density', 'strength_term': 'decreased', 'change_term': 'decreased'}, 'anemia': {'clinical finding': 'anemia', 'cf_snomed': {'anemia': 271737000}, 'existence': 'unc_dx', 'observation': 'anemia'}}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': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . New very small nodular opacities are noted within the right upper, right middle, and left upper lobes with minimal involvement of other lobes, though the largest nodule is within the left lower lobe on image 73 of series 4 measuring approximately 5 mm. Patent central airways. Small right pleural effusion. Tiny left pleural effusion. Right-sided PICC terminates within the right brachiocephalic vein, just proximal to the SVC. Decreased density of the blood pool suggestive of anemia. Mild. No significant abnormality noted. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. No significant abnormality noted. </s>

Redemonstrated are findings compatible with C3-C7 laminoplasty. The posterior arches have been canted towards the left and the spinal canal remains relatively decompressed. Bone graft within the right C4 and right C6 laminectomies has incorporated with the adjacent native bone. Since the prior examination, anterior instrumented fusion has been performed between C6 and C7. The plate and screw device appears to be well positioned. An interbody device is also in place within the obliterated disc space. There may be some degree of osseous fusion between the vertebral body levels within the interbody device. The cervical lordosis is straightened. Spinal alignment is otherwise unremarkable. Discontiguous ossification of the posterior longitudinal ligament is seen from C4 through C7 similar to prior. No spinal canal stenosis or neuroforaminal narrowing. Disc osteophyte formation. Decompression of the spinal canal. Moderate to severe bilateral foraminal narrowing. No interval changes. Disc osteophyte formation. Decompression of the spinal canal. Severe bilateral foraminal narrowing. Disc osteophyte formation. Decompression of the spinal canal. Moderate left and mild right foraminal narrowing. No interval changes. Obliteration of the disc space with some osteophytic ridging posteriorly. Decompression of the spinal canal. Moderate right foraminal narrowing. No interval changes. No significant spinal canal stenosis. Mild to moderate left foraminal narrowing. No interval changes.

clinical findings_fin: {'c3-c7 laminoplasty': {'clinical finding': 'c3-c7 laminoplasty', 'existence': 'pos_dx', 'descriptive_term': 'c3-c7', 'observation': 'laminoplasty'}}anatomical entity_fin: {'posterior arches': {}, 'spinal canal': {}}location descriptor_fin: ['left']clinical findings_fin: {'decompressed': {'clinical finding': 'decompressed', 'existence': 'pos_dx', 'observation': 'decompressed'}}anatomical entity_fin: {'bone graft': {}, 'bone': {}}location descriptor_fin: ['right', 'adjacent']clinical findings_fin: {'bone graft': {'clinical finding': 'bone graft', 'existence': 'pos_dx', 'descriptive_term': 'bone', 'observation': 'graft'}}location descriptor_fin: ['anterior']clinical findings_fin: {'anterior instrumented fusion': {'clinical finding': 'anterior instrumented fusion', 'existence': 'pos_dx', 'descriptive_term': 'anterior instrumented', 'observation': 'fusion'}}clinical findings_fin: {'plate and screw device': {'clinical finding': 'plate and screw device', 'existence': 'pos_dx', 'descriptive_term': 'plate and screw', 'observation': 'device'}}clinical findings_fin: {'interbody device': {'clinical finding': 'interbody device', 'existence': 'pos_dx', 'descriptive_term': 'interbody', 'observation': 'device'}}anatomical entity_fin: {'vertebral body': {}}clinical findings_fin: {'osseous fusion': {'clinical finding': 'osseous fusion', 'existence': 'unc_dx', 'descriptive_term': 'osseous', 'observation': 'fusion'}, 'interbody device': {'clinical finding': 'interbody device', 'existence': 'unc_dx', 'descriptive_term': 'interbody', 'observation': 'device'}}clinical findings_fin: {'cervical lordosis': {'clinical finding': 'cervical lordosis', 'existence': 'pos_dx', 'descriptive_term': 'cervical', 'observation': 'lordosis'}}clinical findings_fin: {'spinal alignment is otherwise unremarkable': {'clinical finding': 'spinal alignment is otherwise unremarkable'}}anatomical entity_fin: {'posterior longitudinal ligament': {}}clinical findings_fin: {'discontiguous ossification': {'clinical finding': 'discontiguous ossification', 'existence': 'pos_dx', 'descriptive_term': 'discontiguous', 'observation': 'ossification'}}anatomical entity_fin: {'spinal canal': {}}clinical findings_fin: {'spinal canal stenosis': {'clinical finding': 'spinal canal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'neg_dx', 'descriptive_term': 'spinal canal', 'observation': 'stenosis'}, 'neuroforaminal narrowing': {'clinical finding': 'neuroforaminal narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'neg_dx', 'descriptive_term': 'neuroforaminal', 'observation': 'narrowing'}}clinical findings_fin: {'disc osteophyte': {'clinical finding': 'disc osteophyte', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'disc', 'observation': 'osteophyte'}}anatomical entity_fin: {'spinal canal': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'moderate to severe bilateral foraminal narrowing': {'clinical finding': 'moderate to severe bilateral foraminal narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'moderate to severe bilateral foraminal', 'observation': 'narrowing', 'strength_term': 'moderate - severe'}}clinical findings_fin: {'interval changes': {'clinical finding': 'interval changes', 'existence': 'neg_dx', 'descriptive_term': 'interval', 'observation': 'change'}}clinical findings_fin: {'disc osteophyte': {'clinical finding': 'disc osteophyte', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'disc', 'observation': 'osteophyte'}}anatomical entity_fin: {'spinal canal': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'severe bilateral foraminal narrowing': {'clinical finding': 'severe bilateral foraminal narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'severe bilateral foraminal', 'observation': 'narrowing', 'strength_term': 'severe'}}clinical findings_fin: {'disc osteophyte': {'clinical finding': 'disc osteophyte', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'disc', 'observation': 'osteophyte'}}anatomical entity_fin: {'spinal canal': {}}location descriptor_fin: ['left', 'right']clinical findings_fin: {'moderate left and mild right foraminal narrowing': {'clinical finding': 'moderate left and mild right foraminal narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'moderate left and mild right foraminal', 'observation': 'narrowing', 'strength_term': 'moderate - mild'}}clinical findings_fin: {'interval changes': {'clinical finding': 'interval changes', 'existence': 'neg_dx', 'descriptive_term': 'interval', 'observation': 'change'}}clinical findings_fin: {'some osteophytic': {'clinical finding': 'some osteophytic', 'existence': 'pos_dx', 'descriptive_term': 'some', 'observation': 'osteophytic', 'quantity_term': 'some'}}anatomical entity_fin: {'spinal canal': {}}location descriptor_fin: ['right']clinical findings_fin: {'moderate right foraminal narrowing': {'clinical finding': 'moderate right foraminal narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'moderate right foraminal', 'observation': 'narrowing', 'strength_term': 'moderate'}}clinical findings_fin: {'interval changes': {'clinical finding': 'interval changes', 'existence': 'neg_dx', 'descriptive_term': 'interval', 'observation': 'change'}}anatomical entity_fin: {'spinal canal': {}}clinical findings_fin: {'significant spinal canal stenosis': {'clinical finding': 'significant spinal canal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'neg_dx', 'descriptive_term': 'significant spinal canal', 'observation': 'stenosis'}}location descriptor_fin: ['left']clinical findings_fin: {'mild to moderate left foraminal narrowing': {'clinical finding': 'mild to moderate left foraminal narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'mild to moderate left foraminal', 'observation': 'narrowing', 'strength_term': 'mild - moderate'}}clinical findings_fin: {'interval changes': {'clinical finding': 'interval changes', 'existence': 'neg_dx', 'descriptive_term': 'interval', 'observation': 'change'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'c3-c7 laminoplasty': {'clinical finding': 'c3-c7 laminoplasty', 'existence': 'pos_dx', 'descriptive_term': 'c3-c7', 'observation': 'laminoplasty'}}anatomical entity_fin: {'posterior arches': {}, 'spinal canal': {}}location descriptor_fin: ['left']clinical findings_fin: {'decompressed': {'clinical finding': 'decompressed', 'existence': 'pos_dx', 'observation': 'decompressed'}}anatomical entity_fin: {'bone graft': {}, 'bone': {}}location descriptor_fin: ['right', 'adjacent']clinical findings_fin: {'bone graft': {'clinical finding': 'bone graft', 'existence': 'pos_dx', 'descriptive_term': 'bone', 'observation': 'graft'}}location descriptor_fin: ['anterior']clinical findings_fin: {'anterior instrumented fusion': {'clinical finding': 'anterior instrumented fusion', 'existence': 'pos_dx', 'descriptive_term': 'anterior instrumented', 'observation': 'fusion'}}clinical findings_fin: {'plate and screw device': {'clinical finding': 'plate and screw device', 'existence': 'pos_dx', 'descriptive_term': 'plate and screw', 'observation': 'device'}}clinical findings_fin: {'interbody device': {'clinical finding': 'interbody device', 'existence': 'pos_dx', 'descriptive_term': 'interbody', 'observation': 'device'}}anatomical entity_fin: {'vertebral body': {}}clinical findings_fin: {'osseous fusion': {'clinical finding': 'osseous fusion', 'existence': 'unc_dx', 'descriptive_term': 'osseous', 'observation': 'fusion'}, 'interbody device': {'clinical finding': 'interbody device', 'existence': 'unc_dx', 'descriptive_term': 'interbody', 'observation': 'device'}}clinical findings_fin: {'cervical lordosis': {'clinical finding': 'cervical lordosis', 'existence': 'pos_dx', 'descriptive_term': 'cervical', 'observation': 'lordosis'}}clinical findings_fin: {'spinal alignment is otherwise unremarkable': {'clinical finding': 'spinal alignment is otherwise unremarkable'}}anatomical entity_fin: {'posterior longitudinal ligament': {}}clinical findings_fin: {'discontiguous ossification': {'clinical finding': 'discontiguous ossification', 'existence': 'pos_dx', 'descriptive_term': 'discontiguous', 'observation': 'ossification'}}anatomical entity_fin: {'spinal canal': {}}clinical findings_fin: {'spinal canal stenosis': {'clinical finding': 'spinal canal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'neg_dx', 'descriptive_term': 'spinal canal', 'observation': 'stenosis'}, 'neuroforaminal narrowing': {'clinical finding': 'neuroforaminal narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'neg_dx', 'descriptive_term': 'neuroforaminal', 'observation': 'narrowing'}}clinical findings_fin: {'disc osteophyte': {'clinical finding': 'disc osteophyte', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'disc', 'observation': 'osteophyte'}}anatomical entity_fin: {'spinal canal': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'moderate to severe bilateral foraminal narrowing': {'clinical finding': 'moderate to severe bilateral foraminal narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'moderate to severe bilateral foraminal', 'observation': 'narrowing', 'strength_term': 'moderate - severe'}}clinical findings_fin: {'interval changes': {'clinical finding': 'interval changes', 'existence': 'neg_dx', 'descriptive_term': 'interval', 'observation': 'change'}}clinical findings_fin: {'disc osteophyte': {'clinical finding': 'disc osteophyte', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'disc', 'observation': 'osteophyte'}}anatomical entity_fin: {'spinal canal': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'severe bilateral foraminal narrowing': {'clinical finding': 'severe bilateral foraminal narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'severe bilateral foraminal', 'observation': 'narrowing', 'strength_term': 'severe'}}clinical findings_fin: {'disc osteophyte': {'clinical finding': 'disc osteophyte', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'disc', 'observation': 'osteophyte'}}anatomical entity_fin: {'spinal canal': {}}location descriptor_fin: ['left', 'right']clinical findings_fin: {'moderate left and mild right foraminal narrowing': {'clinical finding': 'moderate left and mild right foraminal narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'moderate left and mild right foraminal', 'observation': 'narrowing', 'strength_term': 'moderate - mild'}}clinical findings_fin: {'interval changes': {'clinical finding': 'interval changes', 'existence': 'neg_dx', 'descriptive_term': 'interval', 'observation': 'change'}}clinical findings_fin: {'some osteophytic': {'clinical finding': 'some osteophytic', 'existence': 'pos_dx', 'descriptive_term': 'some', 'observation': 'osteophytic', 'quantity_term': 'some'}}anatomical entity_fin: {'spinal canal': {}}location descriptor_fin: ['right']clinical findings_fin: {'moderate right foraminal narrowing': {'clinical finding': 'moderate right foraminal narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'moderate right foraminal', 'observation': 'narrowing', 'strength_term': 'moderate'}}clinical findings_fin: {'interval changes': {'clinical finding': 'interval changes', 'existence': 'neg_dx', 'descriptive_term': 'interval', 'observation': 'change'}}anatomical entity_fin: {'spinal canal': {}}clinical findings_fin: {'significant spinal canal stenosis': {'clinical finding': 'significant spinal canal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'neg_dx', 'descriptive_term': 'significant spinal canal', 'observation': 'stenosis'}}location descriptor_fin: ['left']clinical findings_fin: {'mild to moderate left foraminal narrowing': {'clinical finding': 'mild to moderate left foraminal narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'mild to moderate left foraminal', 'observation': 'narrowing', 'strength_term': 'mild - moderate'}}clinical findings_fin: {'interval changes': {'clinical finding': 'interval changes', 'existence': 'neg_dx', 'descriptive_term': 'interval', 'observation': 'change'}} [/INST] Redemonstrated are findings compatible with C3-C7 laminoplasty. The posterior arches have been canted towards the left and the spinal canal remains relatively decompressed. Bone graft within the right C4 and right C6 laminectomies has incorporated with the adjacent native bone. Since the prior examination, anterior instrumented fusion has been performed between C6 and C7. The plate and screw device appears to be well positioned. An interbody device is also in place within the obliterated disc space. There may be some degree of osseous fusion between the vertebral body levels within the interbody device. The cervical lordosis is straightened. Spinal alignment is otherwise unremarkable. Discontiguous ossification of the posterior longitudinal ligament is seen from C4 through C7 similar to prior. No spinal canal stenosis or neuroforaminal narrowing. Disc osteophyte formation. Decompression of the spinal canal. Moderate to severe bilateral foraminal narrowing. No interval changes. Disc osteophyte formation. Decompression of the spinal canal. Severe bilateral foraminal narrowing. Disc osteophyte formation. Decompression of the spinal canal. Moderate left and mild right foraminal narrowing. No interval changes. Obliteration of the disc space with some osteophytic ridging posteriorly. Decompression of the spinal canal. Moderate right foraminal narrowing. No interval changes. No significant spinal canal stenosis. Mild to moderate left foraminal narrowing. No interval changes. </s>

. No significant abnormality noted. No significant abnormality noted in the liver within limitation of non-IV contrast enhanced exam. Punctate calcifications from prior granulomatous changes. Gallbladder and biliary tract appear normal. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Small kidneys bilaterally. Lack of IV contrast limits evaluation. Multiple bilateral small hypodensities are seen, the larger of which measure water density and are benign cysts. The smaller of these are too small to characterize. Punctate calcification in right upper pole calyx. No significant abnormality noted. Mild calcification along a 2.5 cm region of the inferior anterior wall of the aorta. The aorta bifurcates into normal caliber bilateral iliac arteries. Right common iliac artery shows dense calcification along focal medial wall of right common iliac artery and short segment more distal dorsal aspect of right common iliac artery. Approximately 2 cm after the bifurcation into internal and external arteries, the right internal iliac artery shows dense calcification along the superior, medial and anterior artery. Short segment of the distal artery then shows sparing of calcification which reaccumulated posteriorly as it progresses towards the femoral artery. Left common iliac artery shows scattered minimal calcification along the proximal medial left common iliac artery and scattered punctate dorsal deposits. Anterior wall remains free of calcification. After the bifurcation, the left external iliac artery shows no significant calcifications from its proximal 4 to 5 cm. At this point as it approaches the femoral artery, calcifications are seen along the anterior, medial wall distally. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Bilateral inguinal hernias containing only mesenteric fat. Degenerative changes seen about the lumbar spine and pelvis. No significant abnormality noted

clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}, 'non-iv contrast': {'clinical finding': 'non-iv contrast', 'existence': 'neg_dx', 'descriptive_term': 'non-iv', 'observation': 'contrast'}}clinical findings_fin: {'punctate calcifications': {'clinical finding': 'punctate calcifications', 'cf_snomed': {'punctate calcification': 129755006}, 'existence': 'pos_dx', 'descriptive_term': 'punctate', 'observation': 'calcification'}, 'prior granulomatous changes': {'clinical finding': 'prior granulomatous changes', 'existence': 'pos_dx', 'descriptive_term': 'prior granulomatous', 'observation': 'change'}}anatomical entity_fin: {'gallbladder': {}}clinical findings_fin: {'gallbladder and biliary tract appear normal': {'clinical finding': 'gallbladder and biliary tract appear normal'}}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'}}anatomical entity_fin: {'kidneys': {}}clinical findings_fin: {'small kidneys bilaterally': {'clinical finding': 'small kidneys bilaterally'}}clinical findings_fin: {'iv contrast': {'clinical finding': 'iv contrast', 'existence': 'neg_dx', 'descriptive_term': 'iv', 'observation': 'contrast'}}imaging observation_fin: ['water density']location descriptor_fin: ['bilateral']clinical findings_fin: {'multiple bilateral small hypodensities': {'clinical finding': 'multiple bilateral small hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'multiple bilateral small', 'observation': 'hypodensity', 'strength_term': 'small', 'quantity_term': 'multiple'}, 'benign cysts': {'clinical finding': 'benign cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'benign', 'observation': 'cyst', 'strength_term': 'benign'}}clinical findings_fin: {'smaller of these are too small': {'clinical finding': 'smaller of these are too small'}}anatomical entity_fin: {'pole': {'location descriptor': 'right upper'}}location descriptor_fin: ['right', 'upper']clinical findings_fin: {'punctate calcification': {'clinical finding': 'punctate calcification', 'cf_snomed': {'punctate calcification': 129755006}, 'existence': 'pos_dx', 'descriptive_term': 'punctate', 'observation': 'calcification'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}size_fin: [{'size': '2.5 cm', 'size_descriptor': 'region'}]anatomical entity_fin: {'wall': {'location descriptor': 'inferior anterior'}, 'aorta': {}}location descriptor_fin: ['inferior', 'anterior']clinical findings_fin: {'mild calcification': {'clinical finding': 'mild calcification', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'calcification', 'strength_term': 'mild'}}anatomical entity_fin: {'aorta': {}, 'arteries': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'aorta bifurcates into normal caliber bilateral iliac arteries': {'clinical finding': 'aorta bifurcates into normal caliber bilateral iliac arteries'}}anatomical entity_fin: {'common iliac artery': {'location descriptor': 'right'}, 'wall': {'location descriptor': 'medial'}}location descriptor_fin: ['right', 'medial', 'distal']clinical findings_fin: {'dense calcification': {'clinical finding': 'dense calcification', 'existence': 'pos_dx', 'descriptive_term': 'dense', 'observation': 'calcification'}}size_fin: [{'size': '2 cm', 'size_descriptor': 'artery'}]anatomical entity_fin: {'arteries': {'location descriptor': 'external'}, 'internal iliac artery': {'location descriptor': 'right'}, 'artery': {'location descriptor': 'anterior'}}location descriptor_fin: ['external', 'right', 'superior', 'medial', 'anterior']clinical findings_fin: {'dense calcification': {'clinical finding': 'dense calcification', 'existence': 'pos_dx', 'descriptive_term': 'dense', 'observation': 'calcification'}}anatomical entity_fin: {'artery': {'location descriptor': 'distal'}, 'femoral artery': {}}location descriptor_fin: ['distal']clinical findings_fin: {'calcification': {'clinical finding': 'calcification', 'existence': 'pos_dx', 'observation': 'calcification'}}anatomical entity_fin: {'common iliac artery': {'location descriptor': 'medial left'}}location descriptor_fin: ['left', 'proximal', 'medial']clinical findings_fin: {'scattered minimal calcification': {'clinical finding': 'scattered minimal calcification', 'existence': 'pos_dx', 'descriptive_term': 'scattered minimal', 'observation': 'calcification', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}anatomical entity_fin: {'wall': {'location descriptor': 'anterior'}}location descriptor_fin: ['anterior']clinical findings_fin: {'calcification': {'clinical finding': 'calcification', 'existence': 'pos_dx', 'observation': 'calcification'}}size_fin: [{'size': '5 cm', 'size_descriptor': 'artery'}]anatomical entity_fin: {'external iliac artery': {'location descriptor': 'left'}}location descriptor_fin: ['left', 'proximal']clinical findings_fin: {'significant calcifications': {'clinical finding': 'significant calcifications', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'calcification'}}anatomical entity_fin: {'femoral artery': {}, 'wall': {'location descriptor': 'medial'}}location descriptor_fin: ['anterior', 'medial']clinical findings_fin: {'calcifications': {'clinical finding': 'calcifications', 'existence': 'pos_dx', 'observation': 'calcification'}}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'}}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'}}imaging observation_fin: ['fat']location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral inguinal hernias': {'clinical finding': 'bilateral inguinal hernias', 'existence': 'pos_dx', 'descriptive_term': 'bilateral inguinal', 'observation': 'hernias'}}anatomical entity_fin: {'spine': {}, 'pelvis': {}}clinical findings_fin: {'degenerative changes': {'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}, 'non-iv contrast': {'clinical finding': 'non-iv contrast', 'existence': 'neg_dx', 'descriptive_term': 'non-iv', 'observation': 'contrast'}}clinical findings_fin: {'punctate calcifications': {'clinical finding': 'punctate calcifications', 'cf_snomed': {'punctate calcification': 129755006}, 'existence': 'pos_dx', 'descriptive_term': 'punctate', 'observation': 'calcification'}, 'prior granulomatous changes': {'clinical finding': 'prior granulomatous changes', 'existence': 'pos_dx', 'descriptive_term': 'prior granulomatous', 'observation': 'change'}}anatomical entity_fin: {'gallbladder': {}}clinical findings_fin: {'gallbladder and biliary tract appear normal': {'clinical finding': 'gallbladder and biliary tract appear normal'}}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'}}anatomical entity_fin: {'kidneys': {}}clinical findings_fin: {'small kidneys bilaterally': {'clinical finding': 'small kidneys bilaterally'}}clinical findings_fin: {'iv contrast': {'clinical finding': 'iv contrast', 'existence': 'neg_dx', 'descriptive_term': 'iv', 'observation': 'contrast'}}imaging observation_fin: ['water density']location descriptor_fin: ['bilateral']clinical findings_fin: {'multiple bilateral small hypodensities': {'clinical finding': 'multiple bilateral small hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'multiple bilateral small', 'observation': 'hypodensity', 'strength_term': 'small', 'quantity_term': 'multiple'}, 'benign cysts': {'clinical finding': 'benign cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'benign', 'observation': 'cyst', 'strength_term': 'benign'}}clinical findings_fin: {'smaller of these are too small': {'clinical finding': 'smaller of these are too small'}}anatomical entity_fin: {'pole': {'location descriptor': 'right upper'}}location descriptor_fin: ['right', 'upper']clinical findings_fin: {'punctate calcification': {'clinical finding': 'punctate calcification', 'cf_snomed': {'punctate calcification': 129755006}, 'existence': 'pos_dx', 'descriptive_term': 'punctate', 'observation': 'calcification'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}size_fin: [{'size': '2.5 cm', 'size_descriptor': 'region'}]anatomical entity_fin: {'wall': {'location descriptor': 'inferior anterior'}, 'aorta': {}}location descriptor_fin: ['inferior', 'anterior']clinical findings_fin: {'mild calcification': {'clinical finding': 'mild calcification', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'calcification', 'strength_term': 'mild'}}anatomical entity_fin: {'aorta': {}, 'arteries': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'aorta bifurcates into normal caliber bilateral iliac arteries': {'clinical finding': 'aorta bifurcates into normal caliber bilateral iliac arteries'}}anatomical entity_fin: {'common iliac artery': {'location descriptor': 'right'}, 'wall': {'location descriptor': 'medial'}}location descriptor_fin: ['right', 'medial', 'distal']clinical findings_fin: {'dense calcification': {'clinical finding': 'dense calcification', 'existence': 'pos_dx', 'descriptive_term': 'dense', 'observation': 'calcification'}}size_fin: [{'size': '2 cm', 'size_descriptor': 'artery'}]anatomical entity_fin: {'arteries': {'location descriptor': 'external'}, 'internal iliac artery': {'location descriptor': 'right'}, 'artery': {'location descriptor': 'anterior'}}location descriptor_fin: ['external', 'right', 'superior', 'medial', 'anterior']clinical findings_fin: {'dense calcification': {'clinical finding': 'dense calcification', 'existence': 'pos_dx', 'descriptive_term': 'dense', 'observation': 'calcification'}}anatomical entity_fin: {'artery': {'location descriptor': 'distal'}, 'femoral artery': {}}location descriptor_fin: ['distal']clinical findings_fin: {'calcification': {'clinical finding': 'calcification', 'existence': 'pos_dx', 'observation': 'calcification'}}anatomical entity_fin: {'common iliac artery': {'location descriptor': 'medial left'}}location descriptor_fin: ['left', 'proximal', 'medial']clinical findings_fin: {'scattered minimal calcification': {'clinical finding': 'scattered minimal calcification', 'existence': 'pos_dx', 'descriptive_term': 'scattered minimal', 'observation': 'calcification', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}anatomical entity_fin: {'wall': {'location descriptor': 'anterior'}}location descriptor_fin: ['anterior']clinical findings_fin: {'calcification': {'clinical finding': 'calcification', 'existence': 'pos_dx', 'observation': 'calcification'}}size_fin: [{'size': '5 cm', 'size_descriptor': 'artery'}]anatomical entity_fin: {'external iliac artery': {'location descriptor': 'left'}}location descriptor_fin: ['left', 'proximal']clinical findings_fin: {'significant calcifications': {'clinical finding': 'significant calcifications', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'calcification'}}anatomical entity_fin: {'femoral artery': {}, 'wall': {'location descriptor': 'medial'}}location descriptor_fin: ['anterior', 'medial']clinical findings_fin: {'calcifications': {'clinical finding': 'calcifications', 'existence': 'pos_dx', 'observation': 'calcification'}}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'}}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'}}imaging observation_fin: ['fat']location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral inguinal hernias': {'clinical finding': 'bilateral inguinal hernias', 'existence': 'pos_dx', 'descriptive_term': 'bilateral inguinal', 'observation': 'hernias'}}anatomical entity_fin: {'spine': {}, 'pelvis': {}}clinical findings_fin: {'degenerative changes': {'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . No significant abnormality noted. No significant abnormality noted in the liver within limitation of non-IV contrast enhanced exam. Punctate calcifications from prior granulomatous changes. Gallbladder and biliary tract appear normal. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Small kidneys bilaterally. Lack of IV contrast limits evaluation. Multiple bilateral small hypodensities are seen, the larger of which measure water density and are benign cysts. The smaller of these are too small to characterize. Punctate calcification in right upper pole calyx. No significant abnormality noted. Mild calcification along a 2.5 cm region of the inferior anterior wall of the aorta. The aorta bifurcates into normal caliber bilateral iliac arteries. Right common iliac artery shows dense calcification along focal medial wall of right common iliac artery and short segment more distal dorsal aspect of right common iliac artery. Approximately 2 cm after the bifurcation into internal and external arteries, the right internal iliac artery shows dense calcification along the superior, medial and anterior artery. Short segment of the distal artery then shows sparing of calcification which reaccumulated posteriorly as it progresses towards the femoral artery. Left common iliac artery shows scattered minimal calcification along the proximal medial left common iliac artery and scattered punctate dorsal deposits. Anterior wall remains free of calcification. After the bifurcation, the left external iliac artery shows no significant calcifications from its proximal 4 to 5 cm. At this point as it approaches the femoral artery, calcifications are seen along the anterior, medial wall distally. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Bilateral inguinal hernias containing only mesenteric fat. Degenerative changes seen about the lumbar spine and pelvis. No significant abnormality noted </s>

Todays CT portion grossly demonstrates near complete opacification of the left maxillary sinus which is unchanged. There is a lesion in the left apex with an air fluid level and adjacent nodular component appearing similar to the prior exam. Biapical scarring, bullae and emphysematous changes are unchanged. Patchy opacification in the left upper lobe is present. Mild atherosclerotic calcifications in the aorta and its branches. Abdominal mesh is present. Right lower quadrant calcification. Todays PET examination demonstrates hypermetabolic focus in the nodular component of the left apical lesion. Mild activity is seen throughout the left upper lobe corresponding to patchy opacities seen on CT. Two small foci of increased activity are noted in the left hilum, likely reflecting lymph nodes. Mild amount of activity is associated with the abdominal mesh.

anatomical entity_fin: {'maxillary sinus': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'near complete opacification': {'clinical finding': 'near complete opacification', 'existence': 'pos_dx', 'descriptive_term': 'near complete', 'observation': 'opacification'}, 'left maxillary': {'clinical finding': 'left maxillary', 'existence': 'pos_dx', 'descriptive_term': 'left', 'observation': 'maxillary'}}anatomical entity_fin: {'apex': {'location descriptor': 'left'}, 'fluid': {}}location descriptor_fin: ['left', 'adjacent']clinical findings_fin: {'lesion': {'clinical finding': 'lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'observation': 'lesion'}}clinical findings_fin: {'biapical scarring': {'clinical finding': 'biapical scarring', 'existence': 'pos_dx', 'descriptive_term': 'biapical', 'observation': 'scarr'}, 'bullae': {'clinical finding': 'bullae', 'existence': 'pos_dx', 'observation': 'bullae'}, 'emphysematous changes': {'clinical finding': 'emphysematous changes', 'existence': 'pos_dx', 'descriptive_term': 'emphysematous', 'observation': 'change'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'patchy opacification': {'clinical finding': 'patchy opacification', 'existence': 'pos_dx', 'descriptive_term': 'patchy', 'observation': 'opacification'}}anatomical entity_fin: {'aorta': {}}clinical findings_fin: {'mild atherosclerotic calcifications': {'clinical finding': 'mild atherosclerotic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'mild atherosclerotic', 'observation': 'calcification', 'strength_term': 'mild'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'abdominal mesh is present': {'clinical finding': 'abdominal mesh is present'}}anatomical entity_fin: {'quadrant': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'right lower quadrant calcification': {'clinical finding': 'right lower quadrant calcification', 'existence': 'pos_dx', 'descriptive_term': 'right lower quadrant', 'observation': 'calcification'}}imaging observation_fin: ['apical']location descriptor_fin: ['left']clinical findings_fin: {'hypermetabolic focus': {'clinical finding': 'hypermetabolic focus', 'existence': 'pos_dx', 'descriptive_term': 'hypermetabolic', 'observation': 'focus'}, 'left apical lesion': {'clinical finding': 'left apical lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'left apical', 'observation': 'lesion'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}, 'hilum': {'location descriptor': 'left'}}imaging observation_fin: ['foci']location descriptor_fin: ['left', 'upper']clinical findings_fin: {'opacities': {'clinical finding': 'opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'observation': 'opacity'}, 'increased activity': {'clinical finding': 'increased activity', 'existence': 'pos_dx', 'descriptive_term': 'increased', 'observation': 'activity', 'strength_term': 'increased', 'change_term': 'increased'}, 'nodes': {'clinical finding': 'nodes', 'existence': 'pos_dx', 'observation': 'node'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'mild amount of activity is associated with the abdominal mesh': {'clinical finding': 'mild amount of activity is associated with the abdominal mesh'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'maxillary sinus': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'near complete opacification': {'clinical finding': 'near complete opacification', 'existence': 'pos_dx', 'descriptive_term': 'near complete', 'observation': 'opacification'}, 'left maxillary': {'clinical finding': 'left maxillary', 'existence': 'pos_dx', 'descriptive_term': 'left', 'observation': 'maxillary'}}anatomical entity_fin: {'apex': {'location descriptor': 'left'}, 'fluid': {}}location descriptor_fin: ['left', 'adjacent']clinical findings_fin: {'lesion': {'clinical finding': 'lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'observation': 'lesion'}}clinical findings_fin: {'biapical scarring': {'clinical finding': 'biapical scarring', 'existence': 'pos_dx', 'descriptive_term': 'biapical', 'observation': 'scarr'}, 'bullae': {'clinical finding': 'bullae', 'existence': 'pos_dx', 'observation': 'bullae'}, 'emphysematous changes': {'clinical finding': 'emphysematous changes', 'existence': 'pos_dx', 'descriptive_term': 'emphysematous', 'observation': 'change'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'patchy opacification': {'clinical finding': 'patchy opacification', 'existence': 'pos_dx', 'descriptive_term': 'patchy', 'observation': 'opacification'}}anatomical entity_fin: {'aorta': {}}clinical findings_fin: {'mild atherosclerotic calcifications': {'clinical finding': 'mild atherosclerotic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'mild atherosclerotic', 'observation': 'calcification', 'strength_term': 'mild'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'abdominal mesh is present': {'clinical finding': 'abdominal mesh is present'}}anatomical entity_fin: {'quadrant': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'right lower quadrant calcification': {'clinical finding': 'right lower quadrant calcification', 'existence': 'pos_dx', 'descriptive_term': 'right lower quadrant', 'observation': 'calcification'}}imaging observation_fin: ['apical']location descriptor_fin: ['left']clinical findings_fin: {'hypermetabolic focus': {'clinical finding': 'hypermetabolic focus', 'existence': 'pos_dx', 'descriptive_term': 'hypermetabolic', 'observation': 'focus'}, 'left apical lesion': {'clinical finding': 'left apical lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'left apical', 'observation': 'lesion'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}, 'hilum': {'location descriptor': 'left'}}imaging observation_fin: ['foci']location descriptor_fin: ['left', 'upper']clinical findings_fin: {'opacities': {'clinical finding': 'opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'observation': 'opacity'}, 'increased activity': {'clinical finding': 'increased activity', 'existence': 'pos_dx', 'descriptive_term': 'increased', 'observation': 'activity', 'strength_term': 'increased', 'change_term': 'increased'}, 'nodes': {'clinical finding': 'nodes', 'existence': 'pos_dx', 'observation': 'node'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'mild amount of activity is associated with the abdominal mesh': {'clinical finding': 'mild amount of activity is associated with the abdominal mesh'}} [/INST] Todays CT portion grossly demonstrates near complete opacification of the left maxillary sinus which is unchanged. There is a lesion in the left apex with an air fluid level and adjacent nodular component appearing similar to the prior exam. Biapical scarring, bullae and emphysematous changes are unchanged. Patchy opacification in the left upper lobe is present. Mild atherosclerotic calcifications in the aorta and its branches. Abdominal mesh is present. Right lower quadrant calcification. Todays PET examination demonstrates hypermetabolic focus in the nodular component of the left apical lesion. Mild activity is seen throughout the left upper lobe corresponding to patchy opacities seen on CT. Two small foci of increased activity are noted in the left hilum, likely reflecting lymph nodes. Mild amount of activity is associated with the abdominal mesh. </s>

No evidence of intracranial hemorrhage or any abnormal extra-axial collection is seen. At most there may be minimal patchy white matter hypoattenuation which is nonspecific but compatible with age indeterminate microvascular ischemic disease. No evidence of parenchymal edema, mass effect or loss of gray-white distinction is seen. Ventricular size and morphology are normal. The osseous structures of the calvarium are intact. Imaging of the maxillofacial region is significantly compromised by motion artifact. The sensitivity for detection of subtle fractures is therefore also reduced. An osseous defect is evident within the floor of the right orbit at the level of the infraorbital nerve canal. A small amount of orbital fat herniates into this defect. Of note, no large or discrete fracture fragments are seen. No evidence of pooling fluid or hemorrhage is seen within the maxillary sinus cavity. No additional facial bone fractures are suspected. The nasal septum deviates toward the left, but without evidence of mucosal swelling or pooling fluid or hemorrhage. Numerous missing or carious teeth are seen.

clinical findings_fin: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}}clinical findings_fin: {'minimal patchy white matter hypoattenuation': {'clinical finding': 'minimal patchy white matter hypoattenuation', 'existence': 'unc_dx', 'descriptive_term': 'minimal patchy white matter', 'observation': 'hypoattenuation', 'strength_term': 'minimal', 'quantity_term': 'minimal'}, 'age indeterminate microvascular ischemic disease': {'clinical finding': 'age indeterminate microvascular ischemic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'age indeterminate microvascular ischemic', 'observation': 'disease'}}clinical findings_fin: {'parenchymal edema': {'clinical finding': 'parenchymal edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'neg_dx', 'descriptive_term': 'parenchymal', 'observation': 'edema'}, 'mass effect': {'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect'}, 'gray-white distinction': {'clinical finding': 'gray-white distinction', 'existence': 'neg_dx', 'descriptive_term': 'gray-white', 'observation': 'distinction'}}clinical findings_fin: {'ventricular size and morphology are normal': {'clinical finding': 'ventricular size and morphology are normal'}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'pos_dx', 'observation': 'intact'}}anatomical entity_fin: {'maxillofacial region': {}}artifact_fin: ['motion artifact']clinical findings_fin: {'compromised': {'clinical finding': 'compromised', 'existence': 'pos_dx', 'observation': 'compromised'}, 'motion artifact': {'clinical finding': 'motion artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'pos_dx', 'descriptive_term': 'motion', 'observation': 'artifact'}}clinical findings_fin: {'subtle fractures': {'clinical finding': 'subtle fractures', 'cf_snomed': {'fracture': 72704001}, 'existence': 'unc_dx', 'descriptive_term': 'subtle', 'observation': 'fracture', 'strength_term': 'subtle'}}anatomical entity_fin: {'floor': {}, 'orbit': {'location descriptor': 'right'}, 'infraorbital nerve': {}}location descriptor_fin: ['right']clinical findings_fin: {'osseous defect': {'clinical finding': 'osseous defect', 'cf_snomed': {'defect': 6920004}, 'existence': 'pos_dx', 'descriptive_term': 'osseous', 'observation': 'defect'}}imaging observation_fin: ['fat']clinical findings_fin: {'herniates': {'clinical finding': 'herniates', 'existence': 'pos_dx', 'observation': 'herniate'}, 'this defect': {'clinical finding': 'this defect', 'cf_snomed': {'defect': 6920004}, 'existence': 'pos_dx', 'descriptive_term': 'this', 'observation': 'defect'}}clinical findings_fin: {'large or discrete fracture fragments': {'clinical finding': 'large or discrete fracture fragments', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'descriptive_term': 'large or discrete fracture', 'observation': 'fragment', 'strength_term': 'large'}}anatomical entity_fin: {'fluid': {}, 'maxillary sinus': {}}clinical findings_fin: {'hemorrhage': {'clinical finding': 'hemorrhage', 'cf_snomed': {'hemorrhage': 50960005}, 'existence': 'neg_dx', 'observation': 'hemorrhage'}}clinical findings_fin: {'additional facial bone fractures': {'clinical finding': 'additional facial bone fractures', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'descriptive_term': 'additional facial bone', 'observation': 'fracture'}}anatomical entity_fin: {'fluid': {}}location descriptor_fin: ['left']clinical findings_fin: {'nasal septum': {'clinical finding': 'nasal septum', 'existence': 'pos_dx', 'descriptive_term': 'nasal', 'observation': 'septum'}, 'deviates': {'clinical finding': 'deviates', 'existence': 'pos_dx', 'observation': 'deviates'}, 'mucosal swelling': {'clinical finding': 'mucosal swelling', 'cf_snomed': {'swelling': 65124004}, 'existence': 'neg_dx', 'descriptive_term': 'mucosal', 'observation': 'swell'}, 'hemorrhage': {'clinical finding': 'hemorrhage', 'cf_snomed': {'hemorrhage': 50960005}, 'existence': 'neg_dx', 'observation': 'hemorrhage'}}imaging observation_fin: ['teeth']clinical findings_fin: {'numerous missing or carious teeth': {'clinical finding': 'numerous missing or carious teeth', 'existence': 'pos_dx', 'descriptive_term': 'numerous missing or carious', 'observation': 'tooth', 'quantity_term': 'numerous'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}}clinical findings_fin: {'minimal patchy white matter hypoattenuation': {'clinical finding': 'minimal patchy white matter hypoattenuation', 'existence': 'unc_dx', 'descriptive_term': 'minimal patchy white matter', 'observation': 'hypoattenuation', 'strength_term': 'minimal', 'quantity_term': 'minimal'}, 'age indeterminate microvascular ischemic disease': {'clinical finding': 'age indeterminate microvascular ischemic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'age indeterminate microvascular ischemic', 'observation': 'disease'}}clinical findings_fin: {'parenchymal edema': {'clinical finding': 'parenchymal edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'neg_dx', 'descriptive_term': 'parenchymal', 'observation': 'edema'}, 'mass effect': {'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect'}, 'gray-white distinction': {'clinical finding': 'gray-white distinction', 'existence': 'neg_dx', 'descriptive_term': 'gray-white', 'observation': 'distinction'}}clinical findings_fin: {'ventricular size and morphology are normal': {'clinical finding': 'ventricular size and morphology are normal'}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'pos_dx', 'observation': 'intact'}}anatomical entity_fin: {'maxillofacial region': {}}artifact_fin: ['motion artifact']clinical findings_fin: {'compromised': {'clinical finding': 'compromised', 'existence': 'pos_dx', 'observation': 'compromised'}, 'motion artifact': {'clinical finding': 'motion artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'pos_dx', 'descriptive_term': 'motion', 'observation': 'artifact'}}clinical findings_fin: {'subtle fractures': {'clinical finding': 'subtle fractures', 'cf_snomed': {'fracture': 72704001}, 'existence': 'unc_dx', 'descriptive_term': 'subtle', 'observation': 'fracture', 'strength_term': 'subtle'}}anatomical entity_fin: {'floor': {}, 'orbit': {'location descriptor': 'right'}, 'infraorbital nerve': {}}location descriptor_fin: ['right']clinical findings_fin: {'osseous defect': {'clinical finding': 'osseous defect', 'cf_snomed': {'defect': 6920004}, 'existence': 'pos_dx', 'descriptive_term': 'osseous', 'observation': 'defect'}}imaging observation_fin: ['fat']clinical findings_fin: {'herniates': {'clinical finding': 'herniates', 'existence': 'pos_dx', 'observation': 'herniate'}, 'this defect': {'clinical finding': 'this defect', 'cf_snomed': {'defect': 6920004}, 'existence': 'pos_dx', 'descriptive_term': 'this', 'observation': 'defect'}}clinical findings_fin: {'large or discrete fracture fragments': {'clinical finding': 'large or discrete fracture fragments', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'descriptive_term': 'large or discrete fracture', 'observation': 'fragment', 'strength_term': 'large'}}anatomical entity_fin: {'fluid': {}, 'maxillary sinus': {}}clinical findings_fin: {'hemorrhage': {'clinical finding': 'hemorrhage', 'cf_snomed': {'hemorrhage': 50960005}, 'existence': 'neg_dx', 'observation': 'hemorrhage'}}clinical findings_fin: {'additional facial bone fractures': {'clinical finding': 'additional facial bone fractures', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'descriptive_term': 'additional facial bone', 'observation': 'fracture'}}anatomical entity_fin: {'fluid': {}}location descriptor_fin: ['left']clinical findings_fin: {'nasal septum': {'clinical finding': 'nasal septum', 'existence': 'pos_dx', 'descriptive_term': 'nasal', 'observation': 'septum'}, 'deviates': {'clinical finding': 'deviates', 'existence': 'pos_dx', 'observation': 'deviates'}, 'mucosal swelling': {'clinical finding': 'mucosal swelling', 'cf_snomed': {'swelling': 65124004}, 'existence': 'neg_dx', 'descriptive_term': 'mucosal', 'observation': 'swell'}, 'hemorrhage': {'clinical finding': 'hemorrhage', 'cf_snomed': {'hemorrhage': 50960005}, 'existence': 'neg_dx', 'observation': 'hemorrhage'}}imaging observation_fin: ['teeth']clinical findings_fin: {'numerous missing or carious teeth': {'clinical finding': 'numerous missing or carious teeth', 'existence': 'pos_dx', 'descriptive_term': 'numerous missing or carious', 'observation': 'tooth', 'quantity_term': 'numerous'}} [/INST] No evidence of intracranial hemorrhage or any abnormal extra-axial collection is seen. At most there may be minimal patchy white matter hypoattenuation which is nonspecific but compatible with age indeterminate microvascular ischemic disease. No evidence of parenchymal edema, mass effect or loss of gray-white distinction is seen. Ventricular size and morphology are normal. The osseous structures of the calvarium are intact. Imaging of the maxillofacial region is significantly compromised by motion artifact. The sensitivity for detection of subtle fractures is therefore also reduced. An osseous defect is evident within the floor of the right orbit at the level of the infraorbital nerve canal. A small amount of orbital fat herniates into this defect. Of note, no large or discrete fracture fragments are seen. No evidence of pooling fluid or hemorrhage is seen within the maxillary sinus cavity. No additional facial bone fractures are suspected. The nasal septum deviates toward the left, but without evidence of mucosal swelling or pooling fluid or hemorrhage. Numerous missing or carious teeth are seen. </s>

. Lingular pulmonary nodule measures 1.2 x 1.2 cm previously, 1.2 x 1.1 cm. No new pulmonary nodules are evident. The pleural spaces are clear. No mediastinal lymphadenopathy. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Multiple bilateral renal cysts. Some of the smaller lesions cannot be fully characterized. No hydronephrosis. No significant abnormality noted. Postsurgical changes changes in the stomach. No bowel obstruction. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No pelvic lymphadenopathy. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted

size_fin: [{'size': '1.2 x 1.2 cm'}, {'size': '1.2 x 1.1 cm'}]clinical findings_fin: {'lingular pulmonary nodule': {'clinical finding': 'lingular pulmonary nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'lingular pulmonary', 'observation': 'nodule'}}clinical findings_fin: {'new pulmonary nodules': {'clinical finding': 'new pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'new pulmonary', 'observation': 'nodule', 'temporal_term': 'new'}}anatomical entity_fin: {'pleural spaces': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'}}clinical findings_fin: {'mediastinal lymphadenopathy': {'clinical finding': 'mediastinal lymphadenopathy', 'cf_snomed': {'mediastinal lymphadenopathy': 52324001}, 'existence': 'neg_dx', 'descriptive_term': 'mediastinal', 'observation': 'lymphadenopathy'}}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'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'multiple bilateral renal cysts': {'clinical finding': 'multiple bilateral renal cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'multiple bilateral renal', 'observation': 'cyst', 'quantity_term': 'multiple'}}clinical findings_fin: {'smaller lesions': {'clinical finding': 'smaller lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'smaller', 'observation': 'lesion'}}clinical findings_fin: {'hydronephrosis': {'clinical finding': 'hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'neg_dx', 'observation': 'hydronephrosis'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'stomach': {}}clinical findings_fin: {'postsurgical changes': {'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'}, 'changes': {'clinical finding': 'changes', 'existence': 'pos_dx', 'observation': 'change'}}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'}}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: {'pelvic lymphadenopathy': {'clinical finding': 'pelvic lymphadenopathy', 'cf_snomed': {'pelvic lymphadenopathy': 127158006}, 'existence': 'neg_dx', 'descriptive_term': 'pelvic', 'observation': 'lymphadenopathy'}}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'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: size_fin: [{'size': '1.2 x 1.2 cm'}, {'size': '1.2 x 1.1 cm'}]clinical findings_fin: {'lingular pulmonary nodule': {'clinical finding': 'lingular pulmonary nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'lingular pulmonary', 'observation': 'nodule'}}clinical findings_fin: {'new pulmonary nodules': {'clinical finding': 'new pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'new pulmonary', 'observation': 'nodule', 'temporal_term': 'new'}}anatomical entity_fin: {'pleural spaces': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'}}clinical findings_fin: {'mediastinal lymphadenopathy': {'clinical finding': 'mediastinal lymphadenopathy', 'cf_snomed': {'mediastinal lymphadenopathy': 52324001}, 'existence': 'neg_dx', 'descriptive_term': 'mediastinal', 'observation': 'lymphadenopathy'}}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'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'multiple bilateral renal cysts': {'clinical finding': 'multiple bilateral renal cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'multiple bilateral renal', 'observation': 'cyst', 'quantity_term': 'multiple'}}clinical findings_fin: {'smaller lesions': {'clinical finding': 'smaller lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'smaller', 'observation': 'lesion'}}clinical findings_fin: {'hydronephrosis': {'clinical finding': 'hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'neg_dx', 'observation': 'hydronephrosis'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'stomach': {}}clinical findings_fin: {'postsurgical changes': {'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'}, 'changes': {'clinical finding': 'changes', 'existence': 'pos_dx', 'observation': 'change'}}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'}}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: {'pelvic lymphadenopathy': {'clinical finding': 'pelvic lymphadenopathy', 'cf_snomed': {'pelvic lymphadenopathy': 127158006}, 'existence': 'neg_dx', 'descriptive_term': 'pelvic', 'observation': 'lymphadenopathy'}}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] . Lingular pulmonary nodule measures 1.2 x 1.2 cm previously, 1.2 x 1.1 cm. No new pulmonary nodules are evident. The pleural spaces are clear. No mediastinal lymphadenopathy. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Multiple bilateral renal cysts. Some of the smaller lesions cannot be fully characterized. No hydronephrosis. No significant abnormality noted. Postsurgical changes changes in the stomach. No bowel obstruction. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No pelvic lymphadenopathy. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted </s>

There is redemonstration of degenerative grade 1 anterolisthesis of L4 on L5 which appears to have slightly increased compared to the 8/31/2015 MRI. There is also trace retrolisthesis of L1 with respect to L2. Lumbar spinal alignment is otherwise within normal limits. Vertebral body heights are preserved. There is moderate-severe loss of disc height at L5-S1 as well as mild loss of disc height at L1-L2 and L4-L5. Degenerative endplate changes are present at L5-S1 including a small Schmorls node within the inferior endplate of L5. Degenerative facet arthropathy affects the lower lumbar spine. There is evidence of prior microdiscectomy at L4-L5. Incidental note is made of a bilateral punctate nonobstructive caliceal calculi the largest of which is in the left kidney measuring up to 4 mm. Mildly atherosclerotic calcifications affect the abdominal aorta. No significant central canal or foraminal stenosis. Mild disc bulge without significant central canal or foraminal stenosis. No significant central canal or foraminal stenosis. No significant central canal or foraminal stenosis. Mild disc bulge or uncovering. Advanced left greater than right facet arthropathy. Ligamentum flavum thickening. Posterior epidural lipomatosis. Left facet joint subcentimeter synovial cyst. Moderate spinal canal stenosis. Moderate bilateral foraminal stenosis. Mild disc bulge. Moderate bilateral foraminal stenosis.

clinical findings_fin: {'degenerative grade 1 anterolisthesis': {'clinical finding': 'degenerative grade 1 anterolisthesis', 'existence': 'pos_dx', 'descriptive_term': 'degenerative grade 1', 'observation': 'anterolisthesis'}}clinical findings_fin: {'trace retrolisthesis': {'clinical finding': 'trace retrolisthesis', 'cf_snomed': {'retrolisthesis': 416981004}, 'existence': 'pos_dx', 'descriptive_term': 'trace', 'observation': 'retrolisthesis'}}clinical findings_fin: {'lumbar spinal alignment is otherwise within normal limits': {'clinical finding': 'lumbar spinal alignment is otherwise within normal limits'}}anatomical entity_fin: {'vertebral body': {}}clinical findings_fin: {'vertebral body heights are preserved': {'clinical finding': 'vertebral body heights are preserved', 'change_term': 'preserved'}}anatomical entity_fin: {'disc': {}}clinical findings_fin: {'mild loss of disc height at l1-l2 and l4-l5': {'clinical finding': 'mild loss of disc height at l1-l2 and l4-l5'}}anatomical entity_fin: {'endplate': {'location descriptor': 'inferior'}}location descriptor_fin: ['inferior']clinical findings_fin: {'degenerative endplate changes': {'clinical finding': 'degenerative endplate changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative endplate', 'observation': 'change'}, 'small schmorls node': {'clinical finding': 'small schmorls node', 'existence': 'pos_dx', 'descriptive_term': 'small schmorls', 'observation': 'node', 'strength_term': 'small'}}anatomical entity_fin: {'facet': {}, 'spine': {}}location descriptor_fin: ['lower']clinical findings_fin: {'prior microdiscectomy': {'clinical finding': 'prior microdiscectomy', 'existence': 'pos_dx', 'descriptive_term': 'prior', 'observation': 'microdiscectomy'}}size_fin: [{'size': '4 mm'}]anatomical entity_fin: {'left kidney': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral punctate nonobstructive caliceal calculi': {'clinical finding': 'bilateral punctate nonobstructive caliceal calculi', 'existence': 'pos_dx', 'descriptive_term': 'bilateral punctate nonobstructive caliceal', 'observation': 'calculi'}}anatomical entity_fin: {'abdominal aorta': {}}clinical findings_fin: {'mildly atherosclerotic calcifications': {'clinical finding': 'mildly atherosclerotic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'mildly atherosclerotic', 'observation': 'calcification', 'strength_term': 'mildly'}}location descriptor_fin: ['central']clinical findings_fin: {'significant central canal': {'clinical finding': 'significant central canal', 'existence': 'neg_dx', 'descriptive_term': 'significant central', 'observation': 'canal'}, 'foraminal stenosis': {'clinical finding': 'foraminal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'neg_dx', 'descriptive_term': 'foraminal', 'observation': 'stenosis'}}location descriptor_fin: ['central']clinical findings_fin: {'mild disc bulge': {'clinical finding': 'mild disc bulge', 'existence': 'pos_dx', 'descriptive_term': 'mild disc', 'observation': 'bulge', 'strength_term': 'mild'}, 'significant central canal': {'clinical finding': 'significant central canal', 'existence': 'neg_dx', 'descriptive_term': 'significant central', 'observation': 'canal'}, 'foraminal stenosis': {'clinical finding': 'foraminal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'neg_dx', 'descriptive_term': 'foraminal', 'observation': 'stenosis'}}location descriptor_fin: ['central']clinical findings_fin: {'significant central canal': {'clinical finding': 'significant central canal', 'existence': 'neg_dx', 'descriptive_term': 'significant central', 'observation': 'canal'}, 'foraminal stenosis': {'clinical finding': 'foraminal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'neg_dx', 'descriptive_term': 'foraminal', 'observation': 'stenosis'}}location descriptor_fin: ['central']clinical findings_fin: {'significant central canal': {'clinical finding': 'significant central canal', 'existence': 'neg_dx', 'descriptive_term': 'significant central', 'observation': 'canal'}, 'foraminal stenosis': {'clinical finding': 'foraminal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'neg_dx', 'descriptive_term': 'foraminal', 'observation': 'stenosis'}}clinical findings_fin: {'mild disc bulge': {'clinical finding': 'mild disc bulge', 'existence': 'unc_dx', 'descriptive_term': 'mild disc', 'observation': 'bulge', 'strength_term': 'mild'}}anatomical entity_fin: {'facet': {'location descriptor': 'right'}}location descriptor_fin: ['left', 'right']clinical findings_fin: {'facet arthropathy': {'clinical finding': 'facet arthropathy', 'cf_snomed': {'arthropathy': 399269003}, 'existence': 'pos_dx', 'descriptive_term': 'facet', 'observation': 'arthropathy'}}anatomical entity_fin: {'ligamentum flavum': {}}clinical findings_fin: {'ligamentum flavum thickening': {'clinical finding': 'ligamentum flavum thickening', 'existence': 'pos_dx', 'descriptive_term': 'ligamentum flavum', 'observation': 'thickening'}}location descriptor_fin: ['posterior']clinical findings_fin: {'posterior epidural lipomatosis': {'clinical finding': 'posterior epidural lipomatosis', 'cf_snomed': {'epidural lipomatosis': 426399003}, 'existence': 'pos_dx', 'descriptive_term': 'posterior epidural', 'observation': 'lipomatosis'}}anatomical entity_fin: {'facet': {'location descriptor': 'left'}, 'joint': {}}location descriptor_fin: ['left']clinical findings_fin: {'left facet joint subcentimeter synovial cyst': {'clinical finding': 'left facet joint subcentimeter synovial cyst', 'cf_snomed': {'synovial cyst': 240205003}, 'existence': 'pos_dx', 'descriptive_term': 'left facet joint subcentimeter synovial', 'observation': 'cyst'}}anatomical entity_fin: {'spinal canal': {}}clinical findings_fin: {'moderate spinal canal stenosis': {'clinical finding': 'moderate spinal canal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'moderate spinal canal', 'observation': 'stenosis', 'strength_term': 'moderate'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'moderate bilateral foraminal stenosis': {'clinical finding': 'moderate bilateral foraminal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'moderate bilateral foraminal', 'observation': 'stenosis', 'strength_term': 'moderate'}}clinical findings_fin: {'mild disc bulge': {'clinical finding': 'mild disc bulge', 'existence': 'pos_dx', 'descriptive_term': 'mild disc', 'observation': 'bulge', 'strength_term': 'mild'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'moderate bilateral foraminal stenosis': {'clinical finding': 'moderate bilateral foraminal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'moderate bilateral foraminal', 'observation': 'stenosis', 'strength_term': 'moderate'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'degenerative grade 1 anterolisthesis': {'clinical finding': 'degenerative grade 1 anterolisthesis', 'existence': 'pos_dx', 'descriptive_term': 'degenerative grade 1', 'observation': 'anterolisthesis'}}clinical findings_fin: {'trace retrolisthesis': {'clinical finding': 'trace retrolisthesis', 'cf_snomed': {'retrolisthesis': 416981004}, 'existence': 'pos_dx', 'descriptive_term': 'trace', 'observation': 'retrolisthesis'}}clinical findings_fin: {'lumbar spinal alignment is otherwise within normal limits': {'clinical finding': 'lumbar spinal alignment is otherwise within normal limits'}}anatomical entity_fin: {'vertebral body': {}}clinical findings_fin: {'vertebral body heights are preserved': {'clinical finding': 'vertebral body heights are preserved', 'change_term': 'preserved'}}anatomical entity_fin: {'disc': {}}clinical findings_fin: {'mild loss of disc height at l1-l2 and l4-l5': {'clinical finding': 'mild loss of disc height at l1-l2 and l4-l5'}}anatomical entity_fin: {'endplate': {'location descriptor': 'inferior'}}location descriptor_fin: ['inferior']clinical findings_fin: {'degenerative endplate changes': {'clinical finding': 'degenerative endplate changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative endplate', 'observation': 'change'}, 'small schmorls node': {'clinical finding': 'small schmorls node', 'existence': 'pos_dx', 'descriptive_term': 'small schmorls', 'observation': 'node', 'strength_term': 'small'}}anatomical entity_fin: {'facet': {}, 'spine': {}}location descriptor_fin: ['lower']clinical findings_fin: {'prior microdiscectomy': {'clinical finding': 'prior microdiscectomy', 'existence': 'pos_dx', 'descriptive_term': 'prior', 'observation': 'microdiscectomy'}}size_fin: [{'size': '4 mm'}]anatomical entity_fin: {'left kidney': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral punctate nonobstructive caliceal calculi': {'clinical finding': 'bilateral punctate nonobstructive caliceal calculi', 'existence': 'pos_dx', 'descriptive_term': 'bilateral punctate nonobstructive caliceal', 'observation': 'calculi'}}anatomical entity_fin: {'abdominal aorta': {}}clinical findings_fin: {'mildly atherosclerotic calcifications': {'clinical finding': 'mildly atherosclerotic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'mildly atherosclerotic', 'observation': 'calcification', 'strength_term': 'mildly'}}location descriptor_fin: ['central']clinical findings_fin: {'significant central canal': {'clinical finding': 'significant central canal', 'existence': 'neg_dx', 'descriptive_term': 'significant central', 'observation': 'canal'}, 'foraminal stenosis': {'clinical finding': 'foraminal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'neg_dx', 'descriptive_term': 'foraminal', 'observation': 'stenosis'}}location descriptor_fin: ['central']clinical findings_fin: {'mild disc bulge': {'clinical finding': 'mild disc bulge', 'existence': 'pos_dx', 'descriptive_term': 'mild disc', 'observation': 'bulge', 'strength_term': 'mild'}, 'significant central canal': {'clinical finding': 'significant central canal', 'existence': 'neg_dx', 'descriptive_term': 'significant central', 'observation': 'canal'}, 'foraminal stenosis': {'clinical finding': 'foraminal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'neg_dx', 'descriptive_term': 'foraminal', 'observation': 'stenosis'}}location descriptor_fin: ['central']clinical findings_fin: {'significant central canal': {'clinical finding': 'significant central canal', 'existence': 'neg_dx', 'descriptive_term': 'significant central', 'observation': 'canal'}, 'foraminal stenosis': {'clinical finding': 'foraminal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'neg_dx', 'descriptive_term': 'foraminal', 'observation': 'stenosis'}}location descriptor_fin: ['central']clinical findings_fin: {'significant central canal': {'clinical finding': 'significant central canal', 'existence': 'neg_dx', 'descriptive_term': 'significant central', 'observation': 'canal'}, 'foraminal stenosis': {'clinical finding': 'foraminal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'neg_dx', 'descriptive_term': 'foraminal', 'observation': 'stenosis'}}clinical findings_fin: {'mild disc bulge': {'clinical finding': 'mild disc bulge', 'existence': 'unc_dx', 'descriptive_term': 'mild disc', 'observation': 'bulge', 'strength_term': 'mild'}}anatomical entity_fin: {'facet': {'location descriptor': 'right'}}location descriptor_fin: ['left', 'right']clinical findings_fin: {'facet arthropathy': {'clinical finding': 'facet arthropathy', 'cf_snomed': {'arthropathy': 399269003}, 'existence': 'pos_dx', 'descriptive_term': 'facet', 'observation': 'arthropathy'}}anatomical entity_fin: {'ligamentum flavum': {}}clinical findings_fin: {'ligamentum flavum thickening': {'clinical finding': 'ligamentum flavum thickening', 'existence': 'pos_dx', 'descriptive_term': 'ligamentum flavum', 'observation': 'thickening'}}location descriptor_fin: ['posterior']clinical findings_fin: {'posterior epidural lipomatosis': {'clinical finding': 'posterior epidural lipomatosis', 'cf_snomed': {'epidural lipomatosis': 426399003}, 'existence': 'pos_dx', 'descriptive_term': 'posterior epidural', 'observation': 'lipomatosis'}}anatomical entity_fin: {'facet': {'location descriptor': 'left'}, 'joint': {}}location descriptor_fin: ['left']clinical findings_fin: {'left facet joint subcentimeter synovial cyst': {'clinical finding': 'left facet joint subcentimeter synovial cyst', 'cf_snomed': {'synovial cyst': 240205003}, 'existence': 'pos_dx', 'descriptive_term': 'left facet joint subcentimeter synovial', 'observation': 'cyst'}}anatomical entity_fin: {'spinal canal': {}}clinical findings_fin: {'moderate spinal canal stenosis': {'clinical finding': 'moderate spinal canal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'moderate spinal canal', 'observation': 'stenosis', 'strength_term': 'moderate'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'moderate bilateral foraminal stenosis': {'clinical finding': 'moderate bilateral foraminal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'moderate bilateral foraminal', 'observation': 'stenosis', 'strength_term': 'moderate'}}clinical findings_fin: {'mild disc bulge': {'clinical finding': 'mild disc bulge', 'existence': 'pos_dx', 'descriptive_term': 'mild disc', 'observation': 'bulge', 'strength_term': 'mild'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'moderate bilateral foraminal stenosis': {'clinical finding': 'moderate bilateral foraminal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'moderate bilateral foraminal', 'observation': 'stenosis', 'strength_term': 'moderate'}} [/INST] There is redemonstration of degenerative grade 1 anterolisthesis of L4 on L5 which appears to have slightly increased compared to the 8/31/2015 MRI. There is also trace retrolisthesis of L1 with respect to L2. Lumbar spinal alignment is otherwise within normal limits. Vertebral body heights are preserved. There is moderate-severe loss of disc height at L5-S1 as well as mild loss of disc height at L1-L2 and L4-L5. Degenerative endplate changes are present at L5-S1 including a small Schmorls node within the inferior endplate of L5. Degenerative facet arthropathy affects the lower lumbar spine. There is evidence of prior microdiscectomy at L4-L5. Incidental note is made of a bilateral punctate nonobstructive caliceal calculi the largest of which is in the left kidney measuring up to 4 mm. Mildly atherosclerotic calcifications affect the abdominal aorta. No significant central canal or foraminal stenosis. Mild disc bulge without significant central canal or foraminal stenosis. No significant central canal or foraminal stenosis. No significant central canal or foraminal stenosis. Mild disc bulge or uncovering. Advanced left greater than right facet arthropathy. Ligamentum flavum thickening. Posterior epidural lipomatosis. Left facet joint subcentimeter synovial cyst. Moderate spinal canal stenosis. Moderate bilateral foraminal stenosis. Mild disc bulge. Moderate bilateral foraminal stenosis. </s>

. New small left pleural effusion. Basilar atelectasis. No lung nodules. Small mediastinal nodes are unchanged. Nonpathologic in size. Some calcified granulomata. Port-A-Cath right chest wall. Multifocal hypodensities unchanged likely cysts. No significant abnormality noted. Postsurgical changes consistent with Whipple procedure. Soft tissue mass in the pancreatic bed invading the left upper pole of the kidney with soft tissue and fluid density areas in some bubbles of gas concerning for tumor necrosis less likely communication to bowel. Loss of fat plane to bowel loops in the left upper quadrant. No significant abnormality noted. No significant abnormality noted. Stable small retroperitoneal nodes index node left periaortic area series 3 image 120, 21.7 x 0.9 cm previously 1.6 x 1.3 cm. No high-grade mechanical small bowel obstruction dilated small bowel measuring up to 5.2 cm. Transition zone is probably in the left upper quadrant near the pancreatic mass best seen on coronal image 55. No evidence of carcinomatosis. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Dilated small bowel loops extend into the pelvis. See abdominal section above. No significant abnormality noted. No significant abnormality noted

location descriptor_fin: ['left']clinical findings_fin: {'new small left pleural effusion': {'clinical finding': 'new small left pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'new small left pleural', 'observation': 'effusion', 'strength_term': 'small', 'temporal_term': 'new'}}clinical findings_fin: {'basilar atelectasis': {'clinical finding': 'basilar atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'basilar', 'observation': 'atelectasis'}}anatomical entity_fin: {'lung': {}}clinical findings_fin: {'lung nodules': {'clinical finding': 'lung nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'lung', 'observation': 'nodule'}}clinical findings_fin: {'small mediastinal nodes': {'clinical finding': 'small mediastinal nodes', 'existence': 'pos_dx', 'descriptive_term': 'small mediastinal', 'observation': 'node', 'strength_term': 'small'}}clinical findings_fin: {'some calcified granulomata': {'clinical finding': 'some calcified granulomata', 'existence': 'pos_dx', 'descriptive_term': 'some calcified', 'observation': 'granulomata', 'quantity_term': 'some', 'change_term': 'calcified'}}anatomical entity_fin: {'chest wall': {'location descriptor': 'right'}}location descriptor_fin: ['right']object_fin: ['port']clinical findings_fin: {'multifocal hypodensities unchanged likely cysts': {'clinical finding': 'multifocal hypodensities unchanged likely cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'multifocal hypodensities unchanged likely', 'observation': 'cyst', 'strength_term': 'unchanged', 'change_term': 'unchanged'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'postsurgical changes': {'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'}, 'whipple': {'clinical finding': 'whipple', 'existence': 'pos_dx', 'observation': 'whipple'}}anatomical entity_fin: {'pole': {'location descriptor': 'left upper'}, 'kidney': {}, 'fluid': {}, 'bowel': {}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'soft tissue mass': {'clinical finding': 'soft tissue mass', 'cf_snomed': {'soft tissue mass': 278002000}, 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'mass'}, 'some bubbles': {'clinical finding': 'some bubbles', 'existence': 'pos_dx', 'descriptive_term': 'some', 'observation': 'bubbles', 'quantity_term': 'some'}, 'gas': {'clinical finding': 'gas', 'existence': 'pos_dx', 'observation': 'gas'}, 'tumor necrosis': {'clinical finding': 'tumor necrosis', 'cf_snomed': {'tumor necrosis': 34823008}, 'existence': 'unc_dx', 'descriptive_term': 'tumor', 'observation': 'necrosis'}}anatomical entity_fin: {'bowel': {}, 'quadrant': {'location descriptor': 'left upper'}}imaging observation_fin: ['fat']location descriptor_fin: ['left', 'upper']clinical findings_fin: {'fat plane': {'clinical finding': 'fat plane', 'existence': 'pos_dx', 'descriptive_term': 'fat', 'observation': 'plane'}}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'}}size_fin: [{'size': '21.7 x 0.9 cm'}, {'size': '1.6 x 1.3 cm'}]location descriptor_fin: ['left']clinical findings_fin: {'stable small retroperitoneal nodes': {'clinical finding': 'stable small retroperitoneal nodes', 'existence': 'pos_dx', 'descriptive_term': 'stable small retroperitoneal', 'observation': 'node', 'strength_term': 'stable - small', 'change_term': 'stable'}, 'index node': {'clinical finding': 'index node', 'existence': 'pos_dx', 'descriptive_term': 'index', 'observation': 'node'}}size_fin: [{'size': '5.2 cm', 'size_descriptor': 'obstruction'}]anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'high-grade mechanical small bowel obstruction': {'clinical finding': 'high-grade mechanical small bowel obstruction', 'cf_snomed': {'small bowel obstruction': 281255004}, 'existence': 'neg_dx', 'descriptive_term': 'high-grade mechanical small bowel', 'observation': 'obstruction', 'strength_term': 'small'}}anatomical entity_fin: {'quadrant': {'location descriptor': 'left upper'}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'pancreatic mass': {'clinical finding': 'pancreatic mass', 'existence': 'unc_dx', 'descriptive_term': 'pancreatic', 'observation': 'mass'}}clinical findings_fin: {'carcinomatosis': {'clinical finding': 'carcinomatosis', 'cf_snomed': {'carcinomatosis': 307593001}, 'existence': 'neg_dx', 'observation': 'carcinomatosis'}}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'}}anatomical entity_fin: {'bowel': {}, 'pelvis': {}}clinical findings_fin: {'dilated small bowel loops extend into the pelvis': {'clinical finding': 'dilated small bowel loops extend into the pelvis', 'change_term': 'dilated'}}anatomical entity_fin: {'abdominal': {}}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'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['left']clinical findings_fin: {'new small left pleural effusion': {'clinical finding': 'new small left pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'new small left pleural', 'observation': 'effusion', 'strength_term': 'small', 'temporal_term': 'new'}}clinical findings_fin: {'basilar atelectasis': {'clinical finding': 'basilar atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'basilar', 'observation': 'atelectasis'}}anatomical entity_fin: {'lung': {}}clinical findings_fin: {'lung nodules': {'clinical finding': 'lung nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'lung', 'observation': 'nodule'}}clinical findings_fin: {'small mediastinal nodes': {'clinical finding': 'small mediastinal nodes', 'existence': 'pos_dx', 'descriptive_term': 'small mediastinal', 'observation': 'node', 'strength_term': 'small'}}clinical findings_fin: {'some calcified granulomata': {'clinical finding': 'some calcified granulomata', 'existence': 'pos_dx', 'descriptive_term': 'some calcified', 'observation': 'granulomata', 'quantity_term': 'some', 'change_term': 'calcified'}}anatomical entity_fin: {'chest wall': {'location descriptor': 'right'}}location descriptor_fin: ['right']object_fin: ['port']clinical findings_fin: {'multifocal hypodensities unchanged likely cysts': {'clinical finding': 'multifocal hypodensities unchanged likely cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'multifocal hypodensities unchanged likely', 'observation': 'cyst', 'strength_term': 'unchanged', 'change_term': 'unchanged'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'postsurgical changes': {'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'}, 'whipple': {'clinical finding': 'whipple', 'existence': 'pos_dx', 'observation': 'whipple'}}anatomical entity_fin: {'pole': {'location descriptor': 'left upper'}, 'kidney': {}, 'fluid': {}, 'bowel': {}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'soft tissue mass': {'clinical finding': 'soft tissue mass', 'cf_snomed': {'soft tissue mass': 278002000}, 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'mass'}, 'some bubbles': {'clinical finding': 'some bubbles', 'existence': 'pos_dx', 'descriptive_term': 'some', 'observation': 'bubbles', 'quantity_term': 'some'}, 'gas': {'clinical finding': 'gas', 'existence': 'pos_dx', 'observation': 'gas'}, 'tumor necrosis': {'clinical finding': 'tumor necrosis', 'cf_snomed': {'tumor necrosis': 34823008}, 'existence': 'unc_dx', 'descriptive_term': 'tumor', 'observation': 'necrosis'}}anatomical entity_fin: {'bowel': {}, 'quadrant': {'location descriptor': 'left upper'}}imaging observation_fin: ['fat']location descriptor_fin: ['left', 'upper']clinical findings_fin: {'fat plane': {'clinical finding': 'fat plane', 'existence': 'pos_dx', 'descriptive_term': 'fat', 'observation': 'plane'}}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'}}size_fin: [{'size': '21.7 x 0.9 cm'}, {'size': '1.6 x 1.3 cm'}]location descriptor_fin: ['left']clinical findings_fin: {'stable small retroperitoneal nodes': {'clinical finding': 'stable small retroperitoneal nodes', 'existence': 'pos_dx', 'descriptive_term': 'stable small retroperitoneal', 'observation': 'node', 'strength_term': 'stable - small', 'change_term': 'stable'}, 'index node': {'clinical finding': 'index node', 'existence': 'pos_dx', 'descriptive_term': 'index', 'observation': 'node'}}size_fin: [{'size': '5.2 cm', 'size_descriptor': 'obstruction'}]anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'high-grade mechanical small bowel obstruction': {'clinical finding': 'high-grade mechanical small bowel obstruction', 'cf_snomed': {'small bowel obstruction': 281255004}, 'existence': 'neg_dx', 'descriptive_term': 'high-grade mechanical small bowel', 'observation': 'obstruction', 'strength_term': 'small'}}anatomical entity_fin: {'quadrant': {'location descriptor': 'left upper'}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'pancreatic mass': {'clinical finding': 'pancreatic mass', 'existence': 'unc_dx', 'descriptive_term': 'pancreatic', 'observation': 'mass'}}clinical findings_fin: {'carcinomatosis': {'clinical finding': 'carcinomatosis', 'cf_snomed': {'carcinomatosis': 307593001}, 'existence': 'neg_dx', 'observation': 'carcinomatosis'}}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'}}anatomical entity_fin: {'bowel': {}, 'pelvis': {}}clinical findings_fin: {'dilated small bowel loops extend into the pelvis': {'clinical finding': 'dilated small bowel loops extend into the pelvis', 'change_term': 'dilated'}}anatomical entity_fin: {'abdominal': {}}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] . New small left pleural effusion. Basilar atelectasis. No lung nodules. Small mediastinal nodes are unchanged. Nonpathologic in size. Some calcified granulomata. Port-A-Cath right chest wall. Multifocal hypodensities unchanged likely cysts. No significant abnormality noted. Postsurgical changes consistent with Whipple procedure. Soft tissue mass in the pancreatic bed invading the left upper pole of the kidney with soft tissue and fluid density areas in some bubbles of gas concerning for tumor necrosis less likely communication to bowel. Loss of fat plane to bowel loops in the left upper quadrant. No significant abnormality noted. No significant abnormality noted. Stable small retroperitoneal nodes index node left periaortic area series 3 image 120, 21.7 x 0.9 cm previously 1.6 x 1.3 cm. No high-grade mechanical small bowel obstruction dilated small bowel measuring up to 5.2 cm. Transition zone is probably in the left upper quadrant near the pancreatic mass best seen on coronal image 55. No evidence of carcinomatosis. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Dilated small bowel loops extend into the pelvis. See abdominal section above. No significant abnormality noted. No significant abnormality noted </s>

. No evidence of pulmonary embolism. The caliber of the pulmonary artery is normal and there is no evidence for right heart strain. No significant abnormality noted. Residual thymic tissue, without lymphadenopathy or other significant findings. None. No significant abnormality noted. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. Small accessory splenule, normal variant.

clinical findings_fin: {'pulmonary embolism': {'clinical finding': 'pulmonary embolism', 'cf_snomed': {'pulmonary embolism': 59282003}, 'existence': 'neg_dx', 'descriptive_term': 'pulmonary', 'observation': 'embolism'}}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': 'neg_dx', 'descriptive_term': 'right heart', 'observation': 'strain'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'residual thymic tissue': {'clinical finding': 'residual thymic tissue', 'existence': 'pos_dx', 'descriptive_term': 'residual thymic', 'observation': 'tissue', 'temporal_term': 'residual'}, 'lymphadenopathy': {'clinical finding': 'lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', '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: {'normal variant': {}}clinical findings_fin: {'normal variant': {'clinical finding': 'normal variant', 'existence': 'pos_dx', 'descriptive_term': 'normal', 'observation': 'variant', 'strength_term': 'normal'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'pulmonary embolism': {'clinical finding': 'pulmonary embolism', 'cf_snomed': {'pulmonary embolism': 59282003}, 'existence': 'neg_dx', 'descriptive_term': 'pulmonary', 'observation': 'embolism'}}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': 'neg_dx', 'descriptive_term': 'right heart', 'observation': 'strain'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'residual thymic tissue': {'clinical finding': 'residual thymic tissue', 'existence': 'pos_dx', 'descriptive_term': 'residual thymic', 'observation': 'tissue', 'temporal_term': 'residual'}, 'lymphadenopathy': {'clinical finding': 'lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', '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: {'normal variant': {}}clinical findings_fin: {'normal variant': {'clinical finding': 'normal variant', 'existence': 'pos_dx', 'descriptive_term': 'normal', 'observation': 'variant', 'strength_term': 'normal'}} [/INST] . No evidence of pulmonary embolism. The caliber of the pulmonary artery is normal and there is no evidence for right heart strain. No significant abnormality noted. Residual thymic tissue, without lymphadenopathy or other significant findings. None. No significant abnormality noted. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. Small accessory splenule, normal variant. </s>

. No suspicious pulmonary nodules. No pleural effusion. No consolidation. Few bilateral axillary lymph nodes measuring up to 1.6 x 1.4 cm within the left axilla, with normal morphology. Right chest wall port with the tip terminating at the cavoatrial junction. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Status post partial gastrectomy. No bowel obstruction. No ascites. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No bowel obstruction. No ascites. No significant abnormality noted. No significant abnormality noted

clinical findings_fin: {'suspicious pulmonary nodules': {'clinical finding': 'suspicious pulmonary nodules', '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'}}clinical findings_fin: {'consolidation': {'clinical finding': 'consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'neg_dx', 'observation': 'consolidation'}}size_fin: [{'size': '1.6 x 1.4 cm', 'size_descriptor': 'nodes'}]anatomical entity_fin: {'axillary lymph nodes': {'location descriptor': 'bilateral'}, 'axilla': {'location descriptor': 'left'}}location descriptor_fin: ['bilateral', 'left']clinical findings_fin: {'few bilateral axillary lymph nodes': {'clinical finding': 'few bilateral axillary lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'few bilateral axillary lymph', 'observation': 'node', 'quantity_term': 'few'}}anatomical entity_fin: {'chest wall': {'location descriptor': 'right'}}location descriptor_fin: ['right']object_fin: ['port']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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}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'}}clinical findings_fin: {'ascites': {'clinical finding': 'ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'neg_dx', 'observation': 'ascite'}}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'}}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'}}clinical findings_fin: {'ascites': {'clinical finding': 'ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'neg_dx', 'observation': 'ascite'}}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'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'suspicious pulmonary nodules': {'clinical finding': 'suspicious pulmonary nodules', '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'}}clinical findings_fin: {'consolidation': {'clinical finding': 'consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'neg_dx', 'observation': 'consolidation'}}size_fin: [{'size': '1.6 x 1.4 cm', 'size_descriptor': 'nodes'}]anatomical entity_fin: {'axillary lymph nodes': {'location descriptor': 'bilateral'}, 'axilla': {'location descriptor': 'left'}}location descriptor_fin: ['bilateral', 'left']clinical findings_fin: {'few bilateral axillary lymph nodes': {'clinical finding': 'few bilateral axillary lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'few bilateral axillary lymph', 'observation': 'node', 'quantity_term': 'few'}}anatomical entity_fin: {'chest wall': {'location descriptor': 'right'}}location descriptor_fin: ['right']object_fin: ['port']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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}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'}}clinical findings_fin: {'ascites': {'clinical finding': 'ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'neg_dx', 'observation': 'ascite'}}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'}}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'}}clinical findings_fin: {'ascites': {'clinical finding': 'ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'neg_dx', 'observation': 'ascite'}}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] . No suspicious pulmonary nodules. No pleural effusion. No consolidation. Few bilateral axillary lymph nodes measuring up to 1.6 x 1.4 cm within the left axilla, with normal morphology. Right chest wall port with the tip terminating at the cavoatrial junction. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Status post partial gastrectomy. No bowel obstruction. No ascites. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No bowel obstruction. No ascites. No significant abnormality noted. No significant abnormality noted </s>

.There is no evidence of intracranial hemorrhage or mass. The grey-white matter differentiation appears to be intact. There is again visualized mild to moderate patchy and confluent hypoattenuation within the subcortical and periventricular white matter, not significantly changed compared to prior exam. There is evidence of global parenchymal volume loss and sulcal prominence. There is no midline shift or herniation. The orbits, skull and scalp soft tissues are grossly unremarkable, without evidence of calvarial fracture. There is minimal mucosal thickening of the left frontoethmoidal recess and anterior ethmoid air cells. Patient is status post bilateral intraocular lens replacement. There are atherosclerotic locations of the cavernous internal carotid arteries. No fractures are identified in the cervical spine. There is osseous bridging present at the disc spaces of C2-3, C3-4, C5-6 and C6-7 and to a lesser degree C4-5. There is fusion of the left facet joints at C2-C3-C4. At C2-3 there is mild loss of disc space height. There are bilateral uncovertebral osteophytes as well as facet osteophytes present at this level associated with narrowing of the neural foramina bilaterally. At C3-4 there is loss of disc space height at this level. There are bilateral uncovertebral osteophytes as well as facet osteophytes present at this level associated with narrowing of the neural foramina bilaterally. There are endplate osteophytes present at this level. Overall there is a mild to moderate degree of spinal stenosis at this levelAt C4-5 there is mild loss of disc space height. There are bilateral uncovertebral osteophytes present at this level associated with narrowing of the neural foramina bilaterally. At C5-6 there is loss of disc space height. There are bilateral uncovertebral osteophytes present at this level associated with narrowing of the neural foramina bilaterally. At C6-7 there is no significant compromise to the spinal canal or neural foramina. There is loss of disc space height at this level. At C7-T1 there is no significant compromise to the spinal canal or neural foramina. There are small uncovertebral osteophytes present at this levelThere are atherosclerotic calcifications of the bilateral common carotid arteries at the carotid bulb. There is a small volume of air within the right internal jugular vein.

clinical findings_fin: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}, 'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}clinical findings_fin: {'mild to moderate patchy and confluent hypoattenuation': {'clinical finding': 'mild to moderate patchy and confluent hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'mild to moderate patchy and confluent', 'observation': 'hypoattenuation', 'strength_term': 'mild - moderate'}}clinical findings_fin: {'global parenchymal volume loss': {'clinical finding': 'global parenchymal volume loss', 'existence': 'pos_dx', 'descriptive_term': 'global parenchymal volume', 'observation': 'loss'}}location descriptor_fin: ['midline']clinical findings_fin: {'herniation': {'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'}}anatomical entity_fin: {'orbits': {}, 'skull': {}, 'scalp': {}}clinical findings_fin: {'calvarial fracture': {'clinical finding': 'calvarial fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'descriptive_term': 'calvarial', 'observation': 'fracture'}}anatomical entity_fin: {'cells': {}}location descriptor_fin: ['left', 'anterior']clinical findings_fin: {'minimal mucosal thickening': {'clinical finding': 'minimal mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'minimal mucosal', 'observation': 'thickening', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}anatomical entity_fin: {'lens': {}}location descriptor_fin: ['bilateral']anatomical entity_fin: {'internal carotid arteries': {}}clinical findings_fin: {'atherosclerotic': {'clinical finding': 'atherosclerotic', 'existence': 'pos_dx', 'observation': 'atherosclerotic'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'fractures': {'clinical finding': 'fractures', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'observation': 'fracture'}}anatomical entity_fin: {'osseous': {}, 'disc': {}}clinical findings_fin: {'osseous bridging present at the disc spaces of c2 -3 , c3 -4 , c5 -6 and c6': {'clinical finding': 'osseous bridging present at the disc spaces of c2 -3 , c3 -4 , c5 -6 and c6'}}anatomical entity_fin: {'facet': {'location descriptor': 'left'}, 'joints': {}}location descriptor_fin: ['left']clinical findings_fin: {'fusion': {'clinical finding': 'fusion', 'existence': 'pos_dx', 'observation': 'fusion'}}anatomical entity_fin: {'disc': {}}clinical findings_fin: {'disc space height': {'clinical finding': 'disc space height', 'existence': 'pos_dx', 'descriptive_term': 'disc space', 'observation': 'height'}}anatomical entity_fin: {'facet': {}, 'foramina': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral uncovertebral osteophytes': {'clinical finding': 'bilateral uncovertebral osteophytes', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral uncovertebral', 'observation': 'osteophyte'}, 'facet osteophytes': {'clinical finding': 'facet osteophytes', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'facet', 'observation': 'osteophyte'}, 'narrowing': {'clinical finding': 'narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'observation': 'narrowing'}}anatomical entity_fin: {'disc': {}}clinical findings_fin: {'disc space height': {'clinical finding': 'disc space height', 'existence': 'pos_dx', 'descriptive_term': 'disc space', 'observation': 'height'}}anatomical entity_fin: {'facet': {}, 'foramina': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral uncovertebral osteophytes': {'clinical finding': 'bilateral uncovertebral osteophytes', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral uncovertebral', 'observation': 'osteophyte'}, 'facet osteophytes': {'clinical finding': 'facet osteophytes', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'facet', 'observation': 'osteophyte'}, 'narrowing': {'clinical finding': 'narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'observation': 'narrowing'}}clinical findings_fin: {'endplate osteophytes': {'clinical finding': 'endplate osteophytes', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'endplate', 'observation': 'osteophyte'}}anatomical entity_fin: {'spinal': {}, 'disc': {}}clinical findings_fin: {'spinal stenosis': {'clinical finding': 'spinal stenosis', 'cf_snomed': {'spinal stenosis': 76107001}, 'existence': 'pos_dx', 'descriptive_term': 'spinal', 'observation': 'stenosis'}, 'disc space height': {'clinical finding': 'disc space height', 'existence': 'pos_dx', 'descriptive_term': 'disc space', 'observation': 'height'}}anatomical entity_fin: {'foramina': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral uncovertebral osteophytes': {'clinical finding': 'bilateral uncovertebral osteophytes', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral uncovertebral', 'observation': 'osteophyte'}, 'narrowing': {'clinical finding': 'narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'observation': 'narrowing'}}anatomical entity_fin: {'disc': {}}clinical findings_fin: {'disc space height': {'clinical finding': 'disc space height', 'existence': 'pos_dx', 'descriptive_term': 'disc space', 'observation': 'height'}}anatomical entity_fin: {'foramina': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral uncovertebral osteophytes': {'clinical finding': 'bilateral uncovertebral osteophytes', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral uncovertebral', 'observation': 'osteophyte'}, 'narrowing': {'clinical finding': 'narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'observation': 'narrowing'}}anatomical entity_fin: {'spinal canal': {}, 'neural foramina': {}}clinical findings_fin: {'c6 - 7 there is no significant compromise to the spinal canal or neural foramina': {'clinical finding': 'c6 - 7 there is no significant compromise to the spinal canal or neural foramina'}}clinical findings_fin: {'disc space height': {'clinical finding': 'disc space height', 'existence': 'pos_dx', 'descriptive_term': 'disc space', 'observation': 'height'}}anatomical entity_fin: {'spinal canal': {}, 'neural foramina': {}}clinical findings_fin: {'c7 - t1 there is no significant compromise to the spinal canal or neural foramina': {'clinical finding': 'c7 - t1 there is no significant compromise to the spinal canal or neural foramina'}}anatomical entity_fin: {'common carotid arteries': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'small uncovertebral osteophytes': {'clinical finding': 'small uncovertebral osteophytes', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'small uncovertebral', 'observation': 'osteophyte', 'strength_term': 'small'}, 'atherosclerotic calcifications': {'clinical finding': 'atherosclerotic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'}}anatomical entity_fin: {'internal jugular vein': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'is a small volume of air within the right internal jugular vein': {'clinical finding': 'is a small volume of air within the right internal jugular vein'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}, 'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}clinical findings_fin: {'mild to moderate patchy and confluent hypoattenuation': {'clinical finding': 'mild to moderate patchy and confluent hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'mild to moderate patchy and confluent', 'observation': 'hypoattenuation', 'strength_term': 'mild - moderate'}}clinical findings_fin: {'global parenchymal volume loss': {'clinical finding': 'global parenchymal volume loss', 'existence': 'pos_dx', 'descriptive_term': 'global parenchymal volume', 'observation': 'loss'}}location descriptor_fin: ['midline']clinical findings_fin: {'herniation': {'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'}}anatomical entity_fin: {'orbits': {}, 'skull': {}, 'scalp': {}}clinical findings_fin: {'calvarial fracture': {'clinical finding': 'calvarial fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'descriptive_term': 'calvarial', 'observation': 'fracture'}}anatomical entity_fin: {'cells': {}}location descriptor_fin: ['left', 'anterior']clinical findings_fin: {'minimal mucosal thickening': {'clinical finding': 'minimal mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'minimal mucosal', 'observation': 'thickening', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}anatomical entity_fin: {'lens': {}}location descriptor_fin: ['bilateral']anatomical entity_fin: {'internal carotid arteries': {}}clinical findings_fin: {'atherosclerotic': {'clinical finding': 'atherosclerotic', 'existence': 'pos_dx', 'observation': 'atherosclerotic'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'fractures': {'clinical finding': 'fractures', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'observation': 'fracture'}}anatomical entity_fin: {'osseous': {}, 'disc': {}}clinical findings_fin: {'osseous bridging present at the disc spaces of c2 -3 , c3 -4 , c5 -6 and c6': {'clinical finding': 'osseous bridging present at the disc spaces of c2 -3 , c3 -4 , c5 -6 and c6'}}anatomical entity_fin: {'facet': {'location descriptor': 'left'}, 'joints': {}}location descriptor_fin: ['left']clinical findings_fin: {'fusion': {'clinical finding': 'fusion', 'existence': 'pos_dx', 'observation': 'fusion'}}anatomical entity_fin: {'disc': {}}clinical findings_fin: {'disc space height': {'clinical finding': 'disc space height', 'existence': 'pos_dx', 'descriptive_term': 'disc space', 'observation': 'height'}}anatomical entity_fin: {'facet': {}, 'foramina': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral uncovertebral osteophytes': {'clinical finding': 'bilateral uncovertebral osteophytes', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral uncovertebral', 'observation': 'osteophyte'}, 'facet osteophytes': {'clinical finding': 'facet osteophytes', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'facet', 'observation': 'osteophyte'}, 'narrowing': {'clinical finding': 'narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'observation': 'narrowing'}}anatomical entity_fin: {'disc': {}}clinical findings_fin: {'disc space height': {'clinical finding': 'disc space height', 'existence': 'pos_dx', 'descriptive_term': 'disc space', 'observation': 'height'}}anatomical entity_fin: {'facet': {}, 'foramina': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral uncovertebral osteophytes': {'clinical finding': 'bilateral uncovertebral osteophytes', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral uncovertebral', 'observation': 'osteophyte'}, 'facet osteophytes': {'clinical finding': 'facet osteophytes', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'facet', 'observation': 'osteophyte'}, 'narrowing': {'clinical finding': 'narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'observation': 'narrowing'}}clinical findings_fin: {'endplate osteophytes': {'clinical finding': 'endplate osteophytes', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'endplate', 'observation': 'osteophyte'}}anatomical entity_fin: {'spinal': {}, 'disc': {}}clinical findings_fin: {'spinal stenosis': {'clinical finding': 'spinal stenosis', 'cf_snomed': {'spinal stenosis': 76107001}, 'existence': 'pos_dx', 'descriptive_term': 'spinal', 'observation': 'stenosis'}, 'disc space height': {'clinical finding': 'disc space height', 'existence': 'pos_dx', 'descriptive_term': 'disc space', 'observation': 'height'}}anatomical entity_fin: {'foramina': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral uncovertebral osteophytes': {'clinical finding': 'bilateral uncovertebral osteophytes', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral uncovertebral', 'observation': 'osteophyte'}, 'narrowing': {'clinical finding': 'narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'observation': 'narrowing'}}anatomical entity_fin: {'disc': {}}clinical findings_fin: {'disc space height': {'clinical finding': 'disc space height', 'existence': 'pos_dx', 'descriptive_term': 'disc space', 'observation': 'height'}}anatomical entity_fin: {'foramina': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral uncovertebral osteophytes': {'clinical finding': 'bilateral uncovertebral osteophytes', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral uncovertebral', 'observation': 'osteophyte'}, 'narrowing': {'clinical finding': 'narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'observation': 'narrowing'}}anatomical entity_fin: {'spinal canal': {}, 'neural foramina': {}}clinical findings_fin: {'c6 - 7 there is no significant compromise to the spinal canal or neural foramina': {'clinical finding': 'c6 - 7 there is no significant compromise to the spinal canal or neural foramina'}}clinical findings_fin: {'disc space height': {'clinical finding': 'disc space height', 'existence': 'pos_dx', 'descriptive_term': 'disc space', 'observation': 'height'}}anatomical entity_fin: {'spinal canal': {}, 'neural foramina': {}}clinical findings_fin: {'c7 - t1 there is no significant compromise to the spinal canal or neural foramina': {'clinical finding': 'c7 - t1 there is no significant compromise to the spinal canal or neural foramina'}}anatomical entity_fin: {'common carotid arteries': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'small uncovertebral osteophytes': {'clinical finding': 'small uncovertebral osteophytes', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'small uncovertebral', 'observation': 'osteophyte', 'strength_term': 'small'}, 'atherosclerotic calcifications': {'clinical finding': 'atherosclerotic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'}}anatomical entity_fin: {'internal jugular vein': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'is a small volume of air within the right internal jugular vein': {'clinical finding': 'is a small volume of air within the right internal jugular vein'}} [/INST] .There is no evidence of intracranial hemorrhage or mass. The grey-white matter differentiation appears to be intact. There is again visualized mild to moderate patchy and confluent hypoattenuation within the subcortical and periventricular white matter, not significantly changed compared to prior exam. There is evidence of global parenchymal volume loss and sulcal prominence. There is no midline shift or herniation. The orbits, skull and scalp soft tissues are grossly unremarkable, without evidence of calvarial fracture. There is minimal mucosal thickening of the left frontoethmoidal recess and anterior ethmoid air cells. Patient is status post bilateral intraocular lens replacement. There are atherosclerotic locations of the cavernous internal carotid arteries. No fractures are identified in the cervical spine. There is osseous bridging present at the disc spaces of C2-3, C3-4, C5-6 and C6-7 and to a lesser degree C4-5. There is fusion of the left facet joints at C2-C3-C4. At C2-3 there is mild loss of disc space height. There are bilateral uncovertebral osteophytes as well as facet osteophytes present at this level associated with narrowing of the neural foramina bilaterally. At C3-4 there is loss of disc space height at this level. There are bilateral uncovertebral osteophytes as well as facet osteophytes present at this level associated with narrowing of the neural foramina bilaterally. There are endplate osteophytes present at this level. Overall there is a mild to moderate degree of spinal stenosis at this levelAt C4-5 there is mild loss of disc space height. There are bilateral uncovertebral osteophytes present at this level associated with narrowing of the neural foramina bilaterally. At C5-6 there is loss of disc space height. There are bilateral uncovertebral osteophytes present at this level associated with narrowing of the neural foramina bilaterally. At C6-7 there is no significant compromise to the spinal canal or neural foramina. There is loss of disc space height at this level. At C7-T1 there is no significant compromise to the spinal canal or neural foramina. There are small uncovertebral osteophytes present at this levelThere are atherosclerotic calcifications of the bilateral common carotid arteries at the carotid bulb. There is a small volume of air within the right internal jugular vein. </s>

No evidence of parenchymal edema, mass effect or loss of gray-white distinction is seen. In fact, no significant parenchymal lesions are detected. No evidence of intracranial hemorrhage or any abnormal extra axial fluid collection is seen. Ventricular size and morphology are within normal limits. The osseous structures of the skull are intact. The paranasal sinuses and mastoid air cells are clear. A left globe prosthesis is seen.

clinical findings_fin: {'parenchymal edema': {'clinical finding': 'parenchymal edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'neg_dx', 'descriptive_term': 'parenchymal', 'observation': 'edema'}, 'mass effect': {'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect'}, 'gray-white distinction': {'clinical finding': 'gray-white distinction', 'existence': 'neg_dx', 'descriptive_term': 'gray-white', 'observation': 'distinction'}}clinical findings_fin: {'significant parenchymal lesions': {'clinical finding': 'significant parenchymal lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'significant parenchymal', 'observation': 'lesion'}}clinical findings_fin: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}, 'any abnormal extra axial fluid collection': {'clinical finding': 'any abnormal extra axial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'any abnormal extra axial fluid', 'observation': 'collection'}}clinical findings_fin: {'ventricular size and morphology are within normal limits': {'clinical finding': 'ventricular size and morphology are within normal limits'}}anatomical entity_fin: {'skull': {}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}anatomical entity_fin: {'paranasal sinuses': {}, 'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'globe': {'location descriptor': 'left'}}location descriptor_fin: ['left']object_fin: ['prosthesis']clinical findings_fin: {'left globe prosthesis is seen': {'clinical finding': 'left globe prosthesis is seen'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'parenchymal edema': {'clinical finding': 'parenchymal edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'neg_dx', 'descriptive_term': 'parenchymal', 'observation': 'edema'}, 'mass effect': {'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect'}, 'gray-white distinction': {'clinical finding': 'gray-white distinction', 'existence': 'neg_dx', 'descriptive_term': 'gray-white', 'observation': 'distinction'}}clinical findings_fin: {'significant parenchymal lesions': {'clinical finding': 'significant parenchymal lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'significant parenchymal', 'observation': 'lesion'}}clinical findings_fin: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}, 'any abnormal extra axial fluid collection': {'clinical finding': 'any abnormal extra axial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'any abnormal extra axial fluid', 'observation': 'collection'}}clinical findings_fin: {'ventricular size and morphology are within normal limits': {'clinical finding': 'ventricular size and morphology are within normal limits'}}anatomical entity_fin: {'skull': {}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}anatomical entity_fin: {'paranasal sinuses': {}, 'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'globe': {'location descriptor': 'left'}}location descriptor_fin: ['left']object_fin: ['prosthesis']clinical findings_fin: {'left globe prosthesis is seen': {'clinical finding': 'left globe prosthesis is seen'}} [/INST] No evidence of parenchymal edema, mass effect or loss of gray-white distinction is seen. In fact, no significant parenchymal lesions are detected. No evidence of intracranial hemorrhage or any abnormal extra axial fluid collection is seen. Ventricular size and morphology are within normal limits. The osseous structures of the skull are intact. The paranasal sinuses and mastoid air cells are clear. A left globe prosthesis is seen. </s>

No abnormal enhancement or soft tissue mass is seen to suggest recurrent tumor. Again seen are postsurgical changes of thyroid gland resection with multiple clips on the left. Again seen are small scattered cervical lymph nodes. Reference submandibular lymph nodes are unchanged on the right measuring 6 mm and smaller on the left. No cervical lymphadenopathy by CT size criteria. The parotid and submandibular glands are unremarkable. The airway is patent. The imaged portion of the paranasal sinuses and mastoid air cells are clear. The imaged orbits are unremarkable. Limited examination of the intracranial contents are unremarkable. Major cervical vessels are grossly patent. Mild degenerative changes are seen in the cervical spine including disc osteophyte complexes at the C5-C6 and C6-C7 levels with up to moderate bilateral neural foraminal stenosis at C5-C6. Centrilobular emphysema at the lung apices again seen. Left apical pulmonary micronodule appears similar to prior study. Please see same day chest CT report for additional details.

clinical findings_fin: {'abnormal enhancement': {'clinical finding': 'abnormal enhancement', 'existence': 'neg_dx', 'descriptive_term': 'abnormal', 'observation': 'enhancement'}, 'soft tissue mass': {'clinical finding': 'soft tissue mass', 'cf_snomed': {'soft tissue mass': 278002000}, 'existence': 'neg_dx', 'descriptive_term': 'soft tissue', 'observation': 'mass'}, 'recurrent tumor': {'clinical finding': 'recurrent tumor', 'cf_snomed': {'recurrent tumor': 25173007}, 'existence': 'unc_dx', 'descriptive_term': 'recurrent', 'observation': 'tumor'}}anatomical entity_fin: {'thyroid gland': {}}location descriptor_fin: ['left']object_fin: ['clips']clinical findings_fin: {'postsurgical changes': {'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'}, 'thyroid gland': {'clinical finding': 'thyroid gland', 'existence': 'pos_dx', 'descriptive_term': 'thyroid', 'observation': 'gland'}}clinical findings_fin: {'small scattered cervical lymph nodes': {'clinical finding': 'small scattered cervical lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small scattered cervical lymph', 'observation': 'node', 'strength_term': 'small'}}size_fin: [{'size': '6 mm'}]anatomical entity_fin: {'submandibular lymph nodes': {}}location descriptor_fin: ['right', 'left']clinical findings_fin: {'reference submandibular lymph nodes': {'clinical finding': 'reference submandibular lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'reference submandibular lymph', 'observation': 'node'}}clinical findings_fin: {'cervical lymphadenopathy': {'clinical finding': 'cervical lymphadenopathy', 'cf_snomed': {'cervical lymphadenopathy': 127086001}, 'existence': 'neg_dx', 'descriptive_term': 'cervical', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'submandibular glands': {}}clinical findings_fin: {'parotid and submandibular glands are unremarkable': {'clinical finding': 'parotid and submandibular glands are unremarkable'}}anatomical entity_fin: {'airway': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}anatomical entity_fin: {'paranasal sinuses': {}, 'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'orbits': {}}clinical findings_fin: {'imaged orbits are unremarkable': {'clinical finding': 'imaged orbits are unremarkable'}}anatomical entity_fin: {'contents': {}}clinical findings_fin: {'limited examination of the intracranial contents': {'clinical finding': 'limited examination of the intracranial contents'}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}anatomical entity_fin: {'cervical spine': {}, 'disc': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'mild degenerative changes': {'clinical finding': 'mild degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'mild degenerative', 'observation': 'change', 'strength_term': 'mild'}, 'disc osteophyte': {'clinical finding': 'disc osteophyte', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'disc', 'observation': 'osteophyte'}, 'moderate bilateral neural foraminal stenosis': {'clinical finding': 'moderate bilateral neural foraminal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'moderate bilateral neural foraminal', 'observation': 'stenosis', 'strength_term': 'moderate'}}anatomical entity_fin: {'lung': {}, 'apices': {}}clinical findings_fin: {'centrilobular emphysema': {'clinical finding': 'centrilobular emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'descriptive_term': 'centrilobular', 'observation': 'emphysema'}}imaging observation_fin: ['apical']location descriptor_fin: ['left']clinical findings_fin: {'left apical pulmonary micronodule': {'clinical finding': 'left apical pulmonary micronodule', 'existence': 'pos_dx', 'descriptive_term': 'left apical pulmonary', 'observation': 'micronodule'}}anatomical entity_fin: {'chest': {}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'abnormal enhancement': {'clinical finding': 'abnormal enhancement', 'existence': 'neg_dx', 'descriptive_term': 'abnormal', 'observation': 'enhancement'}, 'soft tissue mass': {'clinical finding': 'soft tissue mass', 'cf_snomed': {'soft tissue mass': 278002000}, 'existence': 'neg_dx', 'descriptive_term': 'soft tissue', 'observation': 'mass'}, 'recurrent tumor': {'clinical finding': 'recurrent tumor', 'cf_snomed': {'recurrent tumor': 25173007}, 'existence': 'unc_dx', 'descriptive_term': 'recurrent', 'observation': 'tumor'}}anatomical entity_fin: {'thyroid gland': {}}location descriptor_fin: ['left']object_fin: ['clips']clinical findings_fin: {'postsurgical changes': {'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'}, 'thyroid gland': {'clinical finding': 'thyroid gland', 'existence': 'pos_dx', 'descriptive_term': 'thyroid', 'observation': 'gland'}}clinical findings_fin: {'small scattered cervical lymph nodes': {'clinical finding': 'small scattered cervical lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small scattered cervical lymph', 'observation': 'node', 'strength_term': 'small'}}size_fin: [{'size': '6 mm'}]anatomical entity_fin: {'submandibular lymph nodes': {}}location descriptor_fin: ['right', 'left']clinical findings_fin: {'reference submandibular lymph nodes': {'clinical finding': 'reference submandibular lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'reference submandibular lymph', 'observation': 'node'}}clinical findings_fin: {'cervical lymphadenopathy': {'clinical finding': 'cervical lymphadenopathy', 'cf_snomed': {'cervical lymphadenopathy': 127086001}, 'existence': 'neg_dx', 'descriptive_term': 'cervical', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'submandibular glands': {}}clinical findings_fin: {'parotid and submandibular glands are unremarkable': {'clinical finding': 'parotid and submandibular glands are unremarkable'}}anatomical entity_fin: {'airway': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}anatomical entity_fin: {'paranasal sinuses': {}, 'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'orbits': {}}clinical findings_fin: {'imaged orbits are unremarkable': {'clinical finding': 'imaged orbits are unremarkable'}}anatomical entity_fin: {'contents': {}}clinical findings_fin: {'limited examination of the intracranial contents': {'clinical finding': 'limited examination of the intracranial contents'}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}anatomical entity_fin: {'cervical spine': {}, 'disc': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'mild degenerative changes': {'clinical finding': 'mild degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'mild degenerative', 'observation': 'change', 'strength_term': 'mild'}, 'disc osteophyte': {'clinical finding': 'disc osteophyte', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'disc', 'observation': 'osteophyte'}, 'moderate bilateral neural foraminal stenosis': {'clinical finding': 'moderate bilateral neural foraminal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'moderate bilateral neural foraminal', 'observation': 'stenosis', 'strength_term': 'moderate'}}anatomical entity_fin: {'lung': {}, 'apices': {}}clinical findings_fin: {'centrilobular emphysema': {'clinical finding': 'centrilobular emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'descriptive_term': 'centrilobular', 'observation': 'emphysema'}}imaging observation_fin: ['apical']location descriptor_fin: ['left']clinical findings_fin: {'left apical pulmonary micronodule': {'clinical finding': 'left apical pulmonary micronodule', 'existence': 'pos_dx', 'descriptive_term': 'left apical pulmonary', 'observation': 'micronodule'}}anatomical entity_fin: {'chest': {}} [/INST] No abnormal enhancement or soft tissue mass is seen to suggest recurrent tumor. Again seen are postsurgical changes of thyroid gland resection with multiple clips on the left. Again seen are small scattered cervical lymph nodes. Reference submandibular lymph nodes are unchanged on the right measuring 6 mm and smaller on the left. No cervical lymphadenopathy by CT size criteria. The parotid and submandibular glands are unremarkable. The airway is patent. The imaged portion of the paranasal sinuses and mastoid air cells are clear. The imaged orbits are unremarkable. Limited examination of the intracranial contents are unremarkable. Major cervical vessels are grossly patent. Mild degenerative changes are seen in the cervical spine including disc osteophyte complexes at the C5-C6 and C6-C7 levels with up to moderate bilateral neural foraminal stenosis at C5-C6. Centrilobular emphysema at the lung apices again seen. Left apical pulmonary micronodule appears similar to prior study. Please see same day chest CT report for additional details. </s>

The following observations are made given the limitations of an unenhanced study. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. End-stage kidneys with multiple nonspecific hypodense nodules, some containing calcification. These may represent uremic cysts but cannot be characterized without intravenous contrast. No significant abnormality noted. Colonic diverticulosis. Renal osteodystrophy. Mild atherosclerotic distal aorta calcifications. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Renal osteodystrophy. Mild atherosclerotic calcifications of the common iliac arteries mostly medial. End-stage transplant kidney in the right iliac fossa.

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'}}anatomical entity_fin: {'kidneys': {}}clinical findings_fin: {'multiple nonspecific hypodense nodules': {'clinical finding': 'multiple nonspecific hypodense nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'multiple nonspecific hypodense', 'observation': 'nodule', 'quantity_term': 'multiple'}, 'calcification': {'clinical finding': 'calcification', 'existence': 'pos_dx', 'observation': 'calcification'}}clinical findings_fin: {'uremic cysts': {'clinical finding': 'uremic cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'unc_dx', 'descriptive_term': 'uremic', 'observation': 'cyst'}, 'intravenous contrast': {'clinical finding': 'intravenous contrast', 'existence': 'pos_dx', 'descriptive_term': 'intravenous', 'observation': 'contrast'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'colonic diverticulosis': {'clinical finding': 'colonic diverticulosis', 'existence': 'pos_dx', 'descriptive_term': 'colonic', 'observation': 'diverticulosis'}}clinical findings_fin: {'renal osteodystrophy': {'clinical finding': 'renal osteodystrophy', 'cf_snomed': {'renal osteodystrophy': 16726004}, 'existence': 'pos_dx', 'descriptive_term': 'renal', 'observation': 'osteodystrophy'}}anatomical entity_fin: {'aorta': {'location descriptor': 'distal'}}location descriptor_fin: ['distal']clinical findings_fin: {'mild atherosclerotic distal aorta calcifications': {'clinical finding': 'mild atherosclerotic distal aorta calcifications', 'existence': 'pos_dx', 'descriptive_term': 'mild atherosclerotic distal aorta', 'observation': 'calcification', 'strength_term': 'mild'}}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: {'renal osteodystrophy': {'clinical finding': 'renal osteodystrophy', 'cf_snomed': {'renal osteodystrophy': 16726004}, 'existence': 'pos_dx', 'descriptive_term': 'renal', 'observation': 'osteodystrophy'}}anatomical entity_fin: {'common iliac arteries': {}}location descriptor_fin: ['medial']clinical findings_fin: {'mild atherosclerotic calcifications': {'clinical finding': 'mild atherosclerotic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'mild atherosclerotic', 'observation': 'calcification', 'strength_term': 'mild'}}anatomical entity_fin: {'kidney': {}, 'iliac fossa': {'location descriptor': 'right'}}location descriptor_fin: ['right']

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: 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'}}anatomical entity_fin: {'kidneys': {}}clinical findings_fin: {'multiple nonspecific hypodense nodules': {'clinical finding': 'multiple nonspecific hypodense nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'multiple nonspecific hypodense', 'observation': 'nodule', 'quantity_term': 'multiple'}, 'calcification': {'clinical finding': 'calcification', 'existence': 'pos_dx', 'observation': 'calcification'}}clinical findings_fin: {'uremic cysts': {'clinical finding': 'uremic cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'unc_dx', 'descriptive_term': 'uremic', 'observation': 'cyst'}, 'intravenous contrast': {'clinical finding': 'intravenous contrast', 'existence': 'pos_dx', 'descriptive_term': 'intravenous', 'observation': 'contrast'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'colonic diverticulosis': {'clinical finding': 'colonic diverticulosis', 'existence': 'pos_dx', 'descriptive_term': 'colonic', 'observation': 'diverticulosis'}}clinical findings_fin: {'renal osteodystrophy': {'clinical finding': 'renal osteodystrophy', 'cf_snomed': {'renal osteodystrophy': 16726004}, 'existence': 'pos_dx', 'descriptive_term': 'renal', 'observation': 'osteodystrophy'}}anatomical entity_fin: {'aorta': {'location descriptor': 'distal'}}location descriptor_fin: ['distal']clinical findings_fin: {'mild atherosclerotic distal aorta calcifications': {'clinical finding': 'mild atherosclerotic distal aorta calcifications', 'existence': 'pos_dx', 'descriptive_term': 'mild atherosclerotic distal aorta', 'observation': 'calcification', 'strength_term': 'mild'}}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: {'renal osteodystrophy': {'clinical finding': 'renal osteodystrophy', 'cf_snomed': {'renal osteodystrophy': 16726004}, 'existence': 'pos_dx', 'descriptive_term': 'renal', 'observation': 'osteodystrophy'}}anatomical entity_fin: {'common iliac arteries': {}}location descriptor_fin: ['medial']clinical findings_fin: {'mild atherosclerotic calcifications': {'clinical finding': 'mild atherosclerotic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'mild atherosclerotic', 'observation': 'calcification', 'strength_term': 'mild'}}anatomical entity_fin: {'kidney': {}, 'iliac fossa': {'location descriptor': 'right'}}location descriptor_fin: ['right'] [/INST] The following observations are made given the limitations of an unenhanced study. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. End-stage kidneys with multiple nonspecific hypodense nodules, some containing calcification. These may represent uremic cysts but cannot be characterized without intravenous contrast. No significant abnormality noted. Colonic diverticulosis. Renal osteodystrophy. Mild atherosclerotic distal aorta calcifications. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Renal osteodystrophy. Mild atherosclerotic calcifications of the common iliac arteries mostly medial. End-stage transplant kidney in the right iliac fossa. </s>

. There has been interval increase in the number and size of pulmonary nodules. A reference left upper lobe pulmonary nodule now measures 1.3 x 0.6 mm, previously 0.8 x 0.5 cm. A new right lower lobe pleural-based nodule measures 2.7 x 1.8 cm. A reference precarinal lymph node measures 1.5 x 1.1 cm, previously 1.2 x 1.1 cm. Mild. No significant abnormality noted. Hepatic cysts, unchanged. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Left kidney surgically absent. Right renal mass has increased in size, now extending to the psoas muscle and abutting the renal artery with a new nodular satellite noted. The mass currently measures 8.9 x 6.7 cm , previously 6.0 x 4.9 cm. No significant change in right hydronephrosis. Involvement of the collecting system cannot be commented on in this non IV contrast study. Punctate calcifications area again noted within the right kidney. Scattered subcentimeter retroperitoneal lymph nodes. The reference aortocaval lymph node currently measures 3.3 x 1.2 cm, previously 2.2 x 1.9 cm. Mild. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Stable appearance of a left inguinal hernia containing loops of small bowel and a small amount of free fluid with no evidence of complications. No significant abnormality noted

clinical findings_fin: {'pulmonary nodules': {'clinical finding': 'pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'pulmonary', 'observation': 'nodule'}}size_fin: [{'size': '1.3 x 0.6 mm'}, {'size': '0.8 x 0.5 cm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'reference left upper lobe pulmonary nodule': {'clinical finding': 'reference left upper lobe pulmonary nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'reference left upper lobe pulmonary', 'observation': 'nodule'}}size_fin: [{'size': '2.7 x 1.8 cm', 'size_descriptor': 'nodule'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'new right lower lobe pleural-based nodule': {'clinical finding': 'new right lower lobe pleural-based nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'new right lower lobe pleural-based', 'observation': 'nodule', 'temporal_term': 'new'}}size_fin: [{'size': '1.5 x 1.1 cm'}, {'size': '1.2 x 1.1 cm'}]clinical findings_fin: {'reference precarinal lymph node': {'clinical finding': 'reference precarinal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference precarinal lymph', 'observation': 'node'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'hepatic cysts': {'clinical finding': 'hepatic cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'hepatic', 'observation': 'cyst'}}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'}}anatomical entity_fin: {'left kidney': {}}clinical findings_fin: {'surgically': {'clinical finding': 'surgically', 'existence': 'pos_dx', 'observation': 'surgically'}, 'absent': {'clinical finding': 'absent', 'existence': 'pos_dx', 'observation': 'absent'}}anatomical entity_fin: {'psoas muscle': {}, 'renal artery': {}}location descriptor_fin: ['right']clinical findings_fin: {'right renal mass': {'clinical finding': 'right renal mass', 'cf_snomed': {'renal mass': 309088003}, 'existence': 'pos_dx', 'descriptive_term': 'right renal', 'observation': 'mass'}}size_fin: [{'size': '8.9 x 6.7 cm'}, {'size': '6.0 x 4.9 cm'}]clinical findings_fin: {'mass': {'clinical finding': 'mass', 'existence': 'pos_dx', 'observation': 'mass'}}location descriptor_fin: ['right']clinical findings_fin: {'significant change': {'clinical finding': 'significant change', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'change'}, 'right hydronephrosis': {'clinical finding': 'right hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'neg_dx', 'descriptive_term': 'right', 'observation': 'hydronephrosis'}}clinical findings_fin: {'this non iv contrast': {'clinical finding': 'this non iv contrast', 'existence': 'unc_dx', 'descriptive_term': 'this non iv', 'observation': 'contrast'}}anatomical entity_fin: {'right kidney': {}}clinical findings_fin: {'punctate calcifications': {'clinical finding': 'punctate calcifications', 'cf_snomed': {'punctate calcification': 129755006}, 'existence': 'pos_dx', 'descriptive_term': 'punctate', 'observation': 'calcification'}}clinical findings_fin: {'scattered subcentimeter retroperitoneal lymph nodes': {'clinical finding': 'scattered subcentimeter retroperitoneal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'scattered subcentimeter retroperitoneal lymph', 'observation': 'node'}}size_fin: [{'size': '3.3 x 1.2 cm'}, {'size': '2.2 x 1.9 cm'}]clinical findings_fin: {'reference aortocaval lymph node': {'clinical finding': 'reference aortocaval lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference aortocaval lymph', 'observation': 'node'}}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'}}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'}}anatomical entity_fin: {'bowel': {}}location descriptor_fin: ['left']clinical findings_fin: {'left inguinal hernia': {'clinical finding': 'left inguinal hernia', 'cf_snomed': {'left inguinal hernia': 236022004}, 'existence': 'pos_dx', 'descriptive_term': 'left inguinal', 'observation': 'hernia'}, 'free fluid': {'clinical finding': 'free fluid', 'existence': 'pos_dx', 'descriptive_term': 'free', 'observation': 'fluid'}, 'complications': {'clinical finding': 'complications', 'existence': 'neg_dx', 'observation': 'complication'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'pulmonary nodules': {'clinical finding': 'pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'pulmonary', 'observation': 'nodule'}}size_fin: [{'size': '1.3 x 0.6 mm'}, {'size': '0.8 x 0.5 cm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'reference left upper lobe pulmonary nodule': {'clinical finding': 'reference left upper lobe pulmonary nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'reference left upper lobe pulmonary', 'observation': 'nodule'}}size_fin: [{'size': '2.7 x 1.8 cm', 'size_descriptor': 'nodule'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'new right lower lobe pleural-based nodule': {'clinical finding': 'new right lower lobe pleural-based nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'new right lower lobe pleural-based', 'observation': 'nodule', 'temporal_term': 'new'}}size_fin: [{'size': '1.5 x 1.1 cm'}, {'size': '1.2 x 1.1 cm'}]clinical findings_fin: {'reference precarinal lymph node': {'clinical finding': 'reference precarinal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference precarinal lymph', 'observation': 'node'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'hepatic cysts': {'clinical finding': 'hepatic cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'hepatic', 'observation': 'cyst'}}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'}}anatomical entity_fin: {'left kidney': {}}clinical findings_fin: {'surgically': {'clinical finding': 'surgically', 'existence': 'pos_dx', 'observation': 'surgically'}, 'absent': {'clinical finding': 'absent', 'existence': 'pos_dx', 'observation': 'absent'}}anatomical entity_fin: {'psoas muscle': {}, 'renal artery': {}}location descriptor_fin: ['right']clinical findings_fin: {'right renal mass': {'clinical finding': 'right renal mass', 'cf_snomed': {'renal mass': 309088003}, 'existence': 'pos_dx', 'descriptive_term': 'right renal', 'observation': 'mass'}}size_fin: [{'size': '8.9 x 6.7 cm'}, {'size': '6.0 x 4.9 cm'}]clinical findings_fin: {'mass': {'clinical finding': 'mass', 'existence': 'pos_dx', 'observation': 'mass'}}location descriptor_fin: ['right']clinical findings_fin: {'significant change': {'clinical finding': 'significant change', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'change'}, 'right hydronephrosis': {'clinical finding': 'right hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'neg_dx', 'descriptive_term': 'right', 'observation': 'hydronephrosis'}}clinical findings_fin: {'this non iv contrast': {'clinical finding': 'this non iv contrast', 'existence': 'unc_dx', 'descriptive_term': 'this non iv', 'observation': 'contrast'}}anatomical entity_fin: {'right kidney': {}}clinical findings_fin: {'punctate calcifications': {'clinical finding': 'punctate calcifications', 'cf_snomed': {'punctate calcification': 129755006}, 'existence': 'pos_dx', 'descriptive_term': 'punctate', 'observation': 'calcification'}}clinical findings_fin: {'scattered subcentimeter retroperitoneal lymph nodes': {'clinical finding': 'scattered subcentimeter retroperitoneal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'scattered subcentimeter retroperitoneal lymph', 'observation': 'node'}}size_fin: [{'size': '3.3 x 1.2 cm'}, {'size': '2.2 x 1.9 cm'}]clinical findings_fin: {'reference aortocaval lymph node': {'clinical finding': 'reference aortocaval lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference aortocaval lymph', 'observation': 'node'}}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'}}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'}}anatomical entity_fin: {'bowel': {}}location descriptor_fin: ['left']clinical findings_fin: {'left inguinal hernia': {'clinical finding': 'left inguinal hernia', 'cf_snomed': {'left inguinal hernia': 236022004}, 'existence': 'pos_dx', 'descriptive_term': 'left inguinal', 'observation': 'hernia'}, 'free fluid': {'clinical finding': 'free fluid', 'existence': 'pos_dx', 'descriptive_term': 'free', 'observation': 'fluid'}, 'complications': {'clinical finding': 'complications', 'existence': 'neg_dx', 'observation': 'complication'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . There has been interval increase in the number and size of pulmonary nodules. A reference left upper lobe pulmonary nodule now measures 1.3 x 0.6 mm, previously 0.8 x 0.5 cm. A new right lower lobe pleural-based nodule measures 2.7 x 1.8 cm. A reference precarinal lymph node measures 1.5 x 1.1 cm, previously 1.2 x 1.1 cm. Mild. No significant abnormality noted. Hepatic cysts, unchanged. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Left kidney surgically absent. Right renal mass has increased in size, now extending to the psoas muscle and abutting the renal artery with a new nodular satellite noted. The mass currently measures 8.9 x 6.7 cm , previously 6.0 x 4.9 cm. No significant change in right hydronephrosis. Involvement of the collecting system cannot be commented on in this non IV contrast study. Punctate calcifications area again noted within the right kidney. Scattered subcentimeter retroperitoneal lymph nodes. The reference aortocaval lymph node currently measures 3.3 x 1.2 cm, previously 2.2 x 1.9 cm. Mild. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Stable appearance of a left inguinal hernia containing loops of small bowel and a small amount of free fluid with no evidence of complications. No significant abnormality noted </s>

. Scattered pulmonary micronodules and nodules are seen bilaterally and are highly suspicious for metastatic disease. A reference right upper lobe lesion measures 1.2 x 0.9 cm. A soft tissue attenuation mass with central hypodensity suspicious for necrotic adenopathy is seen within the superior mediastinum and surrounds the origin of the left carotid artery. A central venous catheter terminates at the cavoatrial junction. None. Nodular and enlarged thyroid gland with a few punctate calcifications. Displacement without narrowing of the trachea. Moderate pneumobilia secondary to recent ERCP with common bile duct stent placement. An ill-defined hypodensity in the right lobe of the liver measures approximately 1.0 x 1.2 cm. No significant abnormality noted. There is an approximately 4.1 x 3.8 cm mass in the region of the pancreatic head and uncinate process. The pancreatic duct is dilated through the entirety of the pancreatic body and tail, measuring up to 1.5 cm in diameter with atrophy of the pancreatic substance. There is 180 degree abutment by tumor of the superior mesenteric artery at its origin. There is complete tumor encasement of the junction of the splenic vein and SMV with focal narrowing of these vessels. No significant abnormality noted. No significant abnormality noted. Scattered shotty subcentimeter mesenteric and peripancreatic lymph nodes. Mild. There is irregular thickening of the wall of the gastric antrum and proximal duodenum. There is infiltration of the fat extending from the pancreatic head involving the duodenum, gallbladder and thickening of the gastric antrum. There is also soft tissue infiltration in the aortocaval space. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted.

clinical findings_fin: {'scattered pulmonary micronodules': {'clinical finding': 'scattered pulmonary micronodules', 'existence': 'pos_dx', 'descriptive_term': 'scattered pulmonary', 'observation': 'micronodule'}, 'nodules': {'clinical finding': 'nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'observation': 'nodule'}, 'metastatic disease': {'clinical finding': 'metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'unc_dx', 'descriptive_term': 'metastatic', 'observation': 'disease'}}size_fin: [{'size': '1.2 x 0.9 cm', 'size_descriptor': 'lesion'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right upper'}}location descriptor_fin: ['right', 'upper']clinical findings_fin: {'reference right upper lobe lesion': {'clinical finding': 'reference right upper lobe lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'reference right upper lobe', 'observation': 'lesion'}}anatomical entity_fin: {'superior mediastinum': {}, 'origin': {}, 'artery': {}}imaging observation_fin: ['central hypodensity']location descriptor_fin: ['left']clinical findings_fin: {'soft tissue attenuation mass': {'clinical finding': 'soft tissue attenuation mass', 'existence': 'pos_dx', 'descriptive_term': 'soft tissue attenuation', 'observation': 'mass'}, 'central hypodensity': {'clinical finding': 'central hypodensity', 'existence': 'pos_dx', 'descriptive_term': 'central', 'observation': 'hypodensity'}, 'necrotic adenopathy': {'clinical finding': 'necrotic adenopathy', 'existence': 'unc_dx', 'descriptive_term': 'necrotic', 'observation': 'adenopathy'}}object_fin: ['central venous catheter']clinical findings_fin: {'central venous catheter': {'clinical finding': 'central venous catheter', 'existence': 'pos_dx', 'descriptive_term': 'central venous', 'observation': 'catheter'}}anatomical entity_fin: {'thyroid gland': {}}clinical findings_fin: {'nodular and enlarged thyroid gland': {'clinical finding': 'nodular and enlarged thyroid gland', 'existence': 'pos_dx', 'descriptive_term': 'nodular and enlarged thyroid', 'observation': 'gland', 'strength_term': 'enlarged', 'change_term': 'enlarged'}, 'few punctate calcifications': {'clinical finding': 'few punctate calcifications', 'cf_snomed': {'punctate calcification': 129755006}, 'existence': 'pos_dx', 'descriptive_term': 'few punctate', 'observation': 'calcification', 'quantity_term': 'few'}}anatomical entity_fin: {'trachea': {}}clinical findings_fin: {'displacement': {'clinical finding': 'displacement', 'existence': 'pos_dx', 'observation': 'displacement'}, 'narrowing': {'clinical finding': 'narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'neg_dx', 'observation': 'narrowing'}}anatomical entity_fin: {'common bile duct': {}}procedure_fin: ['stent placement']clinical findings_fin: {'moderate pneumobilia': {'clinical finding': 'moderate pneumobilia', 'existence': 'pos_dx', 'descriptive_term': 'moderate', 'observation': 'pneumobilia', 'strength_term': 'moderate'}, 'common bile duct stent': {'clinical finding': 'common bile duct stent', 'existence': 'pos_dx', 'descriptive_term': 'common bile duct', 'observation': 'stent'}}size_fin: [{'size': '1.0 x 1.2 cm', 'size_descriptor': 'hypodensity'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right'}, 'liver': {}}location descriptor_fin: ['right']clinical findings_fin: {'ill-defined hypodensity': {'clinical finding': 'ill-defined hypodensity', 'existence': 'pos_dx', 'descriptive_term': 'ill-defined', 'observation': 'hypodensity', 'strength_term': 'ill-defined'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}size_fin: [{'size': '4.1 x 3.8 cm', 'size_descriptor': 'mass'}]anatomical entity_fin: {'head': {}}clinical findings_fin: {'approximately 4.1 x 3.8 cm mass': {'clinical finding': 'approximately 4.1 x 3.8 cm mass', 'existence': 'pos_dx', 'descriptive_term': 'approximately 4 1 x 3 8 cm', 'observation': 'mass'}}size_fin: [{'size': '1.5 cm'}]anatomical entity_fin: {'pancreatic duct': {}, 'body': {}}clinical findings_fin: {'dilated': {'clinical finding': 'dilated', 'existence': 'pos_dx', 'observation': 'dilated'}, 'tail': {'clinical finding': 'tail', 'existence': 'pos_dx', 'observation': 'tail'}, 'atrophy': {'clinical finding': 'atrophy', 'cf_snomed': {'atrophy': 13331008}, 'existence': 'pos_dx', 'observation': 'atrophy'}, 'pancreatic substance': {'clinical finding': 'pancreatic substance', 'existence': 'pos_dx', 'descriptive_term': 'pancreatic', 'observation': 'substance'}}anatomical entity_fin: {'superior mesenteric artery': {}, 'origin': {}}clinical findings_fin: {'tumor': {'clinical finding': 'tumor', 'existence': 'pos_dx', 'observation': 'tumor'}}anatomical entity_fin: {'splenic vein': {}}clinical findings_fin: {'complete tumor': {'clinical finding': 'complete tumor', 'existence': 'pos_dx', 'descriptive_term': 'complete', 'observation': 'tumor'}, 'focal narrowing': {'clinical finding': 'focal narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'focal', 'observation': 'narrowing'}}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: {'scattered shotty subcentimeter mesenteric and peripancreatic lymph nodes': {'clinical finding': 'scattered shotty subcentimeter mesenteric and peripancreatic lymph nodes', 'cf_snomed': {'peripancreatic lymph node': 245346008}, 'existence': 'pos_dx', 'descriptive_term': 'scattered shotty subcentimeter mesenteric and peripancreatic lymph', 'observation': 'node'}}anatomical entity_fin: {'wall': {}, 'antrum': {}, 'duodenum': {'location descriptor': 'proximal'}}location descriptor_fin: ['proximal']clinical findings_fin: {'irregular thickening': {'clinical finding': 'irregular thickening', 'existence': 'pos_dx', 'descriptive_term': 'irregular', 'observation': 'thickening'}}anatomical entity_fin: {'head': {}, 'duodenum': {}, 'gallbladder': {}, 'antrum': {}}imaging observation_fin: ['fat']clinical findings_fin: {'thickening': {'clinical finding': 'thickening', 'existence': 'pos_dx', 'observation': 'thickening'}}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'}}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'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'scattered pulmonary micronodules': {'clinical finding': 'scattered pulmonary micronodules', 'existence': 'pos_dx', 'descriptive_term': 'scattered pulmonary', 'observation': 'micronodule'}, 'nodules': {'clinical finding': 'nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'observation': 'nodule'}, 'metastatic disease': {'clinical finding': 'metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'unc_dx', 'descriptive_term': 'metastatic', 'observation': 'disease'}}size_fin: [{'size': '1.2 x 0.9 cm', 'size_descriptor': 'lesion'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right upper'}}location descriptor_fin: ['right', 'upper']clinical findings_fin: {'reference right upper lobe lesion': {'clinical finding': 'reference right upper lobe lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'reference right upper lobe', 'observation': 'lesion'}}anatomical entity_fin: {'superior mediastinum': {}, 'origin': {}, 'artery': {}}imaging observation_fin: ['central hypodensity']location descriptor_fin: ['left']clinical findings_fin: {'soft tissue attenuation mass': {'clinical finding': 'soft tissue attenuation mass', 'existence': 'pos_dx', 'descriptive_term': 'soft tissue attenuation', 'observation': 'mass'}, 'central hypodensity': {'clinical finding': 'central hypodensity', 'existence': 'pos_dx', 'descriptive_term': 'central', 'observation': 'hypodensity'}, 'necrotic adenopathy': {'clinical finding': 'necrotic adenopathy', 'existence': 'unc_dx', 'descriptive_term': 'necrotic', 'observation': 'adenopathy'}}object_fin: ['central venous catheter']clinical findings_fin: {'central venous catheter': {'clinical finding': 'central venous catheter', 'existence': 'pos_dx', 'descriptive_term': 'central venous', 'observation': 'catheter'}}anatomical entity_fin: {'thyroid gland': {}}clinical findings_fin: {'nodular and enlarged thyroid gland': {'clinical finding': 'nodular and enlarged thyroid gland', 'existence': 'pos_dx', 'descriptive_term': 'nodular and enlarged thyroid', 'observation': 'gland', 'strength_term': 'enlarged', 'change_term': 'enlarged'}, 'few punctate calcifications': {'clinical finding': 'few punctate calcifications', 'cf_snomed': {'punctate calcification': 129755006}, 'existence': 'pos_dx', 'descriptive_term': 'few punctate', 'observation': 'calcification', 'quantity_term': 'few'}}anatomical entity_fin: {'trachea': {}}clinical findings_fin: {'displacement': {'clinical finding': 'displacement', 'existence': 'pos_dx', 'observation': 'displacement'}, 'narrowing': {'clinical finding': 'narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'neg_dx', 'observation': 'narrowing'}}anatomical entity_fin: {'common bile duct': {}}procedure_fin: ['stent placement']clinical findings_fin: {'moderate pneumobilia': {'clinical finding': 'moderate pneumobilia', 'existence': 'pos_dx', 'descriptive_term': 'moderate', 'observation': 'pneumobilia', 'strength_term': 'moderate'}, 'common bile duct stent': {'clinical finding': 'common bile duct stent', 'existence': 'pos_dx', 'descriptive_term': 'common bile duct', 'observation': 'stent'}}size_fin: [{'size': '1.0 x 1.2 cm', 'size_descriptor': 'hypodensity'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right'}, 'liver': {}}location descriptor_fin: ['right']clinical findings_fin: {'ill-defined hypodensity': {'clinical finding': 'ill-defined hypodensity', 'existence': 'pos_dx', 'descriptive_term': 'ill-defined', 'observation': 'hypodensity', 'strength_term': 'ill-defined'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}size_fin: [{'size': '4.1 x 3.8 cm', 'size_descriptor': 'mass'}]anatomical entity_fin: {'head': {}}clinical findings_fin: {'approximately 4.1 x 3.8 cm mass': {'clinical finding': 'approximately 4.1 x 3.8 cm mass', 'existence': 'pos_dx', 'descriptive_term': 'approximately 4 1 x 3 8 cm', 'observation': 'mass'}}size_fin: [{'size': '1.5 cm'}]anatomical entity_fin: {'pancreatic duct': {}, 'body': {}}clinical findings_fin: {'dilated': {'clinical finding': 'dilated', 'existence': 'pos_dx', 'observation': 'dilated'}, 'tail': {'clinical finding': 'tail', 'existence': 'pos_dx', 'observation': 'tail'}, 'atrophy': {'clinical finding': 'atrophy', 'cf_snomed': {'atrophy': 13331008}, 'existence': 'pos_dx', 'observation': 'atrophy'}, 'pancreatic substance': {'clinical finding': 'pancreatic substance', 'existence': 'pos_dx', 'descriptive_term': 'pancreatic', 'observation': 'substance'}}anatomical entity_fin: {'superior mesenteric artery': {}, 'origin': {}}clinical findings_fin: {'tumor': {'clinical finding': 'tumor', 'existence': 'pos_dx', 'observation': 'tumor'}}anatomical entity_fin: {'splenic vein': {}}clinical findings_fin: {'complete tumor': {'clinical finding': 'complete tumor', 'existence': 'pos_dx', 'descriptive_term': 'complete', 'observation': 'tumor'}, 'focal narrowing': {'clinical finding': 'focal narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'focal', 'observation': 'narrowing'}}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: {'scattered shotty subcentimeter mesenteric and peripancreatic lymph nodes': {'clinical finding': 'scattered shotty subcentimeter mesenteric and peripancreatic lymph nodes', 'cf_snomed': {'peripancreatic lymph node': 245346008}, 'existence': 'pos_dx', 'descriptive_term': 'scattered shotty subcentimeter mesenteric and peripancreatic lymph', 'observation': 'node'}}anatomical entity_fin: {'wall': {}, 'antrum': {}, 'duodenum': {'location descriptor': 'proximal'}}location descriptor_fin: ['proximal']clinical findings_fin: {'irregular thickening': {'clinical finding': 'irregular thickening', 'existence': 'pos_dx', 'descriptive_term': 'irregular', 'observation': 'thickening'}}anatomical entity_fin: {'head': {}, 'duodenum': {}, 'gallbladder': {}, 'antrum': {}}imaging observation_fin: ['fat']clinical findings_fin: {'thickening': {'clinical finding': 'thickening', 'existence': 'pos_dx', 'observation': 'thickening'}}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'}}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] . Scattered pulmonary micronodules and nodules are seen bilaterally and are highly suspicious for metastatic disease. A reference right upper lobe lesion measures 1.2 x 0.9 cm. A soft tissue attenuation mass with central hypodensity suspicious for necrotic adenopathy is seen within the superior mediastinum and surrounds the origin of the left carotid artery. A central venous catheter terminates at the cavoatrial junction. None. Nodular and enlarged thyroid gland with a few punctate calcifications. Displacement without narrowing of the trachea. Moderate pneumobilia secondary to recent ERCP with common bile duct stent placement. An ill-defined hypodensity in the right lobe of the liver measures approximately 1.0 x 1.2 cm. No significant abnormality noted. There is an approximately 4.1 x 3.8 cm mass in the region of the pancreatic head and uncinate process. The pancreatic duct is dilated through the entirety of the pancreatic body and tail, measuring up to 1.5 cm in diameter with atrophy of the pancreatic substance. There is 180 degree abutment by tumor of the superior mesenteric artery at its origin. There is complete tumor encasement of the junction of the splenic vein and SMV with focal narrowing of these vessels. No significant abnormality noted. No significant abnormality noted. Scattered shotty subcentimeter mesenteric and peripancreatic lymph nodes. Mild. There is irregular thickening of the wall of the gastric antrum and proximal duodenum. There is infiltration of the fat extending from the pancreatic head involving the duodenum, gallbladder and thickening of the gastric antrum. There is also soft tissue infiltration in the aortocaval space. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. </s>

. Scattered pulmonary micronodules are not significantly changed in size or number, nonspecific. No new pulmonary nodule or mass. No focal consolidation, pleural effusions or pneumothorax. Minimal dependent atelectasis. Right chest wall port catheter tip terminates at the cavoatrial junction. Mediastinal hilar lymphadenopathy is again seen. The reference precarinal lymph node measures 1.9 x 1.4 cm , compared to 2.1 x 1.5 cm. The referenced right hilar lymph node measures approximately 1.3 x 0.9 cm , compared to 1.3 x 1.1 cm previously. The distal esophagus and gastroesophageal junction again appears diffusely thickened and heterogeneous consistent with the patients known esophageal cancer. In its largest dimension using similar measurement technique from the prior study this measures approximately 4.1 x 2.8 cm , compared to 4.0 x 3.3 cm previously. None. Prominent number of slightly enlarged bilateral axillary lymph nodes are again noted and not significantly changed in size or number. Stable few subcentimeter hepatic hypodensities are too small to characterize. No new suspicious lesion, biliary ductal dilatation or vascular abnormality. Borderline enlarged spleen measuring 13 cm in craniocaudal dimension, unchanged. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Multiple enlarged para-aortic and paracaval lymph nodes. The reference left periaortic lymph node measures approximately 1.4 x 0.8 cm , compared to 1.5 x 1.2 cm previously. None. No evidence of bowel obstruction. Note is made of mild fat stranding in the small bowel mesentery with small subcentimeter lymph nodes, appearing similar to the prior study. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Distended urinary bladder without a discrete abnormality. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted.

clinical findings_fin: {'scattered pulmonary micronodules': {'clinical finding': 'scattered pulmonary micronodules', 'existence': 'neg_dx', 'descriptive_term': 'scattered pulmonary', 'observation': 'micronodule'}}clinical findings_fin: {'new pulmonary nodule': {'clinical finding': 'new pulmonary nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'new pulmonary', 'observation': 'nodule', 'temporal_term': 'new'}, 'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}}clinical findings_fin: {'focal consolidation': {'clinical finding': 'focal consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'consolidation'}, 'pleural effusions': {'clinical finding': 'pleural effusions', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}, 'pneumothorax': {'clinical finding': 'pneumothorax', 'cf_snomed': {'pneumothorax': 36118008}, 'existence': 'neg_dx', 'observation': 'pneumothorax'}}clinical findings_fin: {'minimal dependent atelectasis': {'clinical finding': 'minimal dependent atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'minimal dependent', 'observation': 'atelectasis', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}anatomical entity_fin: {'chest wall': {'location descriptor': 'right'}}location descriptor_fin: ['right']object_fin: ['port', 'catheter']clinical findings_fin: {'mediastinal hilar lymphadenopathy': {'clinical finding': 'mediastinal hilar lymphadenopathy', 'cf_snomed': {'hilar lymphadenopathy': 87500009}, 'existence': 'pos_dx', 'descriptive_term': 'mediastinal hilar', 'observation': 'lymphadenopathy'}}size_fin: [{'size': '1.9 x 1.4 cm'}, {'size': '2.1 x 1.5 cm'}]clinical findings_fin: {'reference precarinal lymph node': {'clinical finding': 'reference precarinal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference precarinal lymph', 'observation': 'node'}}size_fin: [{'size': '1.3 x 0.9 cm'}, {'size': '1.3 x 1.1 cm'}]location descriptor_fin: ['right']clinical findings_fin: {'referenced right hilar lymph node': {'clinical finding': 'referenced right hilar lymph node', 'existence': 'pos_dx', 'descriptive_term': 'referenced right hilar lymph', 'observation': 'node'}}anatomical entity_fin: {'esophagus': {'location descriptor': 'distal'}, 'gastroesophageal junction': {}}location descriptor_fin: ['distal']clinical findings_fin: {'thickened': {'clinical finding': 'thickened', 'existence': 'pos_dx', 'observation': 'thickened'}, 'patients known esophageal cancer': {'clinical finding': 'patients known esophageal cancer', 'existence': 'pos_dx', 'descriptive_term': 'patients known esophageal', 'observation': 'cancer'}}size_fin: [{'size': '4.1 x 2.8 cm'}, {'size': '4.0 x 3.3 cm'}]clinical findings_fin: {'its largest dimension using similar measurement technique from the prior study': {'clinical finding': 'its largest dimension using similar measurement technique from the prior study'}}anatomical entity_fin: {'axillary lymph nodes': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'enlarged bilateral axillary lymph nodes': {'clinical finding': 'enlarged bilateral axillary lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'enlarged bilateral axillary lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'}}clinical findings_fin: {'stable few subcentimeter hepatic hypodensities': {'clinical finding': 'stable few subcentimeter hepatic hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'stable few subcentimeter hepatic', 'observation': 'hypodensity', 'strength_term': 'stable', 'quantity_term': 'few', 'change_term': 'stable'}}clinical findings_fin: {'new suspicious lesion': {'clinical finding': 'new suspicious lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'new suspicious', 'observation': 'lesion', 'temporal_term': 'new'}, 'biliary ductal dilatation': {'clinical finding': 'biliary ductal dilatation', 'cf_snomed': {'dilatation': 25322007}, 'existence': 'neg_dx', 'descriptive_term': 'biliary ductal', 'observation': 'dilatation'}, 'vascular abnormality': {'clinical finding': 'vascular abnormality', 'existence': 'neg_dx', 'descriptive_term': 'vascular', 'observation': 'abnormality'}}size_fin: [{'size': '13 cm', 'size_descriptor': 'spleen'}]anatomical entity_fin: {'spleen': {}}clinical findings_fin: {'borderline enlarged': {'clinical finding': 'borderline enlarged', 'existence': 'pos_dx', 'descriptive_term': 'borderline', 'observation': 'enlarged', 'strength_term': 'borderline'}}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: {'multiple enlarged para-aortic and paracaval lymph nodes': {'clinical finding': 'multiple enlarged para-aortic and paracaval lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'multiple enlarged para-aortic and paracaval lymph', 'observation': 'node', 'strength_term': 'enlarged', 'quantity_term': 'multiple', 'change_term': 'enlarged'}}size_fin: [{'size': '1.4 x 0.8 cm', 'size_descriptor': 'reference'}, {'size': '1.5 x 1.2 cm', 'size_descriptor': 'node'}]location descriptor_fin: ['left']clinical findings_fin: {'reference left periaortic lymph node': {'clinical finding': 'reference left periaortic lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference left periaortic lymph', 'observation': 'node'}}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'}}anatomical entity_fin: {'bowel': {}, 'mesentery': {}}imaging observation_fin: ['fat']clinical findings_fin: {'mild fat stranding': {'clinical finding': 'mild fat stranding', 'existence': 'pos_dx', 'descriptive_term': 'mild fat', 'observation': 'strand', 'strength_term': 'mild'}, 'small subcentimeter lymph nodes': {'clinical finding': 'small subcentimeter lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small subcentimeter lymph', 'observation': 'node', 'strength_term': 'small'}}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'}}anatomical entity_fin: {'urinary bladder': {}}clinical findings_fin: {'distended': {'clinical finding': 'distended', 'existence': 'pos_dx', 'observation': 'distended'}, 'discrete abnormality': {'clinical finding': 'discrete abnormality', 'existence': 'neg_dx', 'descriptive_term': 'discrete', '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'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'scattered pulmonary micronodules': {'clinical finding': 'scattered pulmonary micronodules', 'existence': 'neg_dx', 'descriptive_term': 'scattered pulmonary', 'observation': 'micronodule'}}clinical findings_fin: {'new pulmonary nodule': {'clinical finding': 'new pulmonary nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'new pulmonary', 'observation': 'nodule', 'temporal_term': 'new'}, 'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}}clinical findings_fin: {'focal consolidation': {'clinical finding': 'focal consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'consolidation'}, 'pleural effusions': {'clinical finding': 'pleural effusions', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}, 'pneumothorax': {'clinical finding': 'pneumothorax', 'cf_snomed': {'pneumothorax': 36118008}, 'existence': 'neg_dx', 'observation': 'pneumothorax'}}clinical findings_fin: {'minimal dependent atelectasis': {'clinical finding': 'minimal dependent atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'minimal dependent', 'observation': 'atelectasis', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}anatomical entity_fin: {'chest wall': {'location descriptor': 'right'}}location descriptor_fin: ['right']object_fin: ['port', 'catheter']clinical findings_fin: {'mediastinal hilar lymphadenopathy': {'clinical finding': 'mediastinal hilar lymphadenopathy', 'cf_snomed': {'hilar lymphadenopathy': 87500009}, 'existence': 'pos_dx', 'descriptive_term': 'mediastinal hilar', 'observation': 'lymphadenopathy'}}size_fin: [{'size': '1.9 x 1.4 cm'}, {'size': '2.1 x 1.5 cm'}]clinical findings_fin: {'reference precarinal lymph node': {'clinical finding': 'reference precarinal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference precarinal lymph', 'observation': 'node'}}size_fin: [{'size': '1.3 x 0.9 cm'}, {'size': '1.3 x 1.1 cm'}]location descriptor_fin: ['right']clinical findings_fin: {'referenced right hilar lymph node': {'clinical finding': 'referenced right hilar lymph node', 'existence': 'pos_dx', 'descriptive_term': 'referenced right hilar lymph', 'observation': 'node'}}anatomical entity_fin: {'esophagus': {'location descriptor': 'distal'}, 'gastroesophageal junction': {}}location descriptor_fin: ['distal']clinical findings_fin: {'thickened': {'clinical finding': 'thickened', 'existence': 'pos_dx', 'observation': 'thickened'}, 'patients known esophageal cancer': {'clinical finding': 'patients known esophageal cancer', 'existence': 'pos_dx', 'descriptive_term': 'patients known esophageal', 'observation': 'cancer'}}size_fin: [{'size': '4.1 x 2.8 cm'}, {'size': '4.0 x 3.3 cm'}]clinical findings_fin: {'its largest dimension using similar measurement technique from the prior study': {'clinical finding': 'its largest dimension using similar measurement technique from the prior study'}}anatomical entity_fin: {'axillary lymph nodes': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'enlarged bilateral axillary lymph nodes': {'clinical finding': 'enlarged bilateral axillary lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'enlarged bilateral axillary lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'}}clinical findings_fin: {'stable few subcentimeter hepatic hypodensities': {'clinical finding': 'stable few subcentimeter hepatic hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'stable few subcentimeter hepatic', 'observation': 'hypodensity', 'strength_term': 'stable', 'quantity_term': 'few', 'change_term': 'stable'}}clinical findings_fin: {'new suspicious lesion': {'clinical finding': 'new suspicious lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'new suspicious', 'observation': 'lesion', 'temporal_term': 'new'}, 'biliary ductal dilatation': {'clinical finding': 'biliary ductal dilatation', 'cf_snomed': {'dilatation': 25322007}, 'existence': 'neg_dx', 'descriptive_term': 'biliary ductal', 'observation': 'dilatation'}, 'vascular abnormality': {'clinical finding': 'vascular abnormality', 'existence': 'neg_dx', 'descriptive_term': 'vascular', 'observation': 'abnormality'}}size_fin: [{'size': '13 cm', 'size_descriptor': 'spleen'}]anatomical entity_fin: {'spleen': {}}clinical findings_fin: {'borderline enlarged': {'clinical finding': 'borderline enlarged', 'existence': 'pos_dx', 'descriptive_term': 'borderline', 'observation': 'enlarged', 'strength_term': 'borderline'}}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: {'multiple enlarged para-aortic and paracaval lymph nodes': {'clinical finding': 'multiple enlarged para-aortic and paracaval lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'multiple enlarged para-aortic and paracaval lymph', 'observation': 'node', 'strength_term': 'enlarged', 'quantity_term': 'multiple', 'change_term': 'enlarged'}}size_fin: [{'size': '1.4 x 0.8 cm', 'size_descriptor': 'reference'}, {'size': '1.5 x 1.2 cm', 'size_descriptor': 'node'}]location descriptor_fin: ['left']clinical findings_fin: {'reference left periaortic lymph node': {'clinical finding': 'reference left periaortic lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference left periaortic lymph', 'observation': 'node'}}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'}}anatomical entity_fin: {'bowel': {}, 'mesentery': {}}imaging observation_fin: ['fat']clinical findings_fin: {'mild fat stranding': {'clinical finding': 'mild fat stranding', 'existence': 'pos_dx', 'descriptive_term': 'mild fat', 'observation': 'strand', 'strength_term': 'mild'}, 'small subcentimeter lymph nodes': {'clinical finding': 'small subcentimeter lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small subcentimeter lymph', 'observation': 'node', 'strength_term': 'small'}}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'}}anatomical entity_fin: {'urinary bladder': {}}clinical findings_fin: {'distended': {'clinical finding': 'distended', 'existence': 'pos_dx', 'observation': 'distended'}, 'discrete abnormality': {'clinical finding': 'discrete abnormality', 'existence': 'neg_dx', 'descriptive_term': 'discrete', '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] . Scattered pulmonary micronodules are not significantly changed in size or number, nonspecific. No new pulmonary nodule or mass. No focal consolidation, pleural effusions or pneumothorax. Minimal dependent atelectasis. Right chest wall port catheter tip terminates at the cavoatrial junction. Mediastinal hilar lymphadenopathy is again seen. The reference precarinal lymph node measures 1.9 x 1.4 cm , compared to 2.1 x 1.5 cm. The referenced right hilar lymph node measures approximately 1.3 x 0.9 cm , compared to 1.3 x 1.1 cm previously. The distal esophagus and gastroesophageal junction again appears diffusely thickened and heterogeneous consistent with the patients known esophageal cancer. In its largest dimension using similar measurement technique from the prior study this measures approximately 4.1 x 2.8 cm , compared to 4.0 x 3.3 cm previously. None. Prominent number of slightly enlarged bilateral axillary lymph nodes are again noted and not significantly changed in size or number. Stable few subcentimeter hepatic hypodensities are too small to characterize. No new suspicious lesion, biliary ductal dilatation or vascular abnormality. Borderline enlarged spleen measuring 13 cm in craniocaudal dimension, unchanged. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Multiple enlarged para-aortic and paracaval lymph nodes. The reference left periaortic lymph node measures approximately 1.4 x 0.8 cm , compared to 1.5 x 1.2 cm previously. None. No evidence of bowel obstruction. Note is made of mild fat stranding in the small bowel mesentery with small subcentimeter lymph nodes, appearing similar to the prior study. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Distended urinary bladder without a discrete abnormality. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. </s>

Aortic and Aortic Root. There is a left sided aortic arch with pseudo bovine brachiocephalic branching pattern. All three brachiocephalic vessels are significantly tortuous. There is additionally a mild stenosis in the proximal left subclavian artery. No thoracic aortic dissection is noted. There is an area of aneurysmal dilatation of the descending thoracic aorta just before the diaphragm measuring 54 mm x 44 mm and lines with a significant amount of either thrombus or atheromatous debris. There is also mild protruding aortic atheroma noted in the thoracic aorta. The thoracic aorta has moderate tortuosity. There is mild calcification of the aortic root. There is mild calcification of the aortic arch. There is mild calcification of the descending aorta. No aortic coarctation is noted. Dimension. 7. Width. 22 mmSinotubular Junction: 36 mm x 38 mmAscending Aorta. 39 mm x 37 mmDescending Aorta. 17 mmAnnulus to RCA Height. 18 mmFluoroscopic Angle. The aortic valve is trileaflet. There is severe aortic valve calcification, which predominantly involves the right and left coronary cusps. No mitral annular calcification is noted. There is mild concentric left ventricular hypertrophy with a moderately sigmoid septum. The left ventricular end-systolic volume is normal. There is no thrombus noted in the left ventricle. No LV thrombus is noted. Visually the right ventricular end-systolic volume is within normal limits. The left atrium is dilated. There are four distinct pulmonary veins which drain normally into the left atrium. There is no evidence of left atrial appendage thrombus. The right atrium is normal in size. The superior and inferior vena cavae are grossly normal. The coronary sinus is normal in size. Mildly dilated. The pericardium is normal in thickness. There is no pericardial effusion. Because heart rate management was not attempted and nitroglycerin was not administered, this exam was not performed to optimally visualize the coronary arteries. The left main coronary artery arises normally from the left sinus of valsalva and bifurcates into the left anterior descending and left circumflex coronary arteries. There is mild calcification of the left main coronary artery. The left anterior descending coronary artery courses normally in the anterior interventricular groove, supplying the diagonal and septal branches. There is mild calcification throughout the LAD. The left circumflex coronary artery courses normally in the the left AV groove. It gives rise to the obtuse marginal branches and a small AV circumflex branch. There is mild calcification of the native LCx and a stent in the large first obtuse marginal branch. The right coronary artery arises normally from the right sinus of valsalva. It is the dominant coronary artery supplying a posterior descending artery and a posterolateral branch. None present.

anatomical entity_fin: {'aortic arch': {}}location descriptor_fin: ['left']clinical findings_fin: {'pseudo bovine': {'clinical finding': 'pseudo bovine', 'existence': 'pos_dx', 'descriptive_term': 'pseudo', 'observation': 'bovine'}}clinical findings_fin: {'tortuous': {'clinical finding': 'tortuous', 'existence': 'pos_dx', 'observation': 'tortuous'}}anatomical entity_fin: {'left subclavian artery': {'location descriptor': 'proximal'}}location descriptor_fin: ['proximal']clinical findings_fin: {'mild stenosis': {'clinical finding': 'mild stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'stenosis', 'strength_term': 'mild'}}clinical findings_fin: {'thoracic aortic dissection': {'clinical finding': 'thoracic aortic dissection', 'existence': 'neg_dx', 'descriptive_term': 'thoracic aortic', 'observation': 'dissection'}}size_fin: [{'size': '54 mm x 44 mm', 'size_descriptor': 'area'}]anatomical entity_fin: {'descending thoracic aorta': {}, 'diaphragm': {}}clinical findings_fin: {'either thrombus or atheromatous debris': {'clinical finding': 'either thrombus or atheromatous debris', 'cf_snomed': {'thrombus': 396339007}, 'existence': 'pos_dx', 'descriptive_term': 'either thrombus or atheromatous', 'observation': 'debris'}}anatomical entity_fin: {'thoracic aorta': {}}clinical findings_fin: {'mild protruding aortic atheroma': {'clinical finding': 'mild protruding aortic atheroma', 'cf_snomed': {'atheroma': 48434008}, 'existence': 'pos_dx', 'descriptive_term': 'mild protruding aortic', 'observation': 'atheroma', 'strength_term': 'mild'}}anatomical entity_fin: {'thoracic aorta': {}}clinical findings_fin: {'mild calcification': {'clinical finding': 'mild calcification', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'calcification', 'strength_term': 'mild'}}anatomical entity_fin: {'aortic arch': {}}clinical findings_fin: {'mild calcification': {'clinical finding': 'mild calcification', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'calcification', 'strength_term': 'mild'}}anatomical entity_fin: {'descending aorta': {}}clinical findings_fin: {'mild calcification': {'clinical finding': 'mild calcification', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'calcification', 'strength_term': 'mild'}}clinical findings_fin: {'aortic coarctation': {'clinical finding': 'aortic coarctation', 'cf_snomed': {'coarctation': 81409000}, 'existence': 'neg_dx', 'descriptive_term': 'aortic', 'observation': 'coarctation'}}size_fin: [{'size': '22 mm'}, {'size': '36 mm x 38 mm'}]anatomical entity_fin: {'aorta': {}}size_fin: [{'size': '39 mm x 37 mm', 'size_descriptor': 'aorta'}]anatomical entity_fin: {'aorta': {}}size_fin: [{'size': '17 mm', 'size_descriptor': 'mmannulus'}]size_fin: [{'size': '18 mm', 'size_descriptor': 'angle'}]anatomical entity_fin: {'aortic valve': {}}anatomical entity_fin: {'aortic valve': {}}location descriptor_fin: ['right', 'left']clinical findings_fin: {'severe aortic valve calcification': {'clinical finding': 'severe aortic valve calcification', 'cf_snomed': {'aortic valve calcification': 250978003}, 'existence': 'pos_dx', 'descriptive_term': 'severe aortic valve', 'observation': 'calcification', 'strength_term': 'severe'}}clinical findings_fin: {'mitral annular calcification': {'clinical finding': 'mitral annular calcification', 'existence': 'neg_dx', 'descriptive_term': 'mitral annular', 'observation': 'calcification'}}location descriptor_fin: ['left']clinical findings_fin: {'mild concentric left ventricular hypertrophy': {'clinical finding': 'mild concentric left ventricular hypertrophy', 'cf_snomed': {'left ventricular hypertrophy': 55827005}, 'existence': 'pos_dx', 'descriptive_term': 'mild concentric left ventricular', 'observation': 'hypertrophy', 'strength_term': 'mild'}}location descriptor_fin: ['left']clinical findings_fin: {'left ventricular end-systolic volume is normal': {'clinical finding': 'left ventricular end-systolic volume is normal'}}anatomical entity_fin: {'left ventricle': {}}clinical findings_fin: {'thrombus': {'clinical finding': 'thrombus', 'cf_snomed': {'thrombus': 396339007}, 'existence': 'neg_dx', 'observation': 'thrombus'}}clinical findings_fin: {'lv thrombus': {'clinical finding': 'lv thrombus', 'cf_snomed': {'thrombus': 396339007}, 'existence': 'neg_dx', 'descriptive_term': 'lv', 'observation': 'thrombus'}}location descriptor_fin: ['right']clinical findings_fin: {'right ventricular end-systolic volume': {'clinical finding': 'right ventricular end-systolic volume', 'existence': 'pos_dx', 'descriptive_term': 'right ventricular end-systolic', 'observation': 'volume'}}anatomical entity_fin: {'left atrium': {}}clinical findings_fin: {'dilated': {'clinical finding': 'dilated', 'existence': 'pos_dx', 'observation': 'dilated'}}anatomical entity_fin: {'pulmonary veins': {}, 'left atrium': {}}clinical findings_fin: {'are four distinct pulmonary veins which drain': {'clinical finding': 'are four distinct pulmonary veins which drain'}}anatomical entity_fin: {'left atrial appendage': {}}clinical findings_fin: {'left atrial appendage thrombus': {'clinical finding': 'left atrial appendage thrombus', 'cf_snomed': {'thrombus': 396339007}, 'existence': 'neg_dx', 'descriptive_term': 'left atrial appendage', 'observation': 'thrombus'}}anatomical entity_fin: {'right atrium': {}}clinical findings_fin: {'right atrium is normal in size': {'clinical finding': 'right atrium is normal in size'}}location descriptor_fin: ['superior', 'inferior']clinical findings_fin: {'superior and inferior vena cavae are grossly normal': {'clinical finding': 'superior and inferior vena cavae are grossly normal'}}anatomical entity_fin: {'coronary sinus': {}}clinical findings_fin: {'coronary sinus is normal in size': {'clinical finding': 'coronary sinus is normal in size', 'cf_snomed': {'sinus': 419351001}}}clinical findings_fin: {'dilated': {'clinical finding': 'dilated', 'existence': 'pos_dx', 'observation': 'dilated'}}anatomical entity_fin: {'pericardium': {}}clinical findings_fin: {'pericardium is normal in thickness': {'clinical finding': 'pericardium is normal in thickness'}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}anatomical entity_fin: {'heart': {}, 'coronary arteries': {}}clinical findings_fin: {'not attempted and nitroglycerin was not administered , this exam was not performed': {'clinical finding': 'not attempted and nitroglycerin was not administered , this exam was not performed'}}anatomical entity_fin: {'coronary artery': {}, 'circumflex coronary arteries': {'location descriptor': 'left'}}location descriptor_fin: ['left', 'anterior']clinical findings_fin: {'valsalva': {'clinical finding': 'valsalva', 'existence': 'pos_dx', 'observation': 'valsalva'}}anatomical entity_fin: {'coronary artery': {}}location descriptor_fin: ['left']clinical findings_fin: {'mild calcification': {'clinical finding': 'mild calcification', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'calcification', 'strength_term': 'mild'}}anatomical entity_fin: {'coronary artery': {}}location descriptor_fin: ['left', 'anterior']clinical findings_fin: {'mild calcification': {'clinical finding': 'mild calcification', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'calcification', 'strength_term': 'mild'}}anatomical entity_fin: {'circumflex coronary artery': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'obtuse marginal branches and a small av circumflex branch': {'clinical finding': 'obtuse marginal branches and a small av circumflex branch'}}clinical findings_fin: {'mild calcification': {'clinical finding': 'mild calcification', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'calcification', 'strength_term': 'mild'}, 'stent': {'clinical finding': 'stent', 'existence': 'pos_dx', 'observation': 'stent'}}anatomical entity_fin: {'right coronary artery': {}}location descriptor_fin: ['right']anatomical entity_fin: {'coronary artery': {}, 'posterior descending artery': {}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'aortic arch': {}}location descriptor_fin: ['left']clinical findings_fin: {'pseudo bovine': {'clinical finding': 'pseudo bovine', 'existence': 'pos_dx', 'descriptive_term': 'pseudo', 'observation': 'bovine'}}clinical findings_fin: {'tortuous': {'clinical finding': 'tortuous', 'existence': 'pos_dx', 'observation': 'tortuous'}}anatomical entity_fin: {'left subclavian artery': {'location descriptor': 'proximal'}}location descriptor_fin: ['proximal']clinical findings_fin: {'mild stenosis': {'clinical finding': 'mild stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'stenosis', 'strength_term': 'mild'}}clinical findings_fin: {'thoracic aortic dissection': {'clinical finding': 'thoracic aortic dissection', 'existence': 'neg_dx', 'descriptive_term': 'thoracic aortic', 'observation': 'dissection'}}size_fin: [{'size': '54 mm x 44 mm', 'size_descriptor': 'area'}]anatomical entity_fin: {'descending thoracic aorta': {}, 'diaphragm': {}}clinical findings_fin: {'either thrombus or atheromatous debris': {'clinical finding': 'either thrombus or atheromatous debris', 'cf_snomed': {'thrombus': 396339007}, 'existence': 'pos_dx', 'descriptive_term': 'either thrombus or atheromatous', 'observation': 'debris'}}anatomical entity_fin: {'thoracic aorta': {}}clinical findings_fin: {'mild protruding aortic atheroma': {'clinical finding': 'mild protruding aortic atheroma', 'cf_snomed': {'atheroma': 48434008}, 'existence': 'pos_dx', 'descriptive_term': 'mild protruding aortic', 'observation': 'atheroma', 'strength_term': 'mild'}}anatomical entity_fin: {'thoracic aorta': {}}clinical findings_fin: {'mild calcification': {'clinical finding': 'mild calcification', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'calcification', 'strength_term': 'mild'}}anatomical entity_fin: {'aortic arch': {}}clinical findings_fin: {'mild calcification': {'clinical finding': 'mild calcification', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'calcification', 'strength_term': 'mild'}}anatomical entity_fin: {'descending aorta': {}}clinical findings_fin: {'mild calcification': {'clinical finding': 'mild calcification', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'calcification', 'strength_term': 'mild'}}clinical findings_fin: {'aortic coarctation': {'clinical finding': 'aortic coarctation', 'cf_snomed': {'coarctation': 81409000}, 'existence': 'neg_dx', 'descriptive_term': 'aortic', 'observation': 'coarctation'}}size_fin: [{'size': '22 mm'}, {'size': '36 mm x 38 mm'}]anatomical entity_fin: {'aorta': {}}size_fin: [{'size': '39 mm x 37 mm', 'size_descriptor': 'aorta'}]anatomical entity_fin: {'aorta': {}}size_fin: [{'size': '17 mm', 'size_descriptor': 'mmannulus'}]size_fin: [{'size': '18 mm', 'size_descriptor': 'angle'}]anatomical entity_fin: {'aortic valve': {}}anatomical entity_fin: {'aortic valve': {}}location descriptor_fin: ['right', 'left']clinical findings_fin: {'severe aortic valve calcification': {'clinical finding': 'severe aortic valve calcification', 'cf_snomed': {'aortic valve calcification': 250978003}, 'existence': 'pos_dx', 'descriptive_term': 'severe aortic valve', 'observation': 'calcification', 'strength_term': 'severe'}}clinical findings_fin: {'mitral annular calcification': {'clinical finding': 'mitral annular calcification', 'existence': 'neg_dx', 'descriptive_term': 'mitral annular', 'observation': 'calcification'}}location descriptor_fin: ['left']clinical findings_fin: {'mild concentric left ventricular hypertrophy': {'clinical finding': 'mild concentric left ventricular hypertrophy', 'cf_snomed': {'left ventricular hypertrophy': 55827005}, 'existence': 'pos_dx', 'descriptive_term': 'mild concentric left ventricular', 'observation': 'hypertrophy', 'strength_term': 'mild'}}location descriptor_fin: ['left']clinical findings_fin: {'left ventricular end-systolic volume is normal': {'clinical finding': 'left ventricular end-systolic volume is normal'}}anatomical entity_fin: {'left ventricle': {}}clinical findings_fin: {'thrombus': {'clinical finding': 'thrombus', 'cf_snomed': {'thrombus': 396339007}, 'existence': 'neg_dx', 'observation': 'thrombus'}}clinical findings_fin: {'lv thrombus': {'clinical finding': 'lv thrombus', 'cf_snomed': {'thrombus': 396339007}, 'existence': 'neg_dx', 'descriptive_term': 'lv', 'observation': 'thrombus'}}location descriptor_fin: ['right']clinical findings_fin: {'right ventricular end-systolic volume': {'clinical finding': 'right ventricular end-systolic volume', 'existence': 'pos_dx', 'descriptive_term': 'right ventricular end-systolic', 'observation': 'volume'}}anatomical entity_fin: {'left atrium': {}}clinical findings_fin: {'dilated': {'clinical finding': 'dilated', 'existence': 'pos_dx', 'observation': 'dilated'}}anatomical entity_fin: {'pulmonary veins': {}, 'left atrium': {}}clinical findings_fin: {'are four distinct pulmonary veins which drain': {'clinical finding': 'are four distinct pulmonary veins which drain'}}anatomical entity_fin: {'left atrial appendage': {}}clinical findings_fin: {'left atrial appendage thrombus': {'clinical finding': 'left atrial appendage thrombus', 'cf_snomed': {'thrombus': 396339007}, 'existence': 'neg_dx', 'descriptive_term': 'left atrial appendage', 'observation': 'thrombus'}}anatomical entity_fin: {'right atrium': {}}clinical findings_fin: {'right atrium is normal in size': {'clinical finding': 'right atrium is normal in size'}}location descriptor_fin: ['superior', 'inferior']clinical findings_fin: {'superior and inferior vena cavae are grossly normal': {'clinical finding': 'superior and inferior vena cavae are grossly normal'}}anatomical entity_fin: {'coronary sinus': {}}clinical findings_fin: {'coronary sinus is normal in size': {'clinical finding': 'coronary sinus is normal in size', 'cf_snomed': {'sinus': 419351001}}}clinical findings_fin: {'dilated': {'clinical finding': 'dilated', 'existence': 'pos_dx', 'observation': 'dilated'}}anatomical entity_fin: {'pericardium': {}}clinical findings_fin: {'pericardium is normal in thickness': {'clinical finding': 'pericardium is normal in thickness'}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}anatomical entity_fin: {'heart': {}, 'coronary arteries': {}}clinical findings_fin: {'not attempted and nitroglycerin was not administered , this exam was not performed': {'clinical finding': 'not attempted and nitroglycerin was not administered , this exam was not performed'}}anatomical entity_fin: {'coronary artery': {}, 'circumflex coronary arteries': {'location descriptor': 'left'}}location descriptor_fin: ['left', 'anterior']clinical findings_fin: {'valsalva': {'clinical finding': 'valsalva', 'existence': 'pos_dx', 'observation': 'valsalva'}}anatomical entity_fin: {'coronary artery': {}}location descriptor_fin: ['left']clinical findings_fin: {'mild calcification': {'clinical finding': 'mild calcification', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'calcification', 'strength_term': 'mild'}}anatomical entity_fin: {'coronary artery': {}}location descriptor_fin: ['left', 'anterior']clinical findings_fin: {'mild calcification': {'clinical finding': 'mild calcification', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'calcification', 'strength_term': 'mild'}}anatomical entity_fin: {'circumflex coronary artery': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'obtuse marginal branches and a small av circumflex branch': {'clinical finding': 'obtuse marginal branches and a small av circumflex branch'}}clinical findings_fin: {'mild calcification': {'clinical finding': 'mild calcification', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'calcification', 'strength_term': 'mild'}, 'stent': {'clinical finding': 'stent', 'existence': 'pos_dx', 'observation': 'stent'}}anatomical entity_fin: {'right coronary artery': {}}location descriptor_fin: ['right']anatomical entity_fin: {'coronary artery': {}, 'posterior descending artery': {}} [/INST] Aortic and Aortic Root. There is a left sided aortic arch with pseudo bovine brachiocephalic branching pattern. All three brachiocephalic vessels are significantly tortuous. There is additionally a mild stenosis in the proximal left subclavian artery. No thoracic aortic dissection is noted. There is an area of aneurysmal dilatation of the descending thoracic aorta just before the diaphragm measuring 54 mm x 44 mm and lines with a significant amount of either thrombus or atheromatous debris. There is also mild protruding aortic atheroma noted in the thoracic aorta. The thoracic aorta has moderate tortuosity. There is mild calcification of the aortic root. There is mild calcification of the aortic arch. There is mild calcification of the descending aorta. No aortic coarctation is noted. Dimension. 7. Width. 22 mmSinotubular Junction: 36 mm x 38 mmAscending Aorta. 39 mm x 37 mmDescending Aorta. 17 mmAnnulus to RCA Height. 18 mmFluoroscopic Angle. The aortic valve is trileaflet. There is severe aortic valve calcification, which predominantly involves the right and left coronary cusps. No mitral annular calcification is noted. There is mild concentric left ventricular hypertrophy with a moderately sigmoid septum. The left ventricular end-systolic volume is normal. There is no thrombus noted in the left ventricle. No LV thrombus is noted. Visually the right ventricular end-systolic volume is within normal limits. The left atrium is dilated. There are four distinct pulmonary veins which drain normally into the left atrium. There is no evidence of left atrial appendage thrombus. The right atrium is normal in size. The superior and inferior vena cavae are grossly normal. The coronary sinus is normal in size. Mildly dilated. The pericardium is normal in thickness. There is no pericardial effusion. Because heart rate management was not attempted and nitroglycerin was not administered, this exam was not performed to optimally visualize the coronary arteries. The left main coronary artery arises normally from the left sinus of valsalva and bifurcates into the left anterior descending and left circumflex coronary arteries. There is mild calcification of the left main coronary artery. The left anterior descending coronary artery courses normally in the anterior interventricular groove, supplying the diagonal and septal branches. There is mild calcification throughout the LAD. The left circumflex coronary artery courses normally in the the left AV groove. It gives rise to the obtuse marginal branches and a small AV circumflex branch. There is mild calcification of the native LCx and a stent in the large first obtuse marginal branch. The right coronary artery arises normally from the right sinus of valsalva. It is the dominant coronary artery supplying a posterior descending artery and a posterolateral branch. None present. </s>

. Scattered bilateral subcentimeter micronodules, some of which are calcified, with innumerable superimposed larger nodules measuring up to 5 mm. Mild left pleural effusion. Mediastinal and hilar lymphadenopathy. For reference, enlarged precarinal and right hilar lymph nodes are measured and listed in chart below. None. Right port with tip extending into the right atrium. Cholecystectomy changes noted. Multiple scattered hepatic hypodensities with peripheral enhancement consistent with metastases. For reference, a segment 6/7 lesion was noted. Periportal hypodensities suggestive of edema. Dilatation of the common bile and pancreatic ducts but without evidence of obstruction seen. Splenectomy noted. Prominent pancreatic duct measuring upper limits of normal. No other significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Mild retroperitoneal adenopathy. For reference, an enlarged left peri-aortic lymph node was measured. Moderate. Surgical clips throughout the abdomen from probable debulking surgery with residual apparent fluid around the stomach without evidence of loculation. Clustered mesenteric nodularity and adenopathy suggestive of carcinomatosis. For reference, a mesenteric lesion was measured in chart below. No evidence of bowel obstruction. Mild abdominal ascites. Anasarca noted. Degenerative changes of the thoracolumbar spine. No significant abnormality noted. Hysterectomy changes noted with streaky presacral edema. No significant abnormality noted. Mildly prominent pelvic lymph nodes. Mild pelvic ascites. No evidence of obstruction. Anasarca noted. Degenerative changes of the thoracolumbar spine. No significant abnormality noted.

size_fin: [{'size': '5 mm', 'size_descriptor': 'micronodules'}]location descriptor_fin: ['bilateral']clinical findings_fin: {'scattered bilateral subcentimeter micronodules': {'clinical finding': 'scattered bilateral subcentimeter micronodules', 'existence': 'pos_dx', 'descriptive_term': 'scattered bilateral subcentimeter', 'observation': 'micronodule'}, 'innumerable superimposed larger nodules': {'clinical finding': 'innumerable superimposed larger nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'innumerable superimposed larger', 'observation': 'nodule'}}location descriptor_fin: ['left']clinical findings_fin: {'mild left pleural effusion': {'clinical finding': 'mild left pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'mild left pleural', 'observation': 'effusion', 'strength_term': 'mild'}}clinical findings_fin: {'mediastinal and hilar lymphadenopathy': {'clinical finding': 'mediastinal and hilar lymphadenopathy', 'cf_snomed': {'hilar lymphadenopathy': 87500009}, 'existence': 'pos_dx', 'descriptive_term': 'mediastinal and hilar', 'observation': 'lymphadenopathy'}}location descriptor_fin: ['right']clinical findings_fin: {'enlarged precarinal and right hilar lymph nodes': {'clinical finding': 'enlarged precarinal and right hilar lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'enlarged precarinal and right hilar lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'}}anatomical entity_fin: {'right atrium': {}}location descriptor_fin: ['right']object_fin: ['port']location descriptor_fin: ['peripheral']clinical findings_fin: {'multiple scattered hepatic hypodensities': {'clinical finding': 'multiple scattered hepatic hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'multiple scattered hepatic', 'observation': 'hypodensity', 'quantity_term': 'multiple'}, 'peripheral enhancement': {'clinical finding': 'peripheral enhancement', 'existence': 'pos_dx', 'descriptive_term': 'peripheral', 'observation': 'enhancement'}, 'metastases': {'clinical finding': 'metastases', 'existence': 'pos_dx', 'observation': 'metastase'}}clinical findings_fin: {'segment 6/7 lesion': {'clinical finding': 'segment 6/7 lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'segment 6/7', 'observation': 'lesion'}}clinical findings_fin: {'periportal hypodensities': {'clinical finding': 'periportal hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'periportal', 'observation': 'hypodensity'}, 'edema': {'clinical finding': 'edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'unc_dx', 'observation': 'edema'}}anatomical entity_fin: {'pancreatic ducts': {}}clinical findings_fin: {'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'observation': 'obstruction'}}anatomical entity_fin: {'pancreatic duct': {}}location descriptor_fin: ['upper']clinical findings_fin: {'prominent pancreatic duct measuring': {'clinical finding': 'prominent pancreatic duct measuring'}}clinical findings_fin: {'other significant abnormality': {'clinical finding': 'other significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'other 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: {'mild retroperitoneal adenopathy': {'clinical finding': 'mild retroperitoneal adenopathy', 'existence': 'pos_dx', 'descriptive_term': 'mild retroperitoneal', 'observation': 'adenopathy', 'strength_term': 'mild'}}location descriptor_fin: ['left']clinical findings_fin: {'enlarged left peri-aortic lymph node': {'clinical finding': 'enlarged left peri-aortic lymph node', 'existence': 'pos_dx', 'descriptive_term': 'enlarged left peri-aortic lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'}}anatomical entity_fin: {'abdomen': {}, 'fluid': {}, 'stomach': {}}object_fin: ['surgical clips']clinical findings_fin: {'surgical clips': {'clinical finding': 'surgical clips', 'existence': 'pos_dx', 'descriptive_term': 'surgical', 'observation': 'clip'}, 'residual': {'clinical finding': 'residual', 'existence': 'unc_dx', 'observation': 'residual'}, 'loculation': {'clinical finding': 'loculation', 'existence': 'neg_dx', 'observation': 'loculation'}}clinical findings_fin: {'clustered mesenteric nodularity': {'clinical finding': 'clustered mesenteric nodularity', 'existence': 'pos_dx', 'descriptive_term': 'clustered mesenteric', 'observation': 'nodularity'}, 'adenopathy': {'clinical finding': 'adenopathy', 'existence': 'pos_dx', 'observation': 'adenopathy'}, 'carcinomatosis': {'clinical finding': 'carcinomatosis', 'cf_snomed': {'carcinomatosis': 307593001}, 'existence': 'unc_dx', 'observation': 'carcinomatosis'}}clinical findings_fin: {'mesenteric lesion': {'clinical finding': 'mesenteric lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'mesenteric', 'observation': 'lesion'}}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'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'mild abdominal ascites': {'clinical finding': 'mild abdominal ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'mild abdominal', 'observation': 'ascite', 'strength_term': 'mild'}}clinical findings_fin: {'anasarca': {'clinical finding': 'anasarca', 'cf_snomed': {'anasarca': 442433009}, 'existence': 'pos_dx', 'observation': 'anasarca'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'degenerative changes': {'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}procedure_fin: ['hysterectomy']clinical findings_fin: {'hysterectomy changes': {'clinical finding': 'hysterectomy changes', 'existence': 'pos_dx', 'descriptive_term': 'hysterectomy', 'observation': 'change'}, 'streaky presacral edema': {'clinical finding': 'streaky presacral edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'descriptive_term': 'streaky presacral', 'observation': 'edema'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'mildly prominent pelvic lymph nodes': {'clinical finding': 'mildly prominent pelvic lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'mildly prominent pelvic lymph', 'observation': 'node', 'strength_term': 'mildly - prominent'}}clinical findings_fin: {'mild pelvic ascites': {'clinical finding': 'mild pelvic ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'mild pelvic', 'observation': 'ascite', 'strength_term': 'mild'}}clinical findings_fin: {'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'observation': 'obstruction'}}clinical findings_fin: {'anasarca': {'clinical finding': 'anasarca', 'cf_snomed': {'anasarca': 442433009}, 'existence': 'pos_dx', 'observation': 'anasarca'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'degenerative changes': {'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: size_fin: [{'size': '5 mm', 'size_descriptor': 'micronodules'}]location descriptor_fin: ['bilateral']clinical findings_fin: {'scattered bilateral subcentimeter micronodules': {'clinical finding': 'scattered bilateral subcentimeter micronodules', 'existence': 'pos_dx', 'descriptive_term': 'scattered bilateral subcentimeter', 'observation': 'micronodule'}, 'innumerable superimposed larger nodules': {'clinical finding': 'innumerable superimposed larger nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'innumerable superimposed larger', 'observation': 'nodule'}}location descriptor_fin: ['left']clinical findings_fin: {'mild left pleural effusion': {'clinical finding': 'mild left pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'mild left pleural', 'observation': 'effusion', 'strength_term': 'mild'}}clinical findings_fin: {'mediastinal and hilar lymphadenopathy': {'clinical finding': 'mediastinal and hilar lymphadenopathy', 'cf_snomed': {'hilar lymphadenopathy': 87500009}, 'existence': 'pos_dx', 'descriptive_term': 'mediastinal and hilar', 'observation': 'lymphadenopathy'}}location descriptor_fin: ['right']clinical findings_fin: {'enlarged precarinal and right hilar lymph nodes': {'clinical finding': 'enlarged precarinal and right hilar lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'enlarged precarinal and right hilar lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'}}anatomical entity_fin: {'right atrium': {}}location descriptor_fin: ['right']object_fin: ['port']location descriptor_fin: ['peripheral']clinical findings_fin: {'multiple scattered hepatic hypodensities': {'clinical finding': 'multiple scattered hepatic hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'multiple scattered hepatic', 'observation': 'hypodensity', 'quantity_term': 'multiple'}, 'peripheral enhancement': {'clinical finding': 'peripheral enhancement', 'existence': 'pos_dx', 'descriptive_term': 'peripheral', 'observation': 'enhancement'}, 'metastases': {'clinical finding': 'metastases', 'existence': 'pos_dx', 'observation': 'metastase'}}clinical findings_fin: {'segment 6/7 lesion': {'clinical finding': 'segment 6/7 lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'segment 6/7', 'observation': 'lesion'}}clinical findings_fin: {'periportal hypodensities': {'clinical finding': 'periportal hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'periportal', 'observation': 'hypodensity'}, 'edema': {'clinical finding': 'edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'unc_dx', 'observation': 'edema'}}anatomical entity_fin: {'pancreatic ducts': {}}clinical findings_fin: {'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'observation': 'obstruction'}}anatomical entity_fin: {'pancreatic duct': {}}location descriptor_fin: ['upper']clinical findings_fin: {'prominent pancreatic duct measuring': {'clinical finding': 'prominent pancreatic duct measuring'}}clinical findings_fin: {'other significant abnormality': {'clinical finding': 'other significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'other 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: {'mild retroperitoneal adenopathy': {'clinical finding': 'mild retroperitoneal adenopathy', 'existence': 'pos_dx', 'descriptive_term': 'mild retroperitoneal', 'observation': 'adenopathy', 'strength_term': 'mild'}}location descriptor_fin: ['left']clinical findings_fin: {'enlarged left peri-aortic lymph node': {'clinical finding': 'enlarged left peri-aortic lymph node', 'existence': 'pos_dx', 'descriptive_term': 'enlarged left peri-aortic lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'}}anatomical entity_fin: {'abdomen': {}, 'fluid': {}, 'stomach': {}}object_fin: ['surgical clips']clinical findings_fin: {'surgical clips': {'clinical finding': 'surgical clips', 'existence': 'pos_dx', 'descriptive_term': 'surgical', 'observation': 'clip'}, 'residual': {'clinical finding': 'residual', 'existence': 'unc_dx', 'observation': 'residual'}, 'loculation': {'clinical finding': 'loculation', 'existence': 'neg_dx', 'observation': 'loculation'}}clinical findings_fin: {'clustered mesenteric nodularity': {'clinical finding': 'clustered mesenteric nodularity', 'existence': 'pos_dx', 'descriptive_term': 'clustered mesenteric', 'observation': 'nodularity'}, 'adenopathy': {'clinical finding': 'adenopathy', 'existence': 'pos_dx', 'observation': 'adenopathy'}, 'carcinomatosis': {'clinical finding': 'carcinomatosis', 'cf_snomed': {'carcinomatosis': 307593001}, 'existence': 'unc_dx', 'observation': 'carcinomatosis'}}clinical findings_fin: {'mesenteric lesion': {'clinical finding': 'mesenteric lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'mesenteric', 'observation': 'lesion'}}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'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'mild abdominal ascites': {'clinical finding': 'mild abdominal ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'mild abdominal', 'observation': 'ascite', 'strength_term': 'mild'}}clinical findings_fin: {'anasarca': {'clinical finding': 'anasarca', 'cf_snomed': {'anasarca': 442433009}, 'existence': 'pos_dx', 'observation': 'anasarca'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'degenerative changes': {'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}procedure_fin: ['hysterectomy']clinical findings_fin: {'hysterectomy changes': {'clinical finding': 'hysterectomy changes', 'existence': 'pos_dx', 'descriptive_term': 'hysterectomy', 'observation': 'change'}, 'streaky presacral edema': {'clinical finding': 'streaky presacral edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'descriptive_term': 'streaky presacral', 'observation': 'edema'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'mildly prominent pelvic lymph nodes': {'clinical finding': 'mildly prominent pelvic lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'mildly prominent pelvic lymph', 'observation': 'node', 'strength_term': 'mildly - prominent'}}clinical findings_fin: {'mild pelvic ascites': {'clinical finding': 'mild pelvic ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'mild pelvic', 'observation': 'ascite', 'strength_term': 'mild'}}clinical findings_fin: {'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'observation': 'obstruction'}}clinical findings_fin: {'anasarca': {'clinical finding': 'anasarca', 'cf_snomed': {'anasarca': 442433009}, 'existence': 'pos_dx', 'observation': 'anasarca'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'degenerative changes': {'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . Scattered bilateral subcentimeter micronodules, some of which are calcified, with innumerable superimposed larger nodules measuring up to 5 mm. Mild left pleural effusion. Mediastinal and hilar lymphadenopathy. For reference, enlarged precarinal and right hilar lymph nodes are measured and listed in chart below. None. Right port with tip extending into the right atrium. Cholecystectomy changes noted. Multiple scattered hepatic hypodensities with peripheral enhancement consistent with metastases. For reference, a segment 6/7 lesion was noted. Periportal hypodensities suggestive of edema. Dilatation of the common bile and pancreatic ducts but without evidence of obstruction seen. Splenectomy noted. Prominent pancreatic duct measuring upper limits of normal. No other significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Mild retroperitoneal adenopathy. For reference, an enlarged left peri-aortic lymph node was measured. Moderate. Surgical clips throughout the abdomen from probable debulking surgery with residual apparent fluid around the stomach without evidence of loculation. Clustered mesenteric nodularity and adenopathy suggestive of carcinomatosis. For reference, a mesenteric lesion was measured in chart below. No evidence of bowel obstruction. Mild abdominal ascites. Anasarca noted. Degenerative changes of the thoracolumbar spine. No significant abnormality noted. Hysterectomy changes noted with streaky presacral edema. No significant abnormality noted. Mildly prominent pelvic lymph nodes. Mild pelvic ascites. No evidence of obstruction. Anasarca noted. Degenerative changes of the thoracolumbar spine. No significant abnormality noted. </s>

Lack of intravenous contrast limits evaluation for solid organ, bowel and vascular pathology. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No urinary calculi or hydroureteronephrosis. No perinephric fat stranding. No significant abnormality noted. None. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Pelvic phleboliths. No significant abnormality noted

anatomical entity_fin: {'solid organ': {}, 'bowel': {}}clinical findings_fin: {'intravenous contrast': {'clinical finding': 'intravenous contrast', 'existence': 'neg_dx', 'descriptive_term': 'intravenous', 'observation': 'contrast'}, 'solid organ, bowel and vascular': {'clinical finding': 'solid organ, bowel and vascular', 'existence': 'unc_dx', 'descriptive_term': 'solid organ bowel and', 'observation': 'vascular'}}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'}}clinical findings_fin: {'urinary calculi': {'clinical finding': 'urinary calculi', 'existence': 'neg_dx', 'descriptive_term': 'urinary', 'observation': 'calculi'}, 'hydroureteronephrosis': {'clinical finding': 'hydroureteronephrosis', 'cf_snomed': {'hydroureteronephrosis': 40068008}, 'existence': 'neg_dx', 'observation': 'hydroureteronephrosis'}}imaging observation_fin: ['fat']clinical findings_fin: {'perinephric fat stranding': {'clinical finding': 'perinephric fat stranding', 'existence': 'neg_dx', 'descriptive_term': 'perinephric fat', 'observation': 'strand'}}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'}}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: {'pelvic phleboliths': {'clinical finding': 'pelvic phleboliths', 'cf_snomed': {'pelvic phleboliths': 195520008}, 'existence': 'pos_dx', 'descriptive_term': 'pelvic', 'observation': 'phlebolith'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'solid organ': {}, 'bowel': {}}clinical findings_fin: {'intravenous contrast': {'clinical finding': 'intravenous contrast', 'existence': 'neg_dx', 'descriptive_term': 'intravenous', 'observation': 'contrast'}, 'solid organ, bowel and vascular': {'clinical finding': 'solid organ, bowel and vascular', 'existence': 'unc_dx', 'descriptive_term': 'solid organ bowel and', 'observation': 'vascular'}}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'}}clinical findings_fin: {'urinary calculi': {'clinical finding': 'urinary calculi', 'existence': 'neg_dx', 'descriptive_term': 'urinary', 'observation': 'calculi'}, 'hydroureteronephrosis': {'clinical finding': 'hydroureteronephrosis', 'cf_snomed': {'hydroureteronephrosis': 40068008}, 'existence': 'neg_dx', 'observation': 'hydroureteronephrosis'}}imaging observation_fin: ['fat']clinical findings_fin: {'perinephric fat stranding': {'clinical finding': 'perinephric fat stranding', 'existence': 'neg_dx', 'descriptive_term': 'perinephric fat', 'observation': 'strand'}}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'}}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: {'pelvic phleboliths': {'clinical finding': 'pelvic phleboliths', 'cf_snomed': {'pelvic phleboliths': 195520008}, 'existence': 'pos_dx', 'descriptive_term': 'pelvic', 'observation': 'phlebolith'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] Lack of intravenous contrast limits evaluation for solid organ, bowel and vascular pathology. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No urinary calculi or hydroureteronephrosis. No perinephric fat stranding. No significant abnormality noted. None. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Pelvic phleboliths. No significant abnormality noted </s>

.The ventricles and sulci are normal in size. There are no masses, mass effect or midline shift. There is no evidence for intracranial hemorrhage or acute cerebral or cerebellar cortical infarction. There are no extraaxial fluid collections or subdural hematomas. The visualized portions of the paranasal sinuses and mastoid air cells are clear. There is mild pharyngeal tonsillar enlargement and reactive adenopathy but no evidence of phlegmon or abscess formation. Mild Diffuse mild adenopathy is noted in the neck, right greater than left, which is likely reactive. The parotid and submandibular glands are normal in size and symmetric bilaterally without masses. There is no airway compromise. The lung apices are clear.

clinical findings_fin: {'ventricles and sulci are normal in size': {'clinical finding': 'ventricles and sulci are normal in size'}}location descriptor_fin: ['midline']clinical findings_fin: {'masses': {'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass'}, 'mass effect': {'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect'}, 'midline shift': {'clinical finding': 'midline shift', 'cf_snomed': {'shift': 9546005}, 'existence': 'neg_dx', 'descriptive_term': 'midline', 'observation': 'shift'}}clinical findings_fin: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}, 'acute cerebral or cerebellar cortical infarction': {'clinical finding': 'acute cerebral or cerebellar cortical infarction', 'existence': 'neg_dx', 'descriptive_term': 'acute cerebral or cerebellar cortical', 'observation': 'infarction', 'strength_term': 'acute', 'temporal_term': 'acute'}}anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'subdural hematomas': {'clinical finding': 'subdural hematomas', 'cf_snomed': {'subdural hematoma': 95453001}, 'existence': 'neg_dx', 'descriptive_term': 'subdural', 'observation': 'hematoma'}}anatomical entity_fin: {'paranasal sinuses': {}, 'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}clinical findings_fin: {'reactive adenopathy': {'clinical finding': 'reactive adenopathy', 'existence': 'pos_dx', 'descriptive_term': 'reactive', 'observation': 'adenopathy'}, 'phlegmon or abscess': {'clinical finding': 'phlegmon or abscess', 'cf_snomed': {'phlegmon': 190280006, 'abscess': 128477000}, 'existence': 'neg_dx', 'descriptive_term': 'phlegmon or', 'observation': 'abscess'}}anatomical entity_fin: {'neck': {}}location descriptor_fin: ['right', 'left']clinical findings_fin: {'mild diffuse mild adenopathy': {'clinical finding': 'mild diffuse mild adenopathy', 'existence': 'pos_dx', 'descriptive_term': 'mild diffuse mild', 'observation': 'adenopathy', 'strength_term': 'mild - mild'}}anatomical entity_fin: {'submandibular glands': {}}clinical findings_fin: {'masses': {'clinical finding': 'masses', 'existence': 'pos_dx', 'observation': 'mass'}}anatomical entity_fin: {'airway': {}}anatomical entity_fin: {'lung': {}, 'apices': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'ventricles and sulci are normal in size': {'clinical finding': 'ventricles and sulci are normal in size'}}location descriptor_fin: ['midline']clinical findings_fin: {'masses': {'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass'}, 'mass effect': {'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect'}, 'midline shift': {'clinical finding': 'midline shift', 'cf_snomed': {'shift': 9546005}, 'existence': 'neg_dx', 'descriptive_term': 'midline', 'observation': 'shift'}}clinical findings_fin: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}, 'acute cerebral or cerebellar cortical infarction': {'clinical finding': 'acute cerebral or cerebellar cortical infarction', 'existence': 'neg_dx', 'descriptive_term': 'acute cerebral or cerebellar cortical', 'observation': 'infarction', 'strength_term': 'acute', 'temporal_term': 'acute'}}anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'subdural hematomas': {'clinical finding': 'subdural hematomas', 'cf_snomed': {'subdural hematoma': 95453001}, 'existence': 'neg_dx', 'descriptive_term': 'subdural', 'observation': 'hematoma'}}anatomical entity_fin: {'paranasal sinuses': {}, 'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}clinical findings_fin: {'reactive adenopathy': {'clinical finding': 'reactive adenopathy', 'existence': 'pos_dx', 'descriptive_term': 'reactive', 'observation': 'adenopathy'}, 'phlegmon or abscess': {'clinical finding': 'phlegmon or abscess', 'cf_snomed': {'phlegmon': 190280006, 'abscess': 128477000}, 'existence': 'neg_dx', 'descriptive_term': 'phlegmon or', 'observation': 'abscess'}}anatomical entity_fin: {'neck': {}}location descriptor_fin: ['right', 'left']clinical findings_fin: {'mild diffuse mild adenopathy': {'clinical finding': 'mild diffuse mild adenopathy', 'existence': 'pos_dx', 'descriptive_term': 'mild diffuse mild', 'observation': 'adenopathy', 'strength_term': 'mild - mild'}}anatomical entity_fin: {'submandibular glands': {}}clinical findings_fin: {'masses': {'clinical finding': 'masses', 'existence': 'pos_dx', 'observation': 'mass'}}anatomical entity_fin: {'airway': {}}anatomical entity_fin: {'lung': {}, 'apices': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}} [/INST] .The ventricles and sulci are normal in size. There are no masses, mass effect or midline shift. There is no evidence for intracranial hemorrhage or acute cerebral or cerebellar cortical infarction. There are no extraaxial fluid collections or subdural hematomas. The visualized portions of the paranasal sinuses and mastoid air cells are clear. There is mild pharyngeal tonsillar enlargement and reactive adenopathy but no evidence of phlegmon or abscess formation. Mild Diffuse mild adenopathy is noted in the neck, right greater than left, which is likely reactive. The parotid and submandibular glands are normal in size and symmetric bilaterally without masses. There is no airway compromise. The lung apices are clear. </s>

.The CSF spaces are appropriate for the patients stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma. There is opacification of the left maxillary sinus, left ethmoid air cells and left frontal sinus as well as the superior and middle meatus I on the left side. Some mucous retention cysts are present in the right maxillary sinus. There is a defect present along the left anterior aspect of the lamina papyracea extending into the left orbit which is associated with adjacent infiltration of the left extraconal space. Soft tissue lesion measuring approximately 8 mm bridges a defect in the left medial rectus muscle is mildly displaced medially. The orbits are intact with no abnormal mass lesions in either orbit. There is no abnormal enhancement of the optic nerves. The visualized eyeballs are intact lacrimal glands are unremarkable. Extraocular muscles are intact. The suprasellar cistern is unremarkable. Visualized portions of the mastoid air cells and middle ears demonstrate opacification of the left middle ear and mastoid air cells.

location descriptor_fin: ['midline']clinical findings_fin: {'midline shift': {'clinical finding': 'midline shift', 'cf_snomed': {'shift': 9546005}, 'existence': 'neg_dx', 'descriptive_term': 'midline', 'observation': 'shift'}}clinical findings_fin: {'abnormal mass lesions': {'clinical finding': 'abnormal mass lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'abnormal mass', 'observation': 'lesion'}}clinical findings_fin: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}}anatomical entity_fin: {'brain': {}, 'parenchyma': {}}clinical findings_fin: {'edema': {'clinical finding': 'edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'neg_dx', 'observation': 'edema'}}anatomical entity_fin: {'maxillary sinus': {'location descriptor': 'left'}, 'cells': {}, 'frontal sinus': {'location descriptor': 'left'}, 'middle': {}, 'meatus': {}}location descriptor_fin: ['left', 'superior']clinical findings_fin: {'opacification': {'clinical finding': 'opacification', 'existence': 'pos_dx', 'observation': 'opacification'}}anatomical entity_fin: {'maxillary sinus': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'some mucous retention cysts': {'clinical finding': 'some mucous retention cysts', 'cf_snomed': {'retention': 36850000}, 'existence': 'pos_dx', 'descriptive_term': 'some mucous retention', 'observation': 'cyst', 'quantity_term': 'some'}}anatomical entity_fin: {'orbit': {'location descriptor': 'left'}}location descriptor_fin: ['left', 'anterior', 'adjacent']clinical findings_fin: {'defect': {'clinical finding': 'defect', 'cf_snomed': {'defect': 6920004}, 'existence': 'pos_dx', 'observation': 'defect'}}size_fin: [{'size': '8 mm', 'size_descriptor': 'bridges'}]anatomical entity_fin: {'medial rectus muscle': {'location descriptor': 'left'}}location descriptor_fin: ['left', 'displaced']clinical findings_fin: {'soft tissue lesion': {'clinical finding': 'soft tissue lesion', 'cf_snomed': {'soft tissue lesion': 239953001}, 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'lesion'}, 'defect': {'clinical finding': 'defect', 'cf_snomed': {'defect': 6920004}, 'existence': 'pos_dx', 'observation': 'defect'}, 'displaced': {'clinical finding': 'displaced', 'existence': 'pos_dx', 'observation': 'displace'}}anatomical entity_fin: {'orbits': {}, 'orbit': {}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'pos_dx', 'observation': 'intact'}, 'abnormal mass lesions': {'clinical finding': 'abnormal mass lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'abnormal mass', 'observation': 'lesion'}}anatomical entity_fin: {'optic nerves': {}}clinical findings_fin: {'abnormal enhancement': {'clinical finding': 'abnormal enhancement', 'existence': 'neg_dx', 'descriptive_term': 'abnormal', 'observation': 'enhancement'}}anatomical entity_fin: {'lacrimal glands': {}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'pos_dx', 'observation': 'intact'}}anatomical entity_fin: {'extraocular muscles': {}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'pos_dx', 'observation': 'intact'}}anatomical entity_fin: {'suprasellar cistern': {}}clinical findings_fin: {'suprasellar cistern is unremarkable': {'clinical finding': 'suprasellar cistern is unremarkable'}}anatomical entity_fin: {'mastoid air cells': {}, 'middle ears': {}, 'middle ear': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'opacification': {'clinical finding': 'opacification', 'existence': 'unc_dx', 'observation': 'opacification'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['midline']clinical findings_fin: {'midline shift': {'clinical finding': 'midline shift', 'cf_snomed': {'shift': 9546005}, 'existence': 'neg_dx', 'descriptive_term': 'midline', 'observation': 'shift'}}clinical findings_fin: {'abnormal mass lesions': {'clinical finding': 'abnormal mass lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'abnormal mass', 'observation': 'lesion'}}clinical findings_fin: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}}anatomical entity_fin: {'brain': {}, 'parenchyma': {}}clinical findings_fin: {'edema': {'clinical finding': 'edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'neg_dx', 'observation': 'edema'}}anatomical entity_fin: {'maxillary sinus': {'location descriptor': 'left'}, 'cells': {}, 'frontal sinus': {'location descriptor': 'left'}, 'middle': {}, 'meatus': {}}location descriptor_fin: ['left', 'superior']clinical findings_fin: {'opacification': {'clinical finding': 'opacification', 'existence': 'pos_dx', 'observation': 'opacification'}}anatomical entity_fin: {'maxillary sinus': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'some mucous retention cysts': {'clinical finding': 'some mucous retention cysts', 'cf_snomed': {'retention': 36850000}, 'existence': 'pos_dx', 'descriptive_term': 'some mucous retention', 'observation': 'cyst', 'quantity_term': 'some'}}anatomical entity_fin: {'orbit': {'location descriptor': 'left'}}location descriptor_fin: ['left', 'anterior', 'adjacent']clinical findings_fin: {'defect': {'clinical finding': 'defect', 'cf_snomed': {'defect': 6920004}, 'existence': 'pos_dx', 'observation': 'defect'}}size_fin: [{'size': '8 mm', 'size_descriptor': 'bridges'}]anatomical entity_fin: {'medial rectus muscle': {'location descriptor': 'left'}}location descriptor_fin: ['left', 'displaced']clinical findings_fin: {'soft tissue lesion': {'clinical finding': 'soft tissue lesion', 'cf_snomed': {'soft tissue lesion': 239953001}, 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'lesion'}, 'defect': {'clinical finding': 'defect', 'cf_snomed': {'defect': 6920004}, 'existence': 'pos_dx', 'observation': 'defect'}, 'displaced': {'clinical finding': 'displaced', 'existence': 'pos_dx', 'observation': 'displace'}}anatomical entity_fin: {'orbits': {}, 'orbit': {}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'pos_dx', 'observation': 'intact'}, 'abnormal mass lesions': {'clinical finding': 'abnormal mass lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'abnormal mass', 'observation': 'lesion'}}anatomical entity_fin: {'optic nerves': {}}clinical findings_fin: {'abnormal enhancement': {'clinical finding': 'abnormal enhancement', 'existence': 'neg_dx', 'descriptive_term': 'abnormal', 'observation': 'enhancement'}}anatomical entity_fin: {'lacrimal glands': {}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'pos_dx', 'observation': 'intact'}}anatomical entity_fin: {'extraocular muscles': {}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'pos_dx', 'observation': 'intact'}}anatomical entity_fin: {'suprasellar cistern': {}}clinical findings_fin: {'suprasellar cistern is unremarkable': {'clinical finding': 'suprasellar cistern is unremarkable'}}anatomical entity_fin: {'mastoid air cells': {}, 'middle ears': {}, 'middle ear': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'opacification': {'clinical finding': 'opacification', 'existence': 'unc_dx', 'observation': 'opacification'}} [/INST] .The CSF spaces are appropriate for the patients stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma. There is opacification of the left maxillary sinus, left ethmoid air cells and left frontal sinus as well as the superior and middle meatus I on the left side. Some mucous retention cysts are present in the right maxillary sinus. There is a defect present along the left anterior aspect of the lamina papyracea extending into the left orbit which is associated with adjacent infiltration of the left extraconal space. Soft tissue lesion measuring approximately 8 mm bridges a defect in the left medial rectus muscle is mildly displaced medially. The orbits are intact with no abnormal mass lesions in either orbit. There is no abnormal enhancement of the optic nerves. The visualized eyeballs are intact lacrimal glands are unremarkable. Extraocular muscles are intact. The suprasellar cistern is unremarkable. Visualized portions of the mastoid air cells and middle ears demonstrate opacification of the left middle ear and mastoid air cells. </s>

The CSF spaces are appropriate for the patients stated age with no midline shift. The cerebellar hemispheres are atrophic in the brainstem is relatively small. These findings are stable compared to the prior examNo abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma. The visualized portions of the paranasal sinuses are clear. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.

location descriptor_fin: ['midline']clinical findings_fin: {'midline shift': {'clinical finding': 'midline shift', 'cf_snomed': {'shift': 9546005}, 'existence': 'neg_dx', 'descriptive_term': 'midline', 'observation': 'shift'}}anatomical entity_fin: {'brainstem': {}}clinical findings_fin: {'atrophic': {'clinical finding': 'atrophic', 'existence': 'pos_dx', 'observation': 'atrophic'}}clinical findings_fin: {'abnormal mass lesions': {'clinical finding': 'abnormal mass lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'unc_dx', 'descriptive_term': 'abnormal mass', 'observation': 'lesion'}}clinical findings_fin: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}}anatomical entity_fin: {'brain': {}, 'parenchyma': {}}clinical findings_fin: {'edema': {'clinical finding': 'edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'neg_dx', 'observation': 'edema'}}anatomical entity_fin: {'paranasal sinuses': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'orbits': {}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['midline']clinical findings_fin: {'midline shift': {'clinical finding': 'midline shift', 'cf_snomed': {'shift': 9546005}, 'existence': 'neg_dx', 'descriptive_term': 'midline', 'observation': 'shift'}}anatomical entity_fin: {'brainstem': {}}clinical findings_fin: {'atrophic': {'clinical finding': 'atrophic', 'existence': 'pos_dx', 'observation': 'atrophic'}}clinical findings_fin: {'abnormal mass lesions': {'clinical finding': 'abnormal mass lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'unc_dx', 'descriptive_term': 'abnormal mass', 'observation': 'lesion'}}clinical findings_fin: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}}anatomical entity_fin: {'brain': {}, 'parenchyma': {}}clinical findings_fin: {'edema': {'clinical finding': 'edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'neg_dx', 'observation': 'edema'}}anatomical entity_fin: {'paranasal sinuses': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'orbits': {}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}} [/INST] The CSF spaces are appropriate for the patients stated age with no midline shift. The cerebellar hemispheres are atrophic in the brainstem is relatively small. These findings are stable compared to the prior examNo abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma. The visualized portions of the paranasal sinuses are clear. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact. </s>

An external fixation frame is in place. This results in streak artifact which limits evaluation. The supraorbital frontal scalp has been retracted and reflected back. There has been removal of a large portion of the anterior frontal bone with unroofing of the frontal sinuses, consistent with bicoronal craniectomy. The intersinus septum is not well delineated. There is now a prominent air-fluid level predominantly in the left frontal sinus region. Overall, previously seen hyperdense material within the frontal sinuses is decreased, with remaining areas of hyperdensity in the right frontal sinus. Integrity of the floor of the frontal sinus is not well assessed without reformats. There are persistent areas of scattered hyperdensity throughout the remaining opacified paranasal sinuses, overall similar pattern of opacification when compared to the previous exam. There appears to be a prominent large sphenoidotomy. The left sphenoid sinus and posterior left ethmoid region appear relatively aerated. Posterior wall of the frontal sinus appears dehiscent in a few locations. Intracranial structures are grossly unremarkable.

location descriptor_fin: ['external']clinical findings_fin: {'external fixation frame': {'clinical finding': 'external fixation frame', 'existence': 'pos_dx', 'descriptive_term': 'external fixation', 'observation': 'frame'}}clinical findings_fin: {'streak artifact': {'clinical finding': 'streak artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'pos_dx', 'descriptive_term': 'streak', 'observation': 'artifact'}}anatomical entity_fin: {'scalp': {}, 'back': {}}location descriptor_fin: ['retracted']clinical findings_fin: {'retracted': {'clinical finding': 'retracted', 'existence': 'pos_dx', 'observation': 'retract'}}anatomical entity_fin: {'frontal bone': {'location descriptor': 'anterior'}}location descriptor_fin: ['anterior']clinical findings_fin: {'unroofing': {'clinical finding': 'unroofing', 'existence': 'pos_dx', 'observation': 'unroofing'}, 'bicoronal craniectomy': {'clinical finding': 'bicoronal craniectomy', 'existence': 'pos_dx', 'descriptive_term': 'bicoronal', 'observation': 'craniectomy'}}anatomical entity_fin: {'fluid': {}, 'frontal sinus': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'prominent air-fluid level': {'clinical finding': 'prominent air-fluid level', 'existence': 'pos_dx', 'descriptive_term': 'prominent air-fluid', 'observation': 'level', 'strength_term': 'prominent'}}anatomical entity_fin: {'frontal sinus': {}}location descriptor_fin: ['right']clinical findings_fin: {'hyperdensity': {'clinical finding': 'hyperdensity', 'existence': 'pos_dx', 'observation': 'hyperdensity'}}anatomical entity_fin: {'floor': {}, 'frontal sinus': {}}anatomical entity_fin: {'paranasal sinuses': {}}clinical findings_fin: {'scattered hyperdensity': {'clinical finding': 'scattered hyperdensity', 'existence': 'pos_dx', 'descriptive_term': 'scattered', 'observation': 'hyperdensity'}, 'opacification': {'clinical finding': 'opacification', 'existence': 'pos_dx', 'observation': 'opacification'}}clinical findings_fin: {'prominent large sphenoidotomy': {'clinical finding': 'prominent large sphenoidotomy', 'existence': 'pos_dx', 'descriptive_term': 'prominent large', 'observation': 'sphenoidotomy', 'strength_term': 'prominent - large'}}anatomical entity_fin: {'sphenoid sinus': {'location descriptor': 'left'}}location descriptor_fin: ['left', 'posterior']clinical findings_fin: {'aerated': {'clinical finding': 'aerated', 'existence': 'pos_dx', 'observation': 'aerate'}}anatomical entity_fin: {'wall': {'location descriptor': 'posterior'}, 'frontal sinus': {}}location descriptor_fin: ['posterior']clinical findings_fin: {'dehiscent': {'clinical finding': 'dehiscent', 'existence': 'pos_dx', 'observation': 'dehiscent'}}clinical findings_fin: {'intracranial structures are grossly unremarkable': {'clinical finding': 'intracranial structures are grossly unremarkable'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['external']clinical findings_fin: {'external fixation frame': {'clinical finding': 'external fixation frame', 'existence': 'pos_dx', 'descriptive_term': 'external fixation', 'observation': 'frame'}}clinical findings_fin: {'streak artifact': {'clinical finding': 'streak artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'pos_dx', 'descriptive_term': 'streak', 'observation': 'artifact'}}anatomical entity_fin: {'scalp': {}, 'back': {}}location descriptor_fin: ['retracted']clinical findings_fin: {'retracted': {'clinical finding': 'retracted', 'existence': 'pos_dx', 'observation': 'retract'}}anatomical entity_fin: {'frontal bone': {'location descriptor': 'anterior'}}location descriptor_fin: ['anterior']clinical findings_fin: {'unroofing': {'clinical finding': 'unroofing', 'existence': 'pos_dx', 'observation': 'unroofing'}, 'bicoronal craniectomy': {'clinical finding': 'bicoronal craniectomy', 'existence': 'pos_dx', 'descriptive_term': 'bicoronal', 'observation': 'craniectomy'}}anatomical entity_fin: {'fluid': {}, 'frontal sinus': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'prominent air-fluid level': {'clinical finding': 'prominent air-fluid level', 'existence': 'pos_dx', 'descriptive_term': 'prominent air-fluid', 'observation': 'level', 'strength_term': 'prominent'}}anatomical entity_fin: {'frontal sinus': {}}location descriptor_fin: ['right']clinical findings_fin: {'hyperdensity': {'clinical finding': 'hyperdensity', 'existence': 'pos_dx', 'observation': 'hyperdensity'}}anatomical entity_fin: {'floor': {}, 'frontal sinus': {}}anatomical entity_fin: {'paranasal sinuses': {}}clinical findings_fin: {'scattered hyperdensity': {'clinical finding': 'scattered hyperdensity', 'existence': 'pos_dx', 'descriptive_term': 'scattered', 'observation': 'hyperdensity'}, 'opacification': {'clinical finding': 'opacification', 'existence': 'pos_dx', 'observation': 'opacification'}}clinical findings_fin: {'prominent large sphenoidotomy': {'clinical finding': 'prominent large sphenoidotomy', 'existence': 'pos_dx', 'descriptive_term': 'prominent large', 'observation': 'sphenoidotomy', 'strength_term': 'prominent - large'}}anatomical entity_fin: {'sphenoid sinus': {'location descriptor': 'left'}}location descriptor_fin: ['left', 'posterior']clinical findings_fin: {'aerated': {'clinical finding': 'aerated', 'existence': 'pos_dx', 'observation': 'aerate'}}anatomical entity_fin: {'wall': {'location descriptor': 'posterior'}, 'frontal sinus': {}}location descriptor_fin: ['posterior']clinical findings_fin: {'dehiscent': {'clinical finding': 'dehiscent', 'existence': 'pos_dx', 'observation': 'dehiscent'}}clinical findings_fin: {'intracranial structures are grossly unremarkable': {'clinical finding': 'intracranial structures are grossly unremarkable'}} [/INST] An external fixation frame is in place. This results in streak artifact which limits evaluation. The supraorbital frontal scalp has been retracted and reflected back. There has been removal of a large portion of the anterior frontal bone with unroofing of the frontal sinuses, consistent with bicoronal craniectomy. The intersinus septum is not well delineated. There is now a prominent air-fluid level predominantly in the left frontal sinus region. Overall, previously seen hyperdense material within the frontal sinuses is decreased, with remaining areas of hyperdensity in the right frontal sinus. Integrity of the floor of the frontal sinus is not well assessed without reformats. There are persistent areas of scattered hyperdensity throughout the remaining opacified paranasal sinuses, overall similar pattern of opacification when compared to the previous exam. There appears to be a prominent large sphenoidotomy. The left sphenoid sinus and posterior left ethmoid region appear relatively aerated. Posterior wall of the frontal sinus appears dehiscent in a few locations. Intracranial structures are grossly unremarkable. </s>

There has been expected evolution of recent postoperative findings related to left posterior communicating artery aneurysm clipping with pneumocephalus and scalp swelling overlying the left pterional craniotomy flap. There is trace extra-axial fluid deep to the craniotomy flap and less conspicuous linear hyperattenuation in the left circular sulcus. There is now a small area of hypoattenuation in the left orbitofrontal gyri. There is minimal midline shift to the right.

anatomical entity_fin: {'left posterior communicating artery': {}, 'scalp': {}}location descriptor_fin: ['left']clinical findings_fin: {'recent postoperative': {'clinical finding': 'recent postoperative', 'existence': 'unc_dx', 'descriptive_term': 'recent', 'observation': 'postoperative'}, 'left posterior communicating artery aneurysm': {'clinical finding': 'left posterior communicating artery aneurysm', 'cf_snomed': {'aneurysm': 432119003}, 'existence': 'unc_dx', 'descriptive_term': 'left posterior communicating artery', 'observation': 'aneurysm'}, 'pneumocephalus': {'clinical finding': 'pneumocephalus', 'cf_snomed': {'pneumocephalus': 14415006}, 'existence': 'pos_dx', 'observation': 'pneumocephalus'}, 'scalp swelling': {'clinical finding': 'scalp swelling', 'cf_snomed': {'swelling': 65124004}, 'existence': 'pos_dx', 'descriptive_term': 'scalp', 'observation': 'swell'}}anatomical entity_fin: {'fluid': {}, 'circular sulcus': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'less conspicuous linear hyperattenuation': {'clinical finding': 'less conspicuous linear hyperattenuation', 'existence': 'pos_dx', 'descriptive_term': 'less conspicuous linear', 'observation': 'hyperattenuation', 'quantity_term': 'less'}}location descriptor_fin: ['left']clinical findings_fin: {'hypoattenuation': {'clinical finding': 'hypoattenuation', 'existence': 'pos_dx', 'observation': 'hypoattenuation'}}location descriptor_fin: ['midline', 'right']

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'left posterior communicating artery': {}, 'scalp': {}}location descriptor_fin: ['left']clinical findings_fin: {'recent postoperative': {'clinical finding': 'recent postoperative', 'existence': 'unc_dx', 'descriptive_term': 'recent', 'observation': 'postoperative'}, 'left posterior communicating artery aneurysm': {'clinical finding': 'left posterior communicating artery aneurysm', 'cf_snomed': {'aneurysm': 432119003}, 'existence': 'unc_dx', 'descriptive_term': 'left posterior communicating artery', 'observation': 'aneurysm'}, 'pneumocephalus': {'clinical finding': 'pneumocephalus', 'cf_snomed': {'pneumocephalus': 14415006}, 'existence': 'pos_dx', 'observation': 'pneumocephalus'}, 'scalp swelling': {'clinical finding': 'scalp swelling', 'cf_snomed': {'swelling': 65124004}, 'existence': 'pos_dx', 'descriptive_term': 'scalp', 'observation': 'swell'}}anatomical entity_fin: {'fluid': {}, 'circular sulcus': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'less conspicuous linear hyperattenuation': {'clinical finding': 'less conspicuous linear hyperattenuation', 'existence': 'pos_dx', 'descriptive_term': 'less conspicuous linear', 'observation': 'hyperattenuation', 'quantity_term': 'less'}}location descriptor_fin: ['left']clinical findings_fin: {'hypoattenuation': {'clinical finding': 'hypoattenuation', 'existence': 'pos_dx', 'observation': 'hypoattenuation'}}location descriptor_fin: ['midline', 'right'] [/INST] There has been expected evolution of recent postoperative findings related to left posterior communicating artery aneurysm clipping with pneumocephalus and scalp swelling overlying the left pterional craniotomy flap. There is trace extra-axial fluid deep to the craniotomy flap and less conspicuous linear hyperattenuation in the left circular sulcus. There is now a small area of hypoattenuation in the left orbitofrontal gyri. There is minimal midline shift to the right. </s>

Postoperative changes are again seen from previous bilateral frontotemporal craniotomy. Left parasellar aneurysm clips and a coil mass from prior right carotid aneurysm embolization results in extensive streak artifact obscuring surrounding structures. There is redemonstration of an area of hypodense encephalomalacia involving the lateral aspect of the left inferior frontal lobe and minimally involving the left anterior temporal pole. There is also associated mild ex vacuo dilatation of the left frontal horn. The ventricles and sulci are otherwise within normal limits. There is no midline shift or mass effect. There is no intracranial hemorrhage. There are no new areas of abnormal attenuation. There is no extraaxial fluid collection. There is minimal left ethmoidal mucosal thickening. The remainder of the visualized portions of the paranasal sinuses and mastoids or middle ears are grossly clear.

location descriptor_fin: ['bilateral']clinical findings_fin: {'postoperative changes': {'clinical finding': 'postoperative changes', 'existence': 'pos_dx', 'descriptive_term': 'postoperative', 'observation': 'change'}}location descriptor_fin: ['left', 'right']object_fin: ['clips', 'coil']procedure_fin: ['embolization']clinical findings_fin: {'left parasellar aneurysm': {'clinical finding': 'left parasellar aneurysm', 'cf_snomed': {'aneurysm': 432119003}, 'existence': 'pos_dx', 'descriptive_term': 'left parasellar', 'observation': 'aneurysm'}, 'coil mass': {'clinical finding': 'coil mass', 'existence': 'pos_dx', 'descriptive_term': 'coil', 'observation': 'mass'}, 'prior right carotid aneurysm': {'clinical finding': 'prior right carotid aneurysm', 'cf_snomed': {'aneurysm': 432119003}, 'existence': 'pos_dx', 'descriptive_term': 'prior right carotid', 'observation': 'aneurysm'}, 'extensive streak artifact': {'clinical finding': 'extensive streak artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'pos_dx', 'descriptive_term': 'extensive streak', 'observation': 'artifact', 'strength_term': 'extensive'}}anatomical entity_fin: {'frontal lobe': {'location descriptor': 'left inferior'}, 'temporal pole': {'location descriptor': 'left anterior'}}location descriptor_fin: ['lateral', 'left', 'inferior', 'anterior']clinical findings_fin: {'hypodense encephalomalacia': {'clinical finding': 'hypodense encephalomalacia', 'cf_snomed': {'encephalomalacia': 58762006}, 'existence': 'pos_dx', 'descriptive_term': 'hypodense', 'observation': 'encephalomalacia'}}location descriptor_fin: ['left']clinical findings_fin: {'associated mild ex vacuo dilatation': {'clinical finding': 'associated mild ex vacuo dilatation', 'cf_snomed': {'dilatation': 25322007}, 'existence': 'pos_dx', 'descriptive_term': 'associated mild ex vacuo', 'observation': 'dilatation', 'strength_term': 'mild'}}clinical findings_fin: {'ventricles and sulci are otherwise within normal limits': {'clinical finding': 'ventricles and sulci are otherwise within normal limits'}}location descriptor_fin: ['midline']clinical findings_fin: {'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}}clinical findings_fin: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}}clinical findings_fin: {'abnormal attenuation': {'clinical finding': 'abnormal attenuation', 'existence': 'neg_dx', 'descriptive_term': 'abnormal', 'observation': 'attenuation'}}clinical findings_fin: {'extraaxial fluid collection': {'clinical finding': 'extraaxial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'extraaxial fluid', 'observation': 'collection'}}location descriptor_fin: ['left']clinical findings_fin: {'minimal left ethmoidal mucosal thickening': {'clinical finding': 'minimal left ethmoidal mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'minimal left ethmoidal mucosal', 'observation': 'thickening', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}anatomical entity_fin: {'paranasal sinuses': {}, 'middle ears': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['bilateral']clinical findings_fin: {'postoperative changes': {'clinical finding': 'postoperative changes', 'existence': 'pos_dx', 'descriptive_term': 'postoperative', 'observation': 'change'}}location descriptor_fin: ['left', 'right']object_fin: ['clips', 'coil']procedure_fin: ['embolization']clinical findings_fin: {'left parasellar aneurysm': {'clinical finding': 'left parasellar aneurysm', 'cf_snomed': {'aneurysm': 432119003}, 'existence': 'pos_dx', 'descriptive_term': 'left parasellar', 'observation': 'aneurysm'}, 'coil mass': {'clinical finding': 'coil mass', 'existence': 'pos_dx', 'descriptive_term': 'coil', 'observation': 'mass'}, 'prior right carotid aneurysm': {'clinical finding': 'prior right carotid aneurysm', 'cf_snomed': {'aneurysm': 432119003}, 'existence': 'pos_dx', 'descriptive_term': 'prior right carotid', 'observation': 'aneurysm'}, 'extensive streak artifact': {'clinical finding': 'extensive streak artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'pos_dx', 'descriptive_term': 'extensive streak', 'observation': 'artifact', 'strength_term': 'extensive'}}anatomical entity_fin: {'frontal lobe': {'location descriptor': 'left inferior'}, 'temporal pole': {'location descriptor': 'left anterior'}}location descriptor_fin: ['lateral', 'left', 'inferior', 'anterior']clinical findings_fin: {'hypodense encephalomalacia': {'clinical finding': 'hypodense encephalomalacia', 'cf_snomed': {'encephalomalacia': 58762006}, 'existence': 'pos_dx', 'descriptive_term': 'hypodense', 'observation': 'encephalomalacia'}}location descriptor_fin: ['left']clinical findings_fin: {'associated mild ex vacuo dilatation': {'clinical finding': 'associated mild ex vacuo dilatation', 'cf_snomed': {'dilatation': 25322007}, 'existence': 'pos_dx', 'descriptive_term': 'associated mild ex vacuo', 'observation': 'dilatation', 'strength_term': 'mild'}}clinical findings_fin: {'ventricles and sulci are otherwise within normal limits': {'clinical finding': 'ventricles and sulci are otherwise within normal limits'}}location descriptor_fin: ['midline']clinical findings_fin: {'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}}clinical findings_fin: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}}clinical findings_fin: {'abnormal attenuation': {'clinical finding': 'abnormal attenuation', 'existence': 'neg_dx', 'descriptive_term': 'abnormal', 'observation': 'attenuation'}}clinical findings_fin: {'extraaxial fluid collection': {'clinical finding': 'extraaxial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'extraaxial fluid', 'observation': 'collection'}}location descriptor_fin: ['left']clinical findings_fin: {'minimal left ethmoidal mucosal thickening': {'clinical finding': 'minimal left ethmoidal mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'minimal left ethmoidal mucosal', 'observation': 'thickening', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}anatomical entity_fin: {'paranasal sinuses': {}, 'middle ears': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'}} [/INST] Postoperative changes are again seen from previous bilateral frontotemporal craniotomy. Left parasellar aneurysm clips and a coil mass from prior right carotid aneurysm embolization results in extensive streak artifact obscuring surrounding structures. There is redemonstration of an area of hypodense encephalomalacia involving the lateral aspect of the left inferior frontal lobe and minimally involving the left anterior temporal pole. There is also associated mild ex vacuo dilatation of the left frontal horn. The ventricles and sulci are otherwise within normal limits. There is no midline shift or mass effect. There is no intracranial hemorrhage. There are no new areas of abnormal attenuation. There is no extraaxial fluid collection. There is minimal left ethmoidal mucosal thickening. The remainder of the visualized portions of the paranasal sinuses and mastoids or middle ears are grossly clear. </s>

No intracranial hemorrhage is identified. No intracranial mass or evidence of mass-effect. There is slitlike encephalomalacia involving the left external capsule related to remote hemorrhage seen on prior study from 2003. There is interval development of extensive areas of hypoattenuation involving the bilateral periventricular and subcortical white matter, which are nonspecific, but favored to represent chronic small vessel ischemic disease. No midline shift or uncal herniation. Gray-white differentiation is maintained. Sulci and ventricles are within normal limits for age without evidence of hydrocephalus. No extra-axial collections. Prominent vascular calcifications. Left maxillary sinus mucous retention cyst is seen. Mastoid air cells are clear. Calvarium is intact.

clinical findings_fin: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}}clinical findings_fin: {'intracranial mass': {'clinical finding': 'intracranial mass', 'cf_snomed': {'intracranial mass': 85974009}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'mass'}, 'mass-effect': {'clinical finding': 'mass-effect', 'existence': 'neg_dx', 'observation': 'mass'}}anatomical entity_fin: {'left external capsule': {}}clinical findings_fin: {'slitlike encephalomalacia': {'clinical finding': 'slitlike encephalomalacia', 'cf_snomed': {'encephalomalacia': 58762006}, 'existence': 'pos_dx', 'descriptive_term': 'slitlike', 'observation': 'encephalomalacia'}, 'remote hemorrhage': {'clinical finding': 'remote hemorrhage', 'cf_snomed': {'hemorrhage': 50960005}, 'existence': 'pos_dx', 'descriptive_term': 'remote', 'observation': 'hemorrhage'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'hypoattenuation': {'clinical finding': 'hypoattenuation', 'existence': 'pos_dx', 'observation': 'hypoattenuation'}, 'chronic small vessel ischemic disease': {'clinical finding': 'chronic small vessel ischemic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'unc_dx', 'descriptive_term': 'chronic small vessel ischemic', 'observation': 'disease', 'strength_term': 'small', 'temporal_term': 'chronic'}}location descriptor_fin: ['midline']clinical findings_fin: {'uncal herniation': {'clinical finding': 'uncal herniation', 'existence': 'neg_dx', 'descriptive_term': 'uncal', 'observation': 'herniation'}}clinical findings_fin: {'gray-white differentiation is maintained': {'clinical finding': 'gray-white differentiation is maintained', 'change_term': 'maintained'}}clinical findings_fin: {'hydrocephalus': {'clinical finding': 'hydrocephalus', 'cf_snomed': {'hydrocephalus': 230745008}, 'existence': 'neg_dx', 'observation': 'hydrocephalus'}}clinical findings_fin: {'prominent vascular calcifications': {'clinical finding': 'prominent vascular calcifications', 'cf_snomed': {'vascular calcification': 237897009}, 'existence': 'pos_dx', 'descriptive_term': 'prominent vascular', 'observation': 'calcification', 'strength_term': 'prominent'}}anatomical entity_fin: {'maxillary sinus': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'left maxillary sinus mucous retention cyst': {'clinical finding': 'left maxillary sinus mucous retention cyst', 'cf_snomed': {'sinus': 419351001, 'retention': 36850000, 'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'left maxillary sinus mucous retention', 'observation': 'cyst'}}anatomical entity_fin: {'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'pos_dx', 'observation': 'intact'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}}clinical findings_fin: {'intracranial mass': {'clinical finding': 'intracranial mass', 'cf_snomed': {'intracranial mass': 85974009}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'mass'}, 'mass-effect': {'clinical finding': 'mass-effect', 'existence': 'neg_dx', 'observation': 'mass'}}anatomical entity_fin: {'left external capsule': {}}clinical findings_fin: {'slitlike encephalomalacia': {'clinical finding': 'slitlike encephalomalacia', 'cf_snomed': {'encephalomalacia': 58762006}, 'existence': 'pos_dx', 'descriptive_term': 'slitlike', 'observation': 'encephalomalacia'}, 'remote hemorrhage': {'clinical finding': 'remote hemorrhage', 'cf_snomed': {'hemorrhage': 50960005}, 'existence': 'pos_dx', 'descriptive_term': 'remote', 'observation': 'hemorrhage'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'hypoattenuation': {'clinical finding': 'hypoattenuation', 'existence': 'pos_dx', 'observation': 'hypoattenuation'}, 'chronic small vessel ischemic disease': {'clinical finding': 'chronic small vessel ischemic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'unc_dx', 'descriptive_term': 'chronic small vessel ischemic', 'observation': 'disease', 'strength_term': 'small', 'temporal_term': 'chronic'}}location descriptor_fin: ['midline']clinical findings_fin: {'uncal herniation': {'clinical finding': 'uncal herniation', 'existence': 'neg_dx', 'descriptive_term': 'uncal', 'observation': 'herniation'}}clinical findings_fin: {'gray-white differentiation is maintained': {'clinical finding': 'gray-white differentiation is maintained', 'change_term': 'maintained'}}clinical findings_fin: {'hydrocephalus': {'clinical finding': 'hydrocephalus', 'cf_snomed': {'hydrocephalus': 230745008}, 'existence': 'neg_dx', 'observation': 'hydrocephalus'}}clinical findings_fin: {'prominent vascular calcifications': {'clinical finding': 'prominent vascular calcifications', 'cf_snomed': {'vascular calcification': 237897009}, 'existence': 'pos_dx', 'descriptive_term': 'prominent vascular', 'observation': 'calcification', 'strength_term': 'prominent'}}anatomical entity_fin: {'maxillary sinus': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'left maxillary sinus mucous retention cyst': {'clinical finding': 'left maxillary sinus mucous retention cyst', 'cf_snomed': {'sinus': 419351001, 'retention': 36850000, 'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'left maxillary sinus mucous retention', 'observation': 'cyst'}}anatomical entity_fin: {'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'pos_dx', 'observation': 'intact'}} [/INST] No intracranial hemorrhage is identified. No intracranial mass or evidence of mass-effect. There is slitlike encephalomalacia involving the left external capsule related to remote hemorrhage seen on prior study from 2003. There is interval development of extensive areas of hypoattenuation involving the bilateral periventricular and subcortical white matter, which are nonspecific, but favored to represent chronic small vessel ischemic disease. No midline shift or uncal herniation. Gray-white differentiation is maintained. Sulci and ventricles are within normal limits for age without evidence of hydrocephalus. No extra-axial collections. Prominent vascular calcifications. Left maxillary sinus mucous retention cyst is seen. Mastoid air cells are clear. Calvarium is intact. </s>

. Bibasilar atelectasis. Granuloma in the right lung base. No focal hepatic lesions. No intrahepatic biliary ductal dilatation. The proximal common bile duct measures up to 7 mm in caliber is appropriate for patients age however the distal common bile duct is not visualized due to the known duodenal mass as described below. No evidence of biliary obstruction is noted at this time however. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. None. Status post gastrojejunostomy and right hemicolectomy. Within the descending duodenum there is a heterogeneous mass measuring 3.2 cm x 2.6 cm compatible with patients known duodenal adenocarcinoma. No bowel obstruction or free air. Along the anterior abdominal wall there is a peritoneal nodule measuring 1.3 cm x 1.1 cm which as solitary nodule is nonspecific but worrisome for metastatic disease. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Status post gastrojejunostomy and right hemicolectomy. Within the descending duodenum there is a heterogeneous mass measuring 3.2 cm x 2.6 cm compatible with patients known duodenal adenocarcinoma. No bowel obstruction or free air. No significant abnormality noted. No significant abnormality noted

clinical findings_fin: {'bibasilar atelectasis': {'clinical finding': 'bibasilar atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'bibasilar', 'observation': 'atelectasis'}}anatomical entity_fin: {'right lung': {}, 'base': {}}clinical findings_fin: {'granuloma': {'clinical finding': 'granuloma', 'cf_snomed': {'granuloma': 45647009}, 'existence': 'pos_dx', 'observation': 'granuloma'}}clinical findings_fin: {'focal hepatic lesions': {'clinical finding': 'focal hepatic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'focal hepatic', 'observation': 'lesion'}}clinical findings_fin: {'intrahepatic biliary ductal dilatation': {'clinical finding': 'intrahepatic biliary ductal dilatation', 'cf_snomed': {'dilatation': 25322007}, 'existence': 'neg_dx', 'descriptive_term': 'intrahepatic biliary ductal', 'observation': 'dilatation'}}size_fin: [{'size': '7 mm', 'size_descriptor': 'duct'}]anatomical entity_fin: {'common bile duct': {'location descriptor': 'distal'}}location descriptor_fin: ['proximal', 'distal']clinical findings_fin: {'known duodenal mass': {'clinical finding': 'known duodenal mass', 'existence': 'neg_dx', 'descriptive_term': 'known duodenal', 'observation': 'mass'}}clinical findings_fin: {'biliary obstruction': {'clinical finding': 'biliary obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'descriptive_term': 'biliary', 'observation': 'obstruction'}}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'}}procedure_fin: ['gastrojejunostomy', 'right hemicolectomy']size_fin: [{'size': '3.2 cm x 2.6 cm', 'size_descriptor': 'mass'}]anatomical entity_fin: {'duodenum': {}}clinical findings_fin: {'heterogeneous mass': {'clinical finding': 'heterogeneous mass', 'existence': 'pos_dx', 'descriptive_term': 'heterogeneous', 'observation': 'mass'}, 'duodenal adenocarcinoma': {'clinical finding': 'duodenal adenocarcinoma', 'cf_snomed': {'adenocarcinoma': 1187332001}, 'existence': 'pos_dx', 'descriptive_term': 'duodenal', 'observation': 'adenocarcinoma'}}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'}, 'free air': {'clinical finding': 'free air', 'existence': 'neg_dx', 'descriptive_term': 'free', 'observation': 'air'}}size_fin: [{'size': '1.3 cm x 1.1 cm'}]anatomical entity_fin: {'anterior abdominal wall': {}}clinical findings_fin: {'peritoneal nodule': {'clinical finding': 'peritoneal nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'peritoneal', 'observation': 'nodule'}, 'solitary nodule': {'clinical finding': 'solitary nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'solitary', 'observation': 'nodule'}, 'metastatic disease': {'clinical finding': 'metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'unc_dx', 'descriptive_term': 'metastatic', 'observation': 'disease'}}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'}}procedure_fin: ['gastrojejunostomy', 'right hemicolectomy']size_fin: [{'size': '3.2 cm x 2.6 cm', 'size_descriptor': 'mass'}]anatomical entity_fin: {'duodenum': {}}clinical findings_fin: {'heterogeneous mass': {'clinical finding': 'heterogeneous mass', 'existence': 'pos_dx', 'descriptive_term': 'heterogeneous', 'observation': 'mass'}, 'duodenal adenocarcinoma': {'clinical finding': 'duodenal adenocarcinoma', 'cf_snomed': {'adenocarcinoma': 1187332001}, 'existence': 'pos_dx', 'descriptive_term': 'duodenal', 'observation': 'adenocarcinoma'}}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'}, 'free air': {'clinical finding': 'free air', 'existence': 'neg_dx', 'descriptive_term': 'free', 'observation': 'air'}}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'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'bibasilar atelectasis': {'clinical finding': 'bibasilar atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'bibasilar', 'observation': 'atelectasis'}}anatomical entity_fin: {'right lung': {}, 'base': {}}clinical findings_fin: {'granuloma': {'clinical finding': 'granuloma', 'cf_snomed': {'granuloma': 45647009}, 'existence': 'pos_dx', 'observation': 'granuloma'}}clinical findings_fin: {'focal hepatic lesions': {'clinical finding': 'focal hepatic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'focal hepatic', 'observation': 'lesion'}}clinical findings_fin: {'intrahepatic biliary ductal dilatation': {'clinical finding': 'intrahepatic biliary ductal dilatation', 'cf_snomed': {'dilatation': 25322007}, 'existence': 'neg_dx', 'descriptive_term': 'intrahepatic biliary ductal', 'observation': 'dilatation'}}size_fin: [{'size': '7 mm', 'size_descriptor': 'duct'}]anatomical entity_fin: {'common bile duct': {'location descriptor': 'distal'}}location descriptor_fin: ['proximal', 'distal']clinical findings_fin: {'known duodenal mass': {'clinical finding': 'known duodenal mass', 'existence': 'neg_dx', 'descriptive_term': 'known duodenal', 'observation': 'mass'}}clinical findings_fin: {'biliary obstruction': {'clinical finding': 'biliary obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'descriptive_term': 'biliary', 'observation': 'obstruction'}}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'}}procedure_fin: ['gastrojejunostomy', 'right hemicolectomy']size_fin: [{'size': '3.2 cm x 2.6 cm', 'size_descriptor': 'mass'}]anatomical entity_fin: {'duodenum': {}}clinical findings_fin: {'heterogeneous mass': {'clinical finding': 'heterogeneous mass', 'existence': 'pos_dx', 'descriptive_term': 'heterogeneous', 'observation': 'mass'}, 'duodenal adenocarcinoma': {'clinical finding': 'duodenal adenocarcinoma', 'cf_snomed': {'adenocarcinoma': 1187332001}, 'existence': 'pos_dx', 'descriptive_term': 'duodenal', 'observation': 'adenocarcinoma'}}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'}, 'free air': {'clinical finding': 'free air', 'existence': 'neg_dx', 'descriptive_term': 'free', 'observation': 'air'}}size_fin: [{'size': '1.3 cm x 1.1 cm'}]anatomical entity_fin: {'anterior abdominal wall': {}}clinical findings_fin: {'peritoneal nodule': {'clinical finding': 'peritoneal nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'peritoneal', 'observation': 'nodule'}, 'solitary nodule': {'clinical finding': 'solitary nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'solitary', 'observation': 'nodule'}, 'metastatic disease': {'clinical finding': 'metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'unc_dx', 'descriptive_term': 'metastatic', 'observation': 'disease'}}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'}}procedure_fin: ['gastrojejunostomy', 'right hemicolectomy']size_fin: [{'size': '3.2 cm x 2.6 cm', 'size_descriptor': 'mass'}]anatomical entity_fin: {'duodenum': {}}clinical findings_fin: {'heterogeneous mass': {'clinical finding': 'heterogeneous mass', 'existence': 'pos_dx', 'descriptive_term': 'heterogeneous', 'observation': 'mass'}, 'duodenal adenocarcinoma': {'clinical finding': 'duodenal adenocarcinoma', 'cf_snomed': {'adenocarcinoma': 1187332001}, 'existence': 'pos_dx', 'descriptive_term': 'duodenal', 'observation': 'adenocarcinoma'}}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'}, 'free air': {'clinical finding': 'free air', 'existence': 'neg_dx', 'descriptive_term': 'free', 'observation': 'air'}}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] . Bibasilar atelectasis. Granuloma in the right lung base. No focal hepatic lesions. No intrahepatic biliary ductal dilatation. The proximal common bile duct measures up to 7 mm in caliber is appropriate for patients age however the distal common bile duct is not visualized due to the known duodenal mass as described below. No evidence of biliary obstruction is noted at this time however. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. None. Status post gastrojejunostomy and right hemicolectomy. Within the descending duodenum there is a heterogeneous mass measuring 3.2 cm x 2.6 cm compatible with patients known duodenal adenocarcinoma. No bowel obstruction or free air. Along the anterior abdominal wall there is a peritoneal nodule measuring 1.3 cm x 1.1 cm which as solitary nodule is nonspecific but worrisome for metastatic disease. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Status post gastrojejunostomy and right hemicolectomy. Within the descending duodenum there is a heterogeneous mass measuring 3.2 cm x 2.6 cm compatible with patients known duodenal adenocarcinoma. No bowel obstruction or free air. No significant abnormality noted. No significant abnormality noted </s>

The absence of intravenous contrast limits evaluation of the solid organs and vasculature. Bases clear. Large lipoma right posterior lateral chest wall. No significant abnormality noted. No evidence of fatty liver. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Probable bilateral renal cysts. Mild atherosclerosis. No evidence of aneurysm. No significant abnormality noted. Signs of discitis and possible osteomyelitis with destruction of vertebral body margins at the L1-L2 interspace. Mild skin thickening and anasarca diffusely. Correlate clinically. No significant abnormality noted. PROSTATE/. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Diverticulosis without evidence of diverticulitis. No free or loculated intraperitoneal fluid. Mild skin thickening and anasarca diffusely, correlate clinically. No significant abnormality noted.

anatomical entity_fin: {'solid organs': {}, 'vasculature': {}}clinical findings_fin: {'intravenous contrast': {'clinical finding': 'intravenous contrast', 'existence': 'neg_dx', 'descriptive_term': 'intravenous', 'observation': 'contrast'}}anatomical entity_fin: {'bases': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'lateral chest wall': {'location descriptor': 'right posterior'}}location descriptor_fin: ['right', 'posterior']clinical findings_fin: {'large lipoma': {'clinical finding': 'large lipoma', 'cf_snomed': {'lipoma': 134328007}, 'existence': 'pos_dx', 'descriptive_term': 'large', 'observation': 'lipoma', 'strength_term': 'large'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'fatty': {'clinical finding': 'fatty', 'existence': 'neg_dx', 'observation': 'fatty'}}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'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'probable bilateral renal cysts': {'clinical finding': 'probable bilateral renal cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'probable bilateral renal', 'observation': 'cyst'}}clinical findings_fin: {'mild atherosclerosis': {'clinical finding': 'mild atherosclerosis', 'cf_snomed': {'atherosclerosis': 38716007}, 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'atherosclerosis', 'strength_term': 'mild'}}clinical findings_fin: {'aneurysm': {'clinical finding': 'aneurysm', 'cf_snomed': {'aneurysm': 432119003}, 'existence': 'neg_dx', 'observation': 'aneurysm'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'vertebral body': {}}imaging observation_fin: ['margins']clinical findings_fin: {'discitis': {'clinical finding': 'discitis', 'cf_snomed': {'discitis': 2304001}, 'existence': 'unc_dx', 'observation': 'discitis'}, 'possible osteomyelitis': {'clinical finding': 'possible osteomyelitis', 'cf_snomed': {'osteomyelitis': 60168000}, 'existence': 'unc_dx', 'descriptive_term': 'possible', 'observation': 'osteomyelitis'}, 'destruction': {'clinical finding': 'destruction', 'existence': 'unc_dx', 'observation': 'destruction'}}clinical findings_fin: {'skin thickening': {'clinical finding': 'skin thickening', 'existence': 'pos_dx', 'descriptive_term': 'skin', 'observation': 'thickening'}, 'anasarca': {'clinical finding': 'anasarca', 'cf_snomed': {'anasarca': 442433009}, 'existence': 'pos_dx', 'observation': 'anasarca'}}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: {'diverticulosis': {'clinical finding': 'diverticulosis', 'existence': 'pos_dx', 'observation': 'diverticulosis'}, 'diverticulitis': {'clinical finding': 'diverticulitis', 'cf_snomed': {'diverticulitis': 307496006}, 'existence': 'neg_dx', 'observation': 'diverticulitis'}}anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'free or loculated intraperitoneal fluid': {'clinical finding': 'free or loculated intraperitoneal fluid'}}clinical findings_fin: {'mild skin thickening': {'clinical finding': 'mild skin thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild skin', 'observation': 'thickening', 'strength_term': 'mild'}, 'anasarca': {'clinical finding': 'anasarca', 'cf_snomed': {'anasarca': 442433009}, 'existence': 'pos_dx', 'observation': 'anasarca'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'solid organs': {}, 'vasculature': {}}clinical findings_fin: {'intravenous contrast': {'clinical finding': 'intravenous contrast', 'existence': 'neg_dx', 'descriptive_term': 'intravenous', 'observation': 'contrast'}}anatomical entity_fin: {'bases': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'lateral chest wall': {'location descriptor': 'right posterior'}}location descriptor_fin: ['right', 'posterior']clinical findings_fin: {'large lipoma': {'clinical finding': 'large lipoma', 'cf_snomed': {'lipoma': 134328007}, 'existence': 'pos_dx', 'descriptive_term': 'large', 'observation': 'lipoma', 'strength_term': 'large'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'fatty': {'clinical finding': 'fatty', 'existence': 'neg_dx', 'observation': 'fatty'}}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'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'probable bilateral renal cysts': {'clinical finding': 'probable bilateral renal cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'probable bilateral renal', 'observation': 'cyst'}}clinical findings_fin: {'mild atherosclerosis': {'clinical finding': 'mild atherosclerosis', 'cf_snomed': {'atherosclerosis': 38716007}, 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'atherosclerosis', 'strength_term': 'mild'}}clinical findings_fin: {'aneurysm': {'clinical finding': 'aneurysm', 'cf_snomed': {'aneurysm': 432119003}, 'existence': 'neg_dx', 'observation': 'aneurysm'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'vertebral body': {}}imaging observation_fin: ['margins']clinical findings_fin: {'discitis': {'clinical finding': 'discitis', 'cf_snomed': {'discitis': 2304001}, 'existence': 'unc_dx', 'observation': 'discitis'}, 'possible osteomyelitis': {'clinical finding': 'possible osteomyelitis', 'cf_snomed': {'osteomyelitis': 60168000}, 'existence': 'unc_dx', 'descriptive_term': 'possible', 'observation': 'osteomyelitis'}, 'destruction': {'clinical finding': 'destruction', 'existence': 'unc_dx', 'observation': 'destruction'}}clinical findings_fin: {'skin thickening': {'clinical finding': 'skin thickening', 'existence': 'pos_dx', 'descriptive_term': 'skin', 'observation': 'thickening'}, 'anasarca': {'clinical finding': 'anasarca', 'cf_snomed': {'anasarca': 442433009}, 'existence': 'pos_dx', 'observation': 'anasarca'}}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: {'diverticulosis': {'clinical finding': 'diverticulosis', 'existence': 'pos_dx', 'observation': 'diverticulosis'}, 'diverticulitis': {'clinical finding': 'diverticulitis', 'cf_snomed': {'diverticulitis': 307496006}, 'existence': 'neg_dx', 'observation': 'diverticulitis'}}anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'free or loculated intraperitoneal fluid': {'clinical finding': 'free or loculated intraperitoneal fluid'}}clinical findings_fin: {'mild skin thickening': {'clinical finding': 'mild skin thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild skin', 'observation': 'thickening', 'strength_term': 'mild'}, 'anasarca': {'clinical finding': 'anasarca', 'cf_snomed': {'anasarca': 442433009}, 'existence': 'pos_dx', 'observation': 'anasarca'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] The absence of intravenous contrast limits evaluation of the solid organs and vasculature. Bases clear. Large lipoma right posterior lateral chest wall. No significant abnormality noted. No evidence of fatty liver. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Probable bilateral renal cysts. Mild atherosclerosis. No evidence of aneurysm. No significant abnormality noted. Signs of discitis and possible osteomyelitis with destruction of vertebral body margins at the L1-L2 interspace. Mild skin thickening and anasarca diffusely. Correlate clinically. No significant abnormality noted. PROSTATE/. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Diverticulosis without evidence of diverticulitis. No free or loculated intraperitoneal fluid. Mild skin thickening and anasarca diffusely, correlate clinically. No significant abnormality noted. </s>

. Extensive bronchiectasis involving the left upper lobe, slightly worse. Interval improvement in appearance of previously seen irregularly thin-walled cavity in the left upper lobe, with near complete resolution of internal fluid and associated consolidation. This cavity communicates with bronchiectatic airways of the left upper lobe. Scarring in the left upper lobe extends to the lung periphery. Small residual volume of pleural fluid on the left with stable pleural thickening. Scarring and rounded atelectasis seen at the left lung base. Mild cardiomegaly. Ascending aortic segment upper normal in caliber for age, 38 mm in AP dimension. Thoracic esophagus is mildly dilated and air-filled in its mid-portion. Mild. Mild left internal mammary chain lymphadenopathy and mildly prominent intercostal lymph nodes on the left. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. Gaseous distention of left upper quadrant bowel incompletely assessed but was present previously. Vascular calcifications involving the left kidney.

anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'extensive bronchiectasis': {'clinical finding': 'extensive bronchiectasis', 'cf_snomed': {'bronchiectasis': 12295008}, 'existence': 'pos_dx', 'descriptive_term': 'extensive', 'observation': 'bronchiectasis', 'strength_term': 'extensive'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}, 'fluid': {}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'near complete resolution': {'clinical finding': 'near complete resolution', 'existence': 'pos_dx', 'descriptive_term': 'near complete', 'observation': 'resolution'}, 'associated consolidation': {'clinical finding': 'associated consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'pos_dx', 'descriptive_term': 'associated', 'observation': 'consolidation'}}anatomical entity_fin: {'airways': {}, 'lobe': {'location descriptor': 'left upper'}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'bronchiectatic': {'clinical finding': 'bronchiectatic', 'existence': 'pos_dx', 'observation': 'bronchiectatic'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}, 'lung': {}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'scarring in the left upper lobe extends to the lung periphery': {'clinical finding': 'scarring in the left upper lobe extends to the lung periphery'}}location descriptor_fin: ['left']clinical findings_fin: {'small residual': {'clinical finding': 'small residual', 'existence': 'pos_dx', 'descriptive_term': 'small', 'observation': 'residual', 'strength_term': 'small'}, 'pleural fluid': {'clinical finding': 'pleural fluid', 'existence': 'pos_dx', 'descriptive_term': 'pleural', 'observation': 'fluid'}, 'stable pleural thickening': {'clinical finding': 'stable pleural thickening', 'existence': 'pos_dx', 'descriptive_term': 'stable pleural', 'observation': 'thickening', 'strength_term': 'stable', 'change_term': 'stable'}}anatomical entity_fin: {'left lung': {}, 'base': {}}clinical findings_fin: {'scarring and rounded atelectasis': {'clinical finding': 'scarring and rounded atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'scarring and rounded', 'observation': 'atelectasis'}}clinical findings_fin: {'mild cardiomegaly': {'clinical finding': 'mild cardiomegaly', 'cf_snomed': {'cardiomegaly': 8186001}, 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'cardiomegaly', 'strength_term': 'mild'}}size_fin: [{'size': '38 mm', 'size_descriptor': 'segment'}]location descriptor_fin: ['upper']clinical findings_fin: {'ascending aortic segment upper normal in caliber for age': {'clinical finding': 'ascending aortic segment upper normal in caliber for age'}}anatomical entity_fin: {'esophagus': {}}clinical findings_fin: {'thoracic': {'clinical finding': 'thoracic', 'existence': 'pos_dx', 'observation': 'thoracic'}, 'dilated': {'clinical finding': 'dilated', 'existence': 'pos_dx', 'observation': 'dilated'}}location descriptor_fin: ['left']clinical findings_fin: {'mild left internal mammary chain lymphadenopathy': {'clinical finding': 'mild left internal mammary chain lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'pos_dx', 'descriptive_term': 'mild left internal mammary chain', 'observation': 'lymphadenopathy', 'strength_term': 'mild'}, 'mildly prominent intercostal lymph nodes': {'clinical finding': 'mildly prominent intercostal lymph nodes', 'cf_snomed': {'intercostal lymph node': 64038003}, 'existence': 'pos_dx', 'descriptive_term': 'mildly prominent intercostal lymph', 'observation': 'node', 'strength_term': 'mildly - prominent'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}anatomical entity_fin: {'quadrant': {'location descriptor': 'left upper'}, 'bowel': {}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'gaseous distention': {'clinical finding': 'gaseous distention', 'existence': 'pos_dx', 'descriptive_term': 'gaseous', 'observation': 'distention'}}anatomical entity_fin: {'left kidney': {}}clinical findings_fin: {'vascular calcifications': {'clinical finding': 'vascular calcifications', 'cf_snomed': {'vascular calcification': 237897009}, 'existence': 'pos_dx', 'descriptive_term': 'vascular', 'observation': 'calcification'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'extensive bronchiectasis': {'clinical finding': 'extensive bronchiectasis', 'cf_snomed': {'bronchiectasis': 12295008}, 'existence': 'pos_dx', 'descriptive_term': 'extensive', 'observation': 'bronchiectasis', 'strength_term': 'extensive'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}, 'fluid': {}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'near complete resolution': {'clinical finding': 'near complete resolution', 'existence': 'pos_dx', 'descriptive_term': 'near complete', 'observation': 'resolution'}, 'associated consolidation': {'clinical finding': 'associated consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'pos_dx', 'descriptive_term': 'associated', 'observation': 'consolidation'}}anatomical entity_fin: {'airways': {}, 'lobe': {'location descriptor': 'left upper'}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'bronchiectatic': {'clinical finding': 'bronchiectatic', 'existence': 'pos_dx', 'observation': 'bronchiectatic'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}, 'lung': {}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'scarring in the left upper lobe extends to the lung periphery': {'clinical finding': 'scarring in the left upper lobe extends to the lung periphery'}}location descriptor_fin: ['left']clinical findings_fin: {'small residual': {'clinical finding': 'small residual', 'existence': 'pos_dx', 'descriptive_term': 'small', 'observation': 'residual', 'strength_term': 'small'}, 'pleural fluid': {'clinical finding': 'pleural fluid', 'existence': 'pos_dx', 'descriptive_term': 'pleural', 'observation': 'fluid'}, 'stable pleural thickening': {'clinical finding': 'stable pleural thickening', 'existence': 'pos_dx', 'descriptive_term': 'stable pleural', 'observation': 'thickening', 'strength_term': 'stable', 'change_term': 'stable'}}anatomical entity_fin: {'left lung': {}, 'base': {}}clinical findings_fin: {'scarring and rounded atelectasis': {'clinical finding': 'scarring and rounded atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'scarring and rounded', 'observation': 'atelectasis'}}clinical findings_fin: {'mild cardiomegaly': {'clinical finding': 'mild cardiomegaly', 'cf_snomed': {'cardiomegaly': 8186001}, 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'cardiomegaly', 'strength_term': 'mild'}}size_fin: [{'size': '38 mm', 'size_descriptor': 'segment'}]location descriptor_fin: ['upper']clinical findings_fin: {'ascending aortic segment upper normal in caliber for age': {'clinical finding': 'ascending aortic segment upper normal in caliber for age'}}anatomical entity_fin: {'esophagus': {}}clinical findings_fin: {'thoracic': {'clinical finding': 'thoracic', 'existence': 'pos_dx', 'observation': 'thoracic'}, 'dilated': {'clinical finding': 'dilated', 'existence': 'pos_dx', 'observation': 'dilated'}}location descriptor_fin: ['left']clinical findings_fin: {'mild left internal mammary chain lymphadenopathy': {'clinical finding': 'mild left internal mammary chain lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'pos_dx', 'descriptive_term': 'mild left internal mammary chain', 'observation': 'lymphadenopathy', 'strength_term': 'mild'}, 'mildly prominent intercostal lymph nodes': {'clinical finding': 'mildly prominent intercostal lymph nodes', 'cf_snomed': {'intercostal lymph node': 64038003}, 'existence': 'pos_dx', 'descriptive_term': 'mildly prominent intercostal lymph', 'observation': 'node', 'strength_term': 'mildly - prominent'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}anatomical entity_fin: {'quadrant': {'location descriptor': 'left upper'}, 'bowel': {}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'gaseous distention': {'clinical finding': 'gaseous distention', 'existence': 'pos_dx', 'descriptive_term': 'gaseous', 'observation': 'distention'}}anatomical entity_fin: {'left kidney': {}}clinical findings_fin: {'vascular calcifications': {'clinical finding': 'vascular calcifications', 'cf_snomed': {'vascular calcification': 237897009}, 'existence': 'pos_dx', 'descriptive_term': 'vascular', 'observation': 'calcification'}} [/INST] . Extensive bronchiectasis involving the left upper lobe, slightly worse. Interval improvement in appearance of previously seen irregularly thin-walled cavity in the left upper lobe, with near complete resolution of internal fluid and associated consolidation. This cavity communicates with bronchiectatic airways of the left upper lobe. Scarring in the left upper lobe extends to the lung periphery. Small residual volume of pleural fluid on the left with stable pleural thickening. Scarring and rounded atelectasis seen at the left lung base. Mild cardiomegaly. Ascending aortic segment upper normal in caliber for age, 38 mm in AP dimension. Thoracic esophagus is mildly dilated and air-filled in its mid-portion. Mild. Mild left internal mammary chain lymphadenopathy and mildly prominent intercostal lymph nodes on the left. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. Gaseous distention of left upper quadrant bowel incompletely assessed but was present previously. Vascular calcifications involving the left kidney. </s>

There has been interval evolution of hemorrhagic products within a previously demonstrated extensive right cerebral hemisphere intraparenchymal hemorrhage with associated vasogenic edema, primarily involving the temporal lobe and to a lesser extent the frontal and parietal lobes. There has also been interval evolution of previously demonstrated intraparenchymal hemorrhage in the left temporal and occipital lobes with hematocrit levels persisting upon a large area of inferior left middle cerebral artery territory chronic infarction. Scattered supratentorial subarachnoid hemorrhage bilaterally and intraventricular hemorrhage has also decreased in density. Partial effacement of the right lateral and third ventricle is slightly increased in extent, and right-to-left midline shift now measures 4 mm. There is been interval placement of a right nasogastric tube. Fluid is now noted within mastoid air cells.

anatomical entity_fin: {'right cerebral hemisphere': {}, 'temporal lobe': {}, 'parietal lobes': {}}clinical findings_fin: {'hemorrhagic products': {'clinical finding': 'hemorrhagic products', 'existence': 'pos_dx', 'descriptive_term': 'hemorrhagic', 'observation': 'product'}, 'previously demonstrated extensive right cerebral hemisphere intraparenchymal hemorrhage': {'clinical finding': 'previously demonstrated extensive right cerebral hemisphere intraparenchymal hemorrhage', 'cf_snomed': {'hemorrhage': 50960005}, 'existence': 'pos_dx', 'descriptive_term': 'previously demonstrated extensive right cerebral hemisphere intraparenchymal', 'observation': 'hemorrhage', 'strength_term': 'extensive'}, 'associated vasogenic edema': {'clinical finding': 'associated vasogenic edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'descriptive_term': 'associated vasogenic', 'observation': 'edema'}}anatomical entity_fin: {'occipital lobes': {}, 'left middle cerebral artery': {}}location descriptor_fin: ['left', 'inferior']clinical findings_fin: {'previously demonstrated intraparenchymal hemorrhage': {'clinical finding': 'previously demonstrated intraparenchymal hemorrhage', 'cf_snomed': {'hemorrhage': 50960005}, 'existence': 'pos_dx', 'descriptive_term': 'previously demonstrated intraparenchymal', 'observation': 'hemorrhage'}, 'hematocrit levels': {'clinical finding': 'hematocrit levels', 'existence': 'pos_dx', 'descriptive_term': 'hematocrit', 'observation': 'level'}, 'inferior left middle cerebral artery territory chronic infarction': {'clinical finding': 'inferior left middle cerebral artery territory chronic infarction', 'existence': 'pos_dx', 'descriptive_term': 'inferior left middle cerebral artery territory chronic', 'observation': 'infarction', 'temporal_term': 'chronic'}}clinical findings_fin: {'scattered supratentorial subarachnoid hemorrhage': {'clinical finding': 'scattered supratentorial subarachnoid hemorrhage', 'cf_snomed': {'subarachnoid hemorrhage': 21454007}, 'existence': 'pos_dx', 'descriptive_term': 'scattered supratentorial subarachnoid', 'observation': 'hemorrhage'}, 'intraventricular hemorrhage': {'clinical finding': 'intraventricular hemorrhage', 'cf_snomed': {'hemorrhage': 50960005}, 'existence': 'pos_dx', 'descriptive_term': 'intraventricular', 'observation': 'hemorrhage'}}size_fin: [{'size': '4 mm', 'size_descriptor': 'shift'}]anatomical entity_fin: {'third ventricle': {}}location descriptor_fin: ['right', 'lateral', 'left', 'midline']clinical findings_fin: {'partial effacement': {'clinical finding': 'partial effacement', 'existence': 'pos_dx', 'descriptive_term': 'partial', 'observation': 'effacement', 'strength_term': 'partial'}, 'increased': {'clinical finding': 'increased', 'existence': 'pos_dx', 'observation': 'increase'}}location descriptor_fin: ['right']object_fin: ['nasogastric tube']clinical findings_fin: {'right nasogastric tube': {'clinical finding': 'right nasogastric tube', 'existence': 'pos_dx', 'descriptive_term': 'right nasogastric', 'observation': 'tube'}}anatomical entity_fin: {'fluid': {}, 'mastoid air cells': {}}clinical findings_fin: {'mastoid air cells': {'clinical finding': 'mastoid air cells', 'existence': 'pos_dx', 'descriptive_term': 'mastoid air', 'observation': 'cell'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'right cerebral hemisphere': {}, 'temporal lobe': {}, 'parietal lobes': {}}clinical findings_fin: {'hemorrhagic products': {'clinical finding': 'hemorrhagic products', 'existence': 'pos_dx', 'descriptive_term': 'hemorrhagic', 'observation': 'product'}, 'previously demonstrated extensive right cerebral hemisphere intraparenchymal hemorrhage': {'clinical finding': 'previously demonstrated extensive right cerebral hemisphere intraparenchymal hemorrhage', 'cf_snomed': {'hemorrhage': 50960005}, 'existence': 'pos_dx', 'descriptive_term': 'previously demonstrated extensive right cerebral hemisphere intraparenchymal', 'observation': 'hemorrhage', 'strength_term': 'extensive'}, 'associated vasogenic edema': {'clinical finding': 'associated vasogenic edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'descriptive_term': 'associated vasogenic', 'observation': 'edema'}}anatomical entity_fin: {'occipital lobes': {}, 'left middle cerebral artery': {}}location descriptor_fin: ['left', 'inferior']clinical findings_fin: {'previously demonstrated intraparenchymal hemorrhage': {'clinical finding': 'previously demonstrated intraparenchymal hemorrhage', 'cf_snomed': {'hemorrhage': 50960005}, 'existence': 'pos_dx', 'descriptive_term': 'previously demonstrated intraparenchymal', 'observation': 'hemorrhage'}, 'hematocrit levels': {'clinical finding': 'hematocrit levels', 'existence': 'pos_dx', 'descriptive_term': 'hematocrit', 'observation': 'level'}, 'inferior left middle cerebral artery territory chronic infarction': {'clinical finding': 'inferior left middle cerebral artery territory chronic infarction', 'existence': 'pos_dx', 'descriptive_term': 'inferior left middle cerebral artery territory chronic', 'observation': 'infarction', 'temporal_term': 'chronic'}}clinical findings_fin: {'scattered supratentorial subarachnoid hemorrhage': {'clinical finding': 'scattered supratentorial subarachnoid hemorrhage', 'cf_snomed': {'subarachnoid hemorrhage': 21454007}, 'existence': 'pos_dx', 'descriptive_term': 'scattered supratentorial subarachnoid', 'observation': 'hemorrhage'}, 'intraventricular hemorrhage': {'clinical finding': 'intraventricular hemorrhage', 'cf_snomed': {'hemorrhage': 50960005}, 'existence': 'pos_dx', 'descriptive_term': 'intraventricular', 'observation': 'hemorrhage'}}size_fin: [{'size': '4 mm', 'size_descriptor': 'shift'}]anatomical entity_fin: {'third ventricle': {}}location descriptor_fin: ['right', 'lateral', 'left', 'midline']clinical findings_fin: {'partial effacement': {'clinical finding': 'partial effacement', 'existence': 'pos_dx', 'descriptive_term': 'partial', 'observation': 'effacement', 'strength_term': 'partial'}, 'increased': {'clinical finding': 'increased', 'existence': 'pos_dx', 'observation': 'increase'}}location descriptor_fin: ['right']object_fin: ['nasogastric tube']clinical findings_fin: {'right nasogastric tube': {'clinical finding': 'right nasogastric tube', 'existence': 'pos_dx', 'descriptive_term': 'right nasogastric', 'observation': 'tube'}}anatomical entity_fin: {'fluid': {}, 'mastoid air cells': {}}clinical findings_fin: {'mastoid air cells': {'clinical finding': 'mastoid air cells', 'existence': 'pos_dx', 'descriptive_term': 'mastoid air', 'observation': 'cell'}} [/INST] There has been interval evolution of hemorrhagic products within a previously demonstrated extensive right cerebral hemisphere intraparenchymal hemorrhage with associated vasogenic edema, primarily involving the temporal lobe and to a lesser extent the frontal and parietal lobes. There has also been interval evolution of previously demonstrated intraparenchymal hemorrhage in the left temporal and occipital lobes with hematocrit levels persisting upon a large area of inferior left middle cerebral artery territory chronic infarction. Scattered supratentorial subarachnoid hemorrhage bilaterally and intraventricular hemorrhage has also decreased in density. Partial effacement of the right lateral and third ventricle is slightly increased in extent, and right-to-left midline shift now measures 4 mm. There is been interval placement of a right nasogastric tube. Fluid is now noted within mastoid air cells. </s>

. Calcified granulomata, but no sign of metastases or other significant abnormality. No mediastinal or hilar lymphadenopathy, previously measured nodes unchanged and within normal size limits. Calcified left hilar lymph nodes are consistent with healed granulomatous disease. The right brachiocephalic vein is significantly attenuated in diameter, but this is unchanged compared to a year ago. Mild aortic root calcifications noted. Mild. Moderate degenerative hypertrophic changes affect the thoracolumbar spine. Tracheostomy tube unchanged. Absence of enteric contrast material limits sensitivity for abdominal pathology. Benign appearing cyst like hypodensities are unchanged. Cholelithiasis without evidence of cholecystitis noted. No significant abnormality noted. No significant abnormality noted. Bilateral renal cysts unchanged. No significant abnormality noted. Aortoiliac calcifications noted. Absence of enteric contrast material limits sensitivity for GI pathology. No gross abnormalities noted. Degenerative lumbar changes. No significant abnormality noted.

clinical findings_fin: {'calcified granulomata': {'clinical finding': 'calcified granulomata', 'existence': 'pos_dx', 'descriptive_term': 'calcified', 'observation': 'granulomata', 'change_term': 'calcified'}, 'metastases': {'clinical finding': 'metastases', 'existence': 'neg_dx', 'observation': 'metastase'}, 'other significant abnormality': {'clinical finding': 'other significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'other significant', 'observation': 'abnormality'}}clinical findings_fin: {'mediastinal or hilar lymphadenopathy': {'clinical finding': 'mediastinal or hilar lymphadenopathy', 'cf_snomed': {'hilar lymphadenopathy': 87500009}, 'existence': 'neg_dx', 'descriptive_term': 'mediastinal or hilar', 'observation': 'lymphadenopathy'}, 'previously measured nodes': {'clinical finding': 'previously measured nodes', 'existence': 'neg_dx', 'descriptive_term': 'previously measured', 'observation': 'node'}}location descriptor_fin: ['left']clinical findings_fin: {'calcified left hilar lymph nodes': {'clinical finding': 'calcified left hilar lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'calcified left hilar lymph', 'observation': 'node', 'change_term': 'calcified'}, 'healed granulomatous disease': {'clinical finding': 'healed granulomatous disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'healed granulomatous', 'observation': 'disease', 'strength_term': 'healed', 'change_term': 'healed'}}anatomical entity_fin: {'brachiocephalic vein': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'attenuated': {'clinical finding': 'attenuated', 'existence': 'pos_dx', 'observation': 'attenuated'}}clinical findings_fin: {'mild aortic root calcifications': {'clinical finding': 'mild aortic root calcifications', 'existence': 'pos_dx', 'descriptive_term': 'mild aortic root', 'observation': 'calcification', 'strength_term': 'mild'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'moderate degenerative hypertrophic changes': {'clinical finding': 'moderate degenerative hypertrophic changes', 'existence': 'pos_dx', 'descriptive_term': 'moderate degenerative hypertrophic', 'observation': 'change', 'strength_term': 'moderate'}}object_fin: ['tracheostomy tube']clinical findings_fin: {'tracheostomy tube': {'clinical finding': 'tracheostomy tube', 'existence': 'pos_dx', 'descriptive_term': 'tracheostomy', 'observation': 'tube'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'benign appearing cyst': {'clinical finding': 'benign appearing cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'benign appearing', 'observation': 'cyst', 'strength_term': 'benign'}, 'hypodensities': {'clinical finding': 'hypodensities', 'existence': 'pos_dx', 'observation': 'hypodensity'}}clinical findings_fin: {'cholelithiasis': {'clinical finding': 'cholelithiasis', 'existence': 'pos_dx', 'observation': 'cholelithiasis'}, 'cholecystitis': {'clinical finding': 'cholecystitis', 'cf_snomed': {'cholecystitis': 76581006}, 'existence': 'neg_dx', 'observation': 'cholecystitis'}}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 renal cysts': {'clinical finding': 'bilateral renal cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral renal', 'observation': 'cyst'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'aortoiliac calcifications': {'clinical finding': 'aortoiliac calcifications', 'existence': 'pos_dx', 'descriptive_term': 'aortoiliac', 'observation': 'calcification'}}clinical findings_fin: {'gross abnormalities': {'clinical finding': 'gross abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'gross', 'observation': 'abnormality'}}clinical findings_fin: {'degenerative lumbar changes': {'clinical finding': 'degenerative lumbar changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative lumbar', 'observation': 'change'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'calcified granulomata': {'clinical finding': 'calcified granulomata', 'existence': 'pos_dx', 'descriptive_term': 'calcified', 'observation': 'granulomata', 'change_term': 'calcified'}, 'metastases': {'clinical finding': 'metastases', 'existence': 'neg_dx', 'observation': 'metastase'}, 'other significant abnormality': {'clinical finding': 'other significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'other significant', 'observation': 'abnormality'}}clinical findings_fin: {'mediastinal or hilar lymphadenopathy': {'clinical finding': 'mediastinal or hilar lymphadenopathy', 'cf_snomed': {'hilar lymphadenopathy': 87500009}, 'existence': 'neg_dx', 'descriptive_term': 'mediastinal or hilar', 'observation': 'lymphadenopathy'}, 'previously measured nodes': {'clinical finding': 'previously measured nodes', 'existence': 'neg_dx', 'descriptive_term': 'previously measured', 'observation': 'node'}}location descriptor_fin: ['left']clinical findings_fin: {'calcified left hilar lymph nodes': {'clinical finding': 'calcified left hilar lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'calcified left hilar lymph', 'observation': 'node', 'change_term': 'calcified'}, 'healed granulomatous disease': {'clinical finding': 'healed granulomatous disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'healed granulomatous', 'observation': 'disease', 'strength_term': 'healed', 'change_term': 'healed'}}anatomical entity_fin: {'brachiocephalic vein': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'attenuated': {'clinical finding': 'attenuated', 'existence': 'pos_dx', 'observation': 'attenuated'}}clinical findings_fin: {'mild aortic root calcifications': {'clinical finding': 'mild aortic root calcifications', 'existence': 'pos_dx', 'descriptive_term': 'mild aortic root', 'observation': 'calcification', 'strength_term': 'mild'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'moderate degenerative hypertrophic changes': {'clinical finding': 'moderate degenerative hypertrophic changes', 'existence': 'pos_dx', 'descriptive_term': 'moderate degenerative hypertrophic', 'observation': 'change', 'strength_term': 'moderate'}}object_fin: ['tracheostomy tube']clinical findings_fin: {'tracheostomy tube': {'clinical finding': 'tracheostomy tube', 'existence': 'pos_dx', 'descriptive_term': 'tracheostomy', 'observation': 'tube'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'benign appearing cyst': {'clinical finding': 'benign appearing cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'benign appearing', 'observation': 'cyst', 'strength_term': 'benign'}, 'hypodensities': {'clinical finding': 'hypodensities', 'existence': 'pos_dx', 'observation': 'hypodensity'}}clinical findings_fin: {'cholelithiasis': {'clinical finding': 'cholelithiasis', 'existence': 'pos_dx', 'observation': 'cholelithiasis'}, 'cholecystitis': {'clinical finding': 'cholecystitis', 'cf_snomed': {'cholecystitis': 76581006}, 'existence': 'neg_dx', 'observation': 'cholecystitis'}}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 renal cysts': {'clinical finding': 'bilateral renal cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral renal', 'observation': 'cyst'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'aortoiliac calcifications': {'clinical finding': 'aortoiliac calcifications', 'existence': 'pos_dx', 'descriptive_term': 'aortoiliac', 'observation': 'calcification'}}clinical findings_fin: {'gross abnormalities': {'clinical finding': 'gross abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'gross', 'observation': 'abnormality'}}clinical findings_fin: {'degenerative lumbar changes': {'clinical finding': 'degenerative lumbar changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative lumbar', 'observation': 'change'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . Calcified granulomata, but no sign of metastases or other significant abnormality. No mediastinal or hilar lymphadenopathy, previously measured nodes unchanged and within normal size limits. Calcified left hilar lymph nodes are consistent with healed granulomatous disease. The right brachiocephalic vein is significantly attenuated in diameter, but this is unchanged compared to a year ago. Mild aortic root calcifications noted. Mild. Moderate degenerative hypertrophic changes affect the thoracolumbar spine. Tracheostomy tube unchanged. Absence of enteric contrast material limits sensitivity for abdominal pathology. Benign appearing cyst like hypodensities are unchanged. Cholelithiasis without evidence of cholecystitis noted. No significant abnormality noted. No significant abnormality noted. Bilateral renal cysts unchanged. No significant abnormality noted. Aortoiliac calcifications noted. Absence of enteric contrast material limits sensitivity for GI pathology. No gross abnormalities noted. Degenerative lumbar changes. No significant abnormality noted. </s>

Hypodensity in the right temporal lobe, consistent with known metastatic lesion and surrounding edema, which appears to have mildly increased in size, now measuring 34 x 35 mm, previously 28 x 31 mm. Mild interval increase in the degree of regional mass effect and sulcal effacement. There is no significant midline shift. There is no evidence of intracranial hemorrhage. The ventricles and basal cisterns are normal in size and configuration. The imaged paranasal sinuses and mastoid air cells are clear. The skull and extracranial soft tissues are unremarkable.

size_fin: [{'size': '34 x 35 mm'}, {'size': '28 x 31 mm'}]anatomical entity_fin: {'right temporal lobe': {}}clinical findings_fin: {'hypodensity': {'clinical finding': 'hypodensity', 'existence': 'pos_dx', 'observation': 'hypodensity'}, 'known metastatic lesion': {'clinical finding': 'known metastatic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'known metastatic', 'observation': 'lesion'}, 'surrounding edema': {'clinical finding': 'surrounding edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'descriptive_term': 'surrounding', 'observation': 'edema'}}clinical findings_fin: {'regional mass effect': {'clinical finding': 'regional mass effect', 'existence': 'pos_dx', 'descriptive_term': 'regional mass', 'observation': 'effect'}, 'sulcal effacement': {'clinical finding': 'sulcal effacement', 'existence': 'pos_dx', 'descriptive_term': 'sulcal', 'observation': 'effacement'}}location descriptor_fin: ['midline']clinical findings_fin: {'is no significant midline shift': {'clinical finding': 'is no significant midline shift', 'cf_snomed': {'shift': 9546005}}}clinical findings_fin: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}}clinical findings_fin: {'ventricles and basal cisterns are normal in size and configuration': {'clinical finding': 'ventricles and basal cisterns are normal in size and configuration'}}anatomical entity_fin: {'paranasal sinuses': {}, 'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'skull': {}}clinical findings_fin: {'skull and extracranial soft tissues are unremarkable': {'clinical finding': 'skull and extracranial soft tissues are unremarkable'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: size_fin: [{'size': '34 x 35 mm'}, {'size': '28 x 31 mm'}]anatomical entity_fin: {'right temporal lobe': {}}clinical findings_fin: {'hypodensity': {'clinical finding': 'hypodensity', 'existence': 'pos_dx', 'observation': 'hypodensity'}, 'known metastatic lesion': {'clinical finding': 'known metastatic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'known metastatic', 'observation': 'lesion'}, 'surrounding edema': {'clinical finding': 'surrounding edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'descriptive_term': 'surrounding', 'observation': 'edema'}}clinical findings_fin: {'regional mass effect': {'clinical finding': 'regional mass effect', 'existence': 'pos_dx', 'descriptive_term': 'regional mass', 'observation': 'effect'}, 'sulcal effacement': {'clinical finding': 'sulcal effacement', 'existence': 'pos_dx', 'descriptive_term': 'sulcal', 'observation': 'effacement'}}location descriptor_fin: ['midline']clinical findings_fin: {'is no significant midline shift': {'clinical finding': 'is no significant midline shift', 'cf_snomed': {'shift': 9546005}}}clinical findings_fin: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}}clinical findings_fin: {'ventricles and basal cisterns are normal in size and configuration': {'clinical finding': 'ventricles and basal cisterns are normal in size and configuration'}}anatomical entity_fin: {'paranasal sinuses': {}, 'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'skull': {}}clinical findings_fin: {'skull and extracranial soft tissues are unremarkable': {'clinical finding': 'skull and extracranial soft tissues are unremarkable'}} [/INST] Hypodensity in the right temporal lobe, consistent with known metastatic lesion and surrounding edema, which appears to have mildly increased in size, now measuring 34 x 35 mm, previously 28 x 31 mm. Mild interval increase in the degree of regional mass effect and sulcal effacement. There is no significant midline shift. There is no evidence of intracranial hemorrhage. The ventricles and basal cisterns are normal in size and configuration. The imaged paranasal sinuses and mastoid air cells are clear. The skull and extracranial soft tissues are unremarkable. </s>

. There is no evidence of intracranial hemorrhage or mass. There is no abnormal intracranial enhancement. The grey-white matter differentiation appears to be intact. The ventricles and basal cisterns are unchanged in size and configuration. There is no midline shift or herniation. The orbits, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable. There are post-treatment findings related to right parotidectomy and lateral temporal bone resection as well as radiation therapy. There is persistent extensive soft tissue deficiency in the surgical bed region with dehiscent skin and graft material and exposure of the underlying right posterior mandible, where there is demineralization of the posterior right mandible, now with pathologic fracture of the condyle. There is persistent stranding of the regional fat planes, but no evidence of measurable mass lesions in the treatment bed or significant cervical lymphadenopathy based on size criteria. The remaining salivary glands and thyroid appear unchanged. There is plaque at the bilateral carotid bifurcations. The airways are patent. The imaged intracranial structures are unremarkable. There are subcentimeter nodules, tree-in-bud opacities, and emphysematous changes in the partially-imaged lungs.

clinical findings_fin: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}, 'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}}clinical findings_fin: {'abnormal intracranial enhancement': {'clinical finding': 'abnormal intracranial enhancement', 'existence': 'neg_dx', 'descriptive_term': 'abnormal intracranial', 'observation': 'enhancement'}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}clinical findings_fin: {'ventricles and basal cisterns are unchanged in size and configuration': {'clinical finding': 'ventricles and basal cisterns are unchanged in size and configuration', 'change_term': 'unchanged'}}location descriptor_fin: ['midline']clinical findings_fin: {'herniation': {'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'}}anatomical entity_fin: {'orbits': {}, 'skull': {}, 'paranasal sinuses': {}, 'scalp': {}}clinical findings_fin: {'orbits , skull , paranasal sinuses , and scalp soft tissues are grossly unremarkable': {'clinical finding': 'orbits , skull , paranasal sinuses , and scalp soft tissues are grossly unremarkable'}}anatomical entity_fin: {'temporal bone': {'location descriptor': 'lateral'}}location descriptor_fin: ['right', 'lateral']procedure_fin: ['treatment']anatomical entity_fin: {'skin': {}, 'graft': {}, 'mandible': {'location descriptor': 'posterior right'}, 'condyle': {}}location descriptor_fin: ['right', 'posterior']clinical findings_fin: {'persistent extensive soft tissue deficiency': {'clinical finding': 'persistent extensive soft tissue deficiency', 'existence': 'pos_dx', 'descriptive_term': 'persistent extensive soft tissue', 'observation': 'deficiency', 'strength_term': 'extensive', 'temporal_term': 'persistent'}, 'demineralization': {'clinical finding': 'demineralization', 'existence': 'pos_dx', 'observation': 'demineralization'}, 'pathologic fracture': {'clinical finding': 'pathologic fracture', 'cf_snomed': {'pathologic fracture': 22640007}, 'existence': 'pos_dx', 'descriptive_term': 'pathologic', 'observation': 'fracture'}}imaging observation_fin: ['fat']procedure_fin: ['treatment']clinical findings_fin: {'persistent stranding': {'clinical finding': 'persistent stranding', 'existence': 'pos_dx', 'descriptive_term': 'persistent', 'observation': 'strand', 'temporal_term': 'persistent'}, 'measurable mass lesions': {'clinical finding': 'measurable mass lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'measurable mass', 'observation': 'lesion'}, 'significant cervical lymphadenopathy': {'clinical finding': 'significant cervical lymphadenopathy', 'cf_snomed': {'cervical lymphadenopathy': 127086001}, 'existence': 'neg_dx', 'descriptive_term': 'significant cervical', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'salivary glands': {}}clinical findings_fin: {'remaining salivary glands and thyroid appear unchanged': {'clinical finding': 'remaining salivary glands and thyroid appear unchanged', 'change_term': 'unchanged'}}location descriptor_fin: ['bilateral']anatomical entity_fin: {'airways': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}clinical findings_fin: {'imaged intracranial structures are unremarkable': {'clinical finding': 'imaged intracranial structures are unremarkable'}}anatomical entity_fin: {'lungs': {}}imaging observation_fin: ['tree-in-bud']clinical findings_fin: {'subcentimeter nodules': {'clinical finding': 'subcentimeter nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter', 'observation': 'nodule'}, 'opacities': {'clinical finding': 'opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'observation': 'opacity'}, 'emphysematous changes': {'clinical finding': 'emphysematous changes', 'existence': 'pos_dx', 'descriptive_term': 'emphysematous', 'observation': 'change'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}, 'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}}clinical findings_fin: {'abnormal intracranial enhancement': {'clinical finding': 'abnormal intracranial enhancement', 'existence': 'neg_dx', 'descriptive_term': 'abnormal intracranial', 'observation': 'enhancement'}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}clinical findings_fin: {'ventricles and basal cisterns are unchanged in size and configuration': {'clinical finding': 'ventricles and basal cisterns are unchanged in size and configuration', 'change_term': 'unchanged'}}location descriptor_fin: ['midline']clinical findings_fin: {'herniation': {'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'}}anatomical entity_fin: {'orbits': {}, 'skull': {}, 'paranasal sinuses': {}, 'scalp': {}}clinical findings_fin: {'orbits , skull , paranasal sinuses , and scalp soft tissues are grossly unremarkable': {'clinical finding': 'orbits , skull , paranasal sinuses , and scalp soft tissues are grossly unremarkable'}}anatomical entity_fin: {'temporal bone': {'location descriptor': 'lateral'}}location descriptor_fin: ['right', 'lateral']procedure_fin: ['treatment']anatomical entity_fin: {'skin': {}, 'graft': {}, 'mandible': {'location descriptor': 'posterior right'}, 'condyle': {}}location descriptor_fin: ['right', 'posterior']clinical findings_fin: {'persistent extensive soft tissue deficiency': {'clinical finding': 'persistent extensive soft tissue deficiency', 'existence': 'pos_dx', 'descriptive_term': 'persistent extensive soft tissue', 'observation': 'deficiency', 'strength_term': 'extensive', 'temporal_term': 'persistent'}, 'demineralization': {'clinical finding': 'demineralization', 'existence': 'pos_dx', 'observation': 'demineralization'}, 'pathologic fracture': {'clinical finding': 'pathologic fracture', 'cf_snomed': {'pathologic fracture': 22640007}, 'existence': 'pos_dx', 'descriptive_term': 'pathologic', 'observation': 'fracture'}}imaging observation_fin: ['fat']procedure_fin: ['treatment']clinical findings_fin: {'persistent stranding': {'clinical finding': 'persistent stranding', 'existence': 'pos_dx', 'descriptive_term': 'persistent', 'observation': 'strand', 'temporal_term': 'persistent'}, 'measurable mass lesions': {'clinical finding': 'measurable mass lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'measurable mass', 'observation': 'lesion'}, 'significant cervical lymphadenopathy': {'clinical finding': 'significant cervical lymphadenopathy', 'cf_snomed': {'cervical lymphadenopathy': 127086001}, 'existence': 'neg_dx', 'descriptive_term': 'significant cervical', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'salivary glands': {}}clinical findings_fin: {'remaining salivary glands and thyroid appear unchanged': {'clinical finding': 'remaining salivary glands and thyroid appear unchanged', 'change_term': 'unchanged'}}location descriptor_fin: ['bilateral']anatomical entity_fin: {'airways': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}clinical findings_fin: {'imaged intracranial structures are unremarkable': {'clinical finding': 'imaged intracranial structures are unremarkable'}}anatomical entity_fin: {'lungs': {}}imaging observation_fin: ['tree-in-bud']clinical findings_fin: {'subcentimeter nodules': {'clinical finding': 'subcentimeter nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter', 'observation': 'nodule'}, 'opacities': {'clinical finding': 'opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'observation': 'opacity'}, 'emphysematous changes': {'clinical finding': 'emphysematous changes', 'existence': 'pos_dx', 'descriptive_term': 'emphysematous', 'observation': 'change'}} [/INST] . There is no evidence of intracranial hemorrhage or mass. There is no abnormal intracranial enhancement. The grey-white matter differentiation appears to be intact. The ventricles and basal cisterns are unchanged in size and configuration. There is no midline shift or herniation. The orbits, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable. There are post-treatment findings related to right parotidectomy and lateral temporal bone resection as well as radiation therapy. There is persistent extensive soft tissue deficiency in the surgical bed region with dehiscent skin and graft material and exposure of the underlying right posterior mandible, where there is demineralization of the posterior right mandible, now with pathologic fracture of the condyle. There is persistent stranding of the regional fat planes, but no evidence of measurable mass lesions in the treatment bed or significant cervical lymphadenopathy based on size criteria. The remaining salivary glands and thyroid appear unchanged. There is plaque at the bilateral carotid bifurcations. The airways are patent. The imaged intracranial structures are unremarkable. There are subcentimeter nodules, tree-in-bud opacities, and emphysematous changes in the partially-imaged lungs. </s>

. Calcified granuloma in the lingula. Scattered micronodules that can be followed. No significant abnormality noted. Subcentimeter hilar or axillary lymph nodes. No significant abnormality noted. Subcentimeter hypodensity in the left lobe and in the caudate both appear relatively stable compared to prior and should be followed. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Nonobstructing right renal calculus. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Subcentimeter inguinal lymph nodes are unchanged. No significant abnormality noted. No significant abnormality noted. The mixed density mass in the right hemipelvis deviating pelvic organs to the left and compatible with the patients known sarcoma has decreased in size compared to prior. It currently measures 13.1 x 7.3 cm. On the prior outside exam, the mass measured 12.1 x 16.3 cm.

anatomical entity_fin: {'lingula': {}}clinical findings_fin: {'calcified granuloma': {'clinical finding': 'calcified granuloma', 'cf_snomed': {'calcified granuloma': 48391002}, 'existence': 'pos_dx', 'descriptive_term': 'calcified', 'observation': 'granuloma', 'change_term': 'calcified'}}clinical findings_fin: {'scattered micronodules': {'clinical finding': 'scattered micronodules', 'existence': 'pos_dx', 'descriptive_term': 'scattered', 'observation': 'micronodule'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'axillary lymph nodes': {}}clinical findings_fin: {'subcentimeter hilar or axillary lymph nodes': {'clinical finding': 'subcentimeter hilar or axillary lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter hilar or axillary lymph', 'observation': 'node'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'subcentimeter hypodensity': {'clinical finding': 'subcentimeter hypodensity', 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter', 'observation': 'hypodensity'}}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'}}location descriptor_fin: ['right']clinical findings_fin: {'right renal calculus': {'clinical finding': 'right renal calculus', 'cf_snomed': {'calculus': 56381008}, 'existence': 'pos_dx', 'descriptive_term': 'right renal', 'observation': 'calculus'}}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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'inguinal lymph nodes': {}}clinical findings_fin: {'subcentimeter inguinal lymph nodes': {'clinical finding': 'subcentimeter inguinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter inguinal lymph', 'observation': 'node'}}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'}}anatomical entity_fin: {'organs': {}}location descriptor_fin: ['right', 'left']clinical findings_fin: {'mixed density mass': {'clinical finding': 'mixed density mass', 'existence': 'pos_dx', 'descriptive_term': 'mixed density', 'observation': 'mass'}, 'known sarcoma': {'clinical finding': 'known sarcoma', 'cf_snomed': {'sarcoma': 424413001}, 'existence': 'pos_dx', 'descriptive_term': 'known', 'observation': 'sarcoma'}}size_fin: [{'size': '13.1 x 7.3 cm'}]size_fin: [{'size': '12.1 x 16.3 cm', 'size_descriptor': 'mass'}]clinical findings_fin: {'mass': {'clinical finding': 'mass', 'existence': 'pos_dx', 'observation': 'mass'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'lingula': {}}clinical findings_fin: {'calcified granuloma': {'clinical finding': 'calcified granuloma', 'cf_snomed': {'calcified granuloma': 48391002}, 'existence': 'pos_dx', 'descriptive_term': 'calcified', 'observation': 'granuloma', 'change_term': 'calcified'}}clinical findings_fin: {'scattered micronodules': {'clinical finding': 'scattered micronodules', 'existence': 'pos_dx', 'descriptive_term': 'scattered', 'observation': 'micronodule'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'axillary lymph nodes': {}}clinical findings_fin: {'subcentimeter hilar or axillary lymph nodes': {'clinical finding': 'subcentimeter hilar or axillary lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter hilar or axillary lymph', 'observation': 'node'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'subcentimeter hypodensity': {'clinical finding': 'subcentimeter hypodensity', 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter', 'observation': 'hypodensity'}}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'}}location descriptor_fin: ['right']clinical findings_fin: {'right renal calculus': {'clinical finding': 'right renal calculus', 'cf_snomed': {'calculus': 56381008}, 'existence': 'pos_dx', 'descriptive_term': 'right renal', 'observation': 'calculus'}}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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'inguinal lymph nodes': {}}clinical findings_fin: {'subcentimeter inguinal lymph nodes': {'clinical finding': 'subcentimeter inguinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter inguinal lymph', 'observation': 'node'}}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'}}anatomical entity_fin: {'organs': {}}location descriptor_fin: ['right', 'left']clinical findings_fin: {'mixed density mass': {'clinical finding': 'mixed density mass', 'existence': 'pos_dx', 'descriptive_term': 'mixed density', 'observation': 'mass'}, 'known sarcoma': {'clinical finding': 'known sarcoma', 'cf_snomed': {'sarcoma': 424413001}, 'existence': 'pos_dx', 'descriptive_term': 'known', 'observation': 'sarcoma'}}size_fin: [{'size': '13.1 x 7.3 cm'}]size_fin: [{'size': '12.1 x 16.3 cm', 'size_descriptor': 'mass'}]clinical findings_fin: {'mass': {'clinical finding': 'mass', 'existence': 'pos_dx', 'observation': 'mass'}} [/INST] . Calcified granuloma in the lingula. Scattered micronodules that can be followed. No significant abnormality noted. Subcentimeter hilar or axillary lymph nodes. No significant abnormality noted. Subcentimeter hypodensity in the left lobe and in the caudate both appear relatively stable compared to prior and should be followed. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Nonobstructing right renal calculus. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Subcentimeter inguinal lymph nodes are unchanged. No significant abnormality noted. No significant abnormality noted. The mixed density mass in the right hemipelvis deviating pelvic organs to the left and compatible with the patients known sarcoma has decreased in size compared to prior. It currently measures 13.1 x 7.3 cm. On the prior outside exam, the mass measured 12.1 x 16.3 cm. </s>

The scout lateral view and the sagittal reformatted images demonstrate the lumbar spine to be in normal alignment, with a normal lumbar lordosis. The vertebral body and disk space heights are well-maintained. There is no acute fracture. At T11-T12, there is a diffuse disc bulge with slight left foraminal prominence and bilateral facet arthropathy resulting in overall mild-moderate central spinal canal stenosis and likely mild right and mild-moderate left foraminal narrowing. At T12-L1, there is a stable calcified central disc protrusion which indents the ventral thecal sac without stenosis. At L1-L2, there is a progressively mineralizing bilateral paramedian central disc protrusion which results in mild central spinal canal stenosis. There is minimal bilateral facet arthropathy and calcifying ligamentum flavum thickening. At L2-L3, there is a trace disc bulge with central mineralized disc. There is mild ligamentum flavum thickening which is minimally calcified. There is no significant associated stenosis. At L3-L4, there is a stable trace disc bulge with central mineralization. There is mild bilateral ligamentum flavum thickening with flattening of the ventral thecal sac. At L4-L5, there is progressive mineralization associated with the diffuse bulge, with right slightly greater than left foraminal prominence. There is bilateral facet arthropathy and progressively calcified ligamentum flavum thickening. There is resultant severe central spinal canal stenosis and moderate bilateral foraminal narrowing. At L5-S1, there is a mild disc bulge with right foraminal prominence. There is severe bilateral facet arthropathy and ligamentum flavum thickening resulting in overall mild to moderate central spinal canal stenosis and mild-moderate right as well as moderate left foraminal narrowing. Limited views through the retroperitoneum demonstrate prominent aortic and iliac atherosclerotic calcification, as well as involvement of other smaller arterial structures. There are multiple calcified phleboliths within the pelvis as well. There are numerous colonic diverticula without definite noncontrast CT evidence of diverticulitis.

anatomical entity_fin: {'spine': {}}location descriptor_fin: ['lateral']clinical findings_fin: {'normal alignment': {'clinical finding': 'normal alignment', 'existence': 'unc_dx', 'descriptive_term': 'normal', 'observation': 'alignment', 'strength_term': 'normal'}, 'normal lumbar lordosis': {'clinical finding': 'normal lumbar lordosis', 'existence': 'pos_dx', 'descriptive_term': 'normal lumbar', 'observation': 'lordosis', 'strength_term': 'normal'}}anatomical entity_fin: {'vertebral body': {}}clinical findings_fin: {'vertebral body and disk space heights': {'clinical finding': 'vertebral body and disk space heights', 'existence': 'pos_dx', 'descriptive_term': 'vertebral body and disk space', 'observation': 'height'}}clinical findings_fin: {'acute fracture': {'clinical finding': 'acute fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'fracture', 'strength_term': 'acute', 'temporal_term': 'acute'}}anatomical entity_fin: {'disc': {}, 'foraminal': {'location descriptor': 'left'}, 'facet': {'location descriptor': 'bilateral'}, 'spinal canal': {'location descriptor': 'central'}}location descriptor_fin: ['left', 'bilateral', 'central', 'right']clinical findings_fin: {'diffuse disc bulge': {'clinical finding': 'diffuse disc bulge', 'existence': 'pos_dx', 'descriptive_term': 'diffuse disc', 'observation': 'bulge'}, 'overall mild-moderate central spinal canal stenosis': {'clinical finding': 'overall mild-moderate central spinal canal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'overall mild-moderate central spinal canal', 'observation': 'stenosis', 'strength_term': 'mild - moderate'}, 'likely mild right and mild-moderate left foraminal narrowing': {'clinical finding': 'likely mild right and mild-moderate left foraminal narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'likely mild right and mild-moderate left foraminal', 'observation': 'narrowing', 'strength_term': 'mild - mild - moderate'}}anatomical entity_fin: {'disc': {'location descriptor': 'central'}, 'thecal sac': {}}location descriptor_fin: ['central']clinical findings_fin: {'stable calcified central disc protrusion': {'clinical finding': 'stable calcified central disc protrusion', 'cf_snomed': {'protrusion': 112639008}, 'existence': 'pos_dx', 'descriptive_term': 'stable calcified central disc', 'observation': 'protrusion', 'strength_term': 'stable', 'change_term': 'stable - calcified'}, 'stenosis': {'clinical finding': 'stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'observation': 'stenosis'}}anatomical entity_fin: {'disc': {'location descriptor': 'central'}, 'spinal canal': {'location descriptor': 'central'}}location descriptor_fin: ['bilateral', 'central']clinical findings_fin: {'progressively mineralizing bilateral paramedian central disc protrusion': {'clinical finding': 'progressively mineralizing bilateral paramedian central disc protrusion', 'cf_snomed': {'protrusion': 112639008}, 'existence': 'pos_dx', 'descriptive_term': 'progressively mineralizing bilateral paramedian central disc', 'observation': 'protrusion'}, 'mild central spinal canal stenosis': {'clinical finding': 'mild central spinal canal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'mild central spinal canal', 'observation': 'stenosis', 'strength_term': 'mild'}}anatomical entity_fin: {'facet': {'location descriptor': 'bilateral'}, 'ligamentum flavum': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'calcifying ligamentum flavum thickening': {'clinical finding': 'calcifying ligamentum flavum thickening', 'existence': 'pos_dx', 'descriptive_term': 'calcifying ligamentum flavum', 'observation': 'thickening'}}location descriptor_fin: ['central']clinical findings_fin: {'trace disc bulge': {'clinical finding': 'trace disc bulge', 'existence': 'pos_dx', 'descriptive_term': 'trace disc', 'observation': 'bulge'}, 'mineralized disc': {'clinical finding': 'mineralized disc', 'existence': 'pos_dx', 'descriptive_term': 'mineralized', 'observation': 'disc'}}anatomical entity_fin: {'ligamentum flavum': {}}clinical findings_fin: {'mild ligamentum flavum thickening': {'clinical finding': 'mild ligamentum flavum thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild ligamentum flavum', 'observation': 'thickening', 'strength_term': 'mild'}}clinical findings_fin: {'significant associated stenosis': {'clinical finding': 'significant associated stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'neg_dx', 'descriptive_term': 'significant associated', 'observation': 'stenosis'}}location descriptor_fin: ['central']clinical findings_fin: {'stable trace disc bulge': {'clinical finding': 'stable trace disc bulge', 'existence': 'pos_dx', 'descriptive_term': 'stable trace disc', 'observation': 'bulge', 'strength_term': 'stable', 'change_term': 'stable'}}anatomical entity_fin: {'ligamentum flavum': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'mild bilateral ligamentum flavum thickening': {'clinical finding': 'mild bilateral ligamentum flavum thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild bilateral ligamentum flavum', 'observation': 'thickening', 'strength_term': 'mild'}}anatomical entity_fin: {'foraminal': {'location descriptor': 'left'}}location descriptor_fin: ['right', 'left']clinical findings_fin: {'progressive mineralization associated with the diffuse bulge , with right slightly greater than left foraminal prominence': {'clinical finding': 'progressive mineralization associated with the diffuse bulge , with right slightly greater than left foraminal prominence', 'change_term': 'greater'}}anatomical entity_fin: {'facet': {'location descriptor': 'bilateral'}, 'ligamentum flavum': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'progressively calcified ligamentum flavum thickening': {'clinical finding': 'progressively calcified ligamentum flavum thickening', 'existence': 'pos_dx', 'descriptive_term': 'progressively calcified ligamentum flavum', 'observation': 'thickening', 'change_term': 'calcified'}}anatomical entity_fin: {'spinal canal': {'location descriptor': 'central'}}location descriptor_fin: ['central', 'bilateral']clinical findings_fin: {'resultant severe central spinal canal stenosis': {'clinical finding': 'resultant severe central spinal canal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'resultant severe central spinal canal', 'observation': 'stenosis', 'strength_term': 'severe'}, 'moderate bilateral foraminal narrowing': {'clinical finding': 'moderate bilateral foraminal narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'moderate bilateral foraminal', 'observation': 'narrowing', 'strength_term': 'moderate'}}location descriptor_fin: ['right']clinical findings_fin: {'mild disc bulge': {'clinical finding': 'mild disc bulge', 'existence': 'pos_dx', 'descriptive_term': 'mild disc', 'observation': 'bulge', 'strength_term': 'mild'}}anatomical entity_fin: {'facet': {'location descriptor': 'bilateral'}, 'ligamentum flavum': {}, 'spinal canal': {'location descriptor': 'central'}}location descriptor_fin: ['bilateral', 'central', 'right', 'left']clinical findings_fin: {'ligamentum flavum thickening': {'clinical finding': 'ligamentum flavum thickening', 'existence': 'pos_dx', 'descriptive_term': 'ligamentum flavum', 'observation': 'thickening'}, 'overall mild to moderate central spinal canal stenosis': {'clinical finding': 'overall mild to moderate central spinal canal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'overall mild to moderate central spinal canal', 'observation': 'stenosis', 'strength_term': 'mild - moderate'}, 'mild-moderate right as well as moderate left foraminal narrowing': {'clinical finding': 'mild-moderate right as well as moderate left foraminal narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'mild-moderate right as well as moderate left foraminal', 'observation': 'narrowing', 'strength_term': 'mild - moderate - moderate'}}anatomical entity_fin: {'retroperitoneum': {}}clinical findings_fin: {'prominent aortic and iliac atherosclerotic calcification': {'clinical finding': 'prominent aortic and iliac atherosclerotic calcification', 'existence': 'unc_dx', 'descriptive_term': 'prominent aortic and iliac atherosclerotic', 'observation': 'calcification', 'strength_term': 'prominent'}}anatomical entity_fin: {'pelvis': {}}clinical findings_fin: {'multiple calcified phleboliths': {'clinical finding': 'multiple calcified phleboliths', 'existence': 'pos_dx', 'descriptive_term': 'multiple calcified', 'observation': 'phlebolith', 'quantity_term': 'multiple', 'change_term': 'calcified'}}clinical findings_fin: {'numerous colonic diverticula': {'clinical finding': 'numerous colonic diverticula', 'existence': 'pos_dx', 'descriptive_term': 'numerous colonic', 'observation': 'diverticula', 'quantity_term': 'numerous'}, 'diverticulitis': {'clinical finding': 'diverticulitis', 'cf_snomed': {'diverticulitis': 307496006}, 'existence': 'neg_dx', 'observation': 'diverticulitis'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'spine': {}}location descriptor_fin: ['lateral']clinical findings_fin: {'normal alignment': {'clinical finding': 'normal alignment', 'existence': 'unc_dx', 'descriptive_term': 'normal', 'observation': 'alignment', 'strength_term': 'normal'}, 'normal lumbar lordosis': {'clinical finding': 'normal lumbar lordosis', 'existence': 'pos_dx', 'descriptive_term': 'normal lumbar', 'observation': 'lordosis', 'strength_term': 'normal'}}anatomical entity_fin: {'vertebral body': {}}clinical findings_fin: {'vertebral body and disk space heights': {'clinical finding': 'vertebral body and disk space heights', 'existence': 'pos_dx', 'descriptive_term': 'vertebral body and disk space', 'observation': 'height'}}clinical findings_fin: {'acute fracture': {'clinical finding': 'acute fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'fracture', 'strength_term': 'acute', 'temporal_term': 'acute'}}anatomical entity_fin: {'disc': {}, 'foraminal': {'location descriptor': 'left'}, 'facet': {'location descriptor': 'bilateral'}, 'spinal canal': {'location descriptor': 'central'}}location descriptor_fin: ['left', 'bilateral', 'central', 'right']clinical findings_fin: {'diffuse disc bulge': {'clinical finding': 'diffuse disc bulge', 'existence': 'pos_dx', 'descriptive_term': 'diffuse disc', 'observation': 'bulge'}, 'overall mild-moderate central spinal canal stenosis': {'clinical finding': 'overall mild-moderate central spinal canal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'overall mild-moderate central spinal canal', 'observation': 'stenosis', 'strength_term': 'mild - moderate'}, 'likely mild right and mild-moderate left foraminal narrowing': {'clinical finding': 'likely mild right and mild-moderate left foraminal narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'likely mild right and mild-moderate left foraminal', 'observation': 'narrowing', 'strength_term': 'mild - mild - moderate'}}anatomical entity_fin: {'disc': {'location descriptor': 'central'}, 'thecal sac': {}}location descriptor_fin: ['central']clinical findings_fin: {'stable calcified central disc protrusion': {'clinical finding': 'stable calcified central disc protrusion', 'cf_snomed': {'protrusion': 112639008}, 'existence': 'pos_dx', 'descriptive_term': 'stable calcified central disc', 'observation': 'protrusion', 'strength_term': 'stable', 'change_term': 'stable - calcified'}, 'stenosis': {'clinical finding': 'stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'observation': 'stenosis'}}anatomical entity_fin: {'disc': {'location descriptor': 'central'}, 'spinal canal': {'location descriptor': 'central'}}location descriptor_fin: ['bilateral', 'central']clinical findings_fin: {'progressively mineralizing bilateral paramedian central disc protrusion': {'clinical finding': 'progressively mineralizing bilateral paramedian central disc protrusion', 'cf_snomed': {'protrusion': 112639008}, 'existence': 'pos_dx', 'descriptive_term': 'progressively mineralizing bilateral paramedian central disc', 'observation': 'protrusion'}, 'mild central spinal canal stenosis': {'clinical finding': 'mild central spinal canal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'mild central spinal canal', 'observation': 'stenosis', 'strength_term': 'mild'}}anatomical entity_fin: {'facet': {'location descriptor': 'bilateral'}, 'ligamentum flavum': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'calcifying ligamentum flavum thickening': {'clinical finding': 'calcifying ligamentum flavum thickening', 'existence': 'pos_dx', 'descriptive_term': 'calcifying ligamentum flavum', 'observation': 'thickening'}}location descriptor_fin: ['central']clinical findings_fin: {'trace disc bulge': {'clinical finding': 'trace disc bulge', 'existence': 'pos_dx', 'descriptive_term': 'trace disc', 'observation': 'bulge'}, 'mineralized disc': {'clinical finding': 'mineralized disc', 'existence': 'pos_dx', 'descriptive_term': 'mineralized', 'observation': 'disc'}}anatomical entity_fin: {'ligamentum flavum': {}}clinical findings_fin: {'mild ligamentum flavum thickening': {'clinical finding': 'mild ligamentum flavum thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild ligamentum flavum', 'observation': 'thickening', 'strength_term': 'mild'}}clinical findings_fin: {'significant associated stenosis': {'clinical finding': 'significant associated stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'neg_dx', 'descriptive_term': 'significant associated', 'observation': 'stenosis'}}location descriptor_fin: ['central']clinical findings_fin: {'stable trace disc bulge': {'clinical finding': 'stable trace disc bulge', 'existence': 'pos_dx', 'descriptive_term': 'stable trace disc', 'observation': 'bulge', 'strength_term': 'stable', 'change_term': 'stable'}}anatomical entity_fin: {'ligamentum flavum': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'mild bilateral ligamentum flavum thickening': {'clinical finding': 'mild bilateral ligamentum flavum thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild bilateral ligamentum flavum', 'observation': 'thickening', 'strength_term': 'mild'}}anatomical entity_fin: {'foraminal': {'location descriptor': 'left'}}location descriptor_fin: ['right', 'left']clinical findings_fin: {'progressive mineralization associated with the diffuse bulge , with right slightly greater than left foraminal prominence': {'clinical finding': 'progressive mineralization associated with the diffuse bulge , with right slightly greater than left foraminal prominence', 'change_term': 'greater'}}anatomical entity_fin: {'facet': {'location descriptor': 'bilateral'}, 'ligamentum flavum': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'progressively calcified ligamentum flavum thickening': {'clinical finding': 'progressively calcified ligamentum flavum thickening', 'existence': 'pos_dx', 'descriptive_term': 'progressively calcified ligamentum flavum', 'observation': 'thickening', 'change_term': 'calcified'}}anatomical entity_fin: {'spinal canal': {'location descriptor': 'central'}}location descriptor_fin: ['central', 'bilateral']clinical findings_fin: {'resultant severe central spinal canal stenosis': {'clinical finding': 'resultant severe central spinal canal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'resultant severe central spinal canal', 'observation': 'stenosis', 'strength_term': 'severe'}, 'moderate bilateral foraminal narrowing': {'clinical finding': 'moderate bilateral foraminal narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'moderate bilateral foraminal', 'observation': 'narrowing', 'strength_term': 'moderate'}}location descriptor_fin: ['right']clinical findings_fin: {'mild disc bulge': {'clinical finding': 'mild disc bulge', 'existence': 'pos_dx', 'descriptive_term': 'mild disc', 'observation': 'bulge', 'strength_term': 'mild'}}anatomical entity_fin: {'facet': {'location descriptor': 'bilateral'}, 'ligamentum flavum': {}, 'spinal canal': {'location descriptor': 'central'}}location descriptor_fin: ['bilateral', 'central', 'right', 'left']clinical findings_fin: {'ligamentum flavum thickening': {'clinical finding': 'ligamentum flavum thickening', 'existence': 'pos_dx', 'descriptive_term': 'ligamentum flavum', 'observation': 'thickening'}, 'overall mild to moderate central spinal canal stenosis': {'clinical finding': 'overall mild to moderate central spinal canal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'overall mild to moderate central spinal canal', 'observation': 'stenosis', 'strength_term': 'mild - moderate'}, 'mild-moderate right as well as moderate left foraminal narrowing': {'clinical finding': 'mild-moderate right as well as moderate left foraminal narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'mild-moderate right as well as moderate left foraminal', 'observation': 'narrowing', 'strength_term': 'mild - moderate - moderate'}}anatomical entity_fin: {'retroperitoneum': {}}clinical findings_fin: {'prominent aortic and iliac atherosclerotic calcification': {'clinical finding': 'prominent aortic and iliac atherosclerotic calcification', 'existence': 'unc_dx', 'descriptive_term': 'prominent aortic and iliac atherosclerotic', 'observation': 'calcification', 'strength_term': 'prominent'}}anatomical entity_fin: {'pelvis': {}}clinical findings_fin: {'multiple calcified phleboliths': {'clinical finding': 'multiple calcified phleboliths', 'existence': 'pos_dx', 'descriptive_term': 'multiple calcified', 'observation': 'phlebolith', 'quantity_term': 'multiple', 'change_term': 'calcified'}}clinical findings_fin: {'numerous colonic diverticula': {'clinical finding': 'numerous colonic diverticula', 'existence': 'pos_dx', 'descriptive_term': 'numerous colonic', 'observation': 'diverticula', 'quantity_term': 'numerous'}, 'diverticulitis': {'clinical finding': 'diverticulitis', 'cf_snomed': {'diverticulitis': 307496006}, 'existence': 'neg_dx', 'observation': 'diverticulitis'}} [/INST] The scout lateral view and the sagittal reformatted images demonstrate the lumbar spine to be in normal alignment, with a normal lumbar lordosis. The vertebral body and disk space heights are well-maintained. There is no acute fracture. At T11-T12, there is a diffuse disc bulge with slight left foraminal prominence and bilateral facet arthropathy resulting in overall mild-moderate central spinal canal stenosis and likely mild right and mild-moderate left foraminal narrowing. At T12-L1, there is a stable calcified central disc protrusion which indents the ventral thecal sac without stenosis. At L1-L2, there is a progressively mineralizing bilateral paramedian central disc protrusion which results in mild central spinal canal stenosis. There is minimal bilateral facet arthropathy and calcifying ligamentum flavum thickening. At L2-L3, there is a trace disc bulge with central mineralized disc. There is mild ligamentum flavum thickening which is minimally calcified. There is no significant associated stenosis. At L3-L4, there is a stable trace disc bulge with central mineralization. There is mild bilateral ligamentum flavum thickening with flattening of the ventral thecal sac. At L4-L5, there is progressive mineralization associated with the diffuse bulge, with right slightly greater than left foraminal prominence. There is bilateral facet arthropathy and progressively calcified ligamentum flavum thickening. There is resultant severe central spinal canal stenosis and moderate bilateral foraminal narrowing. At L5-S1, there is a mild disc bulge with right foraminal prominence. There is severe bilateral facet arthropathy and ligamentum flavum thickening resulting in overall mild to moderate central spinal canal stenosis and mild-moderate right as well as moderate left foraminal narrowing. Limited views through the retroperitoneum demonstrate prominent aortic and iliac atherosclerotic calcification, as well as involvement of other smaller arterial structures. There are multiple calcified phleboliths within the pelvis as well. There are numerous colonic diverticula without definite noncontrast CT evidence of diverticulitis. </s>

. Apical pleural nodularity or scarring. Fibrosis and architectural distortion in region of right middle lobe, likely due in part to posttreatment sequela. Scattered subpleural bleb formation. Basilar atelectasis or scarring. Right lower lobe consolidation, mildly increased from earlier exam. Stable small right pleural effusion. Left upper lobe and right lower lobe calcified granulomata. Enlarging right hilar lymphoid tissue, now measuring 3.7 x 2 cm on image 42 series 4, previously measured 2.5 x 2.1 cm, associated pulmonary arterial vessel encasement seen. Additional noncalcified and calcified mediastinal or hilar lymph nodes and juxtaphrenic present. Moderate calcified coronary artery disease. Again seen is extensive right pleural and chest wall metastatic disease, worsened. Right lateral nodular focus measuring 1.6 x 1.1 cm on image 71 series 4 previously measured 1.5 x 1.1 cm. Reference right breast enhancing soft tissue nodule larger, measuring 1.4 x 1.1 cm on image 50 series 4, previously measured 1.1 x 1 cm. Sheetlike soft tissue nodularity on image 60 series 4 subjectively more pronounced, measuring 4.7 x 1.8 cm. Another reference nodule in the right anterior chest wall is increased in size, measuring 2.6 x 1.6 cm on image 66 series 4, previously measured 2.2 x 1.3 cm. Enhancing soft tissue nodularity likely involves right hemidiaphragm as well, indentation of liver just below seen and continued follow up recommended to exclude hepatic extension. There is enhancing nodularity involving the right lateral abdominal wall at the level of the liver, which has also increased in size, measuring 1.9 to 0.8 cm on image 82 series 4, previously measured 1.6 x 0.6 cm. Left chest wall port with tip near cavoatrial junction. Enhancing soft tissue nodularity likely involves right hemidiaphragm as well, indentation of liver just below seen and continued follow up recommended to exclude hepatic extension. There is enhancing nodularity involving the right lateral abdominal wall at the level of the liver, which has also increased in size, measuring 1.9 to 0.8 cm on image 82 series 4, previously measured 1.6 x 0.6 cm. Stable hepatic segment 8 hypoattenuating focus, too small to characterize. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Tiny nonobstructing calcifications. Enlarging upper abdominal and retroperitoneal lymphadenopathy., For instance, aortocaval nodal lesion measuring 2.8 x 1.7 cm on image 88 series 4, previously measured 2.1 x 1 cm a prominent left paraaortic lymph node now seen. Extensive aortobiiliac atherosclerotic disease. Right-sided colonic postsurgical sequela. Patient appears to be status post hysterectomy. Increased size of triangular shaped increased attenuation in posterior left adnexal area, measuring 3.1 x 1.8 cm on image 156 series 4, previously measured 2.6 x 1.6 cm. No significant abnormality noted. Stable to mildly increased degree of sclerosis involving T11 vertebral body. Visualized osseous structures without significant change otherwise, including right-sided ribs.

imaging observation_fin: ['apical']clinical findings_fin: {'apical pleural nodularity': {'clinical finding': 'apical pleural nodularity', 'existence': 'unc_dx', 'descriptive_term': 'apical pleural', 'observation': 'nodularity'}, 'scarring': {'clinical finding': 'scarring', 'existence': 'unc_dx', 'observation': 'scarr'}}anatomical entity_fin: {'middle': {'location descriptor': 'right'}, 'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'fibrosis': {'clinical finding': 'fibrosis', 'existence': 'pos_dx', 'observation': 'fibrosis'}, 'architectural distortion': {'clinical finding': 'architectural distortion', 'existence': 'pos_dx', 'descriptive_term': 'architectural', 'observation': 'distortion'}}anatomical entity_fin: {'bleb': {}}clinical findings_fin: {'scattered subpleural bleb formation': {'clinical finding': 'scattered subpleural bleb formation'}}clinical findings_fin: {'basilar atelectasis': {'clinical finding': 'basilar atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'unc_dx', 'descriptive_term': 'basilar', 'observation': 'atelectasis'}, 'scarring': {'clinical finding': 'scarring', 'existence': 'unc_dx', 'observation': 'scarr'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'lower lobe consolidation': {'clinical finding': 'lower lobe consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'pos_dx', 'descriptive_term': 'lower lobe', 'observation': 'consolidation'}}location descriptor_fin: ['right']clinical findings_fin: {'stable small right pleural effusion': {'clinical finding': 'stable small right pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'stable small right pleural', 'observation': 'effusion', 'strength_term': 'stable - small', 'change_term': 'stable'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['left', 'upper', 'right', 'lower']clinical findings_fin: {'left upper lobe and right lower lobe calcified granulomata': {'clinical finding': 'left upper lobe and right lower lobe calcified granulomata', 'existence': 'pos_dx', 'descriptive_term': 'left upper lobe and right lower lobe calcified', 'observation': 'granulomata', 'change_term': 'calcified'}}size_fin: [{'size': '3.7 x 2 cm'}, {'size': '2.5 x 2.1 cm'}]anatomical entity_fin: {'lymphoid tissue': {}}location descriptor_fin: ['right']clinical findings_fin: {'enlarging right hilar lymphoid tissue': {'clinical finding': 'enlarging right hilar lymphoid tissue', 'existence': 'pos_dx', 'descriptive_term': 'enlarging right hilar lymphoid', 'observation': 'tissue'}, 'associated pulmonary': {'clinical finding': 'associated pulmonary', 'existence': 'pos_dx', 'descriptive_term': 'associated', 'observation': 'pulmonary'}}clinical findings_fin: {'additional noncalcified and calcified mediastinal or hilar lymph nodes': {'clinical finding': 'additional noncalcified and calcified mediastinal or hilar lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'additional noncalcified and calcified mediastinal or hilar lymph', 'observation': 'node', 'change_term': 'calcified'}}anatomical entity_fin: {'coronary artery': {}}clinical findings_fin: {'moderate calcified coronary artery disease': {'clinical finding': 'moderate calcified coronary artery disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'moderate calcified coronary artery', 'observation': 'disease', 'strength_term': 'moderate', 'change_term': 'calcified'}}anatomical entity_fin: {'chest wall': {}}location descriptor_fin: ['right']clinical findings_fin: {'extensive right pleural and chest wall metastatic disease': {'clinical finding': 'extensive right pleural and chest wall metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'extensive right pleural and chest wall metastatic', 'observation': 'disease', 'strength_term': 'extensive'}}size_fin: [{'size': '1.6 x 1.1 cm'}, {'size': '1.5 x 1.1 cm'}]location descriptor_fin: ['right', 'lateral']clinical findings_fin: {'right lateral nodular focus': {'clinical finding': 'right lateral nodular focus', 'existence': 'pos_dx', 'descriptive_term': 'right lateral nodular', 'observation': 'focus'}}size_fin: [{'size': '1.4 x 1.1 cm'}, {'size': '1.1 x 1 cm'}]anatomical entity_fin: {'breast': {'location descriptor': 'right'}}imaging observation_fin: ['enhancing']location descriptor_fin: ['right']clinical findings_fin: {'reference right breast enhancing soft tissue nodule': {'clinical finding': 'reference right breast enhancing soft tissue nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'reference right breast enhancing soft tissue', 'observation': 'nodule'}}size_fin: [{'size': '4.7 x 1.8 cm', 'size_descriptor': 'nodularity'}]clinical findings_fin: {'sheetlike soft tissue nodularity': {'clinical finding': 'sheetlike soft tissue nodularity', 'existence': 'pos_dx', 'descriptive_term': 'sheetlike soft tissue', 'observation': 'nodularity'}}size_fin: [{'size': '2.6 x 1.6 cm'}, {'size': '2.2 x 1.3 cm'}]anatomical entity_fin: {'anterior chest wall': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'another reference nodule': {'clinical finding': 'another reference nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'another reference', 'observation': 'nodule'}}anatomical entity_fin: {'right hemidiaphragm': {}, 'liver': {}}imaging observation_fin: ['enhancing']clinical findings_fin: {'soft tissue nodularity': {'clinical finding': 'soft tissue nodularity', 'existence': 'unc_dx', 'descriptive_term': 'soft tissue', 'observation': 'nodularity'}}follow-up_fin: follow-up recommendedsize_fin: [{'size': '0.8 cm'}, {'size': '1.6 x 0.6 cm'}]anatomical entity_fin: {'abdominal': {'location descriptor': 'right lateral'}, 'wall': {}, 'liver': {}}imaging observation_fin: ['enhancing']location descriptor_fin: ['right', 'lateral']clinical findings_fin: {'enhancing nodularity': {'clinical finding': 'enhancing nodularity', 'existence': 'pos_dx', 'descriptive_term': 'enhancing', 'observation': 'nodularity'}}anatomical entity_fin: {'chest wall': {'location descriptor': 'left'}}location descriptor_fin: ['left']object_fin: ['port']anatomical entity_fin: {'right hemidiaphragm': {}, 'liver': {}}imaging observation_fin: ['enhancing']clinical findings_fin: {'soft tissue nodularity': {'clinical finding': 'soft tissue nodularity', 'existence': 'unc_dx', 'descriptive_term': 'soft tissue', 'observation': 'nodularity'}}follow-up_fin: follow-up recommendedsize_fin: [{'size': '0.8 cm'}, {'size': '1.6 x 0.6 cm'}]anatomical entity_fin: {'abdominal': {'location descriptor': 'right lateral'}, 'wall': {}, 'liver': {}}imaging observation_fin: ['enhancing']location descriptor_fin: ['right', 'lateral']clinical findings_fin: {'enhancing nodularity': {'clinical finding': 'enhancing nodularity', 'existence': 'pos_dx', 'descriptive_term': 'enhancing', 'observation': 'nodularity'}}clinical findings_fin: {'hypoattenuating focus': {'clinical finding': 'hypoattenuating focus', 'existence': 'pos_dx', 'descriptive_term': 'hypoattenuating', 'observation': 'focus'}}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: {'tiny nonobstructing calcifications': {'clinical finding': 'tiny nonobstructing calcifications', 'existence': 'pos_dx', 'descriptive_term': 'tiny nonobstructing', 'observation': 'calcification', 'strength_term': 'tiny'}}size_fin: [{'size': '2.8 x 1.7 cm'}, {'size': '2.1 x 1 cm'}]anatomical entity_fin: {'abdominal': {'location descriptor': 'upper'}}location descriptor_fin: ['upper', 'left']clinical findings_fin: {'enlarging upper abdominal and retroperitoneal lymphadenopathy': {'clinical finding': 'enlarging upper abdominal and retroperitoneal lymphadenopathy', 'cf_snomed': {'retroperitoneal lymphadenopathy': 127154008}, 'existence': 'pos_dx', 'descriptive_term': 'enlarging upper abdominal and retroperitoneal', 'observation': 'lymphadenopathy'}, 'nodal lesion': {'clinical finding': 'nodal lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'nodal', 'observation': 'lesion'}, 'prominent left paraaortic lymph node': {'clinical finding': 'prominent left paraaortic lymph node', 'existence': 'pos_dx', 'descriptive_term': 'prominent left paraaortic lymph', 'observation': 'node', 'strength_term': 'prominent'}}clinical findings_fin: {'extensive aortobiiliac atherosclerotic disease': {'clinical finding': 'extensive aortobiiliac atherosclerotic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'extensive aortobiiliac atherosclerotic', 'observation': 'disease', 'strength_term': 'extensive'}}location descriptor_fin: ['right']procedure_fin: ['hysterectomy']size_fin: [{'size': '3.1 x 1.8 cm'}, {'size': '2.6 x 1.6 cm'}]imaging observation_fin: ['triangular']location descriptor_fin: ['posterior', 'left']clinical findings_fin: {'increased size of triangular shaped increased attenuation in posterior left adnexal area': {'clinical finding': 'increased size of triangular shaped increased attenuation in posterior left adnexal area', 'cf_snomed': {'increased size': 15454001}, 'change_term': 'increased - increased'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'t11 vertebral body': {}}clinical findings_fin: {'sclerosis': {'clinical finding': 'sclerosis', 'cf_snomed': {'sclerosis': 43846000}, 'existence': 'pos_dx', 'observation': 'sclerosis'}}anatomical entity_fin: {'ribs': {}}location descriptor_fin: ['right']clinical findings_fin: {'significant change': {'clinical finding': 'significant change', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'change'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: imaging observation_fin: ['apical']clinical findings_fin: {'apical pleural nodularity': {'clinical finding': 'apical pleural nodularity', 'existence': 'unc_dx', 'descriptive_term': 'apical pleural', 'observation': 'nodularity'}, 'scarring': {'clinical finding': 'scarring', 'existence': 'unc_dx', 'observation': 'scarr'}}anatomical entity_fin: {'middle': {'location descriptor': 'right'}, 'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'fibrosis': {'clinical finding': 'fibrosis', 'existence': 'pos_dx', 'observation': 'fibrosis'}, 'architectural distortion': {'clinical finding': 'architectural distortion', 'existence': 'pos_dx', 'descriptive_term': 'architectural', 'observation': 'distortion'}}anatomical entity_fin: {'bleb': {}}clinical findings_fin: {'scattered subpleural bleb formation': {'clinical finding': 'scattered subpleural bleb formation'}}clinical findings_fin: {'basilar atelectasis': {'clinical finding': 'basilar atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'unc_dx', 'descriptive_term': 'basilar', 'observation': 'atelectasis'}, 'scarring': {'clinical finding': 'scarring', 'existence': 'unc_dx', 'observation': 'scarr'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'lower lobe consolidation': {'clinical finding': 'lower lobe consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'pos_dx', 'descriptive_term': 'lower lobe', 'observation': 'consolidation'}}location descriptor_fin: ['right']clinical findings_fin: {'stable small right pleural effusion': {'clinical finding': 'stable small right pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'stable small right pleural', 'observation': 'effusion', 'strength_term': 'stable - small', 'change_term': 'stable'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['left', 'upper', 'right', 'lower']clinical findings_fin: {'left upper lobe and right lower lobe calcified granulomata': {'clinical finding': 'left upper lobe and right lower lobe calcified granulomata', 'existence': 'pos_dx', 'descriptive_term': 'left upper lobe and right lower lobe calcified', 'observation': 'granulomata', 'change_term': 'calcified'}}size_fin: [{'size': '3.7 x 2 cm'}, {'size': '2.5 x 2.1 cm'}]anatomical entity_fin: {'lymphoid tissue': {}}location descriptor_fin: ['right']clinical findings_fin: {'enlarging right hilar lymphoid tissue': {'clinical finding': 'enlarging right hilar lymphoid tissue', 'existence': 'pos_dx', 'descriptive_term': 'enlarging right hilar lymphoid', 'observation': 'tissue'}, 'associated pulmonary': {'clinical finding': 'associated pulmonary', 'existence': 'pos_dx', 'descriptive_term': 'associated', 'observation': 'pulmonary'}}clinical findings_fin: {'additional noncalcified and calcified mediastinal or hilar lymph nodes': {'clinical finding': 'additional noncalcified and calcified mediastinal or hilar lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'additional noncalcified and calcified mediastinal or hilar lymph', 'observation': 'node', 'change_term': 'calcified'}}anatomical entity_fin: {'coronary artery': {}}clinical findings_fin: {'moderate calcified coronary artery disease': {'clinical finding': 'moderate calcified coronary artery disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'moderate calcified coronary artery', 'observation': 'disease', 'strength_term': 'moderate', 'change_term': 'calcified'}}anatomical entity_fin: {'chest wall': {}}location descriptor_fin: ['right']clinical findings_fin: {'extensive right pleural and chest wall metastatic disease': {'clinical finding': 'extensive right pleural and chest wall metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'extensive right pleural and chest wall metastatic', 'observation': 'disease', 'strength_term': 'extensive'}}size_fin: [{'size': '1.6 x 1.1 cm'}, {'size': '1.5 x 1.1 cm'}]location descriptor_fin: ['right', 'lateral']clinical findings_fin: {'right lateral nodular focus': {'clinical finding': 'right lateral nodular focus', 'existence': 'pos_dx', 'descriptive_term': 'right lateral nodular', 'observation': 'focus'}}size_fin: [{'size': '1.4 x 1.1 cm'}, {'size': '1.1 x 1 cm'}]anatomical entity_fin: {'breast': {'location descriptor': 'right'}}imaging observation_fin: ['enhancing']location descriptor_fin: ['right']clinical findings_fin: {'reference right breast enhancing soft tissue nodule': {'clinical finding': 'reference right breast enhancing soft tissue nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'reference right breast enhancing soft tissue', 'observation': 'nodule'}}size_fin: [{'size': '4.7 x 1.8 cm', 'size_descriptor': 'nodularity'}]clinical findings_fin: {'sheetlike soft tissue nodularity': {'clinical finding': 'sheetlike soft tissue nodularity', 'existence': 'pos_dx', 'descriptive_term': 'sheetlike soft tissue', 'observation': 'nodularity'}}size_fin: [{'size': '2.6 x 1.6 cm'}, {'size': '2.2 x 1.3 cm'}]anatomical entity_fin: {'anterior chest wall': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'another reference nodule': {'clinical finding': 'another reference nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'another reference', 'observation': 'nodule'}}anatomical entity_fin: {'right hemidiaphragm': {}, 'liver': {}}imaging observation_fin: ['enhancing']clinical findings_fin: {'soft tissue nodularity': {'clinical finding': 'soft tissue nodularity', 'existence': 'unc_dx', 'descriptive_term': 'soft tissue', 'observation': 'nodularity'}}follow-up_fin: follow-up recommendedsize_fin: [{'size': '0.8 cm'}, {'size': '1.6 x 0.6 cm'}]anatomical entity_fin: {'abdominal': {'location descriptor': 'right lateral'}, 'wall': {}, 'liver': {}}imaging observation_fin: ['enhancing']location descriptor_fin: ['right', 'lateral']clinical findings_fin: {'enhancing nodularity': {'clinical finding': 'enhancing nodularity', 'existence': 'pos_dx', 'descriptive_term': 'enhancing', 'observation': 'nodularity'}}anatomical entity_fin: {'chest wall': {'location descriptor': 'left'}}location descriptor_fin: ['left']object_fin: ['port']anatomical entity_fin: {'right hemidiaphragm': {}, 'liver': {}}imaging observation_fin: ['enhancing']clinical findings_fin: {'soft tissue nodularity': {'clinical finding': 'soft tissue nodularity', 'existence': 'unc_dx', 'descriptive_term': 'soft tissue', 'observation': 'nodularity'}}follow-up_fin: follow-up recommendedsize_fin: [{'size': '0.8 cm'}, {'size': '1.6 x 0.6 cm'}]anatomical entity_fin: {'abdominal': {'location descriptor': 'right lateral'}, 'wall': {}, 'liver': {}}imaging observation_fin: ['enhancing']location descriptor_fin: ['right', 'lateral']clinical findings_fin: {'enhancing nodularity': {'clinical finding': 'enhancing nodularity', 'existence': 'pos_dx', 'descriptive_term': 'enhancing', 'observation': 'nodularity'}}clinical findings_fin: {'hypoattenuating focus': {'clinical finding': 'hypoattenuating focus', 'existence': 'pos_dx', 'descriptive_term': 'hypoattenuating', 'observation': 'focus'}}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: {'tiny nonobstructing calcifications': {'clinical finding': 'tiny nonobstructing calcifications', 'existence': 'pos_dx', 'descriptive_term': 'tiny nonobstructing', 'observation': 'calcification', 'strength_term': 'tiny'}}size_fin: [{'size': '2.8 x 1.7 cm'}, {'size': '2.1 x 1 cm'}]anatomical entity_fin: {'abdominal': {'location descriptor': 'upper'}}location descriptor_fin: ['upper', 'left']clinical findings_fin: {'enlarging upper abdominal and retroperitoneal lymphadenopathy': {'clinical finding': 'enlarging upper abdominal and retroperitoneal lymphadenopathy', 'cf_snomed': {'retroperitoneal lymphadenopathy': 127154008}, 'existence': 'pos_dx', 'descriptive_term': 'enlarging upper abdominal and retroperitoneal', 'observation': 'lymphadenopathy'}, 'nodal lesion': {'clinical finding': 'nodal lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'nodal', 'observation': 'lesion'}, 'prominent left paraaortic lymph node': {'clinical finding': 'prominent left paraaortic lymph node', 'existence': 'pos_dx', 'descriptive_term': 'prominent left paraaortic lymph', 'observation': 'node', 'strength_term': 'prominent'}}clinical findings_fin: {'extensive aortobiiliac atherosclerotic disease': {'clinical finding': 'extensive aortobiiliac atherosclerotic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'extensive aortobiiliac atherosclerotic', 'observation': 'disease', 'strength_term': 'extensive'}}location descriptor_fin: ['right']procedure_fin: ['hysterectomy']size_fin: [{'size': '3.1 x 1.8 cm'}, {'size': '2.6 x 1.6 cm'}]imaging observation_fin: ['triangular']location descriptor_fin: ['posterior', 'left']clinical findings_fin: {'increased size of triangular shaped increased attenuation in posterior left adnexal area': {'clinical finding': 'increased size of triangular shaped increased attenuation in posterior left adnexal area', 'cf_snomed': {'increased size': 15454001}, 'change_term': 'increased - increased'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'t11 vertebral body': {}}clinical findings_fin: {'sclerosis': {'clinical finding': 'sclerosis', 'cf_snomed': {'sclerosis': 43846000}, 'existence': 'pos_dx', 'observation': 'sclerosis'}}anatomical entity_fin: {'ribs': {}}location descriptor_fin: ['right']clinical findings_fin: {'significant change': {'clinical finding': 'significant change', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'change'}} [/INST] . Apical pleural nodularity or scarring. Fibrosis and architectural distortion in region of right middle lobe, likely due in part to posttreatment sequela. Scattered subpleural bleb formation. Basilar atelectasis or scarring. Right lower lobe consolidation, mildly increased from earlier exam. Stable small right pleural effusion. Left upper lobe and right lower lobe calcified granulomata. Enlarging right hilar lymphoid tissue, now measuring 3.7 x 2 cm on image 42 series 4, previously measured 2.5 x 2.1 cm, associated pulmonary arterial vessel encasement seen. Additional noncalcified and calcified mediastinal or hilar lymph nodes and juxtaphrenic present. Moderate calcified coronary artery disease. Again seen is extensive right pleural and chest wall metastatic disease, worsened. Right lateral nodular focus measuring 1.6 x 1.1 cm on image 71 series 4 previously measured 1.5 x 1.1 cm. Reference right breast enhancing soft tissue nodule larger, measuring 1.4 x 1.1 cm on image 50 series 4, previously measured 1.1 x 1 cm. Sheetlike soft tissue nodularity on image 60 series 4 subjectively more pronounced, measuring 4.7 x 1.8 cm. Another reference nodule in the right anterior chest wall is increased in size, measuring 2.6 x 1.6 cm on image 66 series 4, previously measured 2.2 x 1.3 cm. Enhancing soft tissue nodularity likely involves right hemidiaphragm as well, indentation of liver just below seen and continued follow up recommended to exclude hepatic extension. There is enhancing nodularity involving the right lateral abdominal wall at the level of the liver, which has also increased in size, measuring 1.9 to 0.8 cm on image 82 series 4, previously measured 1.6 x 0.6 cm. Left chest wall port with tip near cavoatrial junction. Enhancing soft tissue nodularity likely involves right hemidiaphragm as well, indentation of liver just below seen and continued follow up recommended to exclude hepatic extension. There is enhancing nodularity involving the right lateral abdominal wall at the level of the liver, which has also increased in size, measuring 1.9 to 0.8 cm on image 82 series 4, previously measured 1.6 x 0.6 cm. Stable hepatic segment 8 hypoattenuating focus, too small to characterize. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Tiny nonobstructing calcifications. Enlarging upper abdominal and retroperitoneal lymphadenopathy., For instance, aortocaval nodal lesion measuring 2.8 x 1.7 cm on image 88 series 4, previously measured 2.1 x 1 cm a prominent left paraaortic lymph node now seen. Extensive aortobiiliac atherosclerotic disease. Right-sided colonic postsurgical sequela. Patient appears to be status post hysterectomy. Increased size of triangular shaped increased attenuation in posterior left adnexal area, measuring 3.1 x 1.8 cm on image 156 series 4, previously measured 2.6 x 1.6 cm. No significant abnormality noted. Stable to mildly increased degree of sclerosis involving T11 vertebral body. Visualized osseous structures without significant change otherwise, including right-sided ribs. </s>

. The central airways are patent. No pneumothorax or pleural effusion. Mild centrilobular emphysema. Linear atelectasis at the lung bases. No honeycombing or fibrosis. No focal airspace opacity. No suspicious nodule or mass. Scattered nonspecific subcentimeter micronodules. Scattered mediastinal and hilar lymph nodes not pathologically enlarged. Heart size is normal without pericardial effusion. Patulous debris-filled esophagus. Severe. Sclerotic focus in the sternum likely represents a benign bone island. No significant axillary, subpectoral, internal mammary, cardiophrenic, or retrocrural lymphadenopathy. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. Left adrenal gland thickening or nodularity.

anatomical entity_fin: {'airways': {'location descriptor': 'central'}}location descriptor_fin: ['central']clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}clinical findings_fin: {'pneumothorax': {'clinical finding': 'pneumothorax', 'cf_snomed': {'pneumothorax': 36118008}, 'existence': 'neg_dx', 'observation': 'pneumothorax'}, 'pleural effusion': {'clinical finding': 'pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}}clinical findings_fin: {'mild centrilobular emphysema': {'clinical finding': 'mild centrilobular emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'descriptive_term': 'mild centrilobular', 'observation': 'emphysema', 'strength_term': 'mild'}}anatomical entity_fin: {'lung': {}, 'bases': {}}clinical findings_fin: {'linear atelectasis': {'clinical finding': 'linear atelectasis', 'cf_snomed': {'linear atelectasis': 11689004}, 'existence': 'pos_dx', 'descriptive_term': 'linear', 'observation': 'atelectasis'}}clinical findings_fin: {'honeycombing': {'clinical finding': 'honeycombing', 'existence': 'neg_dx', 'observation': 'honeycombing'}, 'fibrosis': {'clinical finding': 'fibrosis', 'existence': 'neg_dx', 'observation': 'fibrosis'}}anatomical entity_fin: {'airspace': {}}clinical findings_fin: {'focal airspace opacity': {'clinical finding': 'focal airspace opacity', 'cf_snomed': {'opacity': 128305008}, 'existence': 'neg_dx', 'descriptive_term': 'focal airspace', 'observation': 'opacity'}}clinical findings_fin: {'suspicious nodule': {'clinical finding': 'suspicious nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious', 'observation': 'nodule'}, 'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}}clinical findings_fin: {'scattered nonspecific subcentimeter micronodules': {'clinical finding': 'scattered nonspecific subcentimeter micronodules', 'existence': 'pos_dx', 'descriptive_term': 'scattered nonspecific subcentimeter', 'observation': 'micronodule'}}clinical findings_fin: {'scattered mediastinal and hilar lymph nodes': {'clinical finding': 'scattered mediastinal and hilar lymph nodes', 'existence': 'neg_dx', 'descriptive_term': 'scattered mediastinal and hilar lymph', 'observation': 'node'}, 'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}}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'}}anatomical entity_fin: {'esophagus': {}}clinical findings_fin: {'patulous debris': {'clinical finding': 'patulous debris', 'existence': 'pos_dx', 'descriptive_term': 'patulous', 'observation': 'debris'}}anatomical entity_fin: {'sternum': {}}clinical findings_fin: {'sclerotic focus': {'clinical finding': 'sclerotic focus', 'existence': 'pos_dx', 'descriptive_term': 'sclerotic', 'observation': 'focus'}}clinical findings_fin: {'significant axillary, subpectoral, internal mammary, cardiophrenic, or retrocrural lymphadenopathy': {'clinical finding': 'significant axillary, subpectoral, internal mammary, cardiophrenic, or retrocrural lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'descriptive_term': 'significant axillary subpectoral internal mammary cardiophrenic or retrocrural', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}anatomical entity_fin: {'left adrenal gland': {}}clinical findings_fin: {'left adrenal gland thickening': {'clinical finding': 'left adrenal gland thickening', 'existence': 'pos_dx', 'descriptive_term': 'left adrenal gland', 'observation': 'thickening'}, 'nodularity': {'clinical finding': 'nodularity', 'existence': 'unc_dx', 'observation': 'nodularity'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'airways': {'location descriptor': 'central'}}location descriptor_fin: ['central']clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}clinical findings_fin: {'pneumothorax': {'clinical finding': 'pneumothorax', 'cf_snomed': {'pneumothorax': 36118008}, 'existence': 'neg_dx', 'observation': 'pneumothorax'}, 'pleural effusion': {'clinical finding': 'pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}}clinical findings_fin: {'mild centrilobular emphysema': {'clinical finding': 'mild centrilobular emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'descriptive_term': 'mild centrilobular', 'observation': 'emphysema', 'strength_term': 'mild'}}anatomical entity_fin: {'lung': {}, 'bases': {}}clinical findings_fin: {'linear atelectasis': {'clinical finding': 'linear atelectasis', 'cf_snomed': {'linear atelectasis': 11689004}, 'existence': 'pos_dx', 'descriptive_term': 'linear', 'observation': 'atelectasis'}}clinical findings_fin: {'honeycombing': {'clinical finding': 'honeycombing', 'existence': 'neg_dx', 'observation': 'honeycombing'}, 'fibrosis': {'clinical finding': 'fibrosis', 'existence': 'neg_dx', 'observation': 'fibrosis'}}anatomical entity_fin: {'airspace': {}}clinical findings_fin: {'focal airspace opacity': {'clinical finding': 'focal airspace opacity', 'cf_snomed': {'opacity': 128305008}, 'existence': 'neg_dx', 'descriptive_term': 'focal airspace', 'observation': 'opacity'}}clinical findings_fin: {'suspicious nodule': {'clinical finding': 'suspicious nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious', 'observation': 'nodule'}, 'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}}clinical findings_fin: {'scattered nonspecific subcentimeter micronodules': {'clinical finding': 'scattered nonspecific subcentimeter micronodules', 'existence': 'pos_dx', 'descriptive_term': 'scattered nonspecific subcentimeter', 'observation': 'micronodule'}}clinical findings_fin: {'scattered mediastinal and hilar lymph nodes': {'clinical finding': 'scattered mediastinal and hilar lymph nodes', 'existence': 'neg_dx', 'descriptive_term': 'scattered mediastinal and hilar lymph', 'observation': 'node'}, 'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}}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'}}anatomical entity_fin: {'esophagus': {}}clinical findings_fin: {'patulous debris': {'clinical finding': 'patulous debris', 'existence': 'pos_dx', 'descriptive_term': 'patulous', 'observation': 'debris'}}anatomical entity_fin: {'sternum': {}}clinical findings_fin: {'sclerotic focus': {'clinical finding': 'sclerotic focus', 'existence': 'pos_dx', 'descriptive_term': 'sclerotic', 'observation': 'focus'}}clinical findings_fin: {'significant axillary, subpectoral, internal mammary, cardiophrenic, or retrocrural lymphadenopathy': {'clinical finding': 'significant axillary, subpectoral, internal mammary, cardiophrenic, or retrocrural lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'descriptive_term': 'significant axillary subpectoral internal mammary cardiophrenic or retrocrural', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}anatomical entity_fin: {'left adrenal gland': {}}clinical findings_fin: {'left adrenal gland thickening': {'clinical finding': 'left adrenal gland thickening', 'existence': 'pos_dx', 'descriptive_term': 'left adrenal gland', 'observation': 'thickening'}, 'nodularity': {'clinical finding': 'nodularity', 'existence': 'unc_dx', 'observation': 'nodularity'}} [/INST] . The central airways are patent. No pneumothorax or pleural effusion. Mild centrilobular emphysema. Linear atelectasis at the lung bases. No honeycombing or fibrosis. No focal airspace opacity. No suspicious nodule or mass. Scattered nonspecific subcentimeter micronodules. Scattered mediastinal and hilar lymph nodes not pathologically enlarged. Heart size is normal without pericardial effusion. Patulous debris-filled esophagus. Severe. Sclerotic focus in the sternum likely represents a benign bone island. No significant axillary, subpectoral, internal mammary, cardiophrenic, or retrocrural lymphadenopathy. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. Left adrenal gland thickening or nodularity. </s>

. No focal consolidation or pleural effusion. No suspicious pulmonary nodules. Right basilar subsegmental atelectasis. Liver enhances homogenously without focal lesion. Status post cholecystectomy. The common bile duct is normal in caliber. Mild prominence of the left intrahepatic biliary ducts. Punctate hypodensity within the spleen, of uncertain significance. Cystic lesion probably arising from the pancreatic tail measures 1.9 x 1.4 cm. There is no pancreatic ductal dilatation. No adrenal nodularity or thickening. Right renal cyst. Additional bilateral too small to characterize hypodense lesions, probably cysts. No hydronephrosis or ureteronephrosis. No significant retroperitoneal lymphadenopathy. Mild. The bowel is normal in caliber without evidence of obstruction or ileus. Normal appendix. Mild degenerative changes of the thoracic and lumbar spine. No significant abnormality noted. No significant abnormality. No significant abnormality noted. No inguinal, iliac chain, or pelvic lymphadenopathy. No significant abnormality noted. Mild degenerative changes of the lumbar spine. No significant abnormality noted.

clinical findings_fin: {'focal consolidation': {'clinical finding': 'focal consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'consolidation'}, 'pleural effusion': {'clinical finding': 'pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}}clinical findings_fin: {'suspicious pulmonary nodules': {'clinical finding': 'suspicious pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious pulmonary', 'observation': 'nodule'}}location descriptor_fin: ['right', 'subsegmental']clinical findings_fin: {'right basilar subsegmental atelectasis': {'clinical finding': 'right basilar subsegmental atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'right basilar subsegmental', 'observation': 'atelectasis'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'focal lesion': {'clinical finding': 'focal lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'lesion'}}procedure_fin: ['cholecystectomy']anatomical entity_fin: {'common bile duct': {}}clinical findings_fin: {'common bile duct is normal in caliber': {'clinical finding': 'common bile duct is normal in caliber'}}anatomical entity_fin: {'ducts': {}}location descriptor_fin: ['left']clinical findings_fin: {'mild prominence of the left intrahepatic biliary ducts': {'clinical finding': 'mild prominence of the left intrahepatic biliary ducts'}}anatomical entity_fin: {'spleen': {}}clinical findings_fin: {'punctate hypodensity': {'clinical finding': 'punctate hypodensity', 'existence': 'pos_dx', 'descriptive_term': 'punctate', 'observation': 'hypodensity'}}size_fin: [{'size': '1.9 x 1.4 cm', 'size_descriptor': 'lesion'}]clinical findings_fin: {'cystic lesion': {'clinical finding': 'cystic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'cystic', 'observation': 'lesion'}, 'pancreatic tail': {'clinical finding': 'pancreatic tail', 'existence': 'unc_dx', 'descriptive_term': 'pancreatic', 'observation': 'tail'}}clinical findings_fin: {'pancreatic ductal dilatation': {'clinical finding': 'pancreatic ductal dilatation', 'cf_snomed': {'dilatation': 25322007}, 'existence': 'neg_dx', 'descriptive_term': 'pancreatic ductal', 'observation': 'dilatation'}}clinical findings_fin: {'adrenal nodularity': {'clinical finding': 'adrenal nodularity', 'existence': 'neg_dx', 'descriptive_term': 'adrenal', 'observation': 'nodularity'}, 'thickening': {'clinical finding': 'thickening', 'existence': 'neg_dx', 'observation': 'thickening'}}location descriptor_fin: ['right']clinical findings_fin: {'right renal cyst': {'clinical finding': 'right renal cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'right renal', 'observation': 'cyst'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'hypodense lesions': {'clinical finding': 'hypodense lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'hypodense', 'observation': 'lesion'}, 'probably cysts': {'clinical finding': 'probably cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'probably', 'observation': 'cyst'}}clinical findings_fin: {'hydronephrosis': {'clinical finding': 'hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'neg_dx', 'observation': 'hydronephrosis'}, 'ureteronephrosis': {'clinical finding': 'ureteronephrosis', 'existence': 'neg_dx', 'observation': 'ureteronephrosis'}}clinical findings_fin: {'significant retroperitoneal lymphadenopathy': {'clinical finding': 'significant retroperitoneal lymphadenopathy', 'cf_snomed': {'retroperitoneal lymphadenopathy': 127154008}, 'existence': 'neg_dx', 'descriptive_term': 'significant retroperitoneal', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'observation': 'obstruction'}, 'ileus': {'clinical finding': 'ileus', 'existence': 'neg_dx', 'observation': 'ileus'}}anatomical entity_fin: {'appendix': {}}clinical findings_fin: {'normal appendix': {'clinical finding': 'normal appendix'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'mild degenerative changes': {'clinical finding': 'mild degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'mild degenerative', 'observation': 'change', 'strength_term': 'mild'}}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: {'pelvic lymphadenopathy': {'clinical finding': 'pelvic lymphadenopathy', 'cf_snomed': {'pelvic lymphadenopathy': 127158006}, 'existence': 'neg_dx', 'descriptive_term': 'pelvic', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'mild degenerative changes': {'clinical finding': 'mild degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'mild degenerative', 'observation': 'change', 'strength_term': 'mild'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'focal consolidation': {'clinical finding': 'focal consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'consolidation'}, 'pleural effusion': {'clinical finding': 'pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}}clinical findings_fin: {'suspicious pulmonary nodules': {'clinical finding': 'suspicious pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious pulmonary', 'observation': 'nodule'}}location descriptor_fin: ['right', 'subsegmental']clinical findings_fin: {'right basilar subsegmental atelectasis': {'clinical finding': 'right basilar subsegmental atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'right basilar subsegmental', 'observation': 'atelectasis'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'focal lesion': {'clinical finding': 'focal lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'lesion'}}procedure_fin: ['cholecystectomy']anatomical entity_fin: {'common bile duct': {}}clinical findings_fin: {'common bile duct is normal in caliber': {'clinical finding': 'common bile duct is normal in caliber'}}anatomical entity_fin: {'ducts': {}}location descriptor_fin: ['left']clinical findings_fin: {'mild prominence of the left intrahepatic biliary ducts': {'clinical finding': 'mild prominence of the left intrahepatic biliary ducts'}}anatomical entity_fin: {'spleen': {}}clinical findings_fin: {'punctate hypodensity': {'clinical finding': 'punctate hypodensity', 'existence': 'pos_dx', 'descriptive_term': 'punctate', 'observation': 'hypodensity'}}size_fin: [{'size': '1.9 x 1.4 cm', 'size_descriptor': 'lesion'}]clinical findings_fin: {'cystic lesion': {'clinical finding': 'cystic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'cystic', 'observation': 'lesion'}, 'pancreatic tail': {'clinical finding': 'pancreatic tail', 'existence': 'unc_dx', 'descriptive_term': 'pancreatic', 'observation': 'tail'}}clinical findings_fin: {'pancreatic ductal dilatation': {'clinical finding': 'pancreatic ductal dilatation', 'cf_snomed': {'dilatation': 25322007}, 'existence': 'neg_dx', 'descriptive_term': 'pancreatic ductal', 'observation': 'dilatation'}}clinical findings_fin: {'adrenal nodularity': {'clinical finding': 'adrenal nodularity', 'existence': 'neg_dx', 'descriptive_term': 'adrenal', 'observation': 'nodularity'}, 'thickening': {'clinical finding': 'thickening', 'existence': 'neg_dx', 'observation': 'thickening'}}location descriptor_fin: ['right']clinical findings_fin: {'right renal cyst': {'clinical finding': 'right renal cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'right renal', 'observation': 'cyst'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'hypodense lesions': {'clinical finding': 'hypodense lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'hypodense', 'observation': 'lesion'}, 'probably cysts': {'clinical finding': 'probably cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'probably', 'observation': 'cyst'}}clinical findings_fin: {'hydronephrosis': {'clinical finding': 'hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'neg_dx', 'observation': 'hydronephrosis'}, 'ureteronephrosis': {'clinical finding': 'ureteronephrosis', 'existence': 'neg_dx', 'observation': 'ureteronephrosis'}}clinical findings_fin: {'significant retroperitoneal lymphadenopathy': {'clinical finding': 'significant retroperitoneal lymphadenopathy', 'cf_snomed': {'retroperitoneal lymphadenopathy': 127154008}, 'existence': 'neg_dx', 'descriptive_term': 'significant retroperitoneal', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'observation': 'obstruction'}, 'ileus': {'clinical finding': 'ileus', 'existence': 'neg_dx', 'observation': 'ileus'}}anatomical entity_fin: {'appendix': {}}clinical findings_fin: {'normal appendix': {'clinical finding': 'normal appendix'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'mild degenerative changes': {'clinical finding': 'mild degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'mild degenerative', 'observation': 'change', 'strength_term': 'mild'}}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: {'pelvic lymphadenopathy': {'clinical finding': 'pelvic lymphadenopathy', 'cf_snomed': {'pelvic lymphadenopathy': 127158006}, 'existence': 'neg_dx', 'descriptive_term': 'pelvic', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'mild degenerative changes': {'clinical finding': 'mild degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'mild degenerative', 'observation': 'change', 'strength_term': 'mild'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . No focal consolidation or pleural effusion. No suspicious pulmonary nodules. Right basilar subsegmental atelectasis. Liver enhances homogenously without focal lesion. Status post cholecystectomy. The common bile duct is normal in caliber. Mild prominence of the left intrahepatic biliary ducts. Punctate hypodensity within the spleen, of uncertain significance. Cystic lesion probably arising from the pancreatic tail measures 1.9 x 1.4 cm. There is no pancreatic ductal dilatation. No adrenal nodularity or thickening. Right renal cyst. Additional bilateral too small to characterize hypodense lesions, probably cysts. No hydronephrosis or ureteronephrosis. No significant retroperitoneal lymphadenopathy. Mild. The bowel is normal in caliber without evidence of obstruction or ileus. Normal appendix. Mild degenerative changes of the thoracic and lumbar spine. No significant abnormality noted. No significant abnormality. No significant abnormality noted. No inguinal, iliac chain, or pelvic lymphadenopathy. No significant abnormality noted. Mild degenerative changes of the lumbar spine. No significant abnormality noted. </s>

Severe degenerative changes of the right hip with near bone-on-bone apposition, deformity of the femoral head, and osteophyte formation. Mild-to-moderate degenerative changes of the visualized right sacroiliac joint and lower lumbar spine. Degenerative changes of the right knee, lateral compartment greater than medial compartment. Calcified fibroid uterus noted.

anatomical entity_fin: {'hip': {'location descriptor': 'right'}, 'head': {}}location descriptor_fin: ['right']clinical findings_fin: {'severe degenerative changes': {'clinical finding': 'severe degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'severe degenerative', 'observation': 'change', 'strength_term': 'severe'}, 'apposition': {'clinical finding': 'apposition', 'existence': 'pos_dx', 'observation': 'apposition'}, 'deformity': {'clinical finding': 'deformity', 'cf_snomed': {'deformity': 417893002}, 'existence': 'pos_dx', 'observation': 'deformity'}, 'osteophyte': {'clinical finding': 'osteophyte', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'observation': 'osteophyte'}}anatomical entity_fin: {'sacroiliac joint': {'location descriptor': 'right'}, 'spine': {}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'mild-to-moderate degenerative changes': {'clinical finding': 'mild-to-moderate degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'mild-to-moderate degenerative', 'observation': 'change', 'strength_term': 'mild - moderate'}}anatomical entity_fin: {'right knee': {}}location descriptor_fin: ['lateral', 'medial']clinical findings_fin: {'degenerative changes': {'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'}}anatomical entity_fin: {'uterus': {}}clinical findings_fin: {'calcified fibroid uterus noted': {'clinical finding': 'calcified fibroid uterus noted', 'change_term': 'calcified'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'hip': {'location descriptor': 'right'}, 'head': {}}location descriptor_fin: ['right']clinical findings_fin: {'severe degenerative changes': {'clinical finding': 'severe degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'severe degenerative', 'observation': 'change', 'strength_term': 'severe'}, 'apposition': {'clinical finding': 'apposition', 'existence': 'pos_dx', 'observation': 'apposition'}, 'deformity': {'clinical finding': 'deformity', 'cf_snomed': {'deformity': 417893002}, 'existence': 'pos_dx', 'observation': 'deformity'}, 'osteophyte': {'clinical finding': 'osteophyte', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'observation': 'osteophyte'}}anatomical entity_fin: {'sacroiliac joint': {'location descriptor': 'right'}, 'spine': {}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'mild-to-moderate degenerative changes': {'clinical finding': 'mild-to-moderate degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'mild-to-moderate degenerative', 'observation': 'change', 'strength_term': 'mild - moderate'}}anatomical entity_fin: {'right knee': {}}location descriptor_fin: ['lateral', 'medial']clinical findings_fin: {'degenerative changes': {'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'}}anatomical entity_fin: {'uterus': {}}clinical findings_fin: {'calcified fibroid uterus noted': {'clinical finding': 'calcified fibroid uterus noted', 'change_term': 'calcified'}} [/INST] Severe degenerative changes of the right hip with near bone-on-bone apposition, deformity of the femoral head, and osteophyte formation. Mild-to-moderate degenerative changes of the visualized right sacroiliac joint and lower lumbar spine. Degenerative changes of the right knee, lateral compartment greater than medial compartment. Calcified fibroid uterus noted. </s>

. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Subcentimeter left renal anterior hypodensity in the midportion or upper pole is too small to accurately characterize. Mild calcification of the abdominal aorta and its branches. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. PROSTATE/. Enlarged and heterogenous with nonspecific calcifications. Median lobe hypertrophy. Circumferential nonspecific thickening of the bladder wall may be due to outlet obstruction with other etiologies not excluded. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted.

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'}}anatomical entity_fin: {'pole': {'location descriptor': 'upper'}}location descriptor_fin: ['left', 'anterior', 'upper']clinical findings_fin: {'subcentimeter left renal anterior hypodensity': {'clinical finding': 'subcentimeter left renal anterior hypodensity', 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter left renal anterior', 'observation': 'hypodensity'}}anatomical entity_fin: {'abdominal aorta': {}}clinical findings_fin: {'mild calcification': {'clinical finding': 'mild calcification', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'calcification', 'strength_term': 'mild'}}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: {'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}, 'nonspecific calcifications': {'clinical finding': 'nonspecific calcifications', 'existence': 'pos_dx', 'descriptive_term': 'nonspecific', 'observation': 'calcification'}}anatomical entity_fin: {'lobe': {'location descriptor': 'median'}}location descriptor_fin: ['median']clinical findings_fin: {'median lobe hypertrophy': {'clinical finding': 'median lobe hypertrophy', 'cf_snomed': {'hypertrophy': 56246009}, 'existence': 'pos_dx', 'descriptive_term': 'median lobe', 'observation': 'hypertrophy'}}anatomical entity_fin: {'bladder': {}, 'wall': {}}clinical findings_fin: {'circumferential nonspecific thickening': {'clinical finding': 'circumferential nonspecific thickening', 'existence': 'unc_dx', 'descriptive_term': 'circumferential nonspecific', 'observation': 'thickening'}, 'outlet obstruction': {'clinical finding': 'outlet obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'unc_dx', 'descriptive_term': 'outlet', 'observation': 'obstruction'}}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'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: 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'}}anatomical entity_fin: {'pole': {'location descriptor': 'upper'}}location descriptor_fin: ['left', 'anterior', 'upper']clinical findings_fin: {'subcentimeter left renal anterior hypodensity': {'clinical finding': 'subcentimeter left renal anterior hypodensity', 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter left renal anterior', 'observation': 'hypodensity'}}anatomical entity_fin: {'abdominal aorta': {}}clinical findings_fin: {'mild calcification': {'clinical finding': 'mild calcification', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'calcification', 'strength_term': 'mild'}}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: {'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}, 'nonspecific calcifications': {'clinical finding': 'nonspecific calcifications', 'existence': 'pos_dx', 'descriptive_term': 'nonspecific', 'observation': 'calcification'}}anatomical entity_fin: {'lobe': {'location descriptor': 'median'}}location descriptor_fin: ['median']clinical findings_fin: {'median lobe hypertrophy': {'clinical finding': 'median lobe hypertrophy', 'cf_snomed': {'hypertrophy': 56246009}, 'existence': 'pos_dx', 'descriptive_term': 'median lobe', 'observation': 'hypertrophy'}}anatomical entity_fin: {'bladder': {}, 'wall': {}}clinical findings_fin: {'circumferential nonspecific thickening': {'clinical finding': 'circumferential nonspecific thickening', 'existence': 'unc_dx', 'descriptive_term': 'circumferential nonspecific', 'observation': 'thickening'}, 'outlet obstruction': {'clinical finding': 'outlet obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'unc_dx', 'descriptive_term': 'outlet', 'observation': 'obstruction'}}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] . No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Subcentimeter left renal anterior hypodensity in the midportion or upper pole is too small to accurately characterize. Mild calcification of the abdominal aorta and its branches. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. PROSTATE/. Enlarged and heterogenous with nonspecific calcifications. Median lobe hypertrophy. Circumferential nonspecific thickening of the bladder wall may be due to outlet obstruction with other etiologies not excluded. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. </s>

. The previously seen nearly completely occlusive left main pulmonary artery embolus has progressed in size, now extending further proximally to the main pulmonary artery bifurcation and further distally into the left upper and lower lobe pulmonary arteries. There is complete occlusion of the interlobar pulmonary artery on the right, which appears chronic. The main pulmonary artery to aorta ratio is 1.1. The left ventricle to the right ventricle ratio is 1.2, which may indicate right heart strain. Paucity of vasculature in the left lung reflects the aforementioned embolism. Mosaic attenuation in the right lung likely reflects chronic thromboembolic disease. Moderate sized right pleural effusion, similar to prior. Subpleural opacity in the posterior left upper lobe likely represents an infarct. Normal sized heart without pericardial effusion. None. No significant abnormality noted. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. No significant abnormality noted.

anatomical entity_fin: {'main pulmonary artery': {}, 'lobe': {'location descriptor': 'lower'}, 'pulmonary arteries': {}}location descriptor_fin: ['left', 'upper', 'lower']clinical findings_fin: {'previously seen nearly completely occlusive left main pulmonary artery embolus': {'clinical finding': 'previously seen nearly completely occlusive left main pulmonary artery embolus', 'cf_snomed': {'embolus': 55584005}, 'existence': 'pos_dx', 'descriptive_term': 'previously seen nearly completely occlusive left main pulmonary artery', 'observation': 'embolus'}}anatomical entity_fin: {'pulmonary artery': {}}location descriptor_fin: ['right']clinical findings_fin: {'complete occlusion': {'clinical finding': 'complete occlusion', 'existence': 'pos_dx', 'descriptive_term': 'complete', 'observation': 'occlusion'}}anatomical entity_fin: {'main pulmonary artery': {}, 'aorta': {}}anatomical entity_fin: {'left ventricle': {}, 'right ventricle': {}, 'heart': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'right heart strain': {'clinical finding': 'right heart strain', 'existence': 'unc_dx', 'descriptive_term': 'right heart', 'observation': 'strain'}}anatomical entity_fin: {'vasculature': {}, 'left lung': {}}clinical findings_fin: {'aforementioned embolism': {'clinical finding': 'aforementioned embolism', 'cf_snomed': {'embolism': 414086009}, 'existence': 'pos_dx', 'descriptive_term': 'aforementioned', 'observation': 'embolism'}}anatomical entity_fin: {'right lung': {}}clinical findings_fin: {'mosaic attenuation': {'clinical finding': 'mosaic attenuation', 'existence': 'pos_dx', 'descriptive_term': 'mosaic', 'observation': 'attenuation'}, 'chronic thromboembolic disease': {'clinical finding': 'chronic thromboembolic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'chronic thromboembolic', 'observation': 'disease', 'temporal_term': 'chronic'}}location descriptor_fin: ['right']clinical findings_fin: {'moderate sized right pleural effusion': {'clinical finding': 'moderate sized right pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'moderate sized right pleural', 'observation': 'effusion', 'strength_term': 'moderate'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}}location descriptor_fin: ['posterior', 'left', 'upper']clinical findings_fin: {'subpleural opacity': {'clinical finding': 'subpleural opacity', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'subpleural', 'observation': 'opacity'}, 'infarct': {'clinical finding': 'infarct', 'cf_snomed': {'infarct': 55641003}, 'existence': 'unc_dx', 'observation': 'infarct'}}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: {'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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'main pulmonary artery': {}, 'lobe': {'location descriptor': 'lower'}, 'pulmonary arteries': {}}location descriptor_fin: ['left', 'upper', 'lower']clinical findings_fin: {'previously seen nearly completely occlusive left main pulmonary artery embolus': {'clinical finding': 'previously seen nearly completely occlusive left main pulmonary artery embolus', 'cf_snomed': {'embolus': 55584005}, 'existence': 'pos_dx', 'descriptive_term': 'previously seen nearly completely occlusive left main pulmonary artery', 'observation': 'embolus'}}anatomical entity_fin: {'pulmonary artery': {}}location descriptor_fin: ['right']clinical findings_fin: {'complete occlusion': {'clinical finding': 'complete occlusion', 'existence': 'pos_dx', 'descriptive_term': 'complete', 'observation': 'occlusion'}}anatomical entity_fin: {'main pulmonary artery': {}, 'aorta': {}}anatomical entity_fin: {'left ventricle': {}, 'right ventricle': {}, 'heart': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'right heart strain': {'clinical finding': 'right heart strain', 'existence': 'unc_dx', 'descriptive_term': 'right heart', 'observation': 'strain'}}anatomical entity_fin: {'vasculature': {}, 'left lung': {}}clinical findings_fin: {'aforementioned embolism': {'clinical finding': 'aforementioned embolism', 'cf_snomed': {'embolism': 414086009}, 'existence': 'pos_dx', 'descriptive_term': 'aforementioned', 'observation': 'embolism'}}anatomical entity_fin: {'right lung': {}}clinical findings_fin: {'mosaic attenuation': {'clinical finding': 'mosaic attenuation', 'existence': 'pos_dx', 'descriptive_term': 'mosaic', 'observation': 'attenuation'}, 'chronic thromboembolic disease': {'clinical finding': 'chronic thromboembolic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'chronic thromboembolic', 'observation': 'disease', 'temporal_term': 'chronic'}}location descriptor_fin: ['right']clinical findings_fin: {'moderate sized right pleural effusion': {'clinical finding': 'moderate sized right pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'moderate sized right pleural', 'observation': 'effusion', 'strength_term': 'moderate'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}}location descriptor_fin: ['posterior', 'left', 'upper']clinical findings_fin: {'subpleural opacity': {'clinical finding': 'subpleural opacity', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'subpleural', 'observation': 'opacity'}, 'infarct': {'clinical finding': 'infarct', 'cf_snomed': {'infarct': 55641003}, 'existence': 'unc_dx', 'observation': 'infarct'}}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: {'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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . The previously seen nearly completely occlusive left main pulmonary artery embolus has progressed in size, now extending further proximally to the main pulmonary artery bifurcation and further distally into the left upper and lower lobe pulmonary arteries. There is complete occlusion of the interlobar pulmonary artery on the right, which appears chronic. The main pulmonary artery to aorta ratio is 1.1. The left ventricle to the right ventricle ratio is 1.2, which may indicate right heart strain. Paucity of vasculature in the left lung reflects the aforementioned embolism. Mosaic attenuation in the right lung likely reflects chronic thromboembolic disease. Moderate sized right pleural effusion, similar to prior. Subpleural opacity in the posterior left upper lobe likely represents an infarct. Normal sized heart without pericardial effusion. None. No significant abnormality noted. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. No significant abnormality noted. </s>

All of the paranasal sinuses are clear as are the right mastoid air cells and middle ear cavities and there are no air-fluid levels. Opacification is noted within a few left mastoid air cells. The bilateral maxillary sinus ostia are patent as are the bilateral frontoethmoidal and sphenoethmoidal recesses. Note is made of small bilateral Haller cells. The lamina papyracea are intact bilaterally. The floor of the anterior cranial fossa and cribriform plate region are unremarkable. The nasal septum is S-shaped. Bilateral orbits and the posterior nasopharynx appear unremarkable.

anatomical entity_fin: {'paranasal sinuses': {}, 'mastoid air cells': {'location descriptor': 'right'}, 'middle ear cavities': {}, 'fluid': {}}location descriptor_fin: ['right']clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}, 'air-fluid levels': {'clinical finding': 'air-fluid levels', 'existence': 'neg_dx', 'descriptive_term': 'air-fluid', 'observation': 'level'}}anatomical entity_fin: {'mastoid air cells': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'opacification': {'clinical finding': 'opacification', 'existence': 'pos_dx', 'observation': 'opacification'}, 'few left mastoid air cells': {'clinical finding': 'few left mastoid air cells', 'existence': 'pos_dx', 'descriptive_term': 'few left mastoid air', 'observation': 'cell', 'quantity_term': 'few'}}anatomical entity_fin: {'maxillary sinus': {'location descriptor': 'bilateral'}, 'sphenoethmoidal recesses': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}anatomical entity_fin: {'cells': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'note is made of small bilateral haller cells': {'clinical finding': 'note is made of small bilateral haller cells'}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}anatomical entity_fin: {'floor': {}, 'anterior cranial fossa': {}, 'cribriform plate': {}}clinical findings_fin: {'floor of the anterior cranial fossa and cribriform plate region are unremarkable': {'clinical finding': 'floor of the anterior cranial fossa and cribriform plate region are unremarkable'}}clinical findings_fin: {'nasal septum': {'clinical finding': 'nasal septum', 'existence': 'pos_dx', 'descriptive_term': 'nasal', 'observation': 'septum'}, 's-shaped': {'clinical finding': 's-shaped', 'existence': 'pos_dx', 'observation': "'s"}}anatomical entity_fin: {'orbits': {'location descriptor': 'bilateral'}, 'nasopharynx': {'location descriptor': 'posterior'}}location descriptor_fin: ['bilateral', 'posterior']clinical findings_fin: {'bilateral orbits and the posterior nasopharynx appear unremarkable': {'clinical finding': 'bilateral orbits and the posterior nasopharynx appear unremarkable'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'paranasal sinuses': {}, 'mastoid air cells': {'location descriptor': 'right'}, 'middle ear cavities': {}, 'fluid': {}}location descriptor_fin: ['right']clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}, 'air-fluid levels': {'clinical finding': 'air-fluid levels', 'existence': 'neg_dx', 'descriptive_term': 'air-fluid', 'observation': 'level'}}anatomical entity_fin: {'mastoid air cells': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'opacification': {'clinical finding': 'opacification', 'existence': 'pos_dx', 'observation': 'opacification'}, 'few left mastoid air cells': {'clinical finding': 'few left mastoid air cells', 'existence': 'pos_dx', 'descriptive_term': 'few left mastoid air', 'observation': 'cell', 'quantity_term': 'few'}}anatomical entity_fin: {'maxillary sinus': {'location descriptor': 'bilateral'}, 'sphenoethmoidal recesses': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}anatomical entity_fin: {'cells': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'note is made of small bilateral haller cells': {'clinical finding': 'note is made of small bilateral haller cells'}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}anatomical entity_fin: {'floor': {}, 'anterior cranial fossa': {}, 'cribriform plate': {}}clinical findings_fin: {'floor of the anterior cranial fossa and cribriform plate region are unremarkable': {'clinical finding': 'floor of the anterior cranial fossa and cribriform plate region are unremarkable'}}clinical findings_fin: {'nasal septum': {'clinical finding': 'nasal septum', 'existence': 'pos_dx', 'descriptive_term': 'nasal', 'observation': 'septum'}, 's-shaped': {'clinical finding': 's-shaped', 'existence': 'pos_dx', 'observation': "'s"}}anatomical entity_fin: {'orbits': {'location descriptor': 'bilateral'}, 'nasopharynx': {'location descriptor': 'posterior'}}location descriptor_fin: ['bilateral', 'posterior']clinical findings_fin: {'bilateral orbits and the posterior nasopharynx appear unremarkable': {'clinical finding': 'bilateral orbits and the posterior nasopharynx appear unremarkable'}} [/INST] All of the paranasal sinuses are clear as are the right mastoid air cells and middle ear cavities and there are no air-fluid levels. Opacification is noted within a few left mastoid air cells. The bilateral maxillary sinus ostia are patent as are the bilateral frontoethmoidal and sphenoethmoidal recesses. Note is made of small bilateral Haller cells. The lamina papyracea are intact bilaterally. The floor of the anterior cranial fossa and cribriform plate region are unremarkable. The nasal septum is S-shaped. Bilateral orbits and the posterior nasopharynx appear unremarkable. </s>

There is no evidence of acute ischemic or hemorrhagic lesion on this scan. The right parieto-temporal ischemic infarction lesion seen on prior scan is now showing encephalomalacia with ex vacuo changes of right lateral ventricle. Minimal non specific small vessel disease, no change since prior scan. The ventricles, sulci, and cisterns are unremarkable. There is no mass effect, edema, midline shift, intra- or extra-axial fluid collection or acute hemorrhage. The osseous structures are unremarkable. The paranasal sinuses and mastoid air cells are clear.

clinical findings_fin: {'acute ischemic or hemorrhagic lesion': {'clinical finding': 'acute ischemic or hemorrhagic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'acute ischemic or hemorrhagic', 'observation': 'lesion', 'strength_term': 'acute', 'temporal_term': 'acute'}}anatomical entity_fin: {'right lateral ventricle': {}}location descriptor_fin: ['right']clinical findings_fin: {'right parieto-temporal ischemic infarction lesion': {'clinical finding': 'right parieto-temporal ischemic infarction lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'right parieto-temporal ischemic infarction', 'observation': 'lesion'}, 'encephalomalacia': {'clinical finding': 'encephalomalacia', 'cf_snomed': {'encephalomalacia': 58762006}, 'existence': 'pos_dx', 'observation': 'encephalomalacia'}, 'ex vacuo changes': {'clinical finding': 'ex vacuo changes', 'existence': 'pos_dx', 'descriptive_term': 'ex vacuo', 'observation': 'change'}}clinical findings_fin: {'minimal non specific small vessel disease': {'clinical finding': 'minimal non specific small vessel disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'minimal non specific small vessel', 'observation': 'disease', 'strength_term': 'minimal - small', 'quantity_term': 'minimal'}, 'change': {'clinical finding': 'change', 'existence': 'neg_dx', 'observation': 'change'}}clinical findings_fin: {'ventricles , sulci , and cisterns are unremarkable': {'clinical finding': 'ventricles , sulci , and cisterns are unremarkable'}}location descriptor_fin: ['midline']clinical findings_fin: {'mass effect': {'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect'}, 'edema': {'clinical finding': 'edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'neg_dx', 'observation': 'edema'}, 'intra- or extra-axial fluid collection': {'clinical finding': 'intra- or extra-axial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'intra- or extra-axial fluid', 'observation': 'collection'}, 'acute hemorrhage': {'clinical finding': 'acute hemorrhage', 'cf_snomed': {'acute hemorrhage': 8573003}, 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'hemorrhage', 'strength_term': 'acute', 'temporal_term': 'acute'}}clinical findings_fin: {'osseous structures are unremarkable': {'clinical finding': 'osseous structures are unremarkable'}}anatomical entity_fin: {'paranasal sinuses': {}, 'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'acute ischemic or hemorrhagic lesion': {'clinical finding': 'acute ischemic or hemorrhagic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'acute ischemic or hemorrhagic', 'observation': 'lesion', 'strength_term': 'acute', 'temporal_term': 'acute'}}anatomical entity_fin: {'right lateral ventricle': {}}location descriptor_fin: ['right']clinical findings_fin: {'right parieto-temporal ischemic infarction lesion': {'clinical finding': 'right parieto-temporal ischemic infarction lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'right parieto-temporal ischemic infarction', 'observation': 'lesion'}, 'encephalomalacia': {'clinical finding': 'encephalomalacia', 'cf_snomed': {'encephalomalacia': 58762006}, 'existence': 'pos_dx', 'observation': 'encephalomalacia'}, 'ex vacuo changes': {'clinical finding': 'ex vacuo changes', 'existence': 'pos_dx', 'descriptive_term': 'ex vacuo', 'observation': 'change'}}clinical findings_fin: {'minimal non specific small vessel disease': {'clinical finding': 'minimal non specific small vessel disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'minimal non specific small vessel', 'observation': 'disease', 'strength_term': 'minimal - small', 'quantity_term': 'minimal'}, 'change': {'clinical finding': 'change', 'existence': 'neg_dx', 'observation': 'change'}}clinical findings_fin: {'ventricles , sulci , and cisterns are unremarkable': {'clinical finding': 'ventricles , sulci , and cisterns are unremarkable'}}location descriptor_fin: ['midline']clinical findings_fin: {'mass effect': {'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect'}, 'edema': {'clinical finding': 'edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'neg_dx', 'observation': 'edema'}, 'intra- or extra-axial fluid collection': {'clinical finding': 'intra- or extra-axial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'intra- or extra-axial fluid', 'observation': 'collection'}, 'acute hemorrhage': {'clinical finding': 'acute hemorrhage', 'cf_snomed': {'acute hemorrhage': 8573003}, 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'hemorrhage', 'strength_term': 'acute', 'temporal_term': 'acute'}}clinical findings_fin: {'osseous structures are unremarkable': {'clinical finding': 'osseous structures are unremarkable'}}anatomical entity_fin: {'paranasal sinuses': {}, 'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'}} [/INST] There is no evidence of acute ischemic or hemorrhagic lesion on this scan. The right parieto-temporal ischemic infarction lesion seen on prior scan is now showing encephalomalacia with ex vacuo changes of right lateral ventricle. Minimal non specific small vessel disease, no change since prior scan. The ventricles, sulci, and cisterns are unremarkable. There is no mass effect, edema, midline shift, intra- or extra-axial fluid collection or acute hemorrhage. The osseous structures are unremarkable. The paranasal sinuses and mastoid air cells are clear. </s>

. Multifocal patchy airspace and groundglass opacities in the bilateral lower lobes is suggestive of infection. A peripherally based, wedge-shaped airspace opacity in the anterolateral basilar segment of the left lower lobe is larger when compared to previous CT, now with air bronchograms, likely representing a chronic infarction with superimposed infection. Layering left pleural fluid is compatible with a parapneumonic effusion. Scarring is present in the bilateral lung bases. Heart size is upper limits of normal, without significant pericardial effusion. No significant hilar or mediastinal lymphadenopathy. Soft tissue density in the anterior mediastinum is consistent with thymic hyperplasia. The thyroid gland is within normal limits. New bilateral cardiophrenic lymph nodes are likely reactive in nature. None. Scattered mildly prominent bilateral axillary lymph nodes. The bones are dense, compatible with history of sickle cell disease. Status post cholecystectomy. Small spleen, compatible with autoinfarction.

anatomical entity_fin: {'airspace': {}, 'lobes': {'location descriptor': 'bilateral lower'}}location descriptor_fin: ['bilateral', 'lower']clinical findings_fin: {'groundglass opacities': {'clinical finding': 'groundglass opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'groundglass', 'observation': 'opacity'}, 'infection': {'clinical finding': 'infection', 'existence': 'unc_dx', 'observation': 'infection'}}anatomical entity_fin: {'airspace': {}, 'lobe': {'location descriptor': 'left lower'}}imaging observation_fin: ['wedge', 'air bronchograms']location descriptor_fin: ['anterolateral', 'left', 'lower']clinical findings_fin: {'peripherally based, wedge-shaped airspace opacity': {'clinical finding': 'peripherally based, wedge-shaped airspace opacity', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'peripherally based wedge-shaped airspace', 'observation': 'opacity'}, 'chronic infarction': {'clinical finding': 'chronic infarction', 'existence': 'unc_dx', 'descriptive_term': 'chronic', 'observation': 'infarction', 'temporal_term': 'chronic'}, 'superimposed infection': {'clinical finding': 'superimposed infection', 'cf_snomed': {'superimposed infection': 193198003}, 'existence': 'pos_dx', 'descriptive_term': 'superimposed', 'observation': 'infection'}}location descriptor_fin: ['left']clinical findings_fin: {'left pleural fluid': {'clinical finding': 'left pleural fluid', 'existence': 'pos_dx', 'descriptive_term': 'left pleural', 'observation': 'fluid'}, 'parapneumonic effusion': {'clinical finding': 'parapneumonic effusion', 'cf_snomed': {'effusion': 41699000}, 'existence': 'pos_dx', 'descriptive_term': 'parapneumonic', 'observation': 'effusion'}}anatomical entity_fin: {'lung': {'location descriptor': 'bilateral'}, 'bases': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'scarring is present': {'clinical finding': 'scarring is present'}}anatomical entity_fin: {'heart': {}}location descriptor_fin: ['upper']clinical findings_fin: {'significant pericardial effusion': {'clinical finding': 'significant pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'pos_dx', 'descriptive_term': 'significant pericardial', 'observation': 'effusion'}}clinical findings_fin: {'significant hilar or mediastinal lymphadenopathy': {'clinical finding': 'significant hilar or mediastinal lymphadenopathy', 'cf_snomed': {'mediastinal lymphadenopathy': 52324001}, 'existence': 'neg_dx', 'descriptive_term': 'significant hilar or mediastinal', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'anterior mediastinum': {}}imaging observation_fin: ['soft tissue density']clinical findings_fin: {'soft tissue density': {'clinical finding': 'soft tissue density', 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'density'}, 'thymic hyperplasia': {'clinical finding': 'thymic hyperplasia', 'cf_snomed': {'hyperplasia': 76197007}, 'existence': 'pos_dx', 'descriptive_term': 'thymic', 'observation': 'hyperplasia'}}anatomical entity_fin: {'thyroid gland': {}}clinical findings_fin: {'thyroid gland is within normal limits': {'clinical finding': 'thyroid gland is within normal limits'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'new bilateral cardiophrenic lymph nodes': {'clinical finding': 'new bilateral cardiophrenic lymph nodes', 'existence': 'unc_dx', 'descriptive_term': 'new bilateral cardiophrenic lymph', 'observation': 'node', 'temporal_term': 'new'}}anatomical entity_fin: {'axillary lymph nodes': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'scattered mildly prominent bilateral axillary lymph nodes': {'clinical finding': 'scattered mildly prominent bilateral axillary lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'scattered mildly prominent bilateral axillary lymph', 'observation': 'node', 'strength_term': 'mildly - prominent'}}anatomical entity_fin: {'cell': {}}imaging observation_fin: ['sickle']clinical findings_fin: {'dense': {'clinical finding': 'dense', 'existence': 'pos_dx', 'observation': 'dense'}, 'sickle cell disease': {'clinical finding': 'sickle cell disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'sickle cell', 'observation': 'disease'}}procedure_fin: ['cholecystectomy']anatomical entity_fin: {'spleen': {}}clinical findings_fin: {'autoinfarction': {'clinical finding': 'autoinfarction', 'existence': 'pos_dx', 'observation': 'autoinfarction'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'airspace': {}, 'lobes': {'location descriptor': 'bilateral lower'}}location descriptor_fin: ['bilateral', 'lower']clinical findings_fin: {'groundglass opacities': {'clinical finding': 'groundglass opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'groundglass', 'observation': 'opacity'}, 'infection': {'clinical finding': 'infection', 'existence': 'unc_dx', 'observation': 'infection'}}anatomical entity_fin: {'airspace': {}, 'lobe': {'location descriptor': 'left lower'}}imaging observation_fin: ['wedge', 'air bronchograms']location descriptor_fin: ['anterolateral', 'left', 'lower']clinical findings_fin: {'peripherally based, wedge-shaped airspace opacity': {'clinical finding': 'peripherally based, wedge-shaped airspace opacity', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'peripherally based wedge-shaped airspace', 'observation': 'opacity'}, 'chronic infarction': {'clinical finding': 'chronic infarction', 'existence': 'unc_dx', 'descriptive_term': 'chronic', 'observation': 'infarction', 'temporal_term': 'chronic'}, 'superimposed infection': {'clinical finding': 'superimposed infection', 'cf_snomed': {'superimposed infection': 193198003}, 'existence': 'pos_dx', 'descriptive_term': 'superimposed', 'observation': 'infection'}}location descriptor_fin: ['left']clinical findings_fin: {'left pleural fluid': {'clinical finding': 'left pleural fluid', 'existence': 'pos_dx', 'descriptive_term': 'left pleural', 'observation': 'fluid'}, 'parapneumonic effusion': {'clinical finding': 'parapneumonic effusion', 'cf_snomed': {'effusion': 41699000}, 'existence': 'pos_dx', 'descriptive_term': 'parapneumonic', 'observation': 'effusion'}}anatomical entity_fin: {'lung': {'location descriptor': 'bilateral'}, 'bases': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'scarring is present': {'clinical finding': 'scarring is present'}}anatomical entity_fin: {'heart': {}}location descriptor_fin: ['upper']clinical findings_fin: {'significant pericardial effusion': {'clinical finding': 'significant pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'pos_dx', 'descriptive_term': 'significant pericardial', 'observation': 'effusion'}}clinical findings_fin: {'significant hilar or mediastinal lymphadenopathy': {'clinical finding': 'significant hilar or mediastinal lymphadenopathy', 'cf_snomed': {'mediastinal lymphadenopathy': 52324001}, 'existence': 'neg_dx', 'descriptive_term': 'significant hilar or mediastinal', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'anterior mediastinum': {}}imaging observation_fin: ['soft tissue density']clinical findings_fin: {'soft tissue density': {'clinical finding': 'soft tissue density', 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'density'}, 'thymic hyperplasia': {'clinical finding': 'thymic hyperplasia', 'cf_snomed': {'hyperplasia': 76197007}, 'existence': 'pos_dx', 'descriptive_term': 'thymic', 'observation': 'hyperplasia'}}anatomical entity_fin: {'thyroid gland': {}}clinical findings_fin: {'thyroid gland is within normal limits': {'clinical finding': 'thyroid gland is within normal limits'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'new bilateral cardiophrenic lymph nodes': {'clinical finding': 'new bilateral cardiophrenic lymph nodes', 'existence': 'unc_dx', 'descriptive_term': 'new bilateral cardiophrenic lymph', 'observation': 'node', 'temporal_term': 'new'}}anatomical entity_fin: {'axillary lymph nodes': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'scattered mildly prominent bilateral axillary lymph nodes': {'clinical finding': 'scattered mildly prominent bilateral axillary lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'scattered mildly prominent bilateral axillary lymph', 'observation': 'node', 'strength_term': 'mildly - prominent'}}anatomical entity_fin: {'cell': {}}imaging observation_fin: ['sickle']clinical findings_fin: {'dense': {'clinical finding': 'dense', 'existence': 'pos_dx', 'observation': 'dense'}, 'sickle cell disease': {'clinical finding': 'sickle cell disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'sickle cell', 'observation': 'disease'}}procedure_fin: ['cholecystectomy']anatomical entity_fin: {'spleen': {}}clinical findings_fin: {'autoinfarction': {'clinical finding': 'autoinfarction', 'existence': 'pos_dx', 'observation': 'autoinfarction'}} [/INST] . Multifocal patchy airspace and groundglass opacities in the bilateral lower lobes is suggestive of infection. A peripherally based, wedge-shaped airspace opacity in the anterolateral basilar segment of the left lower lobe is larger when compared to previous CT, now with air bronchograms, likely representing a chronic infarction with superimposed infection. Layering left pleural fluid is compatible with a parapneumonic effusion. Scarring is present in the bilateral lung bases. Heart size is upper limits of normal, without significant pericardial effusion. No significant hilar or mediastinal lymphadenopathy. Soft tissue density in the anterior mediastinum is consistent with thymic hyperplasia. The thyroid gland is within normal limits. New bilateral cardiophrenic lymph nodes are likely reactive in nature. None. Scattered mildly prominent bilateral axillary lymph nodes. The bones are dense, compatible with history of sickle cell disease. Status post cholecystectomy. Small spleen, compatible with autoinfarction. </s>

. Mild centrilobular emphysema. No significant pleural effusion or lower lung consolidation. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Moderate right hydronephrosis to the distal one third of the ureter. The ureter cannot be traced completely to its insertion on the bladder. No hyperattenuating stones are seen. Left kidney within normal limits. RETROPERITONEUM/. Small retroperitoneal lymph nodes are seen. Several loops of dilated distal small bowel are seen in the right lower quadrant, up to approximately 3.8 cm. These dilated loops of small bowel are proximal to a several centimeter segment of distal ileum that demonstrates bowel wall thickening , and this is likely a transition point. The appendix appears normal. No pneumatosis or free air. No significant abnormality noted. No significant abnormality noted. UTERUS/. There is an approximately 3 x 1.8-cm cystic structure at the right adnexa which may represent a physiologic cyst if the patient is premenopausal, however cannot completely exclude the possibility of ovarian neoplasm, particularly if the patient is postmenopausal. No significant abnormality noted. Several loops of distended distal small bowel in the right lower quadrant proximal to a segment of distal ileum with bowel wall thickening. This is likely partial obstruction proximal to an inflamed loop of distal ileum. Bilateral inguinal lymphadenopathy.

clinical findings_fin: {'mild centrilobular emphysema': {'clinical finding': 'mild centrilobular emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'descriptive_term': 'mild centrilobular', 'observation': 'emphysema', 'strength_term': 'mild'}}anatomical entity_fin: {'lung': {'location descriptor': 'lower'}}location descriptor_fin: ['lower']clinical findings_fin: {'significant pleural effusion': {'clinical finding': 'significant pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'significant pleural', 'observation': 'effusion'}, 'lower lung consolidation': {'clinical finding': 'lower lung consolidation', 'cf_snomed': {'lung consolidation': 95436008}, 'existence': 'neg_dx', 'descriptive_term': 'lower lung', 'observation': 'consolidation'}}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'}}anatomical entity_fin: {'ureter': {}}location descriptor_fin: ['right', 'distal']clinical findings_fin: {'moderate right hydronephrosis': {'clinical finding': 'moderate right hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'pos_dx', 'descriptive_term': 'moderate right', 'observation': 'hydronephrosis', 'strength_term': 'moderate'}}anatomical entity_fin: {'ureter': {}, 'insertion': {}, 'bladder': {}}clinical findings_fin: {'hyperattenuating stones': {'clinical finding': 'hyperattenuating stones', 'existence': 'neg_dx', 'descriptive_term': 'hyperattenuating', 'observation': 'stone'}}anatomical entity_fin: {'left kidney': {}}clinical findings_fin: {'left kidney within normal limits': {'clinical finding': 'left kidney within normal limits'}}clinical findings_fin: {'small retroperitoneal lymph nodes': {'clinical finding': 'small retroperitoneal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small retroperitoneal lymph', 'observation': 'node', 'strength_term': 'small'}}size_fin: [{'size': '3.8 cm'}]anatomical entity_fin: {'bowel': {}, 'quadrant': {'location descriptor': 'right lower'}}location descriptor_fin: ['distal', 'right', 'lower']clinical findings_fin: {'dilated': {'clinical finding': 'dilated', 'existence': 'pos_dx', 'observation': 'dilated'}}anatomical entity_fin: {'bowel': {}, 'ileum': {'location descriptor': 'distal'}}location descriptor_fin: ['proximal', 'distal']clinical findings_fin: {'these dilated': {'clinical finding': 'these dilated', 'existence': 'pos_dx', 'descriptive_term': 'these', 'observation': 'dilated'}, 'bowel wall thickening': {'clinical finding': 'bowel wall thickening', 'existence': 'unc_dx', 'descriptive_term': 'bowel wall', 'observation': 'thickening'}}anatomical entity_fin: {'appendix': {}}clinical findings_fin: {'appendix appears normal': {'clinical finding': 'appendix appears normal'}}clinical findings_fin: {'pneumatosis': {'clinical finding': 'pneumatosis', 'existence': 'neg_dx', 'observation': 'pneumatosis'}, 'free air': {'clinical finding': 'free air', 'existence': 'neg_dx', 'descriptive_term': 'free', 'observation': 'air'}}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'}}size_fin: [{'size': '3 x 1.8', 'size_descriptor': 'structure'}]location descriptor_fin: ['right']clinical findings_fin: {'approximately 3 x 1.8-cm cystic structure': {'clinical finding': 'approximately 3 x 1.8-cm cystic structure', 'existence': 'pos_dx', 'descriptive_term': 'approximately 3 x 1 8-cm cystic', 'observation': 'structure'}, 'physiologic cyst': {'clinical finding': 'physiologic cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'unc_dx', 'descriptive_term': 'physiologic', 'observation': 'cyst'}, 'ovarian neoplasm': {'clinical finding': 'ovarian neoplasm', 'cf_snomed': {'neoplasm': 108369006}, 'existence': 'unc_dx', 'descriptive_term': 'ovarian', 'observation': 'neoplasm'}, 'postmenopausal': {'clinical finding': 'postmenopausal', 'existence': 'unc_dx', 'observation': 'postmenopausal'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'bowel': {}, 'quadrant': {'location descriptor': 'right lower'}, 'ileum': {'location descriptor': 'distal'}}location descriptor_fin: ['distal', 'right', 'lower', 'proximal']clinical findings_fin: {'distended': {'clinical finding': 'distended', 'existence': 'pos_dx', 'observation': 'distended'}, 'bowel wall thickening': {'clinical finding': 'bowel wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'bowel wall', 'observation': 'thickening'}}anatomical entity_fin: {'ileum': {'location descriptor': 'distal'}}location descriptor_fin: ['proximal', 'distal']clinical findings_fin: {'partial obstruction': {'clinical finding': 'partial obstruction', 'cf_snomed': {'partial obstruction': 13705009}, 'existence': 'unc_dx', 'descriptive_term': 'partial', 'observation': 'obstruction', 'strength_term': 'partial'}, 'inflamed': {'clinical finding': 'inflamed', 'existence': 'unc_dx', 'observation': 'inflamed'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral inguinal lymphadenopathy': {'clinical finding': 'bilateral inguinal lymphadenopathy', 'cf_snomed': {'inguinal lymphadenopathy': 127199000}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral inguinal', 'observation': 'lymphadenopathy'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'mild centrilobular emphysema': {'clinical finding': 'mild centrilobular emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'descriptive_term': 'mild centrilobular', 'observation': 'emphysema', 'strength_term': 'mild'}}anatomical entity_fin: {'lung': {'location descriptor': 'lower'}}location descriptor_fin: ['lower']clinical findings_fin: {'significant pleural effusion': {'clinical finding': 'significant pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'significant pleural', 'observation': 'effusion'}, 'lower lung consolidation': {'clinical finding': 'lower lung consolidation', 'cf_snomed': {'lung consolidation': 95436008}, 'existence': 'neg_dx', 'descriptive_term': 'lower lung', 'observation': 'consolidation'}}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'}}anatomical entity_fin: {'ureter': {}}location descriptor_fin: ['right', 'distal']clinical findings_fin: {'moderate right hydronephrosis': {'clinical finding': 'moderate right hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'pos_dx', 'descriptive_term': 'moderate right', 'observation': 'hydronephrosis', 'strength_term': 'moderate'}}anatomical entity_fin: {'ureter': {}, 'insertion': {}, 'bladder': {}}clinical findings_fin: {'hyperattenuating stones': {'clinical finding': 'hyperattenuating stones', 'existence': 'neg_dx', 'descriptive_term': 'hyperattenuating', 'observation': 'stone'}}anatomical entity_fin: {'left kidney': {}}clinical findings_fin: {'left kidney within normal limits': {'clinical finding': 'left kidney within normal limits'}}clinical findings_fin: {'small retroperitoneal lymph nodes': {'clinical finding': 'small retroperitoneal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small retroperitoneal lymph', 'observation': 'node', 'strength_term': 'small'}}size_fin: [{'size': '3.8 cm'}]anatomical entity_fin: {'bowel': {}, 'quadrant': {'location descriptor': 'right lower'}}location descriptor_fin: ['distal', 'right', 'lower']clinical findings_fin: {'dilated': {'clinical finding': 'dilated', 'existence': 'pos_dx', 'observation': 'dilated'}}anatomical entity_fin: {'bowel': {}, 'ileum': {'location descriptor': 'distal'}}location descriptor_fin: ['proximal', 'distal']clinical findings_fin: {'these dilated': {'clinical finding': 'these dilated', 'existence': 'pos_dx', 'descriptive_term': 'these', 'observation': 'dilated'}, 'bowel wall thickening': {'clinical finding': 'bowel wall thickening', 'existence': 'unc_dx', 'descriptive_term': 'bowel wall', 'observation': 'thickening'}}anatomical entity_fin: {'appendix': {}}clinical findings_fin: {'appendix appears normal': {'clinical finding': 'appendix appears normal'}}clinical findings_fin: {'pneumatosis': {'clinical finding': 'pneumatosis', 'existence': 'neg_dx', 'observation': 'pneumatosis'}, 'free air': {'clinical finding': 'free air', 'existence': 'neg_dx', 'descriptive_term': 'free', 'observation': 'air'}}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'}}size_fin: [{'size': '3 x 1.8', 'size_descriptor': 'structure'}]location descriptor_fin: ['right']clinical findings_fin: {'approximately 3 x 1.8-cm cystic structure': {'clinical finding': 'approximately 3 x 1.8-cm cystic structure', 'existence': 'pos_dx', 'descriptive_term': 'approximately 3 x 1 8-cm cystic', 'observation': 'structure'}, 'physiologic cyst': {'clinical finding': 'physiologic cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'unc_dx', 'descriptive_term': 'physiologic', 'observation': 'cyst'}, 'ovarian neoplasm': {'clinical finding': 'ovarian neoplasm', 'cf_snomed': {'neoplasm': 108369006}, 'existence': 'unc_dx', 'descriptive_term': 'ovarian', 'observation': 'neoplasm'}, 'postmenopausal': {'clinical finding': 'postmenopausal', 'existence': 'unc_dx', 'observation': 'postmenopausal'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'bowel': {}, 'quadrant': {'location descriptor': 'right lower'}, 'ileum': {'location descriptor': 'distal'}}location descriptor_fin: ['distal', 'right', 'lower', 'proximal']clinical findings_fin: {'distended': {'clinical finding': 'distended', 'existence': 'pos_dx', 'observation': 'distended'}, 'bowel wall thickening': {'clinical finding': 'bowel wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'bowel wall', 'observation': 'thickening'}}anatomical entity_fin: {'ileum': {'location descriptor': 'distal'}}location descriptor_fin: ['proximal', 'distal']clinical findings_fin: {'partial obstruction': {'clinical finding': 'partial obstruction', 'cf_snomed': {'partial obstruction': 13705009}, 'existence': 'unc_dx', 'descriptive_term': 'partial', 'observation': 'obstruction', 'strength_term': 'partial'}, 'inflamed': {'clinical finding': 'inflamed', 'existence': 'unc_dx', 'observation': 'inflamed'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral inguinal lymphadenopathy': {'clinical finding': 'bilateral inguinal lymphadenopathy', 'cf_snomed': {'inguinal lymphadenopathy': 127199000}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral inguinal', 'observation': 'lymphadenopathy'}} [/INST] . Mild centrilobular emphysema. No significant pleural effusion or lower lung consolidation. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Moderate right hydronephrosis to the distal one third of the ureter. The ureter cannot be traced completely to its insertion on the bladder. No hyperattenuating stones are seen. Left kidney within normal limits. RETROPERITONEUM/. Small retroperitoneal lymph nodes are seen. Several loops of dilated distal small bowel are seen in the right lower quadrant, up to approximately 3.8 cm. These dilated loops of small bowel are proximal to a several centimeter segment of distal ileum that demonstrates bowel wall thickening , and this is likely a transition point. The appendix appears normal. No pneumatosis or free air. No significant abnormality noted. No significant abnormality noted. UTERUS/. There is an approximately 3 x 1.8-cm cystic structure at the right adnexa which may represent a physiologic cyst if the patient is premenopausal, however cannot completely exclude the possibility of ovarian neoplasm, particularly if the patient is postmenopausal. No significant abnormality noted. Several loops of distended distal small bowel in the right lower quadrant proximal to a segment of distal ileum with bowel wall thickening. This is likely partial obstruction proximal to an inflamed loop of distal ileum. Bilateral inguinal lymphadenopathy. </s>

.There is no intracranial hemorrhage, edema, midline shift, or abnormal extraaxial fluid collections. There is global parenchymal volume loss, with the ventricles slightly out of portion to the sulci, probably not significantly changed from the prior study dated 02/2012. There is subcortical and periventricular white matter hypoattenuation, nonspecific but compatible with age-indeterminate small vessel ischemic change. The gray-white matter differentiation is preserved. The osseous structures are intact. The paranasal sinuses and mastoid air cells are clear. There is retropharyngeal course of the right internal carotid artery, with associated mild leftward deviation of the oropharyngeal soft tissues, a similar configuration to that previously seen. A 6 mm ovoid calcified density anterior to the arch of C1 is unchanged from the prior study dated 02/20/2012 and is a nonspecific chronic finding. Otherwise, the nasopharynx, oropharynx, hypopharynx, and larynx are unremarkable. The upper trachea and esophagus are unremarkable. There is no abnormal soft tissue mass or discrete fluid collection. The parotid and submandibular glands have a somewhat nodular appearance bilaterally. The thyroid gland is unremarkable. Scattered small cervical lymph nodes are identified without lymphadenopathy. Mild degenerative findings cervical spine appear mildly progressed from the prior study, grossly without evidence of acute abnormality. The visualized lung apices are unremarkable. The carotid arteries and jugular veins are patent.

anatomical entity_fin: {'fluid': {}}location descriptor_fin: ['midline']clinical findings_fin: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}, 'edema': {'clinical finding': 'edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'neg_dx', 'observation': 'edema'}}clinical findings_fin: {'global parenchymal volume loss': {'clinical finding': 'global parenchymal volume loss', 'existence': 'pos_dx', 'descriptive_term': 'global parenchymal volume', 'observation': 'loss'}}clinical findings_fin: {'subcortical and periventricular white matter hypoattenuation': {'clinical finding': 'subcortical and periventricular white matter hypoattenuation', 'cf_snomed': {'periventricular white matter': 37065005}, 'existence': 'pos_dx', 'descriptive_term': 'subcortical and periventricular white matter', 'observation': 'hypoattenuation'}, 'age-indeterminate small vessel ischemic change': {'clinical finding': 'age-indeterminate small vessel ischemic change', 'existence': 'pos_dx', 'descriptive_term': 'age-indeterminate small vessel ischemic', 'observation': 'change', 'strength_term': 'small'}}clinical findings_fin: {'gray-white matter differentiation': {'clinical finding': 'gray-white matter differentiation', 'existence': 'pos_dx', 'descriptive_term': 'gray-white matter', 'observation': 'differentiation'}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}anatomical entity_fin: {'paranasal sinuses': {}, 'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'internal carotid artery': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'retropharyngeal course of the right internal carotid artery , with associated mild leftward deviation of the oropharyngeal soft tissues': {'clinical finding': 'retropharyngeal course of the right internal carotid artery , with associated mild leftward deviation of the oropharyngeal soft tissues'}}size_fin: [{'size': '6 mm', 'size_descriptor': 'anterior'}]location descriptor_fin: ['anterior']clinical findings_fin: {'6 mm ovoid calcified density': {'clinical finding': '6 mm ovoid calcified density', 'existence': 'pos_dx', 'descriptive_term': '6 mm ovoid calcified', 'observation': 'density', 'change_term': 'calcified'}}anatomical entity_fin: {'nasopharynx': {}, 'oropharynx': {}, 'hypopharynx': {}, 'larynx': {}}clinical findings_fin: {'otherwise , the nasopharynx , oropharynx , hypopharynx , and larynx are unremarkable': {'clinical finding': 'otherwise , the nasopharynx , oropharynx , hypopharynx , and larynx are unremarkable'}}anatomical entity_fin: {'trachea': {'location descriptor': 'upper'}, 'esophagus': {}}location descriptor_fin: ['upper']clinical findings_fin: {'upper trachea and esophagus are unremarkable': {'clinical finding': 'upper trachea and esophagus are unremarkable'}}clinical findings_fin: {'abnormal soft tissue mass': {'clinical finding': 'abnormal soft tissue mass', 'cf_snomed': {'soft tissue mass': 278002000}, 'existence': 'neg_dx', 'descriptive_term': 'abnormal soft tissue', 'observation': 'mass'}, 'discrete fluid collection': {'clinical finding': 'discrete fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'discrete fluid', 'observation': 'collection'}}anatomical entity_fin: {'submandibular glands': {}}clinical findings_fin: {'somewhat nodular': {'clinical finding': 'somewhat nodular', 'existence': 'pos_dx', 'descriptive_term': 'somewhat', 'observation': 'nodular'}}anatomical entity_fin: {'thyroid gland': {}}clinical findings_fin: {'thyroid gland is unremarkable': {'clinical finding': 'thyroid gland is unremarkable'}}clinical findings_fin: {'scattered small cervical lymph nodes': {'clinical finding': 'scattered small cervical lymph nodes', 'existence': 'neg_dx', 'descriptive_term': 'scattered small cervical lymph', 'observation': 'node', 'strength_term': 'small'}, 'lymphadenopathy': {'clinical finding': 'lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'cervical': {'clinical finding': 'cervical', 'existence': 'pos_dx', 'observation': 'cervical'}, 'acute abnormality': {'clinical finding': 'acute abnormality', 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'abnormality', 'strength_term': 'acute', 'temporal_term': 'acute'}}anatomical entity_fin: {'lung': {}, 'apices': {}}clinical findings_fin: {'visualized lung apices are unremarkable': {'clinical finding': 'visualized lung apices are unremarkable'}}anatomical entity_fin: {'arteries': {}, 'veins': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'fluid': {}}location descriptor_fin: ['midline']clinical findings_fin: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}, 'edema': {'clinical finding': 'edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'neg_dx', 'observation': 'edema'}}clinical findings_fin: {'global parenchymal volume loss': {'clinical finding': 'global parenchymal volume loss', 'existence': 'pos_dx', 'descriptive_term': 'global parenchymal volume', 'observation': 'loss'}}clinical findings_fin: {'subcortical and periventricular white matter hypoattenuation': {'clinical finding': 'subcortical and periventricular white matter hypoattenuation', 'cf_snomed': {'periventricular white matter': 37065005}, 'existence': 'pos_dx', 'descriptive_term': 'subcortical and periventricular white matter', 'observation': 'hypoattenuation'}, 'age-indeterminate small vessel ischemic change': {'clinical finding': 'age-indeterminate small vessel ischemic change', 'existence': 'pos_dx', 'descriptive_term': 'age-indeterminate small vessel ischemic', 'observation': 'change', 'strength_term': 'small'}}clinical findings_fin: {'gray-white matter differentiation': {'clinical finding': 'gray-white matter differentiation', 'existence': 'pos_dx', 'descriptive_term': 'gray-white matter', 'observation': 'differentiation'}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}anatomical entity_fin: {'paranasal sinuses': {}, 'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'internal carotid artery': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'retropharyngeal course of the right internal carotid artery , with associated mild leftward deviation of the oropharyngeal soft tissues': {'clinical finding': 'retropharyngeal course of the right internal carotid artery , with associated mild leftward deviation of the oropharyngeal soft tissues'}}size_fin: [{'size': '6 mm', 'size_descriptor': 'anterior'}]location descriptor_fin: ['anterior']clinical findings_fin: {'6 mm ovoid calcified density': {'clinical finding': '6 mm ovoid calcified density', 'existence': 'pos_dx', 'descriptive_term': '6 mm ovoid calcified', 'observation': 'density', 'change_term': 'calcified'}}anatomical entity_fin: {'nasopharynx': {}, 'oropharynx': {}, 'hypopharynx': {}, 'larynx': {}}clinical findings_fin: {'otherwise , the nasopharynx , oropharynx , hypopharynx , and larynx are unremarkable': {'clinical finding': 'otherwise , the nasopharynx , oropharynx , hypopharynx , and larynx are unremarkable'}}anatomical entity_fin: {'trachea': {'location descriptor': 'upper'}, 'esophagus': {}}location descriptor_fin: ['upper']clinical findings_fin: {'upper trachea and esophagus are unremarkable': {'clinical finding': 'upper trachea and esophagus are unremarkable'}}clinical findings_fin: {'abnormal soft tissue mass': {'clinical finding': 'abnormal soft tissue mass', 'cf_snomed': {'soft tissue mass': 278002000}, 'existence': 'neg_dx', 'descriptive_term': 'abnormal soft tissue', 'observation': 'mass'}, 'discrete fluid collection': {'clinical finding': 'discrete fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'discrete fluid', 'observation': 'collection'}}anatomical entity_fin: {'submandibular glands': {}}clinical findings_fin: {'somewhat nodular': {'clinical finding': 'somewhat nodular', 'existence': 'pos_dx', 'descriptive_term': 'somewhat', 'observation': 'nodular'}}anatomical entity_fin: {'thyroid gland': {}}clinical findings_fin: {'thyroid gland is unremarkable': {'clinical finding': 'thyroid gland is unremarkable'}}clinical findings_fin: {'scattered small cervical lymph nodes': {'clinical finding': 'scattered small cervical lymph nodes', 'existence': 'neg_dx', 'descriptive_term': 'scattered small cervical lymph', 'observation': 'node', 'strength_term': 'small'}, 'lymphadenopathy': {'clinical finding': 'lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'cervical': {'clinical finding': 'cervical', 'existence': 'pos_dx', 'observation': 'cervical'}, 'acute abnormality': {'clinical finding': 'acute abnormality', 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'abnormality', 'strength_term': 'acute', 'temporal_term': 'acute'}}anatomical entity_fin: {'lung': {}, 'apices': {}}clinical findings_fin: {'visualized lung apices are unremarkable': {'clinical finding': 'visualized lung apices are unremarkable'}}anatomical entity_fin: {'arteries': {}, 'veins': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}} [/INST] .There is no intracranial hemorrhage, edema, midline shift, or abnormal extraaxial fluid collections. There is global parenchymal volume loss, with the ventricles slightly out of portion to the sulci, probably not significantly changed from the prior study dated 02/2012. There is subcortical and periventricular white matter hypoattenuation, nonspecific but compatible with age-indeterminate small vessel ischemic change. The gray-white matter differentiation is preserved. The osseous structures are intact. The paranasal sinuses and mastoid air cells are clear. There is retropharyngeal course of the right internal carotid artery, with associated mild leftward deviation of the oropharyngeal soft tissues, a similar configuration to that previously seen. A 6 mm ovoid calcified density anterior to the arch of C1 is unchanged from the prior study dated 02/20/2012 and is a nonspecific chronic finding. Otherwise, the nasopharynx, oropharynx, hypopharynx, and larynx are unremarkable. The upper trachea and esophagus are unremarkable. There is no abnormal soft tissue mass or discrete fluid collection. The parotid and submandibular glands have a somewhat nodular appearance bilaterally. The thyroid gland is unremarkable. Scattered small cervical lymph nodes are identified without lymphadenopathy. Mild degenerative findings cervical spine appear mildly progressed from the prior study, grossly without evidence of acute abnormality. The visualized lung apices are unremarkable. The carotid arteries and jugular veins are patent. </s>

. Bibasilar atelectasis with peripheral scarring or calcification within the right lower lobe. Partially imaged calcified right hilar lymph nodes are noted. Hypoattenuation of the blood pole is consistent with anemia. The liver fissures are widened from chronic liver disease. A calcified splenic granuloma is noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Patent branch vessels of the abdominal aorta. No evidence of active arterial extravasation. No significant abnormality noted. A small focus of enhancement is noted within the right lateral abdominal wall , which appears to disperse into the peritoneum on delayed imaging. This may represent a small pseudoaneurysm. A small hematoma is noted within the anterior abdominal wall near the umbilicus, similar to the prior study. Again seen is extensive ascites in the abdomen with foci of free intraperitoneal within the upper abdomen. Layering blood products are again noted. No significant abnormality noted. A Foley catheter is noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. There is excessive pelvic ascites and layering blood products again noted.

anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['peripheral', 'right', 'lower']clinical findings_fin: {'bibasilar atelectasis': {'clinical finding': 'bibasilar atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'bibasilar', 'observation': 'atelectasis'}, 'peripheral scarring': {'clinical finding': 'peripheral scarring', 'existence': 'unc_dx', 'descriptive_term': 'peripheral', 'observation': 'scarr'}, 'calcification': {'clinical finding': 'calcification', 'existence': 'unc_dx', 'observation': 'calcification'}}location descriptor_fin: ['right']clinical findings_fin: {'partially imaged calcified right hilar lymph nodes': {'clinical finding': 'partially imaged calcified right hilar lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'partially imaged calcified right hilar lymph', 'observation': 'node', 'strength_term': 'partially', 'change_term': 'calcified'}}anatomical entity_fin: {'pole': {}}imaging observation_fin: ['blood']clinical findings_fin: {'anemia': {'clinical finding': 'anemia', 'cf_snomed': {'anemia': 271737000}, 'existence': 'pos_dx', 'observation': 'anemia'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'liver fissures': {'clinical finding': 'liver fissures', 'cf_snomed': {'fissure': 47393002}, 'existence': 'pos_dx', 'descriptive_term': 'liver', 'observation': 'fissure'}, 'widened': {'clinical finding': 'widened', 'existence': 'pos_dx', 'observation': 'widen'}, 'chronic liver disease': {'clinical finding': 'chronic liver disease', 'cf_snomed': {'chronic liver disease': 328383001}, 'existence': 'pos_dx', 'descriptive_term': 'chronic liver', 'observation': 'disease', 'temporal_term': 'chronic'}}clinical findings_fin: {'calcified splenic granuloma': {'clinical finding': 'calcified splenic granuloma', 'cf_snomed': {'granuloma': 45647009}, 'existence': 'pos_dx', 'descriptive_term': 'calcified splenic', 'observation': 'granuloma', 'change_term': 'calcified'}}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'}}anatomical entity_fin: {'abdominal aorta': {}}clinical findings_fin: {'patent branch vessels of the abdominal aorta': {'clinical finding': 'patent branch vessels of the abdominal aorta', 'change_term': 'patent'}}clinical findings_fin: {'active arterial extravasation': {'clinical finding': 'active arterial extravasation', 'cf_snomed': {'extravasation': 76676007}, 'existence': 'neg_dx', 'descriptive_term': 'active arterial', 'observation': 'extravasation', 'strength_term': 'active'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'abdominal': {'location descriptor': 'right lateral'}, 'wall': {}, 'peritoneum': {}}location descriptor_fin: ['right', 'lateral']clinical findings_fin: {'enhancement': {'clinical finding': 'enhancement', 'existence': 'pos_dx', 'observation': 'enhancement'}}clinical findings_fin: {'small pseudoaneurysm': {'clinical finding': 'small pseudoaneurysm', 'cf_snomed': {'pseudoaneurysm': 443089001}, 'existence': 'unc_dx', 'descriptive_term': 'small', 'observation': 'pseudoaneurysm', 'strength_term': 'small'}}anatomical entity_fin: {'anterior abdominal wall': {}, 'umbilicus': {}}imaging observation_fin: ['hematoma']clinical findings_fin: {'small hematoma': {'clinical finding': 'small hematoma', 'cf_snomed': {'hematoma': 385494008}, 'existence': 'pos_dx', 'descriptive_term': 'small', 'observation': 'hematoma', 'strength_term': 'small'}}anatomical entity_fin: {'abdomen': {}, 'upper abdomen': {}}imaging observation_fin: ['foci']clinical findings_fin: {'extensive ascites': {'clinical finding': 'extensive ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'extensive', 'observation': 'ascite', 'strength_term': 'extensive'}, 'foci': {'clinical finding': 'foci', 'existence': 'pos_dx', 'observation': 'foci'}, 'free intraperitoneal': {'clinical finding': 'free intraperitoneal', 'existence': 'pos_dx', 'descriptive_term': 'free', 'observation': 'intraperitoneal'}}imaging observation_fin: ['blood products']clinical findings_fin: {'layering blood products': {'clinical finding': 'layering blood products', 'existence': 'pos_dx', 'descriptive_term': 'layering blood', 'observation': 'product'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}object_fin: ['catheter']clinical findings_fin: {'foley catheter is noted': {'clinical finding': 'foley catheter is noted'}}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'}}imaging observation_fin: ['blood products']clinical findings_fin: {'excessive pelvic ascites': {'clinical finding': 'excessive pelvic ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'excessive pelvic', 'observation': 'ascite'}, 'layering blood products': {'clinical finding': 'layering blood products', 'existence': 'pos_dx', 'descriptive_term': 'layering blood', 'observation': 'product'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['peripheral', 'right', 'lower']clinical findings_fin: {'bibasilar atelectasis': {'clinical finding': 'bibasilar atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'bibasilar', 'observation': 'atelectasis'}, 'peripheral scarring': {'clinical finding': 'peripheral scarring', 'existence': 'unc_dx', 'descriptive_term': 'peripheral', 'observation': 'scarr'}, 'calcification': {'clinical finding': 'calcification', 'existence': 'unc_dx', 'observation': 'calcification'}}location descriptor_fin: ['right']clinical findings_fin: {'partially imaged calcified right hilar lymph nodes': {'clinical finding': 'partially imaged calcified right hilar lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'partially imaged calcified right hilar lymph', 'observation': 'node', 'strength_term': 'partially', 'change_term': 'calcified'}}anatomical entity_fin: {'pole': {}}imaging observation_fin: ['blood']clinical findings_fin: {'anemia': {'clinical finding': 'anemia', 'cf_snomed': {'anemia': 271737000}, 'existence': 'pos_dx', 'observation': 'anemia'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'liver fissures': {'clinical finding': 'liver fissures', 'cf_snomed': {'fissure': 47393002}, 'existence': 'pos_dx', 'descriptive_term': 'liver', 'observation': 'fissure'}, 'widened': {'clinical finding': 'widened', 'existence': 'pos_dx', 'observation': 'widen'}, 'chronic liver disease': {'clinical finding': 'chronic liver disease', 'cf_snomed': {'chronic liver disease': 328383001}, 'existence': 'pos_dx', 'descriptive_term': 'chronic liver', 'observation': 'disease', 'temporal_term': 'chronic'}}clinical findings_fin: {'calcified splenic granuloma': {'clinical finding': 'calcified splenic granuloma', 'cf_snomed': {'granuloma': 45647009}, 'existence': 'pos_dx', 'descriptive_term': 'calcified splenic', 'observation': 'granuloma', 'change_term': 'calcified'}}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'}}anatomical entity_fin: {'abdominal aorta': {}}clinical findings_fin: {'patent branch vessels of the abdominal aorta': {'clinical finding': 'patent branch vessels of the abdominal aorta', 'change_term': 'patent'}}clinical findings_fin: {'active arterial extravasation': {'clinical finding': 'active arterial extravasation', 'cf_snomed': {'extravasation': 76676007}, 'existence': 'neg_dx', 'descriptive_term': 'active arterial', 'observation': 'extravasation', 'strength_term': 'active'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'abdominal': {'location descriptor': 'right lateral'}, 'wall': {}, 'peritoneum': {}}location descriptor_fin: ['right', 'lateral']clinical findings_fin: {'enhancement': {'clinical finding': 'enhancement', 'existence': 'pos_dx', 'observation': 'enhancement'}}clinical findings_fin: {'small pseudoaneurysm': {'clinical finding': 'small pseudoaneurysm', 'cf_snomed': {'pseudoaneurysm': 443089001}, 'existence': 'unc_dx', 'descriptive_term': 'small', 'observation': 'pseudoaneurysm', 'strength_term': 'small'}}anatomical entity_fin: {'anterior abdominal wall': {}, 'umbilicus': {}}imaging observation_fin: ['hematoma']clinical findings_fin: {'small hematoma': {'clinical finding': 'small hematoma', 'cf_snomed': {'hematoma': 385494008}, 'existence': 'pos_dx', 'descriptive_term': 'small', 'observation': 'hematoma', 'strength_term': 'small'}}anatomical entity_fin: {'abdomen': {}, 'upper abdomen': {}}imaging observation_fin: ['foci']clinical findings_fin: {'extensive ascites': {'clinical finding': 'extensive ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'extensive', 'observation': 'ascite', 'strength_term': 'extensive'}, 'foci': {'clinical finding': 'foci', 'existence': 'pos_dx', 'observation': 'foci'}, 'free intraperitoneal': {'clinical finding': 'free intraperitoneal', 'existence': 'pos_dx', 'descriptive_term': 'free', 'observation': 'intraperitoneal'}}imaging observation_fin: ['blood products']clinical findings_fin: {'layering blood products': {'clinical finding': 'layering blood products', 'existence': 'pos_dx', 'descriptive_term': 'layering blood', 'observation': 'product'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}object_fin: ['catheter']clinical findings_fin: {'foley catheter is noted': {'clinical finding': 'foley catheter is noted'}}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'}}imaging observation_fin: ['blood products']clinical findings_fin: {'excessive pelvic ascites': {'clinical finding': 'excessive pelvic ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'excessive pelvic', 'observation': 'ascite'}, 'layering blood products': {'clinical finding': 'layering blood products', 'existence': 'pos_dx', 'descriptive_term': 'layering blood', 'observation': 'product'}} [/INST] . Bibasilar atelectasis with peripheral scarring or calcification within the right lower lobe. Partially imaged calcified right hilar lymph nodes are noted. Hypoattenuation of the blood pole is consistent with anemia. The liver fissures are widened from chronic liver disease. A calcified splenic granuloma is noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Patent branch vessels of the abdominal aorta. No evidence of active arterial extravasation. No significant abnormality noted. A small focus of enhancement is noted within the right lateral abdominal wall , which appears to disperse into the peritoneum on delayed imaging. This may represent a small pseudoaneurysm. A small hematoma is noted within the anterior abdominal wall near the umbilicus, similar to the prior study. Again seen is extensive ascites in the abdomen with foci of free intraperitoneal within the upper abdomen. Layering blood products are again noted. No significant abnormality noted. A Foley catheter is noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. There is excessive pelvic ascites and layering blood products again noted. </s>

. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Subcutaneous emphysema of the posterior right thigh, buttock and perineum is noted. A bullet fragment is lodged at the anteromedial aspect of the right thigh. No significant abnormality noted

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'}}anatomical entity_fin: {'thigh': {'location descriptor': 'posterior right'}, 'perineum': {}}location descriptor_fin: ['posterior', 'right']clinical findings_fin: {'subcutaneous emphysema': {'clinical finding': 'subcutaneous emphysema', 'cf_snomed': {'subcutaneous emphysema': 3830001}, 'existence': 'pos_dx', 'descriptive_term': 'subcutaneous', 'observation': 'emphysema'}}anatomical entity_fin: {'thigh': {'location descriptor': 'right'}}location descriptor_fin: ['right']object_fin: ['bullet']clinical findings_fin: {'bullet fragment is lodged at the anteromedial aspect of the right thigh': {'clinical finding': 'bullet fragment is lodged at the anteromedial aspect of the right thigh'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: 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'}}anatomical entity_fin: {'thigh': {'location descriptor': 'posterior right'}, 'perineum': {}}location descriptor_fin: ['posterior', 'right']clinical findings_fin: {'subcutaneous emphysema': {'clinical finding': 'subcutaneous emphysema', 'cf_snomed': {'subcutaneous emphysema': 3830001}, 'existence': 'pos_dx', 'descriptive_term': 'subcutaneous', 'observation': 'emphysema'}}anatomical entity_fin: {'thigh': {'location descriptor': 'right'}}location descriptor_fin: ['right']object_fin: ['bullet']clinical findings_fin: {'bullet fragment is lodged at the anteromedial aspect of the right thigh': {'clinical finding': 'bullet fragment is lodged at the anteromedial aspect of the right thigh'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Subcutaneous emphysema of the posterior right thigh, buttock and perineum is noted. A bullet fragment is lodged at the anteromedial aspect of the right thigh. No significant abnormality noted </s>

. Extensive dental amalgam streak artifact again obscures portions of the neck. There are post-treatment findings related to radiation therapy, right neck dissection with flap reconstruction, and submandibular gland resection. There is persistent ill-defined soft tissue along the margins of the right neck flap and overlying skin thickening, which is likely treatment-related. There is persistent mild supraglottic edema. Otherwise, there is no discernible mass lesion or significant cervical lymphadenopathy by size criteria. There is fatty atrophy of the right tongue, which is likely due to denervation. The airways are otherwise patent. The right internal jugular vein has been sacrificed. There is mild plaque at the carotid bifurcations. The thyroid gland is unchanged. There is an unchanged mildly sclerotic focus in the C6 vertebral body. There are secretions in the hypopharynx. There are bilateral temporomandibular joint degenerative changes and multilevel degenerative cervical spondylosis. There is no evidence of intracranial mass. There is unchanged non-opacification of the right sigmoid sinus and jugular bulb. There is unchanged mild nonspecific cerebral white matter hypoattenuation. The ventricles are unchanged in size and configuration. There is no midline shift or herniation. The mastoid air cells are clear. There is persistent opacification of the left maxillary and bilateral sphenoid sinuses. The skull and extracranial soft tissues are unremarkable. There are bilateral lens implants.

anatomical entity_fin: {'neck': {}}clinical findings_fin: {'extensive dental amalgam streak artifact': {'clinical finding': 'extensive dental amalgam streak artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'pos_dx', 'descriptive_term': 'extensive dental amalgam streak', 'observation': 'artifact', 'strength_term': 'extensive'}}anatomical entity_fin: {'neck': {'location descriptor': 'right'}, 'submandibular gland': {}}location descriptor_fin: ['right']procedure_fin: ['treatment']clinical findings_fin: {'right neck dissection': {'clinical finding': 'right neck dissection', 'existence': 'pos_dx', 'descriptive_term': 'right neck', 'observation': 'dissection'}, 'flap reconstruction': {'clinical finding': 'flap reconstruction', 'existence': 'pos_dx', 'descriptive_term': 'flap', 'observation': 'reconstruction'}}anatomical entity_fin: {'neck': {'location descriptor': 'right'}}imaging observation_fin: ['margins']location descriptor_fin: ['right']procedure_fin: ['treatment']clinical findings_fin: {'right neck flap': {'clinical finding': 'right neck flap', 'existence': 'pos_dx', 'descriptive_term': 'right neck', 'observation': 'flap'}, 'overlying skin thickening': {'clinical finding': 'overlying skin thickening', 'existence': 'pos_dx', 'descriptive_term': 'overlying skin', 'observation': 'thickening'}}clinical findings_fin: {'persistent mild supraglottic edema': {'clinical finding': 'persistent mild supraglottic edema', 'cf_snomed': {'supraglottic edema': 5248000}, 'existence': 'pos_dx', 'descriptive_term': 'persistent mild supraglottic', 'observation': 'edema', 'strength_term': 'mild', 'temporal_term': 'persistent'}}clinical findings_fin: {'discernible mass lesion': {'clinical finding': 'discernible mass lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'discernible mass', 'observation': 'lesion'}, 'significant cervical lymphadenopathy': {'clinical finding': 'significant cervical lymphadenopathy', 'cf_snomed': {'cervical lymphadenopathy': 127086001}, 'existence': 'neg_dx', 'descriptive_term': 'significant cervical', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'tongue': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'fatty atrophy': {'clinical finding': 'fatty atrophy', 'cf_snomed': {'fatty atrophy': 42335002}, 'existence': 'pos_dx', 'descriptive_term': 'fatty', 'observation': 'atrophy'}, 'denervation': {'clinical finding': 'denervation', 'cf_snomed': {'denervation': 66277009}, 'existence': 'unc_dx', 'observation': 'denervation'}}anatomical entity_fin: {'airways': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}anatomical entity_fin: {'internal jugular vein': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'sacrificed': {'clinical finding': 'sacrificed', 'existence': 'pos_dx', 'observation': 'sacrifice'}}clinical findings_fin: {'is mild plaque at the carotid bifurcations': {'clinical finding': 'is mild plaque at the carotid bifurcations', 'cf_snomed': {'plaque': 1522000}}}anatomical entity_fin: {'thyroid gland': {}}clinical findings_fin: {'thyroid gland is unchanged': {'clinical finding': 'thyroid gland is unchanged', 'change_term': 'unchanged'}}anatomical entity_fin: {'c6 vertebral body': {}}clinical findings_fin: {'unchanged mildly sclerotic focus': {'clinical finding': 'unchanged mildly sclerotic focus', 'existence': 'pos_dx', 'descriptive_term': 'unchanged mildly sclerotic', 'observation': 'focus', 'strength_term': 'unchanged - mildly', 'change_term': 'unchanged'}}anatomical entity_fin: {'hypopharynx': {}}anatomical entity_fin: {'temporomandibular joint': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral temporomandibular joint degenerative changes': {'clinical finding': 'bilateral temporomandibular joint degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'bilateral temporomandibular joint degenerative', 'observation': 'change'}, 'multilevel degenerative cervical spondylosis': {'clinical finding': 'multilevel degenerative cervical spondylosis', 'cf_snomed': {'cervical spondylosis': 387800004}, 'existence': 'pos_dx', 'descriptive_term': 'multilevel degenerative cervical', 'observation': 'spondylosis'}}clinical findings_fin: {'intracranial mass': {'clinical finding': 'intracranial mass', 'cf_snomed': {'intracranial mass': 85974009}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'mass'}}anatomical entity_fin: {'sigmoid sinus': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'unchanged non-opacification': {'clinical finding': 'unchanged non-opacification', 'existence': 'pos_dx', 'descriptive_term': 'unchanged', 'observation': 'non-opacification', 'strength_term': 'unchanged', 'change_term': 'unchanged'}}anatomical entity_fin: {'cerebral white matter': {}}clinical findings_fin: {'unchanged mild nonspecific cerebral white matter hypoattenuation': {'clinical finding': 'unchanged mild nonspecific cerebral white matter hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'unchanged mild nonspecific cerebral white matter', 'observation': 'hypoattenuation', 'strength_term': 'unchanged - mild', 'change_term': 'unchanged'}}clinical findings_fin: {'ventricles are unchanged in size and configuration': {'clinical finding': 'ventricles are unchanged in size and configuration', 'change_term': 'unchanged'}}location descriptor_fin: ['midline']clinical findings_fin: {'herniation': {'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'}}anatomical entity_fin: {'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}location descriptor_fin: ['left', 'bilateral']clinical findings_fin: {'persistent opacification': {'clinical finding': 'persistent opacification', 'existence': 'pos_dx', 'descriptive_term': 'persistent', 'observation': 'opacification', 'temporal_term': 'persistent'}, 'left maxillary and bilateral sphenoid sinuses': {'clinical finding': 'left maxillary and bilateral sphenoid sinuses', 'cf_snomed': {'sinus': 419351001}, 'existence': 'pos_dx', 'descriptive_term': 'left maxillary and bilateral sphenoid', 'observation': 'sinus'}}anatomical entity_fin: {'skull': {}}clinical findings_fin: {'skull and extracranial soft tissues are unremarkable': {'clinical finding': 'skull and extracranial soft tissues are unremarkable'}}anatomical entity_fin: {'lens': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'neck': {}}clinical findings_fin: {'extensive dental amalgam streak artifact': {'clinical finding': 'extensive dental amalgam streak artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'pos_dx', 'descriptive_term': 'extensive dental amalgam streak', 'observation': 'artifact', 'strength_term': 'extensive'}}anatomical entity_fin: {'neck': {'location descriptor': 'right'}, 'submandibular gland': {}}location descriptor_fin: ['right']procedure_fin: ['treatment']clinical findings_fin: {'right neck dissection': {'clinical finding': 'right neck dissection', 'existence': 'pos_dx', 'descriptive_term': 'right neck', 'observation': 'dissection'}, 'flap reconstruction': {'clinical finding': 'flap reconstruction', 'existence': 'pos_dx', 'descriptive_term': 'flap', 'observation': 'reconstruction'}}anatomical entity_fin: {'neck': {'location descriptor': 'right'}}imaging observation_fin: ['margins']location descriptor_fin: ['right']procedure_fin: ['treatment']clinical findings_fin: {'right neck flap': {'clinical finding': 'right neck flap', 'existence': 'pos_dx', 'descriptive_term': 'right neck', 'observation': 'flap'}, 'overlying skin thickening': {'clinical finding': 'overlying skin thickening', 'existence': 'pos_dx', 'descriptive_term': 'overlying skin', 'observation': 'thickening'}}clinical findings_fin: {'persistent mild supraglottic edema': {'clinical finding': 'persistent mild supraglottic edema', 'cf_snomed': {'supraglottic edema': 5248000}, 'existence': 'pos_dx', 'descriptive_term': 'persistent mild supraglottic', 'observation': 'edema', 'strength_term': 'mild', 'temporal_term': 'persistent'}}clinical findings_fin: {'discernible mass lesion': {'clinical finding': 'discernible mass lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'discernible mass', 'observation': 'lesion'}, 'significant cervical lymphadenopathy': {'clinical finding': 'significant cervical lymphadenopathy', 'cf_snomed': {'cervical lymphadenopathy': 127086001}, 'existence': 'neg_dx', 'descriptive_term': 'significant cervical', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'tongue': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'fatty atrophy': {'clinical finding': 'fatty atrophy', 'cf_snomed': {'fatty atrophy': 42335002}, 'existence': 'pos_dx', 'descriptive_term': 'fatty', 'observation': 'atrophy'}, 'denervation': {'clinical finding': 'denervation', 'cf_snomed': {'denervation': 66277009}, 'existence': 'unc_dx', 'observation': 'denervation'}}anatomical entity_fin: {'airways': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}anatomical entity_fin: {'internal jugular vein': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'sacrificed': {'clinical finding': 'sacrificed', 'existence': 'pos_dx', 'observation': 'sacrifice'}}clinical findings_fin: {'is mild plaque at the carotid bifurcations': {'clinical finding': 'is mild plaque at the carotid bifurcations', 'cf_snomed': {'plaque': 1522000}}}anatomical entity_fin: {'thyroid gland': {}}clinical findings_fin: {'thyroid gland is unchanged': {'clinical finding': 'thyroid gland is unchanged', 'change_term': 'unchanged'}}anatomical entity_fin: {'c6 vertebral body': {}}clinical findings_fin: {'unchanged mildly sclerotic focus': {'clinical finding': 'unchanged mildly sclerotic focus', 'existence': 'pos_dx', 'descriptive_term': 'unchanged mildly sclerotic', 'observation': 'focus', 'strength_term': 'unchanged - mildly', 'change_term': 'unchanged'}}anatomical entity_fin: {'hypopharynx': {}}anatomical entity_fin: {'temporomandibular joint': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral temporomandibular joint degenerative changes': {'clinical finding': 'bilateral temporomandibular joint degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'bilateral temporomandibular joint degenerative', 'observation': 'change'}, 'multilevel degenerative cervical spondylosis': {'clinical finding': 'multilevel degenerative cervical spondylosis', 'cf_snomed': {'cervical spondylosis': 387800004}, 'existence': 'pos_dx', 'descriptive_term': 'multilevel degenerative cervical', 'observation': 'spondylosis'}}clinical findings_fin: {'intracranial mass': {'clinical finding': 'intracranial mass', 'cf_snomed': {'intracranial mass': 85974009}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'mass'}}anatomical entity_fin: {'sigmoid sinus': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'unchanged non-opacification': {'clinical finding': 'unchanged non-opacification', 'existence': 'pos_dx', 'descriptive_term': 'unchanged', 'observation': 'non-opacification', 'strength_term': 'unchanged', 'change_term': 'unchanged'}}anatomical entity_fin: {'cerebral white matter': {}}clinical findings_fin: {'unchanged mild nonspecific cerebral white matter hypoattenuation': {'clinical finding': 'unchanged mild nonspecific cerebral white matter hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'unchanged mild nonspecific cerebral white matter', 'observation': 'hypoattenuation', 'strength_term': 'unchanged - mild', 'change_term': 'unchanged'}}clinical findings_fin: {'ventricles are unchanged in size and configuration': {'clinical finding': 'ventricles are unchanged in size and configuration', 'change_term': 'unchanged'}}location descriptor_fin: ['midline']clinical findings_fin: {'herniation': {'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'}}anatomical entity_fin: {'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}location descriptor_fin: ['left', 'bilateral']clinical findings_fin: {'persistent opacification': {'clinical finding': 'persistent opacification', 'existence': 'pos_dx', 'descriptive_term': 'persistent', 'observation': 'opacification', 'temporal_term': 'persistent'}, 'left maxillary and bilateral sphenoid sinuses': {'clinical finding': 'left maxillary and bilateral sphenoid sinuses', 'cf_snomed': {'sinus': 419351001}, 'existence': 'pos_dx', 'descriptive_term': 'left maxillary and bilateral sphenoid', 'observation': 'sinus'}}anatomical entity_fin: {'skull': {}}clinical findings_fin: {'skull and extracranial soft tissues are unremarkable': {'clinical finding': 'skull and extracranial soft tissues are unremarkable'}}anatomical entity_fin: {'lens': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral'] [/INST] . Extensive dental amalgam streak artifact again obscures portions of the neck. There are post-treatment findings related to radiation therapy, right neck dissection with flap reconstruction, and submandibular gland resection. There is persistent ill-defined soft tissue along the margins of the right neck flap and overlying skin thickening, which is likely treatment-related. There is persistent mild supraglottic edema. Otherwise, there is no discernible mass lesion or significant cervical lymphadenopathy by size criteria. There is fatty atrophy of the right tongue, which is likely due to denervation. The airways are otherwise patent. The right internal jugular vein has been sacrificed. There is mild plaque at the carotid bifurcations. The thyroid gland is unchanged. There is an unchanged mildly sclerotic focus in the C6 vertebral body. There are secretions in the hypopharynx. There are bilateral temporomandibular joint degenerative changes and multilevel degenerative cervical spondylosis. There is no evidence of intracranial mass. There is unchanged non-opacification of the right sigmoid sinus and jugular bulb. There is unchanged mild nonspecific cerebral white matter hypoattenuation. The ventricles are unchanged in size and configuration. There is no midline shift or herniation. The mastoid air cells are clear. There is persistent opacification of the left maxillary and bilateral sphenoid sinuses. The skull and extracranial soft tissues are unremarkable. There are bilateral lens implants. </s>

. No evidence of pulmonary embolism. The pulmonary artery is of normal caliber and there is no sign of right heart strain. Basilar subsegmental atelectasis is present, which may be from hypoinflation given the history of pregnancy, or from aspirated secretions or mucous plugging. No evidence of edema or pleural effusions. At least mild cardiomegaly is present. Asymmetric thyroid enlargement noted, as well as residual thymic tissue. No lymphadenopathy. None. No significant abnormality noted. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. No significant abnormality noted.

clinical findings_fin: {'pulmonary embolism': {'clinical finding': 'pulmonary embolism', 'cf_snomed': {'pulmonary embolism': 59282003}, 'existence': 'neg_dx', 'descriptive_term': 'pulmonary', 'observation': 'embolism'}}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': 'neg_dx', 'descriptive_term': 'right heart', 'observation': 'strain'}}location descriptor_fin: ['subsegmental']clinical findings_fin: {'basilar subsegmental atelectasis': {'clinical finding': 'basilar subsegmental atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'basilar subsegmental', 'observation': 'atelectasis'}, 'hypoinflation': {'clinical finding': 'hypoinflation', 'existence': 'unc_dx', 'observation': 'hypoinflation'}, 'pregnancy': {'clinical finding': 'pregnancy', 'cf_snomed': {'pregnancy': 77386006}, 'existence': 'unc_dx', 'observation': 'pregnancy'}}clinical findings_fin: {'edema': {'clinical finding': 'edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'neg_dx', 'observation': 'edema'}, 'pleural effusions': {'clinical finding': 'pleural effusions', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}}clinical findings_fin: {'mild cardiomegaly': {'clinical finding': 'mild cardiomegaly', 'cf_snomed': {'cardiomegaly': 8186001}, 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'cardiomegaly', 'strength_term': 'mild'}}clinical findings_fin: {'asymmetric thyroid enlargement': {'clinical finding': 'asymmetric thyroid enlargement', 'cf_snomed': {'enlargement': 442021009}, 'existence': 'pos_dx', 'descriptive_term': 'asymmetric thyroid', 'observation': 'enlargement'}, 'residual thymic tissue': {'clinical finding': 'residual thymic tissue', 'existence': 'pos_dx', 'descriptive_term': 'residual thymic', 'observation': 'tissue', 'temporal_term': 'residual'}}clinical findings_fin: {'lymphadenopathy': {'clinical finding': 'lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', '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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'pulmonary embolism': {'clinical finding': 'pulmonary embolism', 'cf_snomed': {'pulmonary embolism': 59282003}, 'existence': 'neg_dx', 'descriptive_term': 'pulmonary', 'observation': 'embolism'}}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': 'neg_dx', 'descriptive_term': 'right heart', 'observation': 'strain'}}location descriptor_fin: ['subsegmental']clinical findings_fin: {'basilar subsegmental atelectasis': {'clinical finding': 'basilar subsegmental atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'basilar subsegmental', 'observation': 'atelectasis'}, 'hypoinflation': {'clinical finding': 'hypoinflation', 'existence': 'unc_dx', 'observation': 'hypoinflation'}, 'pregnancy': {'clinical finding': 'pregnancy', 'cf_snomed': {'pregnancy': 77386006}, 'existence': 'unc_dx', 'observation': 'pregnancy'}}clinical findings_fin: {'edema': {'clinical finding': 'edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'neg_dx', 'observation': 'edema'}, 'pleural effusions': {'clinical finding': 'pleural effusions', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}}clinical findings_fin: {'mild cardiomegaly': {'clinical finding': 'mild cardiomegaly', 'cf_snomed': {'cardiomegaly': 8186001}, 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'cardiomegaly', 'strength_term': 'mild'}}clinical findings_fin: {'asymmetric thyroid enlargement': {'clinical finding': 'asymmetric thyroid enlargement', 'cf_snomed': {'enlargement': 442021009}, 'existence': 'pos_dx', 'descriptive_term': 'asymmetric thyroid', 'observation': 'enlargement'}, 'residual thymic tissue': {'clinical finding': 'residual thymic tissue', 'existence': 'pos_dx', 'descriptive_term': 'residual thymic', 'observation': 'tissue', 'temporal_term': 'residual'}}clinical findings_fin: {'lymphadenopathy': {'clinical finding': 'lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', '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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . No evidence of pulmonary embolism. The pulmonary artery is of normal caliber and there is no sign of right heart strain. Basilar subsegmental atelectasis is present, which may be from hypoinflation given the history of pregnancy, or from aspirated secretions or mucous plugging. No evidence of edema or pleural effusions. At least mild cardiomegaly is present. Asymmetric thyroid enlargement noted, as well as residual thymic tissue. No lymphadenopathy. None. No significant abnormality noted. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. No significant abnormality noted. </s>

. No significant abnormality noted. There is one simple cyst in the liver and one small nonspecific hypodensity, both of which are stable. No new lesions. Cholelithiasis, no evidence of biliary dilatation. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Status post left nephrectomy. Right kidney is normal. Previously seen index precaval node is no longer present may have been resected. There is a new index retrocaval node which is slightly larger seen on series 3 image 50 measuring 1.2 x 0.9 cm. On the 10/16 exam it measured 0.8 x 0.8 cm on series 3 image 58. Note is made of a duplicated infrarenal inferior vena cava. Atherosclerosis, no evidence of aneurysm. Left hemicolectomy with colostomy seen in left abdomen. No evidence of dilated bowel in the upper abdomen. No free or loculated intraperitoneal fluid. Colostomy left anterior abdominal wall. No significant abnormality noted. PROSTATE/. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. APR and left hemicolectomy. Extensive fluid in the presacral space consistent with postoperative change. Oral contrast the small bowel it is not reached the right colon. There is dilated small bowel in the pelvis and in the rectal fossa with a transition zone seen in the left lower quadrant, series 2 image 83, concerning for adhesions with early or incomplete small bowel obstruction. No evidence of ascites or carcinomatosis. No significant abnormality noted. No significant abnormality noted.

clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'one simple cyst': {'clinical finding': 'one simple cyst', 'cf_snomed': {'simple cyst': 367644007}, 'existence': 'pos_dx', 'descriptive_term': 'one simple', 'observation': 'cyst'}, 'one small nonspecific hypodensity': {'clinical finding': 'one small nonspecific hypodensity', 'existence': 'pos_dx', 'descriptive_term': 'one small nonspecific', 'observation': 'hypodensity', 'strength_term': 'small'}}clinical findings_fin: {'new lesions': {'clinical finding': 'new lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'new', 'observation': 'lesion', 'temporal_term': 'new'}}clinical findings_fin: {'cholelithiasis': {'clinical finding': 'cholelithiasis', 'existence': 'neg_dx', 'observation': 'cholelithiasis'}}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'}}location descriptor_fin: ['left']procedure_fin: ['nephrectomy']anatomical entity_fin: {'right kidney': {}}clinical findings_fin: {'right kidney is normal': {'clinical finding': 'right kidney is normal'}}clinical findings_fin: {'previously seen index precaval node': {'clinical finding': 'previously seen index precaval node', 'existence': 'neg_dx', 'descriptive_term': 'previously seen index precaval', 'observation': 'node'}}size_fin: [{'size': '1.2 x 0.9 cm', 'size_descriptor': 'node'}]clinical findings_fin: {'new index retrocaval node': {'clinical finding': 'new index retrocaval node', 'existence': 'pos_dx', 'descriptive_term': 'new index retrocaval', 'observation': 'node', 'temporal_term': 'new'}}size_fin: [{'size': '0.8 x 0.8 cm'}]anatomical entity_fin: {'inferior vena cava': {}}clinical findings_fin: {'note is made of a duplicated infrarenal inferior vena cava': {'clinical finding': 'note is made of a duplicated infrarenal inferior vena cava'}}clinical findings_fin: {'atherosclerosis': {'clinical finding': 'atherosclerosis', 'cf_snomed': {'atherosclerosis': 38716007}, 'existence': 'neg_dx', 'observation': 'atherosclerosis'}, 'aneurysm': {'clinical finding': 'aneurysm', 'cf_snomed': {'aneurysm': 432119003}, 'existence': 'neg_dx', 'observation': 'aneurysm'}}anatomical entity_fin: {'abdomen': {'location descriptor': 'left'}}location descriptor_fin: ['left']procedure_fin: ['left hemicolectomy', 'colostomy']clinical findings_fin: {'colostomy seen in left abdomen': {'clinical finding': 'colostomy seen in left abdomen', 'cf_snomed': {'abdomen': 818983003}}}anatomical entity_fin: {'bowel': {}, 'upper abdomen': {}}clinical findings_fin: {'dilated': {'clinical finding': 'dilated', 'existence': 'neg_dx', 'observation': 'dilated'}}anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'free or loculated intraperitoneal fluid': {'clinical finding': 'free or loculated intraperitoneal fluid'}}anatomical entity_fin: {'anterior abdominal wall': {'location descriptor': 'left'}}location descriptor_fin: ['left']procedure_fin: ['colostomy']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'}}procedure_fin: ['left hemicolectomy']anatomical entity_fin: {'fluid': {}, 'presacral space': {}}clinical findings_fin: {'postoperative change': {'clinical finding': 'postoperative change', 'existence': 'pos_dx', 'descriptive_term': 'postoperative', 'observation': 'change'}}anatomical entity_fin: {'bowel': {}}imaging observation_fin: ['colon']location descriptor_fin: ['right']non-anatomical substance_fin: ['oral contrast']clinical findings_fin: {'small bowel': {'clinical finding': 'small bowel'}}anatomical entity_fin: {'bowel': {}, 'pelvis': {}, 'quadrant': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'dilated': {'clinical finding': 'dilated', 'existence': 'pos_dx', 'observation': 'dilated'}, 'transition zone': {'clinical finding': 'transition zone', 'existence': 'pos_dx', 'descriptive_term': 'transition', 'observation': 'zone'}, 'adhesions': {'clinical finding': 'adhesions', 'cf_snomed': {'adhesion': 42685002}, 'existence': 'unc_dx', 'observation': 'adhesion'}, 'early or incomplete small bowel obstruction': {'clinical finding': 'early or incomplete small bowel obstruction', 'cf_snomed': {'small bowel obstruction': 281255004}, 'existence': 'unc_dx', 'descriptive_term': 'early or incomplete small bowel', 'observation': 'obstruction', 'strength_term': 'small'}}clinical findings_fin: {'ascites': {'clinical finding': 'ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'neg_dx', 'observation': 'ascite'}, 'carcinomatosis': {'clinical finding': 'carcinomatosis', 'cf_snomed': {'carcinomatosis': 307593001}, 'existence': 'neg_dx', 'observation': 'carcinomatosis'}}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'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'one simple cyst': {'clinical finding': 'one simple cyst', 'cf_snomed': {'simple cyst': 367644007}, 'existence': 'pos_dx', 'descriptive_term': 'one simple', 'observation': 'cyst'}, 'one small nonspecific hypodensity': {'clinical finding': 'one small nonspecific hypodensity', 'existence': 'pos_dx', 'descriptive_term': 'one small nonspecific', 'observation': 'hypodensity', 'strength_term': 'small'}}clinical findings_fin: {'new lesions': {'clinical finding': 'new lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'new', 'observation': 'lesion', 'temporal_term': 'new'}}clinical findings_fin: {'cholelithiasis': {'clinical finding': 'cholelithiasis', 'existence': 'neg_dx', 'observation': 'cholelithiasis'}}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'}}location descriptor_fin: ['left']procedure_fin: ['nephrectomy']anatomical entity_fin: {'right kidney': {}}clinical findings_fin: {'right kidney is normal': {'clinical finding': 'right kidney is normal'}}clinical findings_fin: {'previously seen index precaval node': {'clinical finding': 'previously seen index precaval node', 'existence': 'neg_dx', 'descriptive_term': 'previously seen index precaval', 'observation': 'node'}}size_fin: [{'size': '1.2 x 0.9 cm', 'size_descriptor': 'node'}]clinical findings_fin: {'new index retrocaval node': {'clinical finding': 'new index retrocaval node', 'existence': 'pos_dx', 'descriptive_term': 'new index retrocaval', 'observation': 'node', 'temporal_term': 'new'}}size_fin: [{'size': '0.8 x 0.8 cm'}]anatomical entity_fin: {'inferior vena cava': {}}clinical findings_fin: {'note is made of a duplicated infrarenal inferior vena cava': {'clinical finding': 'note is made of a duplicated infrarenal inferior vena cava'}}clinical findings_fin: {'atherosclerosis': {'clinical finding': 'atherosclerosis', 'cf_snomed': {'atherosclerosis': 38716007}, 'existence': 'neg_dx', 'observation': 'atherosclerosis'}, 'aneurysm': {'clinical finding': 'aneurysm', 'cf_snomed': {'aneurysm': 432119003}, 'existence': 'neg_dx', 'observation': 'aneurysm'}}anatomical entity_fin: {'abdomen': {'location descriptor': 'left'}}location descriptor_fin: ['left']procedure_fin: ['left hemicolectomy', 'colostomy']clinical findings_fin: {'colostomy seen in left abdomen': {'clinical finding': 'colostomy seen in left abdomen', 'cf_snomed': {'abdomen': 818983003}}}anatomical entity_fin: {'bowel': {}, 'upper abdomen': {}}clinical findings_fin: {'dilated': {'clinical finding': 'dilated', 'existence': 'neg_dx', 'observation': 'dilated'}}anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'free or loculated intraperitoneal fluid': {'clinical finding': 'free or loculated intraperitoneal fluid'}}anatomical entity_fin: {'anterior abdominal wall': {'location descriptor': 'left'}}location descriptor_fin: ['left']procedure_fin: ['colostomy']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'}}procedure_fin: ['left hemicolectomy']anatomical entity_fin: {'fluid': {}, 'presacral space': {}}clinical findings_fin: {'postoperative change': {'clinical finding': 'postoperative change', 'existence': 'pos_dx', 'descriptive_term': 'postoperative', 'observation': 'change'}}anatomical entity_fin: {'bowel': {}}imaging observation_fin: ['colon']location descriptor_fin: ['right']non-anatomical substance_fin: ['oral contrast']clinical findings_fin: {'small bowel': {'clinical finding': 'small bowel'}}anatomical entity_fin: {'bowel': {}, 'pelvis': {}, 'quadrant': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'dilated': {'clinical finding': 'dilated', 'existence': 'pos_dx', 'observation': 'dilated'}, 'transition zone': {'clinical finding': 'transition zone', 'existence': 'pos_dx', 'descriptive_term': 'transition', 'observation': 'zone'}, 'adhesions': {'clinical finding': 'adhesions', 'cf_snomed': {'adhesion': 42685002}, 'existence': 'unc_dx', 'observation': 'adhesion'}, 'early or incomplete small bowel obstruction': {'clinical finding': 'early or incomplete small bowel obstruction', 'cf_snomed': {'small bowel obstruction': 281255004}, 'existence': 'unc_dx', 'descriptive_term': 'early or incomplete small bowel', 'observation': 'obstruction', 'strength_term': 'small'}}clinical findings_fin: {'ascites': {'clinical finding': 'ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'neg_dx', 'observation': 'ascite'}, 'carcinomatosis': {'clinical finding': 'carcinomatosis', 'cf_snomed': {'carcinomatosis': 307593001}, 'existence': 'neg_dx', 'observation': 'carcinomatosis'}}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] . No significant abnormality noted. There is one simple cyst in the liver and one small nonspecific hypodensity, both of which are stable. No new lesions. Cholelithiasis, no evidence of biliary dilatation. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Status post left nephrectomy. Right kidney is normal. Previously seen index precaval node is no longer present may have been resected. There is a new index retrocaval node which is slightly larger seen on series 3 image 50 measuring 1.2 x 0.9 cm. On the 10/16 exam it measured 0.8 x 0.8 cm on series 3 image 58. Note is made of a duplicated infrarenal inferior vena cava. Atherosclerosis, no evidence of aneurysm. Left hemicolectomy with colostomy seen in left abdomen. No evidence of dilated bowel in the upper abdomen. No free or loculated intraperitoneal fluid. Colostomy left anterior abdominal wall. No significant abnormality noted. PROSTATE/. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. APR and left hemicolectomy. Extensive fluid in the presacral space consistent with postoperative change. Oral contrast the small bowel it is not reached the right colon. There is dilated small bowel in the pelvis and in the rectal fossa with a transition zone seen in the left lower quadrant, series 2 image 83, concerning for adhesions with early or incomplete small bowel obstruction. No evidence of ascites or carcinomatosis. No significant abnormality noted. No significant abnormality noted. </s>

The study is degraded by motion artifact. There is no evidence of bleed, mass effect, or edema. The ventricles and the sulci are slightly prominent due to age related. There is no midline shift. Normal gray-white matter differentiation. There are no osseous abnormalities. The paranasal sinuses and mastoid air cells are well pneumatized.

artifact_fin: ['motion artifact']clinical findings_fin: {'motion artifact': {'clinical finding': 'motion artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'pos_dx', 'descriptive_term': 'motion', 'observation': 'artifact'}}clinical findings_fin: {'bleed': {'clinical finding': 'bleed', 'existence': 'neg_dx', 'observation': 'bleed'}, 'mass effect': {'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect'}, 'edema': {'clinical finding': 'edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'neg_dx', 'observation': 'edema'}}clinical findings_fin: {'prominent': {'clinical finding': 'prominent', 'existence': 'pos_dx', 'observation': 'prominent'}}location descriptor_fin: ['midline']clinical findings_fin: {'midline shift': {'clinical finding': 'midline shift', 'cf_snomed': {'shift': 9546005}, 'existence': 'neg_dx', 'descriptive_term': 'midline', 'observation': 'shift'}}clinical findings_fin: {'normal gray- white matter differentiation': {'clinical finding': 'normal gray- white matter differentiation'}}clinical findings_fin: {'osseous abnormalities': {'clinical finding': 'osseous abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'osseous', 'observation': 'abnormality'}}anatomical entity_fin: {'paranasal sinuses': {}, 'mastoid air cells': {}}clinical findings_fin: {'pneumatized': {'clinical finding': 'pneumatized', 'existence': 'pos_dx', 'observation': 'pneumatized'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: artifact_fin: ['motion artifact']clinical findings_fin: {'motion artifact': {'clinical finding': 'motion artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'pos_dx', 'descriptive_term': 'motion', 'observation': 'artifact'}}clinical findings_fin: {'bleed': {'clinical finding': 'bleed', 'existence': 'neg_dx', 'observation': 'bleed'}, 'mass effect': {'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect'}, 'edema': {'clinical finding': 'edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'neg_dx', 'observation': 'edema'}}clinical findings_fin: {'prominent': {'clinical finding': 'prominent', 'existence': 'pos_dx', 'observation': 'prominent'}}location descriptor_fin: ['midline']clinical findings_fin: {'midline shift': {'clinical finding': 'midline shift', 'cf_snomed': {'shift': 9546005}, 'existence': 'neg_dx', 'descriptive_term': 'midline', 'observation': 'shift'}}clinical findings_fin: {'normal gray- white matter differentiation': {'clinical finding': 'normal gray- white matter differentiation'}}clinical findings_fin: {'osseous abnormalities': {'clinical finding': 'osseous abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'osseous', 'observation': 'abnormality'}}anatomical entity_fin: {'paranasal sinuses': {}, 'mastoid air cells': {}}clinical findings_fin: {'pneumatized': {'clinical finding': 'pneumatized', 'existence': 'pos_dx', 'observation': 'pneumatized'}} [/INST] The study is degraded by motion artifact. There is no evidence of bleed, mass effect, or edema. The ventricles and the sulci are slightly prominent due to age related. There is no midline shift. Normal gray-white matter differentiation. There are no osseous abnormalities. The paranasal sinuses and mastoid air cells are well pneumatized. </s>

No intracranial mass or abnormal enhancement is seen to suggest metastatic disease. No evidence of intracranial hemorrhage within limitations of postcontrast CT. No midline shift or herniation. Gray-white differentiation is maintained. Sulci and ventricles are within normal limits without evidence of hydrocephalus. No extra-axial collections. There are frothy secretions within the left greater than right posterior ethmoid air cells. The visualized portions of the paranasal sinuses are otherwise clear. Mastoid air cells are clear. Calvarium is intact.

clinical findings_fin: {'intracranial mass': {'clinical finding': 'intracranial mass', 'cf_snomed': {'intracranial mass': 85974009}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'mass'}, 'abnormal enhancement': {'clinical finding': 'abnormal enhancement', 'existence': 'neg_dx', 'descriptive_term': 'abnormal', 'observation': 'enhancement'}, 'metastatic disease': {'clinical finding': 'metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'unc_dx', 'descriptive_term': 'metastatic', 'observation': 'disease'}}location descriptor_fin: ['midline']clinical findings_fin: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}, 'herniation': {'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'}}clinical findings_fin: {'gray-white differentiation is maintained': {'clinical finding': 'gray-white differentiation is maintained', 'change_term': 'maintained'}}clinical findings_fin: {'hydrocephalus': {'clinical finding': 'hydrocephalus', 'cf_snomed': {'hydrocephalus': 230745008}, 'existence': 'neg_dx', 'observation': 'hydrocephalus'}}anatomical entity_fin: {'cells': {}}location descriptor_fin: ['left', 'right', 'posterior']clinical findings_fin: {'frothy secretions within the left greater than right posterior ethmoid air cells': {'clinical finding': 'frothy secretions within the left greater than right posterior ethmoid air cells', 'change_term': 'greater'}}anatomical entity_fin: {'paranasal sinuses': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'}}anatomical entity_fin: {'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'pos_dx', 'observation': 'intact'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'intracranial mass': {'clinical finding': 'intracranial mass', 'cf_snomed': {'intracranial mass': 85974009}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'mass'}, 'abnormal enhancement': {'clinical finding': 'abnormal enhancement', 'existence': 'neg_dx', 'descriptive_term': 'abnormal', 'observation': 'enhancement'}, 'metastatic disease': {'clinical finding': 'metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'unc_dx', 'descriptive_term': 'metastatic', 'observation': 'disease'}}location descriptor_fin: ['midline']clinical findings_fin: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}, 'herniation': {'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'}}clinical findings_fin: {'gray-white differentiation is maintained': {'clinical finding': 'gray-white differentiation is maintained', 'change_term': 'maintained'}}clinical findings_fin: {'hydrocephalus': {'clinical finding': 'hydrocephalus', 'cf_snomed': {'hydrocephalus': 230745008}, 'existence': 'neg_dx', 'observation': 'hydrocephalus'}}anatomical entity_fin: {'cells': {}}location descriptor_fin: ['left', 'right', 'posterior']clinical findings_fin: {'frothy secretions within the left greater than right posterior ethmoid air cells': {'clinical finding': 'frothy secretions within the left greater than right posterior ethmoid air cells', 'change_term': 'greater'}}anatomical entity_fin: {'paranasal sinuses': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'}}anatomical entity_fin: {'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'pos_dx', 'observation': 'intact'}} [/INST] No intracranial mass or abnormal enhancement is seen to suggest metastatic disease. No evidence of intracranial hemorrhage within limitations of postcontrast CT. No midline shift or herniation. Gray-white differentiation is maintained. Sulci and ventricles are within normal limits without evidence of hydrocephalus. No extra-axial collections. There are frothy secretions within the left greater than right posterior ethmoid air cells. The visualized portions of the paranasal sinuses are otherwise clear. Mastoid air cells are clear. Calvarium is intact. </s>

There is no evidence of acute intracranial hemorrhage or mass. The grey-white matter differentiation appears to be intact. The ventricles and basal cisterns are unchanged in size and configuration. There is no midline shift or herniation. The orbits, skull, and scalp soft tissues are unchanged. There is opacification of a left posterior ethmoid sinus.

clinical findings_fin: {'acute intracranial hemorrhage': {'clinical finding': 'acute intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'acute intracranial', 'observation': 'hemorrhage', 'strength_term': 'acute', 'temporal_term': 'acute'}, 'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}clinical findings_fin: {'ventricles and basal cisterns are unchanged in size and configuration': {'clinical finding': 'ventricles and basal cisterns are unchanged in size and configuration', 'change_term': 'unchanged'}}location descriptor_fin: ['midline']clinical findings_fin: {'herniation': {'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'}}anatomical entity_fin: {'orbits': {}, 'skull': {}, 'scalp': {}}clinical findings_fin: {'orbits , skull , and scalp soft tissues are unchanged': {'clinical finding': 'orbits , skull , and scalp soft tissues are unchanged', 'change_term': 'unchanged'}}anatomical entity_fin: {'ethmoid sinus': {'location descriptor': 'left posterior'}}location descriptor_fin: ['left', 'posterior']clinical findings_fin: {'opacification': {'clinical finding': 'opacification', 'existence': 'pos_dx', 'observation': 'opacification'}, 'left posterior ethmoid sinus': {'clinical finding': 'left posterior ethmoid sinus', 'cf_snomed': {'sinus': 419351001}, 'existence': 'pos_dx', 'descriptive_term': 'left posterior ethmoid', 'observation': 'sinus'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'acute intracranial hemorrhage': {'clinical finding': 'acute intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'acute intracranial', 'observation': 'hemorrhage', 'strength_term': 'acute', 'temporal_term': 'acute'}, 'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}clinical findings_fin: {'ventricles and basal cisterns are unchanged in size and configuration': {'clinical finding': 'ventricles and basal cisterns are unchanged in size and configuration', 'change_term': 'unchanged'}}location descriptor_fin: ['midline']clinical findings_fin: {'herniation': {'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'}}anatomical entity_fin: {'orbits': {}, 'skull': {}, 'scalp': {}}clinical findings_fin: {'orbits , skull , and scalp soft tissues are unchanged': {'clinical finding': 'orbits , skull , and scalp soft tissues are unchanged', 'change_term': 'unchanged'}}anatomical entity_fin: {'ethmoid sinus': {'location descriptor': 'left posterior'}}location descriptor_fin: ['left', 'posterior']clinical findings_fin: {'opacification': {'clinical finding': 'opacification', 'existence': 'pos_dx', 'observation': 'opacification'}, 'left posterior ethmoid sinus': {'clinical finding': 'left posterior ethmoid sinus', 'cf_snomed': {'sinus': 419351001}, 'existence': 'pos_dx', 'descriptive_term': 'left posterior ethmoid', 'observation': 'sinus'}} [/INST] There is no evidence of acute intracranial hemorrhage or mass. The grey-white matter differentiation appears to be intact. The ventricles and basal cisterns are unchanged in size and configuration. There is no midline shift or herniation. The orbits, skull, and scalp soft tissues are unchanged. There is opacification of a left posterior ethmoid sinus. </s>

There is right preseptal thickening and fat stranding. However, the globes, extraocular muscles, orbital fat, and optic nerves appear unremarkable bilaterally. There are no fractures identified involving the maxillofacial skeleton. Indeed, the bilateral nasal bones, orbit walls, pterygoid plates, zygomatic arches, mandible, and the temporomandibular joints are intact. There are no remaining teeth. There is mild bilateral maxillary sinus mucosal thickening. There are scattered skin calcifications.

imaging observation_fin: ['fat']location descriptor_fin: ['right']clinical findings_fin: {'preseptal thickening': {'clinical finding': 'preseptal thickening', 'existence': 'pos_dx', 'descriptive_term': 'preseptal', 'observation': 'thickening'}, 'fat stranding': {'clinical finding': 'fat stranding', 'existence': 'pos_dx', 'descriptive_term': 'fat', 'observation': 'strand'}}anatomical entity_fin: {'globes': {}, 'extraocular muscles': {}, 'optic nerves': {}}imaging observation_fin: ['fat']clinical findings_fin: {'however , the globes , extraocular muscles , orbital fat , and optic nerves appear unremarkable bilaterally': {'clinical finding': 'however , the globes , extraocular muscles , orbital fat , and optic nerves appear unremarkable bilaterally'}}anatomical entity_fin: {'skeleton': {}}clinical findings_fin: {'fractures': {'clinical finding': 'fractures', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'observation': 'fracture'}}anatomical entity_fin: {'nasal bones': {'location descriptor': 'bilateral'}, 'orbit': {}, 'walls': {}, 'zygomatic arches': {}, 'mandible': {}, 'temporomandibular joints': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}imaging observation_fin: ['teeth']anatomical entity_fin: {'maxillary sinus': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'mild bilateral maxillary sinus mucosal thickening': {'clinical finding': 'mild bilateral maxillary sinus mucosal thickening', 'cf_snomed': {'bilateral maxillary sinus': 313302006}, 'existence': 'pos_dx', 'descriptive_term': 'mild bilateral maxillary sinus mucosal', 'observation': 'thickening', 'strength_term': 'mild'}}clinical findings_fin: {'scattered skin calcifications': {'clinical finding': 'scattered skin calcifications', 'existence': 'pos_dx', 'descriptive_term': 'scattered skin', 'observation': 'calcification'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: imaging observation_fin: ['fat']location descriptor_fin: ['right']clinical findings_fin: {'preseptal thickening': {'clinical finding': 'preseptal thickening', 'existence': 'pos_dx', 'descriptive_term': 'preseptal', 'observation': 'thickening'}, 'fat stranding': {'clinical finding': 'fat stranding', 'existence': 'pos_dx', 'descriptive_term': 'fat', 'observation': 'strand'}}anatomical entity_fin: {'globes': {}, 'extraocular muscles': {}, 'optic nerves': {}}imaging observation_fin: ['fat']clinical findings_fin: {'however , the globes , extraocular muscles , orbital fat , and optic nerves appear unremarkable bilaterally': {'clinical finding': 'however , the globes , extraocular muscles , orbital fat , and optic nerves appear unremarkable bilaterally'}}anatomical entity_fin: {'skeleton': {}}clinical findings_fin: {'fractures': {'clinical finding': 'fractures', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'observation': 'fracture'}}anatomical entity_fin: {'nasal bones': {'location descriptor': 'bilateral'}, 'orbit': {}, 'walls': {}, 'zygomatic arches': {}, 'mandible': {}, 'temporomandibular joints': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}imaging observation_fin: ['teeth']anatomical entity_fin: {'maxillary sinus': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'mild bilateral maxillary sinus mucosal thickening': {'clinical finding': 'mild bilateral maxillary sinus mucosal thickening', 'cf_snomed': {'bilateral maxillary sinus': 313302006}, 'existence': 'pos_dx', 'descriptive_term': 'mild bilateral maxillary sinus mucosal', 'observation': 'thickening', 'strength_term': 'mild'}}clinical findings_fin: {'scattered skin calcifications': {'clinical finding': 'scattered skin calcifications', 'existence': 'pos_dx', 'descriptive_term': 'scattered skin', 'observation': 'calcification'}} [/INST] There is right preseptal thickening and fat stranding. However, the globes, extraocular muscles, orbital fat, and optic nerves appear unremarkable bilaterally. There are no fractures identified involving the maxillofacial skeleton. Indeed, the bilateral nasal bones, orbit walls, pterygoid plates, zygomatic arches, mandible, and the temporomandibular joints are intact. There are no remaining teeth. There is mild bilateral maxillary sinus mucosal thickening. There are scattered skin calcifications. </s>

. No significant abnormality noted. No intra or extra hepatic biliary dilatation. Gallbladder is within normal limits. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No nephrolithiasis are hydronephrosis. No significant abnormality noted. None. The bowel is of normal caliber, without evidence of obstruction. The appendix is well-visualized and within normal limits. No significant abnormality noted. No significant abnormality noted. An IUD is present within the uterus. Right adnexal cyst of simple fluid density, measuring 3.2 x 2.1 cm. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted

clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'gallbladder': {}}clinical findings_fin: {'gallbladder is within normal limits': {'clinical finding': 'gallbladder is within normal limits'}}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: {'nephrolithiasis': {'clinical finding': 'nephrolithiasis', 'existence': 'neg_dx', 'observation': 'nephrolithiasis'}, 'hydronephrosis': {'clinical finding': 'hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'neg_dx', 'observation': 'hydronephrosis'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'observation': 'obstruction'}}anatomical entity_fin: {'appendix': {}}clinical findings_fin: {'well - visualized and within normal limits': {'clinical finding': 'well - visualized and within normal limits'}}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'}}anatomical entity_fin: {'uterus': {}}clinical findings_fin: {'iud': {'clinical finding': 'iud', 'existence': 'pos_dx', 'observation': 'iud'}}size_fin: [{'size': '3.2 x 2.1 cm', 'size_descriptor': 'cyst'}]anatomical entity_fin: {'fluid': {}}location descriptor_fin: ['right']clinical findings_fin: {'right adnexal cyst': {'clinical finding': 'right adnexal cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'right adnexal', 'observation': 'cyst'}}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'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'gallbladder': {}}clinical findings_fin: {'gallbladder is within normal limits': {'clinical finding': 'gallbladder is within normal limits'}}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: {'nephrolithiasis': {'clinical finding': 'nephrolithiasis', 'existence': 'neg_dx', 'observation': 'nephrolithiasis'}, 'hydronephrosis': {'clinical finding': 'hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'neg_dx', 'observation': 'hydronephrosis'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'observation': 'obstruction'}}anatomical entity_fin: {'appendix': {}}clinical findings_fin: {'well - visualized and within normal limits': {'clinical finding': 'well - visualized and within normal limits'}}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'}}anatomical entity_fin: {'uterus': {}}clinical findings_fin: {'iud': {'clinical finding': 'iud', 'existence': 'pos_dx', 'observation': 'iud'}}size_fin: [{'size': '3.2 x 2.1 cm', 'size_descriptor': 'cyst'}]anatomical entity_fin: {'fluid': {}}location descriptor_fin: ['right']clinical findings_fin: {'right adnexal cyst': {'clinical finding': 'right adnexal cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'right adnexal', 'observation': 'cyst'}}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] . No significant abnormality noted. No intra or extra hepatic biliary dilatation. Gallbladder is within normal limits. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No nephrolithiasis are hydronephrosis. No significant abnormality noted. None. The bowel is of normal caliber, without evidence of obstruction. The appendix is well-visualized and within normal limits. No significant abnormality noted. No significant abnormality noted. An IUD is present within the uterus. Right adnexal cyst of simple fluid density, measuring 3.2 x 2.1 cm. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted </s>

No intracranial hemorrhage is identified. No intracranial mass or evidence of mass-effect. No midline shift or herniation. Gray-white differentiation is maintained. Sulci and ventricles are within normal limits for age without evidence of hydrocephalus. No extra-axial collections. There are scattered areas of hypoattenuation in the periventricular and subcortical white matter which are nonspecific but favored to represent mild chronic small vessel ischemic changes. Prominent vascular calcifications are noted involving the internal carotid, vertebral, and basilar arteries. Small mucous retention cysts in the right maxillary sinus. Paranasal sinuses and mastoid air cells are otherwise clear.

clinical findings_fin: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}}clinical findings_fin: {'intracranial mass': {'clinical finding': 'intracranial mass', 'cf_snomed': {'intracranial mass': 85974009}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'mass'}, 'mass-effect': {'clinical finding': 'mass-effect', 'existence': 'neg_dx', 'observation': 'mass'}}location descriptor_fin: ['midline']clinical findings_fin: {'herniation': {'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'}}clinical findings_fin: {'gray-white differentiation is maintained': {'clinical finding': 'gray-white differentiation is maintained', 'change_term': 'maintained'}}clinical findings_fin: {'hydrocephalus': {'clinical finding': 'hydrocephalus', 'cf_snomed': {'hydrocephalus': 230745008}, 'existence': 'neg_dx', 'observation': 'hydrocephalus'}}clinical findings_fin: {'hypoattenuation': {'clinical finding': 'hypoattenuation', 'existence': 'pos_dx', 'observation': 'hypoattenuation'}, 'mild chronic small vessel ischemic changes': {'clinical finding': 'mild chronic small vessel ischemic changes', 'existence': 'unc_dx', 'descriptive_term': 'mild chronic small vessel ischemic', 'observation': 'change', 'strength_term': 'mild - small', 'temporal_term': 'chronic'}}anatomical entity_fin: {'basilar arteries': {}}clinical findings_fin: {'prominent vascular calcifications': {'clinical finding': 'prominent vascular calcifications', 'cf_snomed': {'vascular calcification': 237897009}, 'existence': 'pos_dx', 'descriptive_term': 'prominent vascular', 'observation': 'calcification', 'strength_term': 'prominent'}}anatomical entity_fin: {'maxillary sinus': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'small mucous retention cysts': {'clinical finding': 'small mucous retention cysts', 'cf_snomed': {'retention': 36850000}, 'existence': 'pos_dx', 'descriptive_term': 'small mucous retention', 'observation': 'cyst', 'strength_term': 'small'}}anatomical entity_fin: {'paranasal sinuses': {}, 'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}}clinical findings_fin: {'intracranial mass': {'clinical finding': 'intracranial mass', 'cf_snomed': {'intracranial mass': 85974009}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'mass'}, 'mass-effect': {'clinical finding': 'mass-effect', 'existence': 'neg_dx', 'observation': 'mass'}}location descriptor_fin: ['midline']clinical findings_fin: {'herniation': {'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'}}clinical findings_fin: {'gray-white differentiation is maintained': {'clinical finding': 'gray-white differentiation is maintained', 'change_term': 'maintained'}}clinical findings_fin: {'hydrocephalus': {'clinical finding': 'hydrocephalus', 'cf_snomed': {'hydrocephalus': 230745008}, 'existence': 'neg_dx', 'observation': 'hydrocephalus'}}clinical findings_fin: {'hypoattenuation': {'clinical finding': 'hypoattenuation', 'existence': 'pos_dx', 'observation': 'hypoattenuation'}, 'mild chronic small vessel ischemic changes': {'clinical finding': 'mild chronic small vessel ischemic changes', 'existence': 'unc_dx', 'descriptive_term': 'mild chronic small vessel ischemic', 'observation': 'change', 'strength_term': 'mild - small', 'temporal_term': 'chronic'}}anatomical entity_fin: {'basilar arteries': {}}clinical findings_fin: {'prominent vascular calcifications': {'clinical finding': 'prominent vascular calcifications', 'cf_snomed': {'vascular calcification': 237897009}, 'existence': 'pos_dx', 'descriptive_term': 'prominent vascular', 'observation': 'calcification', 'strength_term': 'prominent'}}anatomical entity_fin: {'maxillary sinus': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'small mucous retention cysts': {'clinical finding': 'small mucous retention cysts', 'cf_snomed': {'retention': 36850000}, 'existence': 'pos_dx', 'descriptive_term': 'small mucous retention', 'observation': 'cyst', 'strength_term': 'small'}}anatomical entity_fin: {'paranasal sinuses': {}, 'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}} [/INST] No intracranial hemorrhage is identified. No intracranial mass or evidence of mass-effect. No midline shift or herniation. Gray-white differentiation is maintained. Sulci and ventricles are within normal limits for age without evidence of hydrocephalus. No extra-axial collections. There are scattered areas of hypoattenuation in the periventricular and subcortical white matter which are nonspecific but favored to represent mild chronic small vessel ischemic changes. Prominent vascular calcifications are noted involving the internal carotid, vertebral, and basilar arteries. Small mucous retention cysts in the right maxillary sinus. Paranasal sinuses and mastoid air cells are otherwise clear. </s>

. Consolidation in the right upper and superior segment of the right lower lobe is seen with surrounding groundglass opacity, volume loss, and architectural distortion. Posterior apical pleural thickening with suture line is unchanged. No new suspicious pulmonary mass or nodule identified. The mediastinum is shifted to the right. The heart and pericardium are normal. No mediastinal or hilar lymphadenopathy noted. The ribs and vertebral bodies are normal. The partially visualized liver, spleen, and adrenal glands are normal. An accessory splenule is noted.

anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'upper', 'superior', 'lower']clinical findings_fin: {'consolidation': {'clinical finding': 'consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'pos_dx', 'observation': 'consolidation'}, 'surrounding groundglass opacity': {'clinical finding': 'surrounding groundglass opacity', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'surrounding groundglass', 'observation': 'opacity'}, 'volume loss': {'clinical finding': 'volume loss', 'existence': 'pos_dx', 'descriptive_term': 'volume', 'observation': 'loss'}, 'architectural distortion': {'clinical finding': 'architectural distortion', 'existence': 'pos_dx', 'descriptive_term': 'architectural', 'observation': 'distortion'}}imaging observation_fin: ['apical']location descriptor_fin: ['posterior']object_fin: ['suture']clinical findings_fin: {'posterior apical pleural thickening': {'clinical finding': 'posterior apical pleural thickening', 'existence': 'pos_dx', 'descriptive_term': 'posterior apical pleural', 'observation': 'thickening'}}clinical findings_fin: {'new suspicious pulmonary mass': {'clinical finding': 'new suspicious pulmonary mass', 'existence': 'neg_dx', 'descriptive_term': 'new suspicious pulmonary', 'observation': 'mass', 'temporal_term': 'new'}, 'nodule': {'clinical finding': 'nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'observation': 'nodule'}}anatomical entity_fin: {'mediastinum': {}}location descriptor_fin: ['shifted', 'right']clinical findings_fin: {'shifted': {'clinical finding': 'shifted', 'existence': 'pos_dx', 'observation': 'shifted'}}anatomical entity_fin: {'heart': {}, 'pericardium': {}}clinical findings_fin: {'heart and pericardium are normal': {'clinical finding': 'heart and pericardium are normal'}}clinical findings_fin: {'mediastinal or hilar lymphadenopathy': {'clinical finding': 'mediastinal or hilar lymphadenopathy', 'cf_snomed': {'hilar lymphadenopathy': 87500009}, 'existence': 'neg_dx', 'descriptive_term': 'mediastinal or hilar', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'ribs': {}, 'vertebral bodies': {}}clinical findings_fin: {'ribs and vertebral bodies are normal': {'clinical finding': 'ribs and vertebral bodies are normal'}}anatomical entity_fin: {'liver': {}, 'spleen': {}, 'adrenal glands': {}}clinical findings_fin: {'partially visualized liver , spleen , and adrenal glands': {'clinical finding': 'partially visualized liver , spleen , and adrenal glands'}}clinical findings_fin: {'accessory splenule': {'clinical finding': 'accessory splenule', 'existence': 'pos_dx', 'descriptive_term': 'accessory', 'observation': 'splenule'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'upper', 'superior', 'lower']clinical findings_fin: {'consolidation': {'clinical finding': 'consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'pos_dx', 'observation': 'consolidation'}, 'surrounding groundglass opacity': {'clinical finding': 'surrounding groundglass opacity', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'surrounding groundglass', 'observation': 'opacity'}, 'volume loss': {'clinical finding': 'volume loss', 'existence': 'pos_dx', 'descriptive_term': 'volume', 'observation': 'loss'}, 'architectural distortion': {'clinical finding': 'architectural distortion', 'existence': 'pos_dx', 'descriptive_term': 'architectural', 'observation': 'distortion'}}imaging observation_fin: ['apical']location descriptor_fin: ['posterior']object_fin: ['suture']clinical findings_fin: {'posterior apical pleural thickening': {'clinical finding': 'posterior apical pleural thickening', 'existence': 'pos_dx', 'descriptive_term': 'posterior apical pleural', 'observation': 'thickening'}}clinical findings_fin: {'new suspicious pulmonary mass': {'clinical finding': 'new suspicious pulmonary mass', 'existence': 'neg_dx', 'descriptive_term': 'new suspicious pulmonary', 'observation': 'mass', 'temporal_term': 'new'}, 'nodule': {'clinical finding': 'nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'observation': 'nodule'}}anatomical entity_fin: {'mediastinum': {}}location descriptor_fin: ['shifted', 'right']clinical findings_fin: {'shifted': {'clinical finding': 'shifted', 'existence': 'pos_dx', 'observation': 'shifted'}}anatomical entity_fin: {'heart': {}, 'pericardium': {}}clinical findings_fin: {'heart and pericardium are normal': {'clinical finding': 'heart and pericardium are normal'}}clinical findings_fin: {'mediastinal or hilar lymphadenopathy': {'clinical finding': 'mediastinal or hilar lymphadenopathy', 'cf_snomed': {'hilar lymphadenopathy': 87500009}, 'existence': 'neg_dx', 'descriptive_term': 'mediastinal or hilar', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'ribs': {}, 'vertebral bodies': {}}clinical findings_fin: {'ribs and vertebral bodies are normal': {'clinical finding': 'ribs and vertebral bodies are normal'}}anatomical entity_fin: {'liver': {}, 'spleen': {}, 'adrenal glands': {}}clinical findings_fin: {'partially visualized liver , spleen , and adrenal glands': {'clinical finding': 'partially visualized liver , spleen , and adrenal glands'}}clinical findings_fin: {'accessory splenule': {'clinical finding': 'accessory splenule', 'existence': 'pos_dx', 'descriptive_term': 'accessory', 'observation': 'splenule'}} [/INST] . Consolidation in the right upper and superior segment of the right lower lobe is seen with surrounding groundglass opacity, volume loss, and architectural distortion. Posterior apical pleural thickening with suture line is unchanged. No new suspicious pulmonary mass or nodule identified. The mediastinum is shifted to the right. The heart and pericardium are normal. No mediastinal or hilar lymphadenopathy noted. The ribs and vertebral bodies are normal. The partially visualized liver, spleen, and adrenal glands are normal. An accessory splenule is noted. </s>

Evaluation of the solid abdominal organs is limited by the lack of intravenous contrast. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Atrophic native kidneys with innumerable cysts and punctate scattered calcifications. No significant abnormality noted. There is a focus of very mild calcification along the posteromedial wall of the distal right common iliac artery. There are no calcifications of the left common iliac artery or bilateral external iliac arteries. A punctate focus of calcification affects the posteromedial wall at the origin of the left internal iliac artery. The appendix is normal. Evidence of renal osteodystrophy. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Colonic diverticulosis without evidence of diverticulitis. Evidence of renal osteodystrophy.

anatomical entity_fin: {'abdominal': {}, 'organs': {}}clinical findings_fin: {'intravenous contrast': {'clinical finding': 'intravenous contrast', 'existence': 'neg_dx', 'descriptive_term': 'intravenous', 'observation': 'contrast'}}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'}}anatomical entity_fin: {'kidneys': {}}clinical findings_fin: {'innumerable cysts': {'clinical finding': 'innumerable cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'innumerable', 'observation': 'cyst'}, 'punctate scattered calcifications': {'clinical finding': 'punctate scattered calcifications', 'existence': 'pos_dx', 'descriptive_term': 'punctate scattered', 'observation': 'calcification'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'wall': {}, 'common iliac artery': {'location descriptor': 'distal right'}}location descriptor_fin: ['distal', 'right']clinical findings_fin: {'very mild calcification': {'clinical finding': 'very mild calcification', 'existence': 'pos_dx', 'descriptive_term': 'very mild', 'observation': 'calcification', 'strength_term': 'mild'}}anatomical entity_fin: {'common iliac artery': {'location descriptor': 'left'}, 'external iliac arteries': {'location descriptor': 'bilateral'}}location descriptor_fin: ['left', 'bilateral']clinical findings_fin: {'calcifications': {'clinical finding': 'calcifications', 'existence': 'neg_dx', 'observation': 'calcification'}}anatomical entity_fin: {'wall': {}, 'origin': {}, 'internal iliac artery': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'calcification': {'clinical finding': 'calcification', 'existence': 'pos_dx', 'observation': 'calcification'}}anatomical entity_fin: {'appendix': {}}clinical findings_fin: {'appendix is normal': {'clinical finding': 'appendix is normal'}}clinical findings_fin: {'renal osteodystrophy': {'clinical finding': 'renal osteodystrophy', 'cf_snomed': {'renal osteodystrophy': 16726004}, 'existence': 'pos_dx', 'descriptive_term': 'renal', 'observation': 'osteodystrophy'}}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: {'colonic diverticulosis': {'clinical finding': 'colonic diverticulosis', 'existence': 'pos_dx', 'descriptive_term': 'colonic', 'observation': 'diverticulosis'}, 'diverticulitis': {'clinical finding': 'diverticulitis', 'cf_snomed': {'diverticulitis': 307496006}, 'existence': 'neg_dx', 'observation': 'diverticulitis'}}clinical findings_fin: {'renal osteodystrophy': {'clinical finding': 'renal osteodystrophy', 'cf_snomed': {'renal osteodystrophy': 16726004}, 'existence': 'pos_dx', 'descriptive_term': 'renal', 'observation': 'osteodystrophy'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'abdominal': {}, 'organs': {}}clinical findings_fin: {'intravenous contrast': {'clinical finding': 'intravenous contrast', 'existence': 'neg_dx', 'descriptive_term': 'intravenous', 'observation': 'contrast'}}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'}}anatomical entity_fin: {'kidneys': {}}clinical findings_fin: {'innumerable cysts': {'clinical finding': 'innumerable cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'innumerable', 'observation': 'cyst'}, 'punctate scattered calcifications': {'clinical finding': 'punctate scattered calcifications', 'existence': 'pos_dx', 'descriptive_term': 'punctate scattered', 'observation': 'calcification'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'wall': {}, 'common iliac artery': {'location descriptor': 'distal right'}}location descriptor_fin: ['distal', 'right']clinical findings_fin: {'very mild calcification': {'clinical finding': 'very mild calcification', 'existence': 'pos_dx', 'descriptive_term': 'very mild', 'observation': 'calcification', 'strength_term': 'mild'}}anatomical entity_fin: {'common iliac artery': {'location descriptor': 'left'}, 'external iliac arteries': {'location descriptor': 'bilateral'}}location descriptor_fin: ['left', 'bilateral']clinical findings_fin: {'calcifications': {'clinical finding': 'calcifications', 'existence': 'neg_dx', 'observation': 'calcification'}}anatomical entity_fin: {'wall': {}, 'origin': {}, 'internal iliac artery': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'calcification': {'clinical finding': 'calcification', 'existence': 'pos_dx', 'observation': 'calcification'}}anatomical entity_fin: {'appendix': {}}clinical findings_fin: {'appendix is normal': {'clinical finding': 'appendix is normal'}}clinical findings_fin: {'renal osteodystrophy': {'clinical finding': 'renal osteodystrophy', 'cf_snomed': {'renal osteodystrophy': 16726004}, 'existence': 'pos_dx', 'descriptive_term': 'renal', 'observation': 'osteodystrophy'}}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: {'colonic diverticulosis': {'clinical finding': 'colonic diverticulosis', 'existence': 'pos_dx', 'descriptive_term': 'colonic', 'observation': 'diverticulosis'}, 'diverticulitis': {'clinical finding': 'diverticulitis', 'cf_snomed': {'diverticulitis': 307496006}, 'existence': 'neg_dx', 'observation': 'diverticulitis'}}clinical findings_fin: {'renal osteodystrophy': {'clinical finding': 'renal osteodystrophy', 'cf_snomed': {'renal osteodystrophy': 16726004}, 'existence': 'pos_dx', 'descriptive_term': 'renal', 'observation': 'osteodystrophy'}} [/INST] Evaluation of the solid abdominal organs is limited by the lack of intravenous contrast. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Atrophic native kidneys with innumerable cysts and punctate scattered calcifications. No significant abnormality noted. There is a focus of very mild calcification along the posteromedial wall of the distal right common iliac artery. There are no calcifications of the left common iliac artery or bilateral external iliac arteries. A punctate focus of calcification affects the posteromedial wall at the origin of the left internal iliac artery. The appendix is normal. Evidence of renal osteodystrophy. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Colonic diverticulosis without evidence of diverticulitis. Evidence of renal osteodystrophy. </s>

There is redemonstration of multiple hypodense foci within the brain parenchyma. One in the right cerebellar hemisphere measures 27 x 47 mm in axial dimensions one in the left cerebellar hemisphere measures 25 x 40 mm axial dimensions. There are additional periventricular white matter hypodensities hypodensity in the right caudate nucleus and in in the left and right basal ganglia. The visualized portions of the paranasal sinuses are clear. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.

anatomical entity_fin: {'brain': {}, 'parenchyma': {}}imaging observation_fin: ['foci']clinical findings_fin: {'multiple hypodense foci': {'clinical finding': 'multiple hypodense foci', 'existence': 'pos_dx', 'descriptive_term': 'multiple hypodense', 'observation': 'foci', 'quantity_term': 'multiple'}}size_fin: [{'size': '27 x 47 mm'}, {'size': '25 x 40 mm'}]location descriptor_fin: ['right', 'left']anatomical entity_fin: {'right caudate nucleus': {}, 'basal ganglia': {'location descriptor': 'right'}}location descriptor_fin: ['left', 'right']clinical findings_fin: {'additional periventricular white matter hypodensities hypodensity': {'clinical finding': 'additional periventricular white matter hypodensities hypodensity', 'cf_snomed': {'periventricular white matter': 37065005}, 'existence': 'pos_dx', 'descriptive_term': 'additional periventricular white matter hypodensities', 'observation': 'hypodensity'}}anatomical entity_fin: {'paranasal sinuses': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'orbits': {}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'brain': {}, 'parenchyma': {}}imaging observation_fin: ['foci']clinical findings_fin: {'multiple hypodense foci': {'clinical finding': 'multiple hypodense foci', 'existence': 'pos_dx', 'descriptive_term': 'multiple hypodense', 'observation': 'foci', 'quantity_term': 'multiple'}}size_fin: [{'size': '27 x 47 mm'}, {'size': '25 x 40 mm'}]location descriptor_fin: ['right', 'left']anatomical entity_fin: {'right caudate nucleus': {}, 'basal ganglia': {'location descriptor': 'right'}}location descriptor_fin: ['left', 'right']clinical findings_fin: {'additional periventricular white matter hypodensities hypodensity': {'clinical finding': 'additional periventricular white matter hypodensities hypodensity', 'cf_snomed': {'periventricular white matter': 37065005}, 'existence': 'pos_dx', 'descriptive_term': 'additional periventricular white matter hypodensities', 'observation': 'hypodensity'}}anatomical entity_fin: {'paranasal sinuses': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'orbits': {}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}} [/INST] There is redemonstration of multiple hypodense foci within the brain parenchyma. One in the right cerebellar hemisphere measures 27 x 47 mm in axial dimensions one in the left cerebellar hemisphere measures 25 x 40 mm axial dimensions. There are additional periventricular white matter hypodensities hypodensity in the right caudate nucleus and in in the left and right basal ganglia. The visualized portions of the paranasal sinuses are clear. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact. </s>

There is no intracranial hemorrhage, edema, midline shift, or abnormal extraaxial fluid collections. Mild global parenchymal volume loss and periventricular and subcortical white matter hypoattenuation, compatible with age-indeterminate small vessel ischemic changes. Otherwise, the ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is preserved. The osseous structures are intact. The paranasal sinuses and mastoid air cells are clear.

anatomical entity_fin: {'fluid': {}}location descriptor_fin: ['midline']clinical findings_fin: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}, 'edema': {'clinical finding': 'edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'neg_dx', 'observation': 'edema'}}clinical findings_fin: {'mild global parenchymal volume loss': {'clinical finding': 'mild global parenchymal volume loss', 'existence': 'pos_dx', 'descriptive_term': 'mild global parenchymal volume', 'observation': 'loss', 'strength_term': 'mild'}, 'periventricular and subcortical white matter hypoattenuation': {'clinical finding': 'periventricular and subcortical white matter hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'periventricular and subcortical white matter', 'observation': 'hypoattenuation'}, 'age-indeterminate small vessel ischemic changes': {'clinical finding': 'age-indeterminate small vessel ischemic changes', 'existence': 'pos_dx', 'descriptive_term': 'age-indeterminate small vessel ischemic', 'observation': 'change', 'strength_term': 'small'}}clinical findings_fin: {'symmetric': {'clinical finding': 'symmetric', 'existence': 'pos_dx', 'observation': 'symmetric'}}clinical findings_fin: {'gray-white matter differentiation': {'clinical finding': 'gray-white matter differentiation', 'existence': 'pos_dx', 'descriptive_term': 'gray-white matter', 'observation': 'differentiation'}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}anatomical entity_fin: {'paranasal sinuses': {}, 'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'fluid': {}}location descriptor_fin: ['midline']clinical findings_fin: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}, 'edema': {'clinical finding': 'edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'neg_dx', 'observation': 'edema'}}clinical findings_fin: {'mild global parenchymal volume loss': {'clinical finding': 'mild global parenchymal volume loss', 'existence': 'pos_dx', 'descriptive_term': 'mild global parenchymal volume', 'observation': 'loss', 'strength_term': 'mild'}, 'periventricular and subcortical white matter hypoattenuation': {'clinical finding': 'periventricular and subcortical white matter hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'periventricular and subcortical white matter', 'observation': 'hypoattenuation'}, 'age-indeterminate small vessel ischemic changes': {'clinical finding': 'age-indeterminate small vessel ischemic changes', 'existence': 'pos_dx', 'descriptive_term': 'age-indeterminate small vessel ischemic', 'observation': 'change', 'strength_term': 'small'}}clinical findings_fin: {'symmetric': {'clinical finding': 'symmetric', 'existence': 'pos_dx', 'observation': 'symmetric'}}clinical findings_fin: {'gray-white matter differentiation': {'clinical finding': 'gray-white matter differentiation', 'existence': 'pos_dx', 'descriptive_term': 'gray-white matter', 'observation': 'differentiation'}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}anatomical entity_fin: {'paranasal sinuses': {}, 'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}} [/INST] There is no intracranial hemorrhage, edema, midline shift, or abnormal extraaxial fluid collections. Mild global parenchymal volume loss and periventricular and subcortical white matter hypoattenuation, compatible with age-indeterminate small vessel ischemic changes. Otherwise, the ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is preserved. The osseous structures are intact. The paranasal sinuses and mastoid air cells are clear. </s>

The absence of oral contrast limits evaluation of bowel. Small right pleural effusion with adjacent compressive atelectasis. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Interval removal of left percutaneous nephrostomy tube. No hydronephrosis. No perinephric stranding. No significant abnormality noted. Mild. Postsurgical changes in the right lower quadrant related to cystoprostatectomy with ileal conduit formation. No bowel obstruction. No free air. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Postsurgical changes related to cystoprostatectomy with ileal conduit. Small bilateral inguinal lymph nodes unchanged. No significant abnormality noted. No significant abnormality noted. Slight interval decrease in pelvic fluid collection now with mild peripheral wall enhancement.

anatomical entity_fin: {'bowel': {}}non-anatomical substance_fin: ['oral contrast']location descriptor_fin: ['right', 'adjacent']clinical findings_fin: {'small right pleural effusion': {'clinical finding': 'small right pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'small right pleural', 'observation': 'effusion', 'strength_term': 'small'}, 'adjacent compressive atelectasis': {'clinical finding': 'adjacent compressive atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'adjacent compressive', 'observation': 'atelectasis'}}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'}}location descriptor_fin: ['left']object_fin: ['nephrostomy tube']clinical findings_fin: {'left percutaneous nephrostomy tube': {'clinical finding': 'left percutaneous nephrostomy tube', 'existence': 'pos_dx', 'descriptive_term': 'left percutaneous nephrostomy', 'observation': 'tube'}}clinical findings_fin: {'hydronephrosis': {'clinical finding': 'hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'neg_dx', 'observation': 'hydronephrosis'}}clinical findings_fin: {'perinephric stranding': {'clinical finding': 'perinephric stranding', 'existence': 'neg_dx', 'descriptive_term': 'perinephric', 'observation': 'strand'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'quadrant': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']procedure_fin: ['cystoprostatectomy', 'ileal conduit']clinical findings_fin: {'postsurgical changes': {'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'}, 'ileal conduit': {'clinical finding': 'ileal conduit', 'existence': 'pos_dx', 'descriptive_term': 'ileal', 'observation': 'conduit'}}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'}}clinical findings_fin: {'free air': {'clinical finding': 'free air', 'existence': 'neg_dx', 'descriptive_term': 'free', 'observation': 'air'}}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'}}procedure_fin: ['cystoprostatectomy', 'ileal conduit']clinical findings_fin: {'postsurgical changes': {'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'}}anatomical entity_fin: {'inguinal lymph nodes': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'small bilateral inguinal lymph nodes': {'clinical finding': 'small bilateral inguinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small bilateral inguinal lymph', 'observation': 'node', 'strength_term': 'small'}}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'}}anatomical entity_fin: {'wall': {'location descriptor': 'peripheral'}}location descriptor_fin: ['peripheral']clinical findings_fin: {'pelvic fluid collection': {'clinical finding': 'pelvic fluid collection', 'existence': 'pos_dx', 'descriptive_term': 'pelvic fluid', 'observation': 'collection'}, 'mild peripheral wall enhancement': {'clinical finding': 'mild peripheral wall enhancement', 'existence': 'pos_dx', 'descriptive_term': 'mild peripheral wall', 'observation': 'enhancement', 'strength_term': 'mild'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'bowel': {}}non-anatomical substance_fin: ['oral contrast']location descriptor_fin: ['right', 'adjacent']clinical findings_fin: {'small right pleural effusion': {'clinical finding': 'small right pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'small right pleural', 'observation': 'effusion', 'strength_term': 'small'}, 'adjacent compressive atelectasis': {'clinical finding': 'adjacent compressive atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'adjacent compressive', 'observation': 'atelectasis'}}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'}}location descriptor_fin: ['left']object_fin: ['nephrostomy tube']clinical findings_fin: {'left percutaneous nephrostomy tube': {'clinical finding': 'left percutaneous nephrostomy tube', 'existence': 'pos_dx', 'descriptive_term': 'left percutaneous nephrostomy', 'observation': 'tube'}}clinical findings_fin: {'hydronephrosis': {'clinical finding': 'hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'neg_dx', 'observation': 'hydronephrosis'}}clinical findings_fin: {'perinephric stranding': {'clinical finding': 'perinephric stranding', 'existence': 'neg_dx', 'descriptive_term': 'perinephric', 'observation': 'strand'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'quadrant': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']procedure_fin: ['cystoprostatectomy', 'ileal conduit']clinical findings_fin: {'postsurgical changes': {'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'}, 'ileal conduit': {'clinical finding': 'ileal conduit', 'existence': 'pos_dx', 'descriptive_term': 'ileal', 'observation': 'conduit'}}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'}}clinical findings_fin: {'free air': {'clinical finding': 'free air', 'existence': 'neg_dx', 'descriptive_term': 'free', 'observation': 'air'}}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'}}procedure_fin: ['cystoprostatectomy', 'ileal conduit']clinical findings_fin: {'postsurgical changes': {'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'}}anatomical entity_fin: {'inguinal lymph nodes': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'small bilateral inguinal lymph nodes': {'clinical finding': 'small bilateral inguinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small bilateral inguinal lymph', 'observation': 'node', 'strength_term': 'small'}}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'}}anatomical entity_fin: {'wall': {'location descriptor': 'peripheral'}}location descriptor_fin: ['peripheral']clinical findings_fin: {'pelvic fluid collection': {'clinical finding': 'pelvic fluid collection', 'existence': 'pos_dx', 'descriptive_term': 'pelvic fluid', 'observation': 'collection'}, 'mild peripheral wall enhancement': {'clinical finding': 'mild peripheral wall enhancement', 'existence': 'pos_dx', 'descriptive_term': 'mild peripheral wall', 'observation': 'enhancement', 'strength_term': 'mild'}} [/INST] The absence of oral contrast limits evaluation of bowel. Small right pleural effusion with adjacent compressive atelectasis. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Interval removal of left percutaneous nephrostomy tube. No hydronephrosis. No perinephric stranding. No significant abnormality noted. Mild. Postsurgical changes in the right lower quadrant related to cystoprostatectomy with ileal conduit formation. No bowel obstruction. No free air. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Postsurgical changes related to cystoprostatectomy with ileal conduit. Small bilateral inguinal lymph nodes unchanged. No significant abnormality noted. No significant abnormality noted. Slight interval decrease in pelvic fluid collection now with mild peripheral wall enhancement. </s>

There is a predominantly low density subdural hematoma along the right frontotemporoparietal convexity small areas of hyperdensity. There is significant associated mass effect on the adjacent right cerebral hemisphere. There is leftward midline shift of 11 mm at the level of the foramen of Monro. There is evidence of right-sided uncal herniation with asymmetry of the ambient cisterns. There appears to be mild diffuse bilateral sulcal effacement. There is entrapment of the left lateral ventricle. Coil mass is noted in the left paraclinoid region presumably related to aneurysm coiling. Paranasal sinuses and mastoid air cells are clear. Calvarium is intact.

anatomical entity_fin: {'convexity': {}}location descriptor_fin: ['right']clinical findings_fin: {'predominantly low density subdural hematoma': {'clinical finding': 'predominantly low density subdural hematoma', 'cf_snomed': {'subdural hematoma': 95453001}, 'existence': 'pos_dx', 'descriptive_term': 'predominantly low density subdural', 'observation': 'hematoma'}, 'hyperdensity': {'clinical finding': 'hyperdensity', 'existence': 'pos_dx', 'observation': 'hyperdensity'}}anatomical entity_fin: {'right cerebral hemisphere': {'location descriptor': 'adjacent'}}location descriptor_fin: ['adjacent']clinical findings_fin: {'significant associated mass effect': {'clinical finding': 'significant associated mass effect', 'existence': 'pos_dx', 'descriptive_term': 'significant associated mass', 'observation': 'effect'}}size_fin: [{'size': '11 mm', 'size_descriptor': 'shift'}]anatomical entity_fin: {'foramen': {}}location descriptor_fin: ['midline']anatomical entity_fin: {'ambient cisterns': {}}location descriptor_fin: ['right']clinical findings_fin: {'right-sided uncal herniation': {'clinical finding': 'right-sided uncal herniation', 'existence': 'pos_dx', 'descriptive_term': 'right-sided uncal', 'observation': 'herniation'}, 'asymmetry': {'clinical finding': 'asymmetry', 'existence': 'pos_dx', 'observation': 'asymmetry'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'mild diffuse bilateral sulcal effacement': {'clinical finding': 'mild diffuse bilateral sulcal effacement', 'existence': 'pos_dx', 'descriptive_term': 'mild diffuse bilateral sulcal', 'observation': 'effacement', 'strength_term': 'mild'}}anatomical entity_fin: {'left lateral ventricle': {}}clinical findings_fin: {'entrapment': {'clinical finding': 'entrapment', 'cf_snomed': {'entrapment': 363563002}, 'existence': 'pos_dx', 'observation': 'entrapment'}}location descriptor_fin: ['left']object_fin: ['coil']clinical findings_fin: {'coil mass': {'clinical finding': 'coil mass', 'existence': 'pos_dx', 'descriptive_term': 'coil', 'observation': 'mass'}, 'aneurysm': {'clinical finding': 'aneurysm', 'cf_snomed': {'aneurysm': 432119003}, 'existence': 'unc_dx', 'observation': 'aneurysm'}}anatomical entity_fin: {'paranasal sinuses': {}, 'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'pos_dx', 'observation': 'intact'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'convexity': {}}location descriptor_fin: ['right']clinical findings_fin: {'predominantly low density subdural hematoma': {'clinical finding': 'predominantly low density subdural hematoma', 'cf_snomed': {'subdural hematoma': 95453001}, 'existence': 'pos_dx', 'descriptive_term': 'predominantly low density subdural', 'observation': 'hematoma'}, 'hyperdensity': {'clinical finding': 'hyperdensity', 'existence': 'pos_dx', 'observation': 'hyperdensity'}}anatomical entity_fin: {'right cerebral hemisphere': {'location descriptor': 'adjacent'}}location descriptor_fin: ['adjacent']clinical findings_fin: {'significant associated mass effect': {'clinical finding': 'significant associated mass effect', 'existence': 'pos_dx', 'descriptive_term': 'significant associated mass', 'observation': 'effect'}}size_fin: [{'size': '11 mm', 'size_descriptor': 'shift'}]anatomical entity_fin: {'foramen': {}}location descriptor_fin: ['midline']anatomical entity_fin: {'ambient cisterns': {}}location descriptor_fin: ['right']clinical findings_fin: {'right-sided uncal herniation': {'clinical finding': 'right-sided uncal herniation', 'existence': 'pos_dx', 'descriptive_term': 'right-sided uncal', 'observation': 'herniation'}, 'asymmetry': {'clinical finding': 'asymmetry', 'existence': 'pos_dx', 'observation': 'asymmetry'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'mild diffuse bilateral sulcal effacement': {'clinical finding': 'mild diffuse bilateral sulcal effacement', 'existence': 'pos_dx', 'descriptive_term': 'mild diffuse bilateral sulcal', 'observation': 'effacement', 'strength_term': 'mild'}}anatomical entity_fin: {'left lateral ventricle': {}}clinical findings_fin: {'entrapment': {'clinical finding': 'entrapment', 'cf_snomed': {'entrapment': 363563002}, 'existence': 'pos_dx', 'observation': 'entrapment'}}location descriptor_fin: ['left']object_fin: ['coil']clinical findings_fin: {'coil mass': {'clinical finding': 'coil mass', 'existence': 'pos_dx', 'descriptive_term': 'coil', 'observation': 'mass'}, 'aneurysm': {'clinical finding': 'aneurysm', 'cf_snomed': {'aneurysm': 432119003}, 'existence': 'unc_dx', 'observation': 'aneurysm'}}anatomical entity_fin: {'paranasal sinuses': {}, 'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'pos_dx', 'observation': 'intact'}} [/INST] There is a predominantly low density subdural hematoma along the right frontotemporoparietal convexity small areas of hyperdensity. There is significant associated mass effect on the adjacent right cerebral hemisphere. There is leftward midline shift of 11 mm at the level of the foramen of Monro. There is evidence of right-sided uncal herniation with asymmetry of the ambient cisterns. There appears to be mild diffuse bilateral sulcal effacement. There is entrapment of the left lateral ventricle. Coil mass is noted in the left paraclinoid region presumably related to aneurysm coiling. Paranasal sinuses and mastoid air cells are clear. Calvarium is intact. </s>

. Bilateral apical nodularity is again noted and appears unchanged. No hilar or mediastinal lymphadenopathy. Cardiac size is normal. Small pericardial cyst is noted. Mild. No significant abnormality noted. No lesions in the liver. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Indeterminate cystic-appearing lesions in left kidney, with too small to characterize lesions in the right kidney. No lymphadenopathy. Mild. No significant abnormality noted. Osteophyte formation and lower lumbar levels consistent with degenerative change. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted.

imaging observation_fin: ['apical']location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral apical nodularity': {'clinical finding': 'bilateral apical nodularity', 'existence': 'pos_dx', 'descriptive_term': 'bilateral apical', 'observation': 'nodularity'}}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: {'cardiac size is normal': {'clinical finding': 'cardiac size is normal'}}clinical findings_fin: {'small pericardial cyst': {'clinical finding': 'small pericardial cyst', 'cf_snomed': {'pericardial cyst': 609302002}, 'existence': 'pos_dx', 'descriptive_term': 'small pericardial', 'observation': 'cyst', 'strength_term': 'small'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'lesions': {'clinical finding': 'lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'observation': 'lesion'}}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'}}anatomical entity_fin: {'left kidney': {}, 'right kidney': {}}clinical findings_fin: {'indeterminate cystic-appearing lesions': {'clinical finding': 'indeterminate cystic-appearing lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'indeterminate cystic-appearing', 'observation': 'lesion'}, 'too small to characterize lesions': {'clinical finding': 'too small to characterize lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'too small to characterize', 'observation': 'lesion', 'strength_term': 'small'}}clinical findings_fin: {'lymphadenopathy': {'clinical finding': 'lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}location descriptor_fin: ['lower']clinical findings_fin: {'osteophyte': {'clinical finding': 'osteophyte', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'observation': 'osteophyte'}, 'degenerative change': {'clinical finding': 'degenerative change', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'}}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'}}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'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: imaging observation_fin: ['apical']location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral apical nodularity': {'clinical finding': 'bilateral apical nodularity', 'existence': 'pos_dx', 'descriptive_term': 'bilateral apical', 'observation': 'nodularity'}}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: {'cardiac size is normal': {'clinical finding': 'cardiac size is normal'}}clinical findings_fin: {'small pericardial cyst': {'clinical finding': 'small pericardial cyst', 'cf_snomed': {'pericardial cyst': 609302002}, 'existence': 'pos_dx', 'descriptive_term': 'small pericardial', 'observation': 'cyst', 'strength_term': 'small'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'lesions': {'clinical finding': 'lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'observation': 'lesion'}}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'}}anatomical entity_fin: {'left kidney': {}, 'right kidney': {}}clinical findings_fin: {'indeterminate cystic-appearing lesions': {'clinical finding': 'indeterminate cystic-appearing lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'indeterminate cystic-appearing', 'observation': 'lesion'}, 'too small to characterize lesions': {'clinical finding': 'too small to characterize lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'too small to characterize', 'observation': 'lesion', 'strength_term': 'small'}}clinical findings_fin: {'lymphadenopathy': {'clinical finding': 'lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}location descriptor_fin: ['lower']clinical findings_fin: {'osteophyte': {'clinical finding': 'osteophyte', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'observation': 'osteophyte'}, 'degenerative change': {'clinical finding': 'degenerative change', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'}}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'}}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] . Bilateral apical nodularity is again noted and appears unchanged. No hilar or mediastinal lymphadenopathy. Cardiac size is normal. Small pericardial cyst is noted. Mild. No significant abnormality noted. No lesions in the liver. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Indeterminate cystic-appearing lesions in left kidney, with too small to characterize lesions in the right kidney. No lymphadenopathy. Mild. No significant abnormality noted. Osteophyte formation and lower lumbar levels consistent with degenerative change. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. </s>

. No sign of metastases or other significant pulmonary abnormality. Residual thymic tissue unchanged. No lymphadenopathy. The heart and pericardium appear normal. None. No significant abnormality noted. Absence of enteric contrast material limits sensitivity for abdominal pathology. No significant abnormality noted.

clinical findings_fin: {'metastases': {'clinical finding': 'metastases', 'existence': 'neg_dx', 'observation': 'metastase'}, 'other significant pulmonary abnormality': {'clinical finding': 'other significant pulmonary abnormality', 'existence': 'neg_dx', 'descriptive_term': 'other significant pulmonary', 'observation': 'abnormality'}}clinical findings_fin: {'residual thymic tissue': {'clinical finding': 'residual thymic tissue', 'existence': 'pos_dx', 'descriptive_term': 'residual thymic', 'observation': 'tissue', 'temporal_term': 'residual'}}clinical findings_fin: {'lymphadenopathy': {'clinical finding': 'lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'heart': {}, 'pericardium': {}}clinical findings_fin: {'heart and pericardium appear normal': {'clinical finding': 'heart and pericardium appear normal'}}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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'metastases': {'clinical finding': 'metastases', 'existence': 'neg_dx', 'observation': 'metastase'}, 'other significant pulmonary abnormality': {'clinical finding': 'other significant pulmonary abnormality', 'existence': 'neg_dx', 'descriptive_term': 'other significant pulmonary', 'observation': 'abnormality'}}clinical findings_fin: {'residual thymic tissue': {'clinical finding': 'residual thymic tissue', 'existence': 'pos_dx', 'descriptive_term': 'residual thymic', 'observation': 'tissue', 'temporal_term': 'residual'}}clinical findings_fin: {'lymphadenopathy': {'clinical finding': 'lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'heart': {}, 'pericardium': {}}clinical findings_fin: {'heart and pericardium appear normal': {'clinical finding': 'heart and pericardium appear normal'}}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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . No sign of metastases or other significant pulmonary abnormality. Residual thymic tissue unchanged. No lymphadenopathy. The heart and pericardium appear normal. None. No significant abnormality noted. Absence of enteric contrast material limits sensitivity for abdominal pathology. No significant abnormality noted. </s>

. Postoperative changes of right lower lung wedge resection with residual soft tissue thickening along the suture line. Mixed solid and ground glass nodule in the left upper lobe measures 22 x 18 mm , unchanged. Interval resolution of reticular opacity in the anterior left upper lobe. Basilar scarring is unchanged. Calcified mediastinal and hilar lymph nodes compatible with prior granulomatous disease. Cardiomegaly without pericardial effusion. Moderate calcification of the coronary arteries and mitral valve annulus. Partial fusion of the T10 and T11 vertebral bodies. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. Calcified hepatic granulomata. Calcified splenic granulomata. Round low-density foci posteriorly within the spleen are stable in appearance. No significant abnormality noted. Atrophic native kidneys with bilateral low attenuation renal foci incompletely characterized by CT. No significant abnormality noted. The infrarenal abdominal aorta is ectatic. There are severe calcifications of the abdominal aorta and its branches. Calcified abdominal lymph nodes. Absence of enteric contrast material limits sensitivity for GI pathology. No gross abnormalities noted. Partial fusion of the T10 and T11 vertebral bodies.

anatomical entity_fin: {'lung': {'location descriptor': 'right lower'}}imaging observation_fin: ['wedge']location descriptor_fin: ['right', 'lower']object_fin: ['suture']clinical findings_fin: {'postoperative changes': {'clinical finding': 'postoperative changes', 'existence': 'pos_dx', 'descriptive_term': 'postoperative', 'observation': 'change'}, 'residual': {'clinical finding': 'residual', 'existence': 'pos_dx', 'observation': 'residual'}, 'thickening': {'clinical finding': 'thickening', 'existence': 'pos_dx', 'observation': 'thickening'}}size_fin: [{'size': '22 x 18 mm', 'size_descriptor': 'nodule'}]anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'mixed solid and ground glass nodule': {'clinical finding': 'mixed solid and ground glass nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'mixed solid and ground glass', 'observation': 'nodule'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}}location descriptor_fin: ['anterior', 'left', 'upper']clinical findings_fin: {'interval resolution': {'clinical finding': 'interval resolution', 'existence': 'pos_dx', 'descriptive_term': 'interval', 'observation': 'resolution'}, 'reticular opacity': {'clinical finding': 'reticular opacity', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'reticular', 'observation': 'opacity'}}clinical findings_fin: {'basilar scarring': {'clinical finding': 'basilar scarring', 'existence': 'pos_dx', 'descriptive_term': 'basilar', 'observation': 'scarr'}}clinical findings_fin: {'calcified mediastinal and hilar lymph nodes': {'clinical finding': 'calcified mediastinal and hilar lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'calcified mediastinal and hilar lymph', 'observation': 'node', 'change_term': 'calcified'}, 'prior granulomatous disease': {'clinical finding': 'prior granulomatous disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'prior granulomatous', 'observation': 'disease'}}clinical findings_fin: {'cardiomegaly': {'clinical finding': 'cardiomegaly', 'cf_snomed': {'cardiomegaly': 8186001}, 'existence': 'pos_dx', 'observation': 'cardiomegaly'}, 'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'pos_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}anatomical entity_fin: {'coronary arteries': {}, 'mitral valve': {}}clinical findings_fin: {'moderate calcification': {'clinical finding': 'moderate calcification', 'existence': 'pos_dx', 'descriptive_term': 'moderate', 'observation': 'calcification', 'strength_term': 'moderate'}}anatomical entity_fin: {'t11 vertebral bodies': {}}clinical findings_fin: {'partial fusion': {'clinical finding': 'partial fusion', 'existence': 'pos_dx', 'descriptive_term': 'partial', 'observation': 'fusion', 'strength_term': 'partial'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'calcified hepatic granulomata': {'clinical finding': 'calcified hepatic granulomata', 'existence': 'pos_dx', 'descriptive_term': 'calcified hepatic', 'observation': 'granulomata', 'change_term': 'calcified'}}clinical findings_fin: {'calcified splenic granulomata': {'clinical finding': 'calcified splenic granulomata', 'existence': 'pos_dx', 'descriptive_term': 'calcified splenic', 'observation': 'granulomata', 'change_term': 'calcified'}}anatomical entity_fin: {'spleen': {}}imaging observation_fin: ['foci']clinical findings_fin: {'round low-density foci': {'clinical finding': 'round low-density foci', 'existence': 'pos_dx', 'descriptive_term': 'round low-density', 'observation': 'foci'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'kidneys': {}}imaging observation_fin: ['foci']location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral low attenuation renal foci': {'clinical finding': 'bilateral low attenuation renal foci', 'existence': 'pos_dx', 'descriptive_term': 'bilateral low attenuation renal', 'observation': 'foci'}, 'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'abdominal aorta': {}}clinical findings_fin: {'ectatic': {'clinical finding': 'ectatic', 'existence': 'pos_dx', 'observation': 'ectatic'}}anatomical entity_fin: {'abdominal aorta': {}}clinical findings_fin: {'severe calcifications': {'clinical finding': 'severe calcifications', 'existence': 'pos_dx', 'descriptive_term': 'severe', 'observation': 'calcification', 'strength_term': 'severe'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'calcified abdominal lymph nodes': {'clinical finding': 'calcified abdominal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'calcified abdominal lymph', 'observation': 'node', 'change_term': 'calcified'}}clinical findings_fin: {'gross abnormalities': {'clinical finding': 'gross abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'gross', 'observation': 'abnormality'}}anatomical entity_fin: {'t11 vertebral bodies': {}}clinical findings_fin: {'partial fusion': {'clinical finding': 'partial fusion', 'existence': 'pos_dx', 'descriptive_term': 'partial', 'observation': 'fusion', 'strength_term': 'partial'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'lung': {'location descriptor': 'right lower'}}imaging observation_fin: ['wedge']location descriptor_fin: ['right', 'lower']object_fin: ['suture']clinical findings_fin: {'postoperative changes': {'clinical finding': 'postoperative changes', 'existence': 'pos_dx', 'descriptive_term': 'postoperative', 'observation': 'change'}, 'residual': {'clinical finding': 'residual', 'existence': 'pos_dx', 'observation': 'residual'}, 'thickening': {'clinical finding': 'thickening', 'existence': 'pos_dx', 'observation': 'thickening'}}size_fin: [{'size': '22 x 18 mm', 'size_descriptor': 'nodule'}]anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'mixed solid and ground glass nodule': {'clinical finding': 'mixed solid and ground glass nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'mixed solid and ground glass', 'observation': 'nodule'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}}location descriptor_fin: ['anterior', 'left', 'upper']clinical findings_fin: {'interval resolution': {'clinical finding': 'interval resolution', 'existence': 'pos_dx', 'descriptive_term': 'interval', 'observation': 'resolution'}, 'reticular opacity': {'clinical finding': 'reticular opacity', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'reticular', 'observation': 'opacity'}}clinical findings_fin: {'basilar scarring': {'clinical finding': 'basilar scarring', 'existence': 'pos_dx', 'descriptive_term': 'basilar', 'observation': 'scarr'}}clinical findings_fin: {'calcified mediastinal and hilar lymph nodes': {'clinical finding': 'calcified mediastinal and hilar lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'calcified mediastinal and hilar lymph', 'observation': 'node', 'change_term': 'calcified'}, 'prior granulomatous disease': {'clinical finding': 'prior granulomatous disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'prior granulomatous', 'observation': 'disease'}}clinical findings_fin: {'cardiomegaly': {'clinical finding': 'cardiomegaly', 'cf_snomed': {'cardiomegaly': 8186001}, 'existence': 'pos_dx', 'observation': 'cardiomegaly'}, 'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'pos_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}anatomical entity_fin: {'coronary arteries': {}, 'mitral valve': {}}clinical findings_fin: {'moderate calcification': {'clinical finding': 'moderate calcification', 'existence': 'pos_dx', 'descriptive_term': 'moderate', 'observation': 'calcification', 'strength_term': 'moderate'}}anatomical entity_fin: {'t11 vertebral bodies': {}}clinical findings_fin: {'partial fusion': {'clinical finding': 'partial fusion', 'existence': 'pos_dx', 'descriptive_term': 'partial', 'observation': 'fusion', 'strength_term': 'partial'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'calcified hepatic granulomata': {'clinical finding': 'calcified hepatic granulomata', 'existence': 'pos_dx', 'descriptive_term': 'calcified hepatic', 'observation': 'granulomata', 'change_term': 'calcified'}}clinical findings_fin: {'calcified splenic granulomata': {'clinical finding': 'calcified splenic granulomata', 'existence': 'pos_dx', 'descriptive_term': 'calcified splenic', 'observation': 'granulomata', 'change_term': 'calcified'}}anatomical entity_fin: {'spleen': {}}imaging observation_fin: ['foci']clinical findings_fin: {'round low-density foci': {'clinical finding': 'round low-density foci', 'existence': 'pos_dx', 'descriptive_term': 'round low-density', 'observation': 'foci'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'kidneys': {}}imaging observation_fin: ['foci']location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral low attenuation renal foci': {'clinical finding': 'bilateral low attenuation renal foci', 'existence': 'pos_dx', 'descriptive_term': 'bilateral low attenuation renal', 'observation': 'foci'}, 'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'abdominal aorta': {}}clinical findings_fin: {'ectatic': {'clinical finding': 'ectatic', 'existence': 'pos_dx', 'observation': 'ectatic'}}anatomical entity_fin: {'abdominal aorta': {}}clinical findings_fin: {'severe calcifications': {'clinical finding': 'severe calcifications', 'existence': 'pos_dx', 'descriptive_term': 'severe', 'observation': 'calcification', 'strength_term': 'severe'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'calcified abdominal lymph nodes': {'clinical finding': 'calcified abdominal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'calcified abdominal lymph', 'observation': 'node', 'change_term': 'calcified'}}clinical findings_fin: {'gross abnormalities': {'clinical finding': 'gross abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'gross', 'observation': 'abnormality'}}anatomical entity_fin: {'t11 vertebral bodies': {}}clinical findings_fin: {'partial fusion': {'clinical finding': 'partial fusion', 'existence': 'pos_dx', 'descriptive_term': 'partial', 'observation': 'fusion', 'strength_term': 'partial'}} [/INST] . Postoperative changes of right lower lung wedge resection with residual soft tissue thickening along the suture line. Mixed solid and ground glass nodule in the left upper lobe measures 22 x 18 mm , unchanged. Interval resolution of reticular opacity in the anterior left upper lobe. Basilar scarring is unchanged. Calcified mediastinal and hilar lymph nodes compatible with prior granulomatous disease. Cardiomegaly without pericardial effusion. Moderate calcification of the coronary arteries and mitral valve annulus. Partial fusion of the T10 and T11 vertebral bodies. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. Calcified hepatic granulomata. Calcified splenic granulomata. Round low-density foci posteriorly within the spleen are stable in appearance. No significant abnormality noted. Atrophic native kidneys with bilateral low attenuation renal foci incompletely characterized by CT. No significant abnormality noted. The infrarenal abdominal aorta is ectatic. There are severe calcifications of the abdominal aorta and its branches. Calcified abdominal lymph nodes. Absence of enteric contrast material limits sensitivity for GI pathology. No gross abnormalities noted. Partial fusion of the T10 and T11 vertebral bodies. </s>

. No significant abnormality noted. Subcentimeter hypodense right hepatic lobe focus likely represents a small cyst. Probable fatty deposition adjacent to the falciform ligament. Hepatic and portal veins are patent. Gallbladder is without diagnostic abnormality. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No hydronephrosis or nephrolithiasis in either kidney. No significant abnormality noted. Small bowel is normal in caliber and course. No bowel obstruction is evident. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Colon is unremarkable. The appendix is not definitely identified. No significant abnormality noted. No significant abnormality noted.

clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'small cyst': {'clinical finding': 'small cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'unc_dx', 'descriptive_term': 'small', 'observation': 'cyst', 'strength_term': 'small'}}imaging observation_fin: ['falciform ligament']location descriptor_fin: ['adjacent']clinical findings_fin: {'probable fatty deposition': {'clinical finding': 'probable fatty deposition', 'cf_snomed': {'fatty deposition': 76409007}, 'existence': 'pos_dx', 'descriptive_term': 'probable fatty', 'observation': 'deposition'}}anatomical entity_fin: {'portal veins': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}anatomical entity_fin: {'gallbladder': {}}clinical findings_fin: {'diagnostic abnormality': {'clinical finding': 'diagnostic abnormality', 'existence': 'pos_dx', 'descriptive_term': 'diagnostic', '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'}}anatomical entity_fin: {'kidney': {}}clinical findings_fin: {'hydronephrosis': {'clinical finding': 'hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'neg_dx', 'observation': 'hydronephrosis'}, 'nephrolithiasis': {'clinical finding': 'nephrolithiasis', 'existence': 'neg_dx', 'observation': 'nephrolithiasis'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'small bowel is normal': {'clinical finding': 'small bowel is 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'}}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'}}imaging observation_fin: ['colon']clinical findings_fin: {'colon is unremarkable': {'clinical finding': 'colon is unremarkable'}}anatomical entity_fin: {'appendix': {}}clinical findings_fin: {'appendix is not definitely identified': {'clinical finding': 'appendix is not definitely identified'}}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'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'small cyst': {'clinical finding': 'small cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'unc_dx', 'descriptive_term': 'small', 'observation': 'cyst', 'strength_term': 'small'}}imaging observation_fin: ['falciform ligament']location descriptor_fin: ['adjacent']clinical findings_fin: {'probable fatty deposition': {'clinical finding': 'probable fatty deposition', 'cf_snomed': {'fatty deposition': 76409007}, 'existence': 'pos_dx', 'descriptive_term': 'probable fatty', 'observation': 'deposition'}}anatomical entity_fin: {'portal veins': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}anatomical entity_fin: {'gallbladder': {}}clinical findings_fin: {'diagnostic abnormality': {'clinical finding': 'diagnostic abnormality', 'existence': 'pos_dx', 'descriptive_term': 'diagnostic', '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'}}anatomical entity_fin: {'kidney': {}}clinical findings_fin: {'hydronephrosis': {'clinical finding': 'hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'neg_dx', 'observation': 'hydronephrosis'}, 'nephrolithiasis': {'clinical finding': 'nephrolithiasis', 'existence': 'neg_dx', 'observation': 'nephrolithiasis'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'small bowel is normal': {'clinical finding': 'small bowel is 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'}}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'}}imaging observation_fin: ['colon']clinical findings_fin: {'colon is unremarkable': {'clinical finding': 'colon is unremarkable'}}anatomical entity_fin: {'appendix': {}}clinical findings_fin: {'appendix is not definitely identified': {'clinical finding': 'appendix is not definitely identified'}}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] . No significant abnormality noted. Subcentimeter hypodense right hepatic lobe focus likely represents a small cyst. Probable fatty deposition adjacent to the falciform ligament. Hepatic and portal veins are patent. Gallbladder is without diagnostic abnormality. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No hydronephrosis or nephrolithiasis in either kidney. No significant abnormality noted. Small bowel is normal in caliber and course. No bowel obstruction is evident. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Colon is unremarkable. The appendix is not definitely identified. No significant abnormality noted. No significant abnormality noted. </s>

. Stable scattered pulmonary micronodules, with two new micronodules or intrapulmonary lymph nodes in the right upper lung which may be followed on subsequent staging exams. No suspicious masses or consolidation. No pleural effusions. Moderate atherosclerosis of the coronary arteries. Heart size within normal limits, without pericardial effusion. Scattered mediastinal lymph nodes, unchanged. Minimal degenerative change affects the visualized spine. No axillary lymphadenopathy. Postoperative findings of cholecystectomy, with persistent pneumobilia. No significant abnormality noted. Nonspecific calcification in the pancreas tail, unchanged. No significant abnormality noted. Right renal hypoattenuating cysts, unchanged. No significant abnormality noted. No small bowel obstruction or free air. Postoperative findings of right hemicolectomy, without recurrent mass. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Small amount of fluid in the right inguinal canal. No significant abnormality noted

anatomical entity_fin: {'lung': {'location descriptor': 'right upper'}}location descriptor_fin: ['right', 'upper']clinical findings_fin: {'stable scattered pulmonary micronodules': {'clinical finding': 'stable scattered pulmonary micronodules', 'existence': 'pos_dx', 'descriptive_term': 'stable scattered pulmonary', 'observation': 'micronodule', 'strength_term': 'stable', 'change_term': 'stable'}, 'two new micronodules': {'clinical finding': 'two new micronodules', 'existence': 'pos_dx', 'descriptive_term': 'two new', 'observation': 'micronodule', 'temporal_term': 'new'}, 'intrapulmonary lymph nodes': {'clinical finding': 'intrapulmonary lymph nodes', 'existence': 'unc_dx', 'descriptive_term': 'intrapulmonary lymph', 'observation': 'node'}}clinical findings_fin: {'suspicious masses': {'clinical finding': 'suspicious masses', 'existence': 'neg_dx', 'descriptive_term': 'suspicious', 'observation': 'mass'}, 'consolidation': {'clinical finding': 'consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'neg_dx', 'observation': 'consolidation'}}clinical findings_fin: {'pleural effusions': {'clinical finding': 'pleural effusions', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}}anatomical entity_fin: {'coronary arteries': {}}clinical findings_fin: {'moderate atherosclerosis': {'clinical finding': 'moderate atherosclerosis', 'cf_snomed': {'atherosclerosis': 38716007}, 'existence': 'pos_dx', 'descriptive_term': 'moderate', 'observation': 'atherosclerosis', 'strength_term': 'moderate'}}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'}}anatomical entity_fin: {'mediastinal lymph nodes': {}}clinical findings_fin: {'scattered mediastinal lymph nodes': {'clinical finding': 'scattered mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'scattered mediastinal lymph', 'observation': 'node'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'minimal degenerative change': {'clinical finding': 'minimal degenerative change', 'existence': 'pos_dx', 'descriptive_term': 'minimal degenerative', 'observation': 'change', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}clinical findings_fin: {'axillary lymphadenopathy': {'clinical finding': 'axillary lymphadenopathy', 'cf_snomed': {'axillary lymphadenopathy': 127189005}, 'existence': 'neg_dx', 'descriptive_term': 'axillary', 'observation': 'lymphadenopathy'}}procedure_fin: ['cholecystectomy']clinical findings_fin: {'persistent pneumobilia': {'clinical finding': 'persistent pneumobilia', 'existence': 'pos_dx', 'descriptive_term': 'persistent', 'observation': 'pneumobilia', 'temporal_term': 'persistent'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'pancreas': {}}clinical findings_fin: {'nonspecific calcification': {'clinical finding': 'nonspecific calcification', 'existence': 'pos_dx', 'descriptive_term': 'nonspecific', 'observation': 'calcification'}, 'pancreas tail': {'clinical finding': 'pancreas tail', 'existence': 'pos_dx', 'descriptive_term': 'pancreas', 'observation': 'tail'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}location descriptor_fin: ['right']clinical findings_fin: {'right renal hypoattenuating cysts': {'clinical finding': 'right renal hypoattenuating cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'right renal hypoattenuating', 'observation': 'cyst'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'small bowel obstruction': {'clinical finding': 'small bowel obstruction', 'cf_snomed': {'small bowel obstruction': 281255004}, 'existence': 'neg_dx', 'descriptive_term': 'small bowel', 'observation': 'obstruction', 'strength_term': 'small'}, 'free air': {'clinical finding': 'free air', 'existence': 'neg_dx', 'descriptive_term': 'free', 'observation': 'air'}}procedure_fin: ['right hemicolectomy']clinical findings_fin: {'recurrent mass': {'clinical finding': 'recurrent mass', 'existence': 'neg_dx', 'descriptive_term': 'recurrent', 'observation': 'mass'}}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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'fluid': {}, 'inguinal canal': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'small amount of fluid in the right inguinal canal': {'clinical finding': 'small amount of fluid in the right inguinal canal', 'cf_snomed': {'right inguinal canal': 281145005}}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'lung': {'location descriptor': 'right upper'}}location descriptor_fin: ['right', 'upper']clinical findings_fin: {'stable scattered pulmonary micronodules': {'clinical finding': 'stable scattered pulmonary micronodules', 'existence': 'pos_dx', 'descriptive_term': 'stable scattered pulmonary', 'observation': 'micronodule', 'strength_term': 'stable', 'change_term': 'stable'}, 'two new micronodules': {'clinical finding': 'two new micronodules', 'existence': 'pos_dx', 'descriptive_term': 'two new', 'observation': 'micronodule', 'temporal_term': 'new'}, 'intrapulmonary lymph nodes': {'clinical finding': 'intrapulmonary lymph nodes', 'existence': 'unc_dx', 'descriptive_term': 'intrapulmonary lymph', 'observation': 'node'}}clinical findings_fin: {'suspicious masses': {'clinical finding': 'suspicious masses', 'existence': 'neg_dx', 'descriptive_term': 'suspicious', 'observation': 'mass'}, 'consolidation': {'clinical finding': 'consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'neg_dx', 'observation': 'consolidation'}}clinical findings_fin: {'pleural effusions': {'clinical finding': 'pleural effusions', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}}anatomical entity_fin: {'coronary arteries': {}}clinical findings_fin: {'moderate atherosclerosis': {'clinical finding': 'moderate atherosclerosis', 'cf_snomed': {'atherosclerosis': 38716007}, 'existence': 'pos_dx', 'descriptive_term': 'moderate', 'observation': 'atherosclerosis', 'strength_term': 'moderate'}}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'}}anatomical entity_fin: {'mediastinal lymph nodes': {}}clinical findings_fin: {'scattered mediastinal lymph nodes': {'clinical finding': 'scattered mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'scattered mediastinal lymph', 'observation': 'node'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'minimal degenerative change': {'clinical finding': 'minimal degenerative change', 'existence': 'pos_dx', 'descriptive_term': 'minimal degenerative', 'observation': 'change', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}clinical findings_fin: {'axillary lymphadenopathy': {'clinical finding': 'axillary lymphadenopathy', 'cf_snomed': {'axillary lymphadenopathy': 127189005}, 'existence': 'neg_dx', 'descriptive_term': 'axillary', 'observation': 'lymphadenopathy'}}procedure_fin: ['cholecystectomy']clinical findings_fin: {'persistent pneumobilia': {'clinical finding': 'persistent pneumobilia', 'existence': 'pos_dx', 'descriptive_term': 'persistent', 'observation': 'pneumobilia', 'temporal_term': 'persistent'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'pancreas': {}}clinical findings_fin: {'nonspecific calcification': {'clinical finding': 'nonspecific calcification', 'existence': 'pos_dx', 'descriptive_term': 'nonspecific', 'observation': 'calcification'}, 'pancreas tail': {'clinical finding': 'pancreas tail', 'existence': 'pos_dx', 'descriptive_term': 'pancreas', 'observation': 'tail'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}location descriptor_fin: ['right']clinical findings_fin: {'right renal hypoattenuating cysts': {'clinical finding': 'right renal hypoattenuating cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'right renal hypoattenuating', 'observation': 'cyst'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'small bowel obstruction': {'clinical finding': 'small bowel obstruction', 'cf_snomed': {'small bowel obstruction': 281255004}, 'existence': 'neg_dx', 'descriptive_term': 'small bowel', 'observation': 'obstruction', 'strength_term': 'small'}, 'free air': {'clinical finding': 'free air', 'existence': 'neg_dx', 'descriptive_term': 'free', 'observation': 'air'}}procedure_fin: ['right hemicolectomy']clinical findings_fin: {'recurrent mass': {'clinical finding': 'recurrent mass', 'existence': 'neg_dx', 'descriptive_term': 'recurrent', 'observation': 'mass'}}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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'fluid': {}, 'inguinal canal': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'small amount of fluid in the right inguinal canal': {'clinical finding': 'small amount of fluid in the right inguinal canal', 'cf_snomed': {'right inguinal canal': 281145005}}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . Stable scattered pulmonary micronodules, with two new micronodules or intrapulmonary lymph nodes in the right upper lung which may be followed on subsequent staging exams. No suspicious masses or consolidation. No pleural effusions. Moderate atherosclerosis of the coronary arteries. Heart size within normal limits, without pericardial effusion. Scattered mediastinal lymph nodes, unchanged. Minimal degenerative change affects the visualized spine. No axillary lymphadenopathy. Postoperative findings of cholecystectomy, with persistent pneumobilia. No significant abnormality noted. Nonspecific calcification in the pancreas tail, unchanged. No significant abnormality noted. Right renal hypoattenuating cysts, unchanged. No significant abnormality noted. No small bowel obstruction or free air. Postoperative findings of right hemicolectomy, without recurrent mass. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Small amount of fluid in the right inguinal canal. No significant abnormality noted </s>

. Technically adequate examination. No evidence of acute pulmonary embolism. Markedly attenuated right main pulmonary artery into a mediastinal soft tissue mass with no contrast opacification identified peripherally within the right lung. Main pulmonary artery is normal in caliber. No evidence of right heart strain. Narrowing of the right mainstem bronchus and anterior and posterior segmental bronchi of the right upper lobe by a mediastinal soft tissue mass. Chronic interstitial disease with diffuse severe right-sided bronchial wall thickening. Extensive fibrotic changes and traction bronchiectasis involving the right middle lobe. Pleural thickening in the right hemithorax with associated very small right-sided pleural effusion. Right upper lobe solid nodule with indistinct margins measures 11 x 11 mm. Additional anterior solid sharply marginated right upper lobe nodule measures 5 mm. Pulmonary nodules are most likely related to underlying inflammatory process. Cardiac size is mildly enlarged without significant pericardial effusion. Aorta is normal in caliber. Soft tissue mass with irregular margins and internal calcifications in the middle mediastinum extending from the thoracic inlet to the subcarinal or right hilar area most consistent with conglomerate lymphadenopathy. The mass measures 46 x 58 mm causing narrowing of the right mainstem bronchus, attenuation of the right main pulmonary artery and pulmonary veins, and obstruction of the SVC with multiple collaterals. Mediastinal fat extends inferior into the mass and there is a question of lipomatous hypertrophy extending into the right atrium. Additional soft tissue density in the superior mediastinum is likely contiguous with the mass measuring 23 x 25 mm encasing the origin of the brachiocephalic and left common carotid arteries. Multiple small and large mediastinal lymph nodes. Enlarged cardiophrenic lymph nodes. Small left-sided Bochdalek hernia. None. Bilateral prominent supraclavicular lymph nodes are noted. Enlarged bilateral subpectoral lymph nodes. Mild to moderate degenerative changes of the thoracic spine. Well-circumscribed sclerotic focus in T11 and T12 vertebral bodies which may represent bone islands. Absence of enteric contrast material markedly limits sensitivity abdominal pathology. No significant abnormality noted.

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'}}anatomical entity_fin: {'main pulmonary artery': {'location descriptor': 'right'}, 'right lung': {}}location descriptor_fin: ['right']clinical findings_fin: {'markedly attenuated': {'clinical finding': 'markedly attenuated', 'existence': 'pos_dx', 'descriptive_term': 'markedly', 'observation': 'attenuated'}, 'mediastinal soft tissue mass': {'clinical finding': 'mediastinal soft tissue mass', 'cf_snomed': {'soft tissue mass': 278002000}, 'existence': 'pos_dx', 'descriptive_term': 'mediastinal soft tissue', 'observation': 'mass'}, 'contrast opacification': {'clinical finding': 'contrast opacification', 'existence': 'neg_dx', 'descriptive_term': 'contrast', 'observation': 'opacification'}}anatomical entity_fin: {'main pulmonary artery': {}}clinical findings_fin: {'main pulmonary artery is normal in caliber': {'clinical finding': 'main pulmonary artery is normal in caliber'}}anatomical entity_fin: {'heart': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'right heart strain': {'clinical finding': 'right heart strain', 'existence': 'neg_dx', 'descriptive_term': 'right heart', 'observation': 'strain'}}anatomical entity_fin: {'bronchus': {}, 'lobe': {'location descriptor': 'right upper'}}location descriptor_fin: ['right', 'anterior', 'posterior', 'upper']clinical findings_fin: {'narrowing': {'clinical finding': 'narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'observation': 'narrowing'}, 'mediastinal soft tissue mass': {'clinical finding': 'mediastinal soft tissue mass', 'cf_snomed': {'soft tissue mass': 278002000}, 'existence': 'pos_dx', 'descriptive_term': 'mediastinal soft tissue', 'observation': 'mass'}}location descriptor_fin: ['right']clinical findings_fin: {'chronic interstitial disease': {'clinical finding': 'chronic interstitial disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'chronic interstitial', 'observation': 'disease', 'temporal_term': 'chronic'}, 'diffuse severe right-sided bronchial wall thickening': {'clinical finding': 'diffuse severe right-sided bronchial wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'diffuse severe right-sided bronchial wall', 'observation': 'thickening', 'strength_term': 'severe'}}anatomical entity_fin: {'middle': {'location descriptor': 'right'}, 'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'extensive fibrotic changes': {'clinical finding': 'extensive fibrotic changes', 'existence': 'pos_dx', 'descriptive_term': 'extensive fibrotic', 'observation': 'change', 'strength_term': 'extensive'}, 'traction bronchiectasis': {'clinical finding': 'traction bronchiectasis', 'cf_snomed': {'traction bronchiectasis': 19325002}, 'existence': 'pos_dx', 'descriptive_term': 'traction', 'observation': 'bronchiectasis'}}anatomical entity_fin: {'right hemithorax': {}}location descriptor_fin: ['right']clinical findings_fin: {'pleural thickening': {'clinical finding': 'pleural thickening', 'existence': 'pos_dx', 'descriptive_term': 'pleural', 'observation': 'thickening'}, 'associated very small right-sided pleural effusion': {'clinical finding': 'associated very small right-sided pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'associated very small right-sided pleural', 'observation': 'effusion', 'strength_term': 'small'}}size_fin: [{'size': '11 x 11 mm', 'size_descriptor': 'nodule'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right upper'}}imaging observation_fin: ['indistinct margins']location descriptor_fin: ['right', 'upper']clinical findings_fin: {'right upper lobe solid nodule': {'clinical finding': 'right upper lobe solid nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'right upper lobe solid', 'observation': 'nodule'}}size_fin: [{'size': '5 mm', 'size_descriptor': 'nodule'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right upper'}}location descriptor_fin: ['anterior', 'right', 'upper']clinical findings_fin: {'additional anterior solid sharply marginated right upper lobe nodule': {'clinical finding': 'additional anterior solid sharply marginated right upper lobe nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'additional anterior solid sharply marginated right upper lobe', 'observation': 'nodule'}}clinical findings_fin: {'pulmonary nodules': {'clinical finding': 'pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'unc_dx', 'descriptive_term': 'pulmonary', 'observation': 'nodule'}}clinical findings_fin: {'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}, 'significant pericardial effusion': {'clinical finding': 'significant pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'significant pericardial', 'observation': 'effusion'}}anatomical entity_fin: {'aorta': {}}clinical findings_fin: {'aorta is normal in caliber': {'clinical finding': 'aorta is normal in caliber'}}anatomical entity_fin: {'middle': {}, 'mediastinum': {}, 'thoracic inlet': {}}imaging observation_fin: ['irregular margins']location descriptor_fin: ['right']clinical findings_fin: {'soft tissue mass': {'clinical finding': 'soft tissue mass', 'cf_snomed': {'soft tissue mass': 278002000}, 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'mass'}, 'internal calcifications': {'clinical finding': 'internal calcifications', 'existence': 'pos_dx', 'descriptive_term': 'internal', 'observation': 'calcification'}, 'conglomerate lymphadenopathy': {'clinical finding': 'conglomerate lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'pos_dx', 'descriptive_term': 'conglomerate', 'observation': 'lymphadenopathy'}}size_fin: [{'size': '46 x 58 mm', 'size_descriptor': 'mass'}]anatomical entity_fin: {'bronchus': {}, 'main pulmonary artery': {'location descriptor': 'right'}, 'pulmonary veins': {}}location descriptor_fin: ['right']clinical findings_fin: {'mass': {'clinical finding': 'mass', 'existence': 'pos_dx', 'observation': 'mass'}, 'narrowing': {'clinical finding': 'narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'observation': 'narrowing'}, 'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'pos_dx', 'observation': 'obstruction'}, 'multiple collaterals': {'clinical finding': 'multiple collaterals', 'existence': 'pos_dx', 'descriptive_term': 'multiple', 'observation': 'collateral', 'quantity_term': 'multiple'}}anatomical entity_fin: {'right atrium': {}}imaging observation_fin: ['fat']location descriptor_fin: ['inferior']clinical findings_fin: {'mediastinal fat': {'clinical finding': 'mediastinal fat', 'existence': 'pos_dx', 'descriptive_term': 'mediastinal', 'observation': 'fat'}, 'mass': {'clinical finding': 'mass', 'existence': 'pos_dx', 'observation': 'mass'}, 'lipomatous hypertrophy': {'clinical finding': 'lipomatous hypertrophy', 'cf_snomed': {'hypertrophy': 56246009}, 'existence': 'unc_dx', 'descriptive_term': 'lipomatous', 'observation': 'hypertrophy'}}size_fin: [{'size': '23 x 25 mm', 'size_descriptor': 'density'}]anatomical entity_fin: {'superior mediastinum': {}, 'origin': {}, 'common carotid arteries': {'location descriptor': 'left'}}imaging observation_fin: ['soft tissue density']location descriptor_fin: ['left']clinical findings_fin: {'additional soft tissue density': {'clinical finding': 'additional soft tissue density', 'existence': 'pos_dx', 'descriptive_term': 'additional soft tissue', 'observation': 'density'}, 'mass': {'clinical finding': 'mass', 'existence': 'pos_dx', 'observation': 'mass'}, 'brachiocephalic': {'clinical finding': 'brachiocephalic', 'existence': 'pos_dx', 'observation': 'brachiocephalic'}}anatomical entity_fin: {'mediastinal lymph nodes': {}}clinical findings_fin: {'multiple small and large mediastinal lymph nodes': {'clinical finding': 'multiple small and large mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'multiple small and large mediastinal lymph', 'observation': 'node', 'strength_term': 'small - large', 'quantity_term': 'multiple'}}clinical findings_fin: {'enlarged cardiophrenic lymph nodes': {'clinical finding': 'enlarged cardiophrenic lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'enlarged cardiophrenic lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'}}location descriptor_fin: ['left']clinical findings_fin: {'small left-sided bochdalek hernia': {'clinical finding': 'small left-sided bochdalek hernia', 'cf_snomed': {'hernia': 414403008}, 'existence': 'pos_dx', 'descriptive_term': 'small left-sided bochdalek', 'observation': 'hernia', 'strength_term': 'small'}}anatomical entity_fin: {'supraclavicular lymph nodes': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral prominent supraclavicular lymph nodes': {'clinical finding': 'bilateral prominent supraclavicular lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'bilateral prominent supraclavicular lymph', 'observation': 'node', 'strength_term': 'prominent'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'enlarged bilateral subpectoral lymph nodes': {'clinical finding': 'enlarged bilateral subpectoral lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'enlarged bilateral subpectoral lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'mild to moderate degenerative changes': {'clinical finding': 'mild to moderate degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'mild to moderate degenerative', 'observation': 'change', 'strength_term': 'mild - moderate'}}anatomical entity_fin: {'t12 vertebral bodies': {}, 'bone': {}}clinical findings_fin: {'well-circumscribed sclerotic focus': {'clinical finding': 'well-circumscribed sclerotic focus', 'existence': 'pos_dx', 'descriptive_term': 'well-circumscribed sclerotic', 'observation': 'focus'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}

Write the finding section for a radiology report based on the following information:

<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'}}anatomical entity_fin: {'main pulmonary artery': {'location descriptor': 'right'}, 'right lung': {}}location descriptor_fin: ['right']clinical findings_fin: {'markedly attenuated': {'clinical finding': 'markedly attenuated', 'existence': 'pos_dx', 'descriptive_term': 'markedly', 'observation': 'attenuated'}, 'mediastinal soft tissue mass': {'clinical finding': 'mediastinal soft tissue mass', 'cf_snomed': {'soft tissue mass': 278002000}, 'existence': 'pos_dx', 'descriptive_term': 'mediastinal soft tissue', 'observation': 'mass'}, 'contrast opacification': {'clinical finding': 'contrast opacification', 'existence': 'neg_dx', 'descriptive_term': 'contrast', 'observation': 'opacification'}}anatomical entity_fin: {'main pulmonary artery': {}}clinical findings_fin: {'main pulmonary artery is normal in caliber': {'clinical finding': 'main pulmonary artery is normal in caliber'}}anatomical entity_fin: {'heart': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'right heart strain': {'clinical finding': 'right heart strain', 'existence': 'neg_dx', 'descriptive_term': 'right heart', 'observation': 'strain'}}anatomical entity_fin: {'bronchus': {}, 'lobe': {'location descriptor': 'right upper'}}location descriptor_fin: ['right', 'anterior', 'posterior', 'upper']clinical findings_fin: {'narrowing': {'clinical finding': 'narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'observation': 'narrowing'}, 'mediastinal soft tissue mass': {'clinical finding': 'mediastinal soft tissue mass', 'cf_snomed': {'soft tissue mass': 278002000}, 'existence': 'pos_dx', 'descriptive_term': 'mediastinal soft tissue', 'observation': 'mass'}}location descriptor_fin: ['right']clinical findings_fin: {'chronic interstitial disease': {'clinical finding': 'chronic interstitial disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'chronic interstitial', 'observation': 'disease', 'temporal_term': 'chronic'}, 'diffuse severe right-sided bronchial wall thickening': {'clinical finding': 'diffuse severe right-sided bronchial wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'diffuse severe right-sided bronchial wall', 'observation': 'thickening', 'strength_term': 'severe'}}anatomical entity_fin: {'middle': {'location descriptor': 'right'}, 'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'extensive fibrotic changes': {'clinical finding': 'extensive fibrotic changes', 'existence': 'pos_dx', 'descriptive_term': 'extensive fibrotic', 'observation': 'change', 'strength_term': 'extensive'}, 'traction bronchiectasis': {'clinical finding': 'traction bronchiectasis', 'cf_snomed': {'traction bronchiectasis': 19325002}, 'existence': 'pos_dx', 'descriptive_term': 'traction', 'observation': 'bronchiectasis'}}anatomical entity_fin: {'right hemithorax': {}}location descriptor_fin: ['right']clinical findings_fin: {'pleural thickening': {'clinical finding': 'pleural thickening', 'existence': 'pos_dx', 'descriptive_term': 'pleural', 'observation': 'thickening'}, 'associated very small right-sided pleural effusion': {'clinical finding': 'associated very small right-sided pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'associated very small right-sided pleural', 'observation': 'effusion', 'strength_term': 'small'}}size_fin: [{'size': '11 x 11 mm', 'size_descriptor': 'nodule'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right upper'}}imaging observation_fin: ['indistinct margins']location descriptor_fin: ['right', 'upper']clinical findings_fin: {'right upper lobe solid nodule': {'clinical finding': 'right upper lobe solid nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'right upper lobe solid', 'observation': 'nodule'}}size_fin: [{'size': '5 mm', 'size_descriptor': 'nodule'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right upper'}}location descriptor_fin: ['anterior', 'right', 'upper']clinical findings_fin: {'additional anterior solid sharply marginated right upper lobe nodule': {'clinical finding': 'additional anterior solid sharply marginated right upper lobe nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'additional anterior solid sharply marginated right upper lobe', 'observation': 'nodule'}}clinical findings_fin: {'pulmonary nodules': {'clinical finding': 'pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'unc_dx', 'descriptive_term': 'pulmonary', 'observation': 'nodule'}}clinical findings_fin: {'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}, 'significant pericardial effusion': {'clinical finding': 'significant pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'significant pericardial', 'observation': 'effusion'}}anatomical entity_fin: {'aorta': {}}clinical findings_fin: {'aorta is normal in caliber': {'clinical finding': 'aorta is normal in caliber'}}anatomical entity_fin: {'middle': {}, 'mediastinum': {}, 'thoracic inlet': {}}imaging observation_fin: ['irregular margins']location descriptor_fin: ['right']clinical findings_fin: {'soft tissue mass': {'clinical finding': 'soft tissue mass', 'cf_snomed': {'soft tissue mass': 278002000}, 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'mass'}, 'internal calcifications': {'clinical finding': 'internal calcifications', 'existence': 'pos_dx', 'descriptive_term': 'internal', 'observation': 'calcification'}, 'conglomerate lymphadenopathy': {'clinical finding': 'conglomerate lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'pos_dx', 'descriptive_term': 'conglomerate', 'observation': 'lymphadenopathy'}}size_fin: [{'size': '46 x 58 mm', 'size_descriptor': 'mass'}]anatomical entity_fin: {'bronchus': {}, 'main pulmonary artery': {'location descriptor': 'right'}, 'pulmonary veins': {}}location descriptor_fin: ['right']clinical findings_fin: {'mass': {'clinical finding': 'mass', 'existence': 'pos_dx', 'observation': 'mass'}, 'narrowing': {'clinical finding': 'narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'observation': 'narrowing'}, 'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'pos_dx', 'observation': 'obstruction'}, 'multiple collaterals': {'clinical finding': 'multiple collaterals', 'existence': 'pos_dx', 'descriptive_term': 'multiple', 'observation': 'collateral', 'quantity_term': 'multiple'}}anatomical entity_fin: {'right atrium': {}}imaging observation_fin: ['fat']location descriptor_fin: ['inferior']clinical findings_fin: {'mediastinal fat': {'clinical finding': 'mediastinal fat', 'existence': 'pos_dx', 'descriptive_term': 'mediastinal', 'observation': 'fat'}, 'mass': {'clinical finding': 'mass', 'existence': 'pos_dx', 'observation': 'mass'}, 'lipomatous hypertrophy': {'clinical finding': 'lipomatous hypertrophy', 'cf_snomed': {'hypertrophy': 56246009}, 'existence': 'unc_dx', 'descriptive_term': 'lipomatous', 'observation': 'hypertrophy'}}size_fin: [{'size': '23 x 25 mm', 'size_descriptor': 'density'}]anatomical entity_fin: {'superior mediastinum': {}, 'origin': {}, 'common carotid arteries': {'location descriptor': 'left'}}imaging observation_fin: ['soft tissue density']location descriptor_fin: ['left']clinical findings_fin: {'additional soft tissue density': {'clinical finding': 'additional soft tissue density', 'existence': 'pos_dx', 'descriptive_term': 'additional soft tissue', 'observation': 'density'}, 'mass': {'clinical finding': 'mass', 'existence': 'pos_dx', 'observation': 'mass'}, 'brachiocephalic': {'clinical finding': 'brachiocephalic', 'existence': 'pos_dx', 'observation': 'brachiocephalic'}}anatomical entity_fin: {'mediastinal lymph nodes': {}}clinical findings_fin: {'multiple small and large mediastinal lymph nodes': {'clinical finding': 'multiple small and large mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'multiple small and large mediastinal lymph', 'observation': 'node', 'strength_term': 'small - large', 'quantity_term': 'multiple'}}clinical findings_fin: {'enlarged cardiophrenic lymph nodes': {'clinical finding': 'enlarged cardiophrenic lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'enlarged cardiophrenic lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'}}location descriptor_fin: ['left']clinical findings_fin: {'small left-sided bochdalek hernia': {'clinical finding': 'small left-sided bochdalek hernia', 'cf_snomed': {'hernia': 414403008}, 'existence': 'pos_dx', 'descriptive_term': 'small left-sided bochdalek', 'observation': 'hernia', 'strength_term': 'small'}}anatomical entity_fin: {'supraclavicular lymph nodes': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral prominent supraclavicular lymph nodes': {'clinical finding': 'bilateral prominent supraclavicular lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'bilateral prominent supraclavicular lymph', 'observation': 'node', 'strength_term': 'prominent'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'enlarged bilateral subpectoral lymph nodes': {'clinical finding': 'enlarged bilateral subpectoral lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'enlarged bilateral subpectoral lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'mild to moderate degenerative changes': {'clinical finding': 'mild to moderate degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'mild to moderate degenerative', 'observation': 'change', 'strength_term': 'mild - moderate'}}anatomical entity_fin: {'t12 vertebral bodies': {}, 'bone': {}}clinical findings_fin: {'well-circumscribed sclerotic focus': {'clinical finding': 'well-circumscribed sclerotic focus', 'existence': 'pos_dx', 'descriptive_term': 'well-circumscribed sclerotic', 'observation': 'focus'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . Technically adequate examination. No evidence of acute pulmonary embolism. Markedly attenuated right main pulmonary artery into a mediastinal soft tissue mass with no contrast opacification identified peripherally within the right lung. Main pulmonary artery is normal in caliber. No evidence of right heart strain. Narrowing of the right mainstem bronchus and anterior and posterior segmental bronchi of the right upper lobe by a mediastinal soft tissue mass. Chronic interstitial disease with diffuse severe right-sided bronchial wall thickening. Extensive fibrotic changes and traction bronchiectasis involving the right middle lobe. Pleural thickening in the right hemithorax with associated very small right-sided pleural effusion. Right upper lobe solid nodule with indistinct margins measures 11 x 11 mm. Additional anterior solid sharply marginated right upper lobe nodule measures 5 mm. Pulmonary nodules are most likely related to underlying inflammatory process. Cardiac size is mildly enlarged without significant pericardial effusion. Aorta is normal in caliber. Soft tissue mass with irregular margins and internal calcifications in the middle mediastinum extending from the thoracic inlet to the subcarinal or right hilar area most consistent with conglomerate lymphadenopathy. The mass measures 46 x 58 mm causing narrowing of the right mainstem bronchus, attenuation of the right main pulmonary artery and pulmonary veins, and obstruction of the SVC with multiple collaterals. Mediastinal fat extends inferior into the mass and there is a question of lipomatous hypertrophy extending into the right atrium. Additional soft tissue density in the superior mediastinum is likely contiguous with the mass measuring 23 x 25 mm encasing the origin of the brachiocephalic and left common carotid arteries. Multiple small and large mediastinal lymph nodes. Enlarged cardiophrenic lymph nodes. Small left-sided Bochdalek hernia. None. Bilateral prominent supraclavicular lymph nodes are noted. Enlarged bilateral subpectoral lymph nodes. Mild to moderate degenerative changes of the thoracic spine. Well-circumscribed sclerotic focus in T11 and T12 vertebral bodies which may represent bone islands. Absence of enteric contrast material markedly limits sensitivity abdominal pathology. No significant abnormality noted. </s>

Todays CT portion grossly demonstrates mucous thickening in the right maxillary sinus most consistent with cysts or polyp. Some linear atelectasis and scarring is visible in the bilateral lung bases. Cholecystectomy clips are visible. Previous hysterectomy clips are evident. Todays PET examination demonstrates that the previously observed right posterior shoulder focus is no longer evident and was most likely secondary to inflammation. No current concerning areas of FDG uptake are present.

anatomical entity_fin: {'maxillary sinus': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'mucous thickening': {'clinical finding': 'mucous thickening', 'existence': 'pos_dx', 'descriptive_term': 'mucous', 'observation': 'thickening'}, 'cysts': {'clinical finding': 'cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'unc_dx', 'observation': 'cyst'}, 'polyp': {'clinical finding': 'polyp', 'cf_snomed': {'polyp': 441456002}, 'existence': 'unc_dx', 'observation': 'polyp'}}anatomical entity_fin: {'lung': {'location descriptor': 'bilateral'}, 'bases': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'some linear atelectasis': {'clinical finding': 'some linear atelectasis', 'cf_snomed': {'linear atelectasis': 11689004}, 'existence': 'pos_dx', 'descriptive_term': 'some linear', 'observation': 'atelectasis', 'quantity_term': 'some'}, 'scarring': {'clinical finding': 'scarring', 'existence': 'pos_dx', 'observation': 'scarr'}}object_fin: ['cholecystectomy clips']clinical findings_fin: {'cholecystectomy clips': {'clinical finding': 'cholecystectomy clips', 'existence': 'pos_dx', 'descriptive_term': 'cholecystectomy', 'observation': 'clip'}}object_fin: ['clips']procedure_fin: ['hysterectomy']clinical findings_fin: {'previous hysterectomy clips are evident': {'clinical finding': 'previous hysterectomy clips are evident'}}anatomical entity_fin: {'shoulder': {'location descriptor': 'right posterior'}}location descriptor_fin: ['right', 'posterior']clinical findings_fin: {'previously observed right posterior shoulder focus': {'clinical finding': 'previously observed right posterior shoulder focus', 'existence': 'neg_dx', 'descriptive_term': 'previously observed right posterior shoulder', 'observation': 'focus'}, 'inflammation': {'clinical finding': 'inflammation', 'existence': 'unc_dx', 'observation': 'inflammation'}}clinical findings_fin: {'fdg uptake': {'clinical finding': 'fdg uptake', 'existence': 'neg_dx', 'descriptive_term': 'fdg', 'observation': 'uptake'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'maxillary sinus': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'mucous thickening': {'clinical finding': 'mucous thickening', 'existence': 'pos_dx', 'descriptive_term': 'mucous', 'observation': 'thickening'}, 'cysts': {'clinical finding': 'cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'unc_dx', 'observation': 'cyst'}, 'polyp': {'clinical finding': 'polyp', 'cf_snomed': {'polyp': 441456002}, 'existence': 'unc_dx', 'observation': 'polyp'}}anatomical entity_fin: {'lung': {'location descriptor': 'bilateral'}, 'bases': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'some linear atelectasis': {'clinical finding': 'some linear atelectasis', 'cf_snomed': {'linear atelectasis': 11689004}, 'existence': 'pos_dx', 'descriptive_term': 'some linear', 'observation': 'atelectasis', 'quantity_term': 'some'}, 'scarring': {'clinical finding': 'scarring', 'existence': 'pos_dx', 'observation': 'scarr'}}object_fin: ['cholecystectomy clips']clinical findings_fin: {'cholecystectomy clips': {'clinical finding': 'cholecystectomy clips', 'existence': 'pos_dx', 'descriptive_term': 'cholecystectomy', 'observation': 'clip'}}object_fin: ['clips']procedure_fin: ['hysterectomy']clinical findings_fin: {'previous hysterectomy clips are evident': {'clinical finding': 'previous hysterectomy clips are evident'}}anatomical entity_fin: {'shoulder': {'location descriptor': 'right posterior'}}location descriptor_fin: ['right', 'posterior']clinical findings_fin: {'previously observed right posterior shoulder focus': {'clinical finding': 'previously observed right posterior shoulder focus', 'existence': 'neg_dx', 'descriptive_term': 'previously observed right posterior shoulder', 'observation': 'focus'}, 'inflammation': {'clinical finding': 'inflammation', 'existence': 'unc_dx', 'observation': 'inflammation'}}clinical findings_fin: {'fdg uptake': {'clinical finding': 'fdg uptake', 'existence': 'neg_dx', 'descriptive_term': 'fdg', 'observation': 'uptake'}} [/INST] Todays CT portion grossly demonstrates mucous thickening in the right maxillary sinus most consistent with cysts or polyp. Some linear atelectasis and scarring is visible in the bilateral lung bases. Cholecystectomy clips are visible. Previous hysterectomy clips are evident. Todays PET examination demonstrates that the previously observed right posterior shoulder focus is no longer evident and was most likely secondary to inflammation. No current concerning areas of FDG uptake are present. </s>

Compared to most recent exam from 7/20/2015, there is stable to perhaps very minimal decreased caliber of the dysmorphic ventricles. A right parietal approach ventriculostomy catheter is again identified, although with evidence of interval revision as there is subcutaneous emphysema within the scalp as well as soft tissue swelling. The catheter tip remains in the midline along the anterior lateral ventricles. Compared to the exam from 7/18/2015, ventricles are slightly increased in prominence. For example, the posterior right lateral ventricle measures 2.0 cm transverse compared to previous 1.7 cm. There is also slight widening of the tips of the anterior body of the lateral ventricles. There is no midline shift or mass effect. There is no evidence of acute intracranial hemorrhage. There is unchanged dysmorphic appearance of the cerebral hemispheres and cerebellum related to congenital abnormalities. Diffusely thickened calvarium is also stable. There is scattered mucosal thickening in the paranasal sinuses, with partial opacification of the frontal sinuses with possible small air-fluid levels in the maxillary sinuses. There is severe opacification of the right middle ear and mastoid air cells, with moderate patchy opacification of left mastoid air cells.

clinical findings_fin: {'recent exam from 7/20/2015 , there is stable to perhaps very minimal decreased caliber': {'clinical finding': 'recent exam from 7/20/2015 , there is stable to perhaps very minimal decreased caliber', 'change_term': 'stable - decreased'}}anatomical entity_fin: {'scalp': {}}location descriptor_fin: ['right']object_fin: ['catheter']procedure_fin: ['ventriculostomy']clinical findings_fin: {'subcutaneous emphysema': {'clinical finding': 'subcutaneous emphysema', 'cf_snomed': {'subcutaneous emphysema': 3830001}, 'existence': 'pos_dx', 'descriptive_term': 'subcutaneous', 'observation': 'emphysema'}, 'soft tissue swelling': {'clinical finding': 'soft tissue swelling', 'cf_snomed': {'soft tissue swelling': 298349001}, 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'swell'}}anatomical entity_fin: {'lateral ventricles': {'location descriptor': 'anterior'}}location descriptor_fin: ['midline', 'anterior']object_fin: ['catheter']clinical findings_fin: {'increased': {'clinical finding': 'increased', 'existence': 'pos_dx', 'observation': 'increase'}}size_fin: [{'size': '2.0 cm'}, {'size': '1.7 cm'}]anatomical entity_fin: {'right lateral ventricle': {'location descriptor': 'posterior'}}location descriptor_fin: ['posterior']anatomical entity_fin: {'body': {'location descriptor': 'anterior'}, 'lateral ventricles': {}}location descriptor_fin: ['anterior']clinical findings_fin: {'slight widening': {'clinical finding': 'slight widening', 'cf_snomed': {'widening': 90522003}, 'existence': 'pos_dx', 'descriptive_term': 'slight', 'observation': 'widening'}}location descriptor_fin: ['midline']clinical findings_fin: {'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}}clinical findings_fin: {'acute intracranial hemorrhage': {'clinical finding': 'acute intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'acute intracranial', 'observation': 'hemorrhage', 'strength_term': 'acute', 'temporal_term': 'acute'}}anatomical entity_fin: {'cerebral hemispheres': {}, 'cerebellum': {}}clinical findings_fin: {'congenital abnormalities': {'clinical finding': 'congenital abnormalities', 'existence': 'pos_dx', 'descriptive_term': 'congenital', 'observation': 'abnormality'}}clinical findings_fin: {'diffusely thickened': {'clinical finding': 'diffusely thickened', 'existence': 'pos_dx', 'descriptive_term': 'diffusely', 'observation': 'thickened'}}anatomical entity_fin: {'paranasal sinuses': {}, 'fluid': {}}clinical findings_fin: {'scattered mucosal thickening': {'clinical finding': 'scattered mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'scattered mucosal', 'observation': 'thickening'}, 'partial opacification': {'clinical finding': 'partial opacification', 'existence': 'pos_dx', 'descriptive_term': 'partial', 'observation': 'opacification', 'strength_term': 'partial'}, 'possible small air-fluid levels': {'clinical finding': 'possible small air-fluid levels', 'existence': 'pos_dx', 'descriptive_term': 'possible small air-fluid', 'observation': 'level', 'strength_term': 'small'}}anatomical entity_fin: {'middle ear': {'location descriptor': 'right'}, 'mastoid air cells': {'location descriptor': 'left'}}location descriptor_fin: ['right', 'left']clinical findings_fin: {'severe opacification': {'clinical finding': 'severe opacification', 'existence': 'pos_dx', 'descriptive_term': 'severe', 'observation': 'opacification', 'strength_term': 'severe'}, 'right middle ear and mastoid air cells': {'clinical finding': 'right middle ear and mastoid air cells', 'existence': 'pos_dx', 'descriptive_term': 'right middle ear and mastoid air', 'observation': 'cell'}, 'moderate patchy opacification': {'clinical finding': 'moderate patchy opacification', 'existence': 'pos_dx', 'descriptive_term': 'moderate patchy', 'observation': 'opacification', 'strength_term': 'moderate'}, 'left mastoid air cells': {'clinical finding': 'left mastoid air cells', 'existence': 'pos_dx', 'descriptive_term': 'left mastoid air', 'observation': 'cell'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'recent exam from 7/20/2015 , there is stable to perhaps very minimal decreased caliber': {'clinical finding': 'recent exam from 7/20/2015 , there is stable to perhaps very minimal decreased caliber', 'change_term': 'stable - decreased'}}anatomical entity_fin: {'scalp': {}}location descriptor_fin: ['right']object_fin: ['catheter']procedure_fin: ['ventriculostomy']clinical findings_fin: {'subcutaneous emphysema': {'clinical finding': 'subcutaneous emphysema', 'cf_snomed': {'subcutaneous emphysema': 3830001}, 'existence': 'pos_dx', 'descriptive_term': 'subcutaneous', 'observation': 'emphysema'}, 'soft tissue swelling': {'clinical finding': 'soft tissue swelling', 'cf_snomed': {'soft tissue swelling': 298349001}, 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'swell'}}anatomical entity_fin: {'lateral ventricles': {'location descriptor': 'anterior'}}location descriptor_fin: ['midline', 'anterior']object_fin: ['catheter']clinical findings_fin: {'increased': {'clinical finding': 'increased', 'existence': 'pos_dx', 'observation': 'increase'}}size_fin: [{'size': '2.0 cm'}, {'size': '1.7 cm'}]anatomical entity_fin: {'right lateral ventricle': {'location descriptor': 'posterior'}}location descriptor_fin: ['posterior']anatomical entity_fin: {'body': {'location descriptor': 'anterior'}, 'lateral ventricles': {}}location descriptor_fin: ['anterior']clinical findings_fin: {'slight widening': {'clinical finding': 'slight widening', 'cf_snomed': {'widening': 90522003}, 'existence': 'pos_dx', 'descriptive_term': 'slight', 'observation': 'widening'}}location descriptor_fin: ['midline']clinical findings_fin: {'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}}clinical findings_fin: {'acute intracranial hemorrhage': {'clinical finding': 'acute intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'acute intracranial', 'observation': 'hemorrhage', 'strength_term': 'acute', 'temporal_term': 'acute'}}anatomical entity_fin: {'cerebral hemispheres': {}, 'cerebellum': {}}clinical findings_fin: {'congenital abnormalities': {'clinical finding': 'congenital abnormalities', 'existence': 'pos_dx', 'descriptive_term': 'congenital', 'observation': 'abnormality'}}clinical findings_fin: {'diffusely thickened': {'clinical finding': 'diffusely thickened', 'existence': 'pos_dx', 'descriptive_term': 'diffusely', 'observation': 'thickened'}}anatomical entity_fin: {'paranasal sinuses': {}, 'fluid': {}}clinical findings_fin: {'scattered mucosal thickening': {'clinical finding': 'scattered mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'scattered mucosal', 'observation': 'thickening'}, 'partial opacification': {'clinical finding': 'partial opacification', 'existence': 'pos_dx', 'descriptive_term': 'partial', 'observation': 'opacification', 'strength_term': 'partial'}, 'possible small air-fluid levels': {'clinical finding': 'possible small air-fluid levels', 'existence': 'pos_dx', 'descriptive_term': 'possible small air-fluid', 'observation': 'level', 'strength_term': 'small'}}anatomical entity_fin: {'middle ear': {'location descriptor': 'right'}, 'mastoid air cells': {'location descriptor': 'left'}}location descriptor_fin: ['right', 'left']clinical findings_fin: {'severe opacification': {'clinical finding': 'severe opacification', 'existence': 'pos_dx', 'descriptive_term': 'severe', 'observation': 'opacification', 'strength_term': 'severe'}, 'right middle ear and mastoid air cells': {'clinical finding': 'right middle ear and mastoid air cells', 'existence': 'pos_dx', 'descriptive_term': 'right middle ear and mastoid air', 'observation': 'cell'}, 'moderate patchy opacification': {'clinical finding': 'moderate patchy opacification', 'existence': 'pos_dx', 'descriptive_term': 'moderate patchy', 'observation': 'opacification', 'strength_term': 'moderate'}, 'left mastoid air cells': {'clinical finding': 'left mastoid air cells', 'existence': 'pos_dx', 'descriptive_term': 'left mastoid air', 'observation': 'cell'}} [/INST] Compared to most recent exam from 7/20/2015, there is stable to perhaps very minimal decreased caliber of the dysmorphic ventricles. A right parietal approach ventriculostomy catheter is again identified, although with evidence of interval revision as there is subcutaneous emphysema within the scalp as well as soft tissue swelling. The catheter tip remains in the midline along the anterior lateral ventricles. Compared to the exam from 7/18/2015, ventricles are slightly increased in prominence. For example, the posterior right lateral ventricle measures 2.0 cm transverse compared to previous 1.7 cm. There is also slight widening of the tips of the anterior body of the lateral ventricles. There is no midline shift or mass effect. There is no evidence of acute intracranial hemorrhage. There is unchanged dysmorphic appearance of the cerebral hemispheres and cerebellum related to congenital abnormalities. Diffusely thickened calvarium is also stable. There is scattered mucosal thickening in the paranasal sinuses, with partial opacification of the frontal sinuses with possible small air-fluid levels in the maxillary sinuses. There is severe opacification of the right middle ear and mastoid air cells, with moderate patchy opacification of left mastoid air cells. </s>

. Slightly improved mosaic attenuation of the lung parenchyma, which persists on expiration sequence. Mild subpleural reticulation and honeycombing, left greater than right, is also slightly improved. No significant change of traction bronchiectasis or bronchiolectasis. Previously described pneumatocele adjacent to wedge biopsy suture line in the lingula has nearly resolved. No suspicious pulmonary nodule or mass. No significant pleural effusion. The main pulmonary artery is mildly enlarged suggestive of pulmonary arterial hypertension. The heart size is mildly enlarged, no significant pericardial effusion. Mild aortic valve calcifications are again seen. Mildly enlarged mediastinal lymph nodes are again seen, not significantly changed, and are likely related to known ILD. Moderate. Scattered multilevel degenerative changes of the thoracolumbar spine. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. Atrophic left kidney, not significantly changed, there is associated attenuation of the renal vasculature.

anatomical entity_fin: {'lung parenchyma': {}}clinical findings_fin: {'slightly improved mosaic attenuation': {'clinical finding': 'slightly improved mosaic attenuation', 'existence': 'pos_dx', 'descriptive_term': 'slightly improved mosaic', 'observation': 'attenuation'}}imaging observation_fin: ['reticulation']location descriptor_fin: ['left', 'right']clinical findings_fin: {'mild subpleural reticulation': {'clinical finding': 'mild subpleural reticulation', 'existence': 'pos_dx', 'descriptive_term': 'mild subpleural', 'observation': 'reticulation', 'strength_term': 'mild'}, 'honeycombing': {'clinical finding': 'honeycombing', 'existence': 'pos_dx', 'observation': 'honeycombing'}}clinical findings_fin: {'significant change': {'clinical finding': 'significant change', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'change'}, 'traction bronchiectasis': {'clinical finding': 'traction bronchiectasis', 'cf_snomed': {'traction bronchiectasis': 19325002}, 'existence': 'neg_dx', 'descriptive_term': 'traction', 'observation': 'bronchiectasis'}, 'bronchiolectasis': {'clinical finding': 'bronchiolectasis', 'cf_snomed': {'bronchiolectasis': 29424000}, 'existence': 'neg_dx', 'observation': 'bronchiolectasis'}}anatomical entity_fin: {'lingula': {}}imaging observation_fin: ['wedge']location descriptor_fin: ['adjacent']object_fin: ['suture']procedure_fin: ['biopsy']clinical findings_fin: {'previously described pneumatocele': {'clinical finding': 'previously described pneumatocele', 'existence': 'pos_dx', 'descriptive_term': 'previously described', 'observation': 'pneumatocele'}}clinical findings_fin: {'suspicious pulmonary nodule': {'clinical finding': 'suspicious pulmonary nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious pulmonary', 'observation': 'nodule'}, 'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}}clinical findings_fin: {'significant pleural effusion': {'clinical finding': 'significant pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'significant pleural', 'observation': 'effusion'}}anatomical entity_fin: {'main pulmonary artery': {}}clinical findings_fin: {'main pulmonary': {'clinical finding': 'main pulmonary', 'existence': 'pos_dx', 'descriptive_term': 'main', 'observation': 'pulmonary'}, 'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}, 'pulmonary arterial hypertension': {'clinical finding': 'pulmonary arterial hypertension', 'cf_snomed': {'pulmonary arterial hypertension': 11399002}, 'existence': 'unc_dx', 'descriptive_term': 'pulmonary arterial', 'observation': 'hypertension'}}anatomical entity_fin: {'heart': {}}clinical findings_fin: {'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}, 'significant pericardial effusion': {'clinical finding': 'significant pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'significant pericardial', 'observation': 'effusion'}}anatomical entity_fin: {'aortic valve': {}}clinical findings_fin: {'mild aortic valve calcifications': {'clinical finding': 'mild aortic valve calcifications', 'cf_snomed': {'aortic valve calcification': 250978003}, 'existence': 'pos_dx', 'descriptive_term': 'mild aortic valve', 'observation': 'calcification', 'strength_term': 'mild'}}anatomical entity_fin: {'mediastinal lymph nodes': {}}clinical findings_fin: {'mildly enlarged mediastinal lymph nodes': {'clinical finding': 'mildly enlarged mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'mildly enlarged mediastinal lymph', 'observation': 'node', 'strength_term': 'mildly - enlarged', 'change_term': 'enlarged'}, 'known ild': {'clinical finding': 'known ild', 'existence': 'unc_dx', 'descriptive_term': 'known', 'observation': 'ild'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'scattered multilevel degenerative changes': {'clinical finding': 'scattered multilevel degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'scattered multilevel degenerative', 'observation': 'change'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}anatomical entity_fin: {'left kidney': {}, 'vasculature': {}}clinical findings_fin: {'atrophic': {'clinical finding': 'atrophic', 'existence': 'pos_dx', 'observation': 'atrophic'}, 'associated attenuation': {'clinical finding': 'associated attenuation', 'existence': 'pos_dx', 'descriptive_term': 'associated', 'observation': 'attenuation'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'lung parenchyma': {}}clinical findings_fin: {'slightly improved mosaic attenuation': {'clinical finding': 'slightly improved mosaic attenuation', 'existence': 'pos_dx', 'descriptive_term': 'slightly improved mosaic', 'observation': 'attenuation'}}imaging observation_fin: ['reticulation']location descriptor_fin: ['left', 'right']clinical findings_fin: {'mild subpleural reticulation': {'clinical finding': 'mild subpleural reticulation', 'existence': 'pos_dx', 'descriptive_term': 'mild subpleural', 'observation': 'reticulation', 'strength_term': 'mild'}, 'honeycombing': {'clinical finding': 'honeycombing', 'existence': 'pos_dx', 'observation': 'honeycombing'}}clinical findings_fin: {'significant change': {'clinical finding': 'significant change', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'change'}, 'traction bronchiectasis': {'clinical finding': 'traction bronchiectasis', 'cf_snomed': {'traction bronchiectasis': 19325002}, 'existence': 'neg_dx', 'descriptive_term': 'traction', 'observation': 'bronchiectasis'}, 'bronchiolectasis': {'clinical finding': 'bronchiolectasis', 'cf_snomed': {'bronchiolectasis': 29424000}, 'existence': 'neg_dx', 'observation': 'bronchiolectasis'}}anatomical entity_fin: {'lingula': {}}imaging observation_fin: ['wedge']location descriptor_fin: ['adjacent']object_fin: ['suture']procedure_fin: ['biopsy']clinical findings_fin: {'previously described pneumatocele': {'clinical finding': 'previously described pneumatocele', 'existence': 'pos_dx', 'descriptive_term': 'previously described', 'observation': 'pneumatocele'}}clinical findings_fin: {'suspicious pulmonary nodule': {'clinical finding': 'suspicious pulmonary nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious pulmonary', 'observation': 'nodule'}, 'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}}clinical findings_fin: {'significant pleural effusion': {'clinical finding': 'significant pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'significant pleural', 'observation': 'effusion'}}anatomical entity_fin: {'main pulmonary artery': {}}clinical findings_fin: {'main pulmonary': {'clinical finding': 'main pulmonary', 'existence': 'pos_dx', 'descriptive_term': 'main', 'observation': 'pulmonary'}, 'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}, 'pulmonary arterial hypertension': {'clinical finding': 'pulmonary arterial hypertension', 'cf_snomed': {'pulmonary arterial hypertension': 11399002}, 'existence': 'unc_dx', 'descriptive_term': 'pulmonary arterial', 'observation': 'hypertension'}}anatomical entity_fin: {'heart': {}}clinical findings_fin: {'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}, 'significant pericardial effusion': {'clinical finding': 'significant pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'significant pericardial', 'observation': 'effusion'}}anatomical entity_fin: {'aortic valve': {}}clinical findings_fin: {'mild aortic valve calcifications': {'clinical finding': 'mild aortic valve calcifications', 'cf_snomed': {'aortic valve calcification': 250978003}, 'existence': 'pos_dx', 'descriptive_term': 'mild aortic valve', 'observation': 'calcification', 'strength_term': 'mild'}}anatomical entity_fin: {'mediastinal lymph nodes': {}}clinical findings_fin: {'mildly enlarged mediastinal lymph nodes': {'clinical finding': 'mildly enlarged mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'mildly enlarged mediastinal lymph', 'observation': 'node', 'strength_term': 'mildly - enlarged', 'change_term': 'enlarged'}, 'known ild': {'clinical finding': 'known ild', 'existence': 'unc_dx', 'descriptive_term': 'known', 'observation': 'ild'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'scattered multilevel degenerative changes': {'clinical finding': 'scattered multilevel degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'scattered multilevel degenerative', 'observation': 'change'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}anatomical entity_fin: {'left kidney': {}, 'vasculature': {}}clinical findings_fin: {'atrophic': {'clinical finding': 'atrophic', 'existence': 'pos_dx', 'observation': 'atrophic'}, 'associated attenuation': {'clinical finding': 'associated attenuation', 'existence': 'pos_dx', 'descriptive_term': 'associated', 'observation': 'attenuation'}} [/INST] . Slightly improved mosaic attenuation of the lung parenchyma, which persists on expiration sequence. Mild subpleural reticulation and honeycombing, left greater than right, is also slightly improved. No significant change of traction bronchiectasis or bronchiolectasis. Previously described pneumatocele adjacent to wedge biopsy suture line in the lingula has nearly resolved. No suspicious pulmonary nodule or mass. No significant pleural effusion. The main pulmonary artery is mildly enlarged suggestive of pulmonary arterial hypertension. The heart size is mildly enlarged, no significant pericardial effusion. Mild aortic valve calcifications are again seen. Mildly enlarged mediastinal lymph nodes are again seen, not significantly changed, and are likely related to known ILD. Moderate. Scattered multilevel degenerative changes of the thoracolumbar spine. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. Atrophic left kidney, not significantly changed, there is associated attenuation of the renal vasculature. </s>

. No evidence of a pulmonary embolus. No suspicious nodules or masses. No focal airspace opacities. No pleural effusions. No hilar or mediastinal lymphadenopathy. Cardiac size is normal without evidence of a pericardial effusion. None. No significant abnormality noted. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. No significant abnormality noted.

clinical findings_fin: {'pulmonary embolus': {'clinical finding': 'pulmonary embolus', 'cf_snomed': {'embolus': 55584005}, 'existence': 'neg_dx', 'descriptive_term': 'pulmonary', 'observation': 'embolus'}}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: {'airspace': {}}clinical findings_fin: {'focal airspace opacities': {'clinical finding': 'focal airspace opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'neg_dx', 'descriptive_term': 'focal airspace', 'observation': 'opacity'}}clinical findings_fin: {'pleural effusions': {'clinical finding': 'pleural effusions', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', '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: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'pulmonary embolus': {'clinical finding': 'pulmonary embolus', 'cf_snomed': {'embolus': 55584005}, 'existence': 'neg_dx', 'descriptive_term': 'pulmonary', 'observation': 'embolus'}}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: {'airspace': {}}clinical findings_fin: {'focal airspace opacities': {'clinical finding': 'focal airspace opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'neg_dx', 'descriptive_term': 'focal airspace', 'observation': 'opacity'}}clinical findings_fin: {'pleural effusions': {'clinical finding': 'pleural effusions', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', '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: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . No evidence of a pulmonary embolus. No suspicious nodules or masses. No focal airspace opacities. No pleural effusions. No hilar or mediastinal lymphadenopathy. Cardiac size is normal without evidence of a pericardial effusion. None. No significant abnormality noted. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. No significant abnormality noted. </s>

. 10 x 7 mm irregular nodule in the periphery of the right lower lobe associated with prominent subpleural vessels and appearing to communicate with adjacent arterial and venous branches. There are a couple of adjacent 2 mm micronodules. Faint groundglass opacities in the left lower lobe most likely postinflammatory such as from aspirated secretions. Mediastinal surgical clips. No evidence of thymoma. Right inferior interlobar lymph node is enlarged and contains chunky calcifications, measuring 20 x 15 mm. Mild cardiomegaly with prominence of the left ventricular apex. No pericardial fluid. None visible. Sternal wires. Absence of enteric contrast material limits sensitivity for abdominal pathology. No significant abnormality noted.

size_fin: [{'size': '10 x 7 mm', 'size_descriptor': 'nodule'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower', 'adjacent']clinical findings_fin: {'10 x 7 mm irregular nodule': {'clinical finding': '10 x 7 mm irregular nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': '10 x 7 mm irregular', 'observation': 'nodule'}}size_fin: [{'size': '2 mm', 'size_descriptor': 'micronodules'}]location descriptor_fin: ['adjacent']clinical findings_fin: {'adjacent 2 mm micronodules': {'clinical finding': 'adjacent 2 mm micronodules', 'existence': 'pos_dx', 'descriptive_term': 'adjacent 2 mm', 'observation': 'micronodule'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'faint groundglass opacities': {'clinical finding': 'faint groundglass opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'faint groundglass', 'observation': 'opacity'}}object_fin: ['surgical clips']clinical findings_fin: {'mediastinal surgical clips': {'clinical finding': 'mediastinal surgical clips', 'existence': 'pos_dx', 'descriptive_term': 'mediastinal surgical', 'observation': 'clip'}}clinical findings_fin: {'thymoma': {'clinical finding': 'thymoma', 'cf_snomed': {'thymoma': 444231005}, 'existence': 'neg_dx', 'observation': 'thymoma'}}size_fin: [{'size': '20 x 15 mm'}]anatomical entity_fin: {'interlobar lymph node': {'location descriptor': 'right inferior'}}location descriptor_fin: ['right', 'inferior']clinical findings_fin: {'inferior interlobar lymph node': {'clinical finding': 'inferior interlobar lymph node', 'existence': 'pos_dx', 'descriptive_term': 'inferior interlobar lymph', 'observation': 'node'}, 'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}, 'chunky calcifications': {'clinical finding': 'chunky calcifications', 'existence': 'pos_dx', 'descriptive_term': 'chunky', 'observation': 'calcification'}}anatomical entity_fin: {'apex': {}}location descriptor_fin: ['left']clinical findings_fin: {'mild cardiomegaly': {'clinical finding': 'mild cardiomegaly', 'cf_snomed': {'cardiomegaly': 8186001}, 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'cardiomegaly', 'strength_term': 'mild'}}anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'sternal wires': {'clinical finding': 'sternal wires', 'existence': 'pos_dx', 'descriptive_term': 'sternal', 'observation': 'wire'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: size_fin: [{'size': '10 x 7 mm', 'size_descriptor': 'nodule'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower', 'adjacent']clinical findings_fin: {'10 x 7 mm irregular nodule': {'clinical finding': '10 x 7 mm irregular nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': '10 x 7 mm irregular', 'observation': 'nodule'}}size_fin: [{'size': '2 mm', 'size_descriptor': 'micronodules'}]location descriptor_fin: ['adjacent']clinical findings_fin: {'adjacent 2 mm micronodules': {'clinical finding': 'adjacent 2 mm micronodules', 'existence': 'pos_dx', 'descriptive_term': 'adjacent 2 mm', 'observation': 'micronodule'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'faint groundglass opacities': {'clinical finding': 'faint groundglass opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'faint groundglass', 'observation': 'opacity'}}object_fin: ['surgical clips']clinical findings_fin: {'mediastinal surgical clips': {'clinical finding': 'mediastinal surgical clips', 'existence': 'pos_dx', 'descriptive_term': 'mediastinal surgical', 'observation': 'clip'}}clinical findings_fin: {'thymoma': {'clinical finding': 'thymoma', 'cf_snomed': {'thymoma': 444231005}, 'existence': 'neg_dx', 'observation': 'thymoma'}}size_fin: [{'size': '20 x 15 mm'}]anatomical entity_fin: {'interlobar lymph node': {'location descriptor': 'right inferior'}}location descriptor_fin: ['right', 'inferior']clinical findings_fin: {'inferior interlobar lymph node': {'clinical finding': 'inferior interlobar lymph node', 'existence': 'pos_dx', 'descriptive_term': 'inferior interlobar lymph', 'observation': 'node'}, 'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}, 'chunky calcifications': {'clinical finding': 'chunky calcifications', 'existence': 'pos_dx', 'descriptive_term': 'chunky', 'observation': 'calcification'}}anatomical entity_fin: {'apex': {}}location descriptor_fin: ['left']clinical findings_fin: {'mild cardiomegaly': {'clinical finding': 'mild cardiomegaly', 'cf_snomed': {'cardiomegaly': 8186001}, 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'cardiomegaly', 'strength_term': 'mild'}}anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'sternal wires': {'clinical finding': 'sternal wires', 'existence': 'pos_dx', 'descriptive_term': 'sternal', 'observation': 'wire'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . 10 x 7 mm irregular nodule in the periphery of the right lower lobe associated with prominent subpleural vessels and appearing to communicate with adjacent arterial and venous branches. There are a couple of adjacent 2 mm micronodules. Faint groundglass opacities in the left lower lobe most likely postinflammatory such as from aspirated secretions. Mediastinal surgical clips. No evidence of thymoma. Right inferior interlobar lymph node is enlarged and contains chunky calcifications, measuring 20 x 15 mm. Mild cardiomegaly with prominence of the left ventricular apex. No pericardial fluid. None visible. Sternal wires. Absence of enteric contrast material limits sensitivity for abdominal pathology. No significant abnormality noted. </s>

There is partial opacification of the olfactory recesses. There is moderate mucosal thickening in the right sphenoid sinus. The other paranasal sinuses are clear. The nasal septum is essentially midline. The lamina papyracea and ethmoid roofs are intact. The carotid grooves and optic canals are covered by bone. The nasopharynx, facial soft tissues, and orbits are grossly unremarkable.

clinical findings_fin: {'partial opacification': {'clinical finding': 'partial opacification', 'existence': 'pos_dx', 'descriptive_term': 'partial', 'observation': 'opacification', 'strength_term': 'partial'}}anatomical entity_fin: {'sphenoid sinus': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'moderate mucosal thickening': {'clinical finding': 'moderate mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'moderate mucosal', 'observation': 'thickening', 'strength_term': 'moderate'}}anatomical entity_fin: {'paranasal sinuses': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}location descriptor_fin: ['midline']clinical findings_fin: {'nasal septum': {'clinical finding': 'nasal septum', 'existence': 'pos_dx', 'descriptive_term': 'nasal', 'observation': 'septum'}, 'midline': {'clinical finding': 'midline', 'existence': 'neg_dx', 'observation': 'midline'}}anatomical entity_fin: {'roofs': {}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}anatomical entity_fin: {'optic canals': {}}clinical findings_fin: {'carotid grooves and optic canals are covered by bone': {'clinical finding': 'carotid grooves and optic canals are covered by bone'}}anatomical entity_fin: {'nasopharynx': {}, 'orbits': {}}clinical findings_fin: {'nasopharynx , facial soft tissues , and orbits are grossly unremarkable': {'clinical finding': 'nasopharynx , facial soft tissues , and orbits are grossly unremarkable'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'partial opacification': {'clinical finding': 'partial opacification', 'existence': 'pos_dx', 'descriptive_term': 'partial', 'observation': 'opacification', 'strength_term': 'partial'}}anatomical entity_fin: {'sphenoid sinus': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'moderate mucosal thickening': {'clinical finding': 'moderate mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'moderate mucosal', 'observation': 'thickening', 'strength_term': 'moderate'}}anatomical entity_fin: {'paranasal sinuses': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}location descriptor_fin: ['midline']clinical findings_fin: {'nasal septum': {'clinical finding': 'nasal septum', 'existence': 'pos_dx', 'descriptive_term': 'nasal', 'observation': 'septum'}, 'midline': {'clinical finding': 'midline', 'existence': 'neg_dx', 'observation': 'midline'}}anatomical entity_fin: {'roofs': {}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}anatomical entity_fin: {'optic canals': {}}clinical findings_fin: {'carotid grooves and optic canals are covered by bone': {'clinical finding': 'carotid grooves and optic canals are covered by bone'}}anatomical entity_fin: {'nasopharynx': {}, 'orbits': {}}clinical findings_fin: {'nasopharynx , facial soft tissues , and orbits are grossly unremarkable': {'clinical finding': 'nasopharynx , facial soft tissues , and orbits are grossly unremarkable'}} [/INST] There is partial opacification of the olfactory recesses. There is moderate mucosal thickening in the right sphenoid sinus. The other paranasal sinuses are clear. The nasal septum is essentially midline. The lamina papyracea and ethmoid roofs are intact. The carotid grooves and optic canals are covered by bone. The nasopharynx, facial soft tissues, and orbits are grossly unremarkable. </s>

The following observations are made given the limitations of an unenhanced study. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Minimal right pelvocaliectasis. There is a punctate stone in the mid right ureter. No significant abnormality noted. None. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted

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'}}location descriptor_fin: ['right']clinical findings_fin: {'minimal right pelvocaliectasis': {'clinical finding': 'minimal right pelvocaliectasis', 'existence': 'pos_dx', 'descriptive_term': 'minimal right', 'observation': 'pelvocaliectasis', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}anatomical entity_fin: {'right ureter': {}}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'}}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'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: 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'}}location descriptor_fin: ['right']clinical findings_fin: {'minimal right pelvocaliectasis': {'clinical finding': 'minimal right pelvocaliectasis', 'existence': 'pos_dx', 'descriptive_term': 'minimal right', 'observation': 'pelvocaliectasis', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}anatomical entity_fin: {'right ureter': {}}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'}}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] The following observations are made given the limitations of an unenhanced study. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Minimal right pelvocaliectasis. There is a punctate stone in the mid right ureter. No significant abnormality noted. None. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted </s>

. No significant abnormality noted. There is diffuse fatty infiltration of the liver. Gallbladder is not distended. No radiopaque calculi are evident. No significant abnormality noted. There is moderate pancreatic and peripancreatic inflammation most compatible with acute pancreatitis. The pancreatic duct is mildly dilated within the head of the pancreas measuring up to 7 mm. No peripancreatic fluid collections. No significant abnormality noted. No significant abnormality noted. Mild calcific arteriosclerotic disease affects the aorta. Scattered colonic diverticula. No bowel obstruction or ileus. No significant abnormality noted. No significant abnormality noted. PROSTATE/. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Scattered colonic diverticula. No bowel obstruction or ileus. No significant abnormality noted. No significant abnormality noted.

clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'diffuse fatty infiltration': {'clinical finding': 'diffuse fatty infiltration', 'cf_snomed': {'fatty infiltration': 45752008}, 'existence': 'pos_dx', 'descriptive_term': 'diffuse fatty', 'observation': 'infiltration'}}anatomical entity_fin: {'gallbladder': {}}clinical findings_fin: {'distended': {'clinical finding': 'distended', 'existence': 'neg_dx', 'observation': 'distended'}}clinical findings_fin: {'radiopaque calculi': {'clinical finding': 'radiopaque calculi', 'existence': 'neg_dx', 'descriptive_term': 'radiopaque', 'observation': 'calculi'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'moderate pancreatic and peripancreatic inflammation': {'clinical finding': 'moderate pancreatic and peripancreatic inflammation', 'existence': 'pos_dx', 'descriptive_term': 'moderate pancreatic and peripancreatic', 'observation': 'inflammation', 'strength_term': 'moderate'}, 'acute pancreatitis': {'clinical finding': 'acute pancreatitis', 'cf_snomed': {'acute pancreatitis': 197456007}, 'existence': 'pos_dx', 'descriptive_term': 'acute', 'observation': 'pancreatitis', 'strength_term': 'acute', 'temporal_term': 'acute'}}size_fin: [{'size': '7 mm'}]anatomical entity_fin: {'pancreatic duct': {}, 'head': {}, 'pancreas': {}}clinical findings_fin: {'dilated': {'clinical finding': 'dilated', 'existence': 'pos_dx', 'observation': 'dilated'}}anatomical entity_fin: {'fluid': {}}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'}}anatomical entity_fin: {'aorta': {}}clinical findings_fin: {'mild calcific arteriosclerotic disease': {'clinical finding': 'mild calcific arteriosclerotic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'mild calcific arteriosclerotic', 'observation': 'disease', 'strength_term': 'mild'}}clinical findings_fin: {'scattered colonic diverticula': {'clinical finding': 'scattered colonic diverticula', 'existence': 'pos_dx', 'descriptive_term': 'scattered colonic', 'observation': 'diverticula'}}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'}}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'}}clinical findings_fin: {'scattered colonic diverticula': {'clinical finding': 'scattered colonic diverticula', 'existence': 'pos_dx', 'descriptive_term': 'scattered colonic', 'observation': 'diverticula'}}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'}}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'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'diffuse fatty infiltration': {'clinical finding': 'diffuse fatty infiltration', 'cf_snomed': {'fatty infiltration': 45752008}, 'existence': 'pos_dx', 'descriptive_term': 'diffuse fatty', 'observation': 'infiltration'}}anatomical entity_fin: {'gallbladder': {}}clinical findings_fin: {'distended': {'clinical finding': 'distended', 'existence': 'neg_dx', 'observation': 'distended'}}clinical findings_fin: {'radiopaque calculi': {'clinical finding': 'radiopaque calculi', 'existence': 'neg_dx', 'descriptive_term': 'radiopaque', 'observation': 'calculi'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'moderate pancreatic and peripancreatic inflammation': {'clinical finding': 'moderate pancreatic and peripancreatic inflammation', 'existence': 'pos_dx', 'descriptive_term': 'moderate pancreatic and peripancreatic', 'observation': 'inflammation', 'strength_term': 'moderate'}, 'acute pancreatitis': {'clinical finding': 'acute pancreatitis', 'cf_snomed': {'acute pancreatitis': 197456007}, 'existence': 'pos_dx', 'descriptive_term': 'acute', 'observation': 'pancreatitis', 'strength_term': 'acute', 'temporal_term': 'acute'}}size_fin: [{'size': '7 mm'}]anatomical entity_fin: {'pancreatic duct': {}, 'head': {}, 'pancreas': {}}clinical findings_fin: {'dilated': {'clinical finding': 'dilated', 'existence': 'pos_dx', 'observation': 'dilated'}}anatomical entity_fin: {'fluid': {}}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'}}anatomical entity_fin: {'aorta': {}}clinical findings_fin: {'mild calcific arteriosclerotic disease': {'clinical finding': 'mild calcific arteriosclerotic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'mild calcific arteriosclerotic', 'observation': 'disease', 'strength_term': 'mild'}}clinical findings_fin: {'scattered colonic diverticula': {'clinical finding': 'scattered colonic diverticula', 'existence': 'pos_dx', 'descriptive_term': 'scattered colonic', 'observation': 'diverticula'}}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'}}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'}}clinical findings_fin: {'scattered colonic diverticula': {'clinical finding': 'scattered colonic diverticula', 'existence': 'pos_dx', 'descriptive_term': 'scattered colonic', 'observation': 'diverticula'}}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'}}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] . No significant abnormality noted. There is diffuse fatty infiltration of the liver. Gallbladder is not distended. No radiopaque calculi are evident. No significant abnormality noted. There is moderate pancreatic and peripancreatic inflammation most compatible with acute pancreatitis. The pancreatic duct is mildly dilated within the head of the pancreas measuring up to 7 mm. No peripancreatic fluid collections. No significant abnormality noted. No significant abnormality noted. Mild calcific arteriosclerotic disease affects the aorta. Scattered colonic diverticula. No bowel obstruction or ileus. No significant abnormality noted. No significant abnormality noted. PROSTATE/. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Scattered colonic diverticula. No bowel obstruction or ileus. No significant abnormality noted. No significant abnormality noted. </s>

No acute fracture or malalignment. There are multiple, well defined lucencies with sclerotic margins at the posteromedial metaphysis of the distal femur associated with cortical thinning, the largest of which measures 6.2 x 1.4 x 1.8 cm. The lucencies occupy approximately 20% of the width of the distal femoral metaphysis. No periosteal reaction. No soft tissue swelling or joint effusion.

clinical findings_fin: {'acute fracture': {'clinical finding': 'acute fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'fracture', 'strength_term': 'acute', 'temporal_term': 'acute'}, 'malalignment': {'clinical finding': 'malalignment', 'existence': 'neg_dx', 'observation': 'malalignment'}}size_fin: [{'size': '6.2 x 1.4 x 1.8 cm', 'size_descriptor': 'lucencies'}]anatomical entity_fin: {'metaphysis': {}, 'femur': {'location descriptor': 'distal'}}imaging observation_fin: ['margins']location descriptor_fin: ['distal']clinical findings_fin: {'cortical thinning': {'clinical finding': 'cortical thinning', 'existence': 'pos_dx', 'descriptive_term': 'cortical', 'observation': 'thinning'}}anatomical entity_fin: {'metaphysis': {}}location descriptor_fin: ['distal']clinical findings_fin: {'periosteal reaction': {'clinical finding': 'periosteal reaction', 'existence': 'neg_dx', 'descriptive_term': 'periosteal', 'observation': 'reaction'}}clinical findings_fin: {'soft tissue swelling': {'clinical finding': 'soft tissue swelling', 'cf_snomed': {'soft tissue swelling': 298349001}, 'existence': 'neg_dx', 'descriptive_term': 'soft tissue', 'observation': 'swell'}, 'joint effusion': {'clinical finding': 'joint effusion', 'cf_snomed': {'effusion': 41699000}, 'existence': 'neg_dx', 'descriptive_term': 'joint', 'observation': 'effusion'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'acute fracture': {'clinical finding': 'acute fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'fracture', 'strength_term': 'acute', 'temporal_term': 'acute'}, 'malalignment': {'clinical finding': 'malalignment', 'existence': 'neg_dx', 'observation': 'malalignment'}}size_fin: [{'size': '6.2 x 1.4 x 1.8 cm', 'size_descriptor': 'lucencies'}]anatomical entity_fin: {'metaphysis': {}, 'femur': {'location descriptor': 'distal'}}imaging observation_fin: ['margins']location descriptor_fin: ['distal']clinical findings_fin: {'cortical thinning': {'clinical finding': 'cortical thinning', 'existence': 'pos_dx', 'descriptive_term': 'cortical', 'observation': 'thinning'}}anatomical entity_fin: {'metaphysis': {}}location descriptor_fin: ['distal']clinical findings_fin: {'periosteal reaction': {'clinical finding': 'periosteal reaction', 'existence': 'neg_dx', 'descriptive_term': 'periosteal', 'observation': 'reaction'}}clinical findings_fin: {'soft tissue swelling': {'clinical finding': 'soft tissue swelling', 'cf_snomed': {'soft tissue swelling': 298349001}, 'existence': 'neg_dx', 'descriptive_term': 'soft tissue', 'observation': 'swell'}, 'joint effusion': {'clinical finding': 'joint effusion', 'cf_snomed': {'effusion': 41699000}, 'existence': 'neg_dx', 'descriptive_term': 'joint', 'observation': 'effusion'}} [/INST] No acute fracture or malalignment. There are multiple, well defined lucencies with sclerotic margins at the posteromedial metaphysis of the distal femur associated with cortical thinning, the largest of which measures 6.2 x 1.4 x 1.8 cm. The lucencies occupy approximately 20% of the width of the distal femoral metaphysis. No periosteal reaction. No soft tissue swelling or joint effusion. </s>

There is minimal periapical lucency involving the right mandibular first molar tooth with minimal overlying soft tissue thickening measuring up to 3 mm. There is mild soft tissue stranding overlying the right mandible. No discrete fluid collection is identified. There are prominent bilateral level Ib lymph nodes. The thyroid and major salivary glands are unremarkable. The major cervical vessels are patent. The osseous structures are unremarkable. The airways are patent. The imaged intracranial structures are unremarkable. There is mucosal thickening of the imaged paranasal sinuses. The mastoid air cells are clear. The imaged portions of the lungs are clear.

size_fin: [{'size': '3 mm', 'size_descriptor': 'lucency'}]anatomical entity_fin: {'molar tooth': {}}location descriptor_fin: ['right']clinical findings_fin: {'minimal overlying soft tissue thickening': {'clinical finding': 'minimal overlying soft tissue thickening', 'existence': 'pos_dx', 'descriptive_term': 'minimal overlying soft tissue', 'observation': 'thickening', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}anatomical entity_fin: {'mandible': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'mild soft tissue stranding': {'clinical finding': 'mild soft tissue stranding', 'existence': 'pos_dx', 'descriptive_term': 'mild soft tissue', 'observation': 'strand', 'strength_term': 'mild'}}clinical findings_fin: {'discrete fluid collection': {'clinical finding': 'discrete fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'discrete fluid', 'observation': 'collection'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'prominent bilateral level ib lymph nodes': {'clinical finding': 'prominent bilateral level ib lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'prominent bilateral level ib lymph', 'observation': 'node', 'strength_term': 'prominent'}}anatomical entity_fin: {'major salivary glands': {}}clinical findings_fin: {'thyroid and major salivary glands are unremarkable': {'clinical finding': 'thyroid and major salivary glands are unremarkable'}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}clinical findings_fin: {'osseous structures are unremarkable': {'clinical finding': 'osseous structures are unremarkable'}}anatomical entity_fin: {'airways': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}clinical findings_fin: {'imaged intracranial structures are unremarkable': {'clinical finding': 'imaged intracranial structures are unremarkable'}}anatomical entity_fin: {'paranasal sinuses': {}}clinical findings_fin: {'mucosal thickening': {'clinical finding': 'mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'mucosal', 'observation': 'thickening'}}anatomical entity_fin: {'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'lungs': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: size_fin: [{'size': '3 mm', 'size_descriptor': 'lucency'}]anatomical entity_fin: {'molar tooth': {}}location descriptor_fin: ['right']clinical findings_fin: {'minimal overlying soft tissue thickening': {'clinical finding': 'minimal overlying soft tissue thickening', 'existence': 'pos_dx', 'descriptive_term': 'minimal overlying soft tissue', 'observation': 'thickening', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}anatomical entity_fin: {'mandible': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'mild soft tissue stranding': {'clinical finding': 'mild soft tissue stranding', 'existence': 'pos_dx', 'descriptive_term': 'mild soft tissue', 'observation': 'strand', 'strength_term': 'mild'}}clinical findings_fin: {'discrete fluid collection': {'clinical finding': 'discrete fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'discrete fluid', 'observation': 'collection'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'prominent bilateral level ib lymph nodes': {'clinical finding': 'prominent bilateral level ib lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'prominent bilateral level ib lymph', 'observation': 'node', 'strength_term': 'prominent'}}anatomical entity_fin: {'major salivary glands': {}}clinical findings_fin: {'thyroid and major salivary glands are unremarkable': {'clinical finding': 'thyroid and major salivary glands are unremarkable'}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}clinical findings_fin: {'osseous structures are unremarkable': {'clinical finding': 'osseous structures are unremarkable'}}anatomical entity_fin: {'airways': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}clinical findings_fin: {'imaged intracranial structures are unremarkable': {'clinical finding': 'imaged intracranial structures are unremarkable'}}anatomical entity_fin: {'paranasal sinuses': {}}clinical findings_fin: {'mucosal thickening': {'clinical finding': 'mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'mucosal', 'observation': 'thickening'}}anatomical entity_fin: {'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'lungs': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}} [/INST] There is minimal periapical lucency involving the right mandibular first molar tooth with minimal overlying soft tissue thickening measuring up to 3 mm. There is mild soft tissue stranding overlying the right mandible. No discrete fluid collection is identified. There are prominent bilateral level Ib lymph nodes. The thyroid and major salivary glands are unremarkable. The major cervical vessels are patent. The osseous structures are unremarkable. The airways are patent. The imaged intracranial structures are unremarkable. There is mucosal thickening of the imaged paranasal sinuses. The mastoid air cells are clear. The imaged portions of the lungs are clear. </s>

There are serpentine hyperdensities along the right cerebral sulci, most conspicuous along the convexity and the anterior right frontal lobe, with additional hyperdensity along the right aspect of the interhemispheric fissure, consistent with subarachnoid hemorrhage. Trace subarachnoid hemorrhage is also seen along the left frontal convexity. There is no mass effect or edema. Ventricular size and the sulci are slightly prominent more than that expected for the patients age. The grey-white differentiation is maintained. The basal cisterns are patent. No midline shift. No osseous abnormalities. The paranasal sinuses and mastoid air cells are clear.

anatomical entity_fin: {'convexity': {}, 'right frontal lobe': {}, 'interhemispheric fissure': {}}location descriptor_fin: ['right', 'anterior']clinical findings_fin: {'serpentine hyperdensities': {'clinical finding': 'serpentine hyperdensities', 'existence': 'pos_dx', 'descriptive_term': 'serpentine', 'observation': 'hyperdensity'}, 'additional hyperdensity': {'clinical finding': 'additional hyperdensity', 'existence': 'pos_dx', 'descriptive_term': 'additional', 'observation': 'hyperdensity'}, 'subarachnoid hemorrhage': {'clinical finding': 'subarachnoid hemorrhage', 'cf_snomed': {'subarachnoid hemorrhage': 21454007}, 'existence': 'pos_dx', 'descriptive_term': 'subarachnoid', 'observation': 'hemorrhage'}}anatomical entity_fin: {'convexity': {}}location descriptor_fin: ['left']clinical findings_fin: {'trace subarachnoid hemorrhage': {'clinical finding': 'trace subarachnoid hemorrhage', 'cf_snomed': {'subarachnoid hemorrhage': 21454007}, 'existence': 'pos_dx', 'descriptive_term': 'trace subarachnoid', 'observation': 'hemorrhage'}}clinical findings_fin: {'mass effect': {'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect'}, 'edema': {'clinical finding': 'edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'neg_dx', 'observation': 'edema'}}clinical findings_fin: {'prominent': {'clinical finding': 'prominent', 'existence': 'pos_dx', 'observation': 'prominent'}}clinical findings_fin: {'grey-white differentiation': {'clinical finding': 'grey-white differentiation', 'existence': 'pos_dx', 'descriptive_term': 'grey-white', 'observation': 'differentiation'}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}location descriptor_fin: ['midline']clinical findings_fin: {'osseous abnormalities': {'clinical finding': 'osseous abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'osseous', 'observation': 'abnormality'}}anatomical entity_fin: {'paranasal sinuses': {}, 'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'convexity': {}, 'right frontal lobe': {}, 'interhemispheric fissure': {}}location descriptor_fin: ['right', 'anterior']clinical findings_fin: {'serpentine hyperdensities': {'clinical finding': 'serpentine hyperdensities', 'existence': 'pos_dx', 'descriptive_term': 'serpentine', 'observation': 'hyperdensity'}, 'additional hyperdensity': {'clinical finding': 'additional hyperdensity', 'existence': 'pos_dx', 'descriptive_term': 'additional', 'observation': 'hyperdensity'}, 'subarachnoid hemorrhage': {'clinical finding': 'subarachnoid hemorrhage', 'cf_snomed': {'subarachnoid hemorrhage': 21454007}, 'existence': 'pos_dx', 'descriptive_term': 'subarachnoid', 'observation': 'hemorrhage'}}anatomical entity_fin: {'convexity': {}}location descriptor_fin: ['left']clinical findings_fin: {'trace subarachnoid hemorrhage': {'clinical finding': 'trace subarachnoid hemorrhage', 'cf_snomed': {'subarachnoid hemorrhage': 21454007}, 'existence': 'pos_dx', 'descriptive_term': 'trace subarachnoid', 'observation': 'hemorrhage'}}clinical findings_fin: {'mass effect': {'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect'}, 'edema': {'clinical finding': 'edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'neg_dx', 'observation': 'edema'}}clinical findings_fin: {'prominent': {'clinical finding': 'prominent', 'existence': 'pos_dx', 'observation': 'prominent'}}clinical findings_fin: {'grey-white differentiation': {'clinical finding': 'grey-white differentiation', 'existence': 'pos_dx', 'descriptive_term': 'grey-white', 'observation': 'differentiation'}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}location descriptor_fin: ['midline']clinical findings_fin: {'osseous abnormalities': {'clinical finding': 'osseous abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'osseous', 'observation': 'abnormality'}}anatomical entity_fin: {'paranasal sinuses': {}, 'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}} [/INST] There are serpentine hyperdensities along the right cerebral sulci, most conspicuous along the convexity and the anterior right frontal lobe, with additional hyperdensity along the right aspect of the interhemispheric fissure, consistent with subarachnoid hemorrhage. Trace subarachnoid hemorrhage is also seen along the left frontal convexity. There is no mass effect or edema. Ventricular size and the sulci are slightly prominent more than that expected for the patients age. The grey-white differentiation is maintained. The basal cisterns are patent. No midline shift. No osseous abnormalities. The paranasal sinuses and mastoid air cells are clear. </s>

There is no acute intracranial hemorrhage or mass. The ventricles and sulci are within normal limits in size and configuration, and the midline is maintained. There is no extraaxial fluid collection. There is patchy periventricular and subcortical low-attenuation, which is nonspecific but consistent with small vessel ischemic disease and of indeterminate chronicity. The osseous structures of the calvaria and skull base appear within normal limits. The visualized portions of the paranasal sinuses and mastoid air cells are clear. Evidence of intraocular lens replacement.

clinical findings_fin: {'acute intracranial hemorrhage': {'clinical finding': 'acute intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'acute intracranial', 'observation': 'hemorrhage', 'strength_term': 'acute', 'temporal_term': 'acute'}, 'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}}location descriptor_fin: ['midline']clinical findings_fin: {'maintained': {'clinical finding': 'maintained', 'existence': 'pos_dx', 'observation': 'maintain'}}clinical findings_fin: {'extraaxial fluid collection': {'clinical finding': 'extraaxial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'extraaxial fluid', 'observation': 'collection'}}clinical findings_fin: {'patchy periventricular and subcortical low-attenuation': {'clinical finding': 'patchy periventricular and subcortical low-attenuation', 'existence': 'pos_dx', 'descriptive_term': 'patchy periventricular and subcortical', 'observation': 'low'}, 'small vessel ischemic disease': {'clinical finding': 'small vessel ischemic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'small vessel ischemic', 'observation': 'disease', 'strength_term': 'small'}}anatomical entity_fin: {'skull': {}, 'base': {}}clinical findings_fin: {'osseous structures of the calvaria and skull base appear within normal limits': {'clinical finding': 'osseous structures of the calvaria and skull base appear within normal limits'}}anatomical entity_fin: {'paranasal sinuses': {}, 'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'lens': {}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'acute intracranial hemorrhage': {'clinical finding': 'acute intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'acute intracranial', 'observation': 'hemorrhage', 'strength_term': 'acute', 'temporal_term': 'acute'}, 'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}}location descriptor_fin: ['midline']clinical findings_fin: {'maintained': {'clinical finding': 'maintained', 'existence': 'pos_dx', 'observation': 'maintain'}}clinical findings_fin: {'extraaxial fluid collection': {'clinical finding': 'extraaxial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'extraaxial fluid', 'observation': 'collection'}}clinical findings_fin: {'patchy periventricular and subcortical low-attenuation': {'clinical finding': 'patchy periventricular and subcortical low-attenuation', 'existence': 'pos_dx', 'descriptive_term': 'patchy periventricular and subcortical', 'observation': 'low'}, 'small vessel ischemic disease': {'clinical finding': 'small vessel ischemic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'small vessel ischemic', 'observation': 'disease', 'strength_term': 'small'}}anatomical entity_fin: {'skull': {}, 'base': {}}clinical findings_fin: {'osseous structures of the calvaria and skull base appear within normal limits': {'clinical finding': 'osseous structures of the calvaria and skull base appear within normal limits'}}anatomical entity_fin: {'paranasal sinuses': {}, 'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'lens': {}} [/INST] There is no acute intracranial hemorrhage or mass. The ventricles and sulci are within normal limits in size and configuration, and the midline is maintained. There is no extraaxial fluid collection. There is patchy periventricular and subcortical low-attenuation, which is nonspecific but consistent with small vessel ischemic disease and of indeterminate chronicity. The osseous structures of the calvaria and skull base appear within normal limits. The visualized portions of the paranasal sinuses and mastoid air cells are clear. Evidence of intraocular lens replacement. </s>

. Minimal bibasilar atelectasis, right greater left. There are no suspicious hepatic lesions. There is no intrahepatic or extra hepatic biliary dilatation. The gallbladder is unremarkable. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. There is a hypoattenuating lesion within the superior pole of the right kidney, favor benign etiology. There is no evidence of nephrolithiasis. There is no hydronephrosis. No significant abnormality noted. Mild. There are inflammatory changes in the right lower quadrant surrounding the cecum. The appendix is dilated to 1.7 cm with associated inflammatory changes. Adjacent foci of free air may represent extraluminal air, compatible with early perforated appendicitis. There is no adjacent drainable fluid collection. No evidence of bowel obstruction. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. There is a large fat-containing left inguinal hernia. No significant abnormality noted. No significant abnormality noted

location descriptor_fin: ['right', 'left']clinical findings_fin: {'minimal bibasilar atelectasis': {'clinical finding': 'minimal bibasilar atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'minimal bibasilar', 'observation': 'atelectasis', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}clinical findings_fin: {'suspicious hepatic lesions': {'clinical finding': 'suspicious hepatic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious hepatic', 'observation': 'lesion'}}anatomical entity_fin: {'gallbladder': {}}clinical findings_fin: {'gallbladder is unremarkable': {'clinical finding': 'gallbladder is unremarkable'}}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'}}anatomical entity_fin: {'pole': {'location descriptor': 'superior'}, 'right kidney': {}}location descriptor_fin: ['superior']clinical findings_fin: {'hypoattenuating lesion': {'clinical finding': 'hypoattenuating lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'hypoattenuating', 'observation': 'lesion'}}clinical findings_fin: {'nephrolithiasis': {'clinical finding': 'nephrolithiasis', 'existence': 'neg_dx', 'observation': 'nephrolithiasis'}}clinical findings_fin: {'hydronephrosis': {'clinical finding': 'hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'neg_dx', 'observation': 'hydronephrosis'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'quadrant': {'location descriptor': 'right lower'}, 'cecum': {}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'inflammatory changes': {'clinical finding': 'inflammatory changes', 'existence': 'pos_dx', 'descriptive_term': 'inflammatory', 'observation': 'change'}}size_fin: [{'size': '1.7 cm', 'size_descriptor': 'appendix'}]anatomical entity_fin: {'appendix': {}}clinical findings_fin: {'dilated': {'clinical finding': 'dilated', 'existence': 'pos_dx', 'observation': 'dilated'}, 'associated inflammatory changes': {'clinical finding': 'associated inflammatory changes', 'existence': 'pos_dx', 'descriptive_term': 'associated inflammatory', 'observation': 'change'}}imaging observation_fin: ['foci']location descriptor_fin: ['adjacent']clinical findings_fin: {'adjacent foci': {'clinical finding': 'adjacent foci', 'existence': 'pos_dx', 'descriptive_term': 'adjacent', 'observation': 'foci'}, 'free air': {'clinical finding': 'free air', 'existence': 'pos_dx', 'descriptive_term': 'free', 'observation': 'air'}, 'extraluminal air': {'clinical finding': 'extraluminal air', 'existence': 'unc_dx', 'descriptive_term': 'extraluminal', 'observation': 'air'}, 'early perforated appendicitis': {'clinical finding': 'early perforated appendicitis', 'cf_snomed': {'appendicitis': 74400008}, 'existence': 'pos_dx', 'descriptive_term': 'early perforated', 'observation': 'appendicitis'}}location descriptor_fin: ['adjacent']clinical findings_fin: {'adjacent drainable fluid collection': {'clinical finding': 'adjacent drainable fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'adjacent drainable fluid', 'observation': 'collection'}}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'}}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'}}imaging observation_fin: ['fat']location descriptor_fin: ['left']clinical findings_fin: {'large fat-containing left inguinal hernia': {'clinical finding': 'large fat-containing left inguinal hernia', 'cf_snomed': {'left inguinal hernia': 236022004}, 'existence': 'pos_dx', 'descriptive_term': 'large fat-containing left inguinal', 'observation': 'hernia', 'strength_term': 'large'}}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'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['right', 'left']clinical findings_fin: {'minimal bibasilar atelectasis': {'clinical finding': 'minimal bibasilar atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'minimal bibasilar', 'observation': 'atelectasis', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}clinical findings_fin: {'suspicious hepatic lesions': {'clinical finding': 'suspicious hepatic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious hepatic', 'observation': 'lesion'}}anatomical entity_fin: {'gallbladder': {}}clinical findings_fin: {'gallbladder is unremarkable': {'clinical finding': 'gallbladder is unremarkable'}}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'}}anatomical entity_fin: {'pole': {'location descriptor': 'superior'}, 'right kidney': {}}location descriptor_fin: ['superior']clinical findings_fin: {'hypoattenuating lesion': {'clinical finding': 'hypoattenuating lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'hypoattenuating', 'observation': 'lesion'}}clinical findings_fin: {'nephrolithiasis': {'clinical finding': 'nephrolithiasis', 'existence': 'neg_dx', 'observation': 'nephrolithiasis'}}clinical findings_fin: {'hydronephrosis': {'clinical finding': 'hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'neg_dx', 'observation': 'hydronephrosis'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'quadrant': {'location descriptor': 'right lower'}, 'cecum': {}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'inflammatory changes': {'clinical finding': 'inflammatory changes', 'existence': 'pos_dx', 'descriptive_term': 'inflammatory', 'observation': 'change'}}size_fin: [{'size': '1.7 cm', 'size_descriptor': 'appendix'}]anatomical entity_fin: {'appendix': {}}clinical findings_fin: {'dilated': {'clinical finding': 'dilated', 'existence': 'pos_dx', 'observation': 'dilated'}, 'associated inflammatory changes': {'clinical finding': 'associated inflammatory changes', 'existence': 'pos_dx', 'descriptive_term': 'associated inflammatory', 'observation': 'change'}}imaging observation_fin: ['foci']location descriptor_fin: ['adjacent']clinical findings_fin: {'adjacent foci': {'clinical finding': 'adjacent foci', 'existence': 'pos_dx', 'descriptive_term': 'adjacent', 'observation': 'foci'}, 'free air': {'clinical finding': 'free air', 'existence': 'pos_dx', 'descriptive_term': 'free', 'observation': 'air'}, 'extraluminal air': {'clinical finding': 'extraluminal air', 'existence': 'unc_dx', 'descriptive_term': 'extraluminal', 'observation': 'air'}, 'early perforated appendicitis': {'clinical finding': 'early perforated appendicitis', 'cf_snomed': {'appendicitis': 74400008}, 'existence': 'pos_dx', 'descriptive_term': 'early perforated', 'observation': 'appendicitis'}}location descriptor_fin: ['adjacent']clinical findings_fin: {'adjacent drainable fluid collection': {'clinical finding': 'adjacent drainable fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'adjacent drainable fluid', 'observation': 'collection'}}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'}}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'}}imaging observation_fin: ['fat']location descriptor_fin: ['left']clinical findings_fin: {'large fat-containing left inguinal hernia': {'clinical finding': 'large fat-containing left inguinal hernia', 'cf_snomed': {'left inguinal hernia': 236022004}, 'existence': 'pos_dx', 'descriptive_term': 'large fat-containing left inguinal', 'observation': 'hernia', 'strength_term': 'large'}}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] . Minimal bibasilar atelectasis, right greater left. There are no suspicious hepatic lesions. There is no intrahepatic or extra hepatic biliary dilatation. The gallbladder is unremarkable. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. There is a hypoattenuating lesion within the superior pole of the right kidney, favor benign etiology. There is no evidence of nephrolithiasis. There is no hydronephrosis. No significant abnormality noted. Mild. There are inflammatory changes in the right lower quadrant surrounding the cecum. The appendix is dilated to 1.7 cm with associated inflammatory changes. Adjacent foci of free air may represent extraluminal air, compatible with early perforated appendicitis. There is no adjacent drainable fluid collection. No evidence of bowel obstruction. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. There is a large fat-containing left inguinal hernia. No significant abnormality noted. No significant abnormality noted </s>

. No significant abnormality noted. There is a 1.5 to 1.3 cm aneurysm arising from the descending aorta above the level of the origins of the coronary arteries. No evidence of dissection. Nonspecific mediastinal adenopathy. Index pretracheal node measures 1.3 x 0.7 cm on image #48, series #9. Main pulmonary artery is enlarged. None. No significant abnormality noted

clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}size_fin: [{'size': '1.3 cm', 'size_descriptor': 'aneurysm'}]anatomical entity_fin: {'descending aorta': {}, 'origins': {}, 'coronary arteries': {}}clinical findings_fin: {'1.5 to 1.3 cm aneurysm': {'clinical finding': '1.5 to 1.3 cm aneurysm', 'cf_snomed': {'aneurysm': 432119003}, 'existence': 'pos_dx', 'descriptive_term': '1 5 to 1 3 cm', 'observation': 'aneurysm'}}clinical findings_fin: {'dissection': {'clinical finding': 'dissection', 'existence': 'neg_dx', 'observation': 'dissection'}}clinical findings_fin: {'nonspecific mediastinal adenopathy': {'clinical finding': 'nonspecific mediastinal adenopathy', 'existence': 'pos_dx', 'descriptive_term': 'nonspecific mediastinal', 'observation': 'adenopathy'}}size_fin: [{'size': '1.3 x 0.7 cm', 'size_descriptor': 'node'}]clinical findings_fin: {'index pretracheal node': {'clinical finding': 'index pretracheal node', 'existence': 'pos_dx', 'descriptive_term': 'index pretracheal', 'observation': 'node'}}anatomical entity_fin: {'main pulmonary artery': {}}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'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}size_fin: [{'size': '1.3 cm', 'size_descriptor': 'aneurysm'}]anatomical entity_fin: {'descending aorta': {}, 'origins': {}, 'coronary arteries': {}}clinical findings_fin: {'1.5 to 1.3 cm aneurysm': {'clinical finding': '1.5 to 1.3 cm aneurysm', 'cf_snomed': {'aneurysm': 432119003}, 'existence': 'pos_dx', 'descriptive_term': '1 5 to 1 3 cm', 'observation': 'aneurysm'}}clinical findings_fin: {'dissection': {'clinical finding': 'dissection', 'existence': 'neg_dx', 'observation': 'dissection'}}clinical findings_fin: {'nonspecific mediastinal adenopathy': {'clinical finding': 'nonspecific mediastinal adenopathy', 'existence': 'pos_dx', 'descriptive_term': 'nonspecific mediastinal', 'observation': 'adenopathy'}}size_fin: [{'size': '1.3 x 0.7 cm', 'size_descriptor': 'node'}]clinical findings_fin: {'index pretracheal node': {'clinical finding': 'index pretracheal node', 'existence': 'pos_dx', 'descriptive_term': 'index pretracheal', 'observation': 'node'}}anatomical entity_fin: {'main pulmonary artery': {}}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'}} [/INST] . No significant abnormality noted. There is a 1.5 to 1.3 cm aneurysm arising from the descending aorta above the level of the origins of the coronary arteries. No evidence of dissection. Nonspecific mediastinal adenopathy. Index pretracheal node measures 1.3 x 0.7 cm on image #48, series #9. Main pulmonary artery is enlarged. None. No significant abnormality noted </s>

. Markedly limited opacification of the pulmonary artery likely related to SVC occlusion with collateral venous formation. Within this limitation there is no evidence of central pulmonary artery embolism. The pulmonary artery measures 2.9 cm in diameter. Mosaic attenuation pattern at the bases with ground glass suggestive of edema. Small bilateral pleural effusions, right greater than left. The SVC is markedly attenuated with a distended azygous vein consistent with SVC syndrome. There is no evidence of right heart strain. Heart size is normal. There is no pericardial effusion. There are extensive chest wall venous collaterals and edema. Much of the injected contrast is retained within the right posterolateral chest wall veins. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. Distended IVC with atrophic kidneys.

anatomical entity_fin: {'pulmonary artery': {}}clinical findings_fin: {'markedly limited opacification': {'clinical finding': 'markedly limited opacification', 'existence': 'pos_dx', 'descriptive_term': 'markedly limited', 'observation': 'opacification'}, 'svc occlusion': {'clinical finding': 'svc occlusion', 'existence': 'unc_dx', 'descriptive_term': 'svc', 'observation': 'occlusion'}, 'collateral venous formation': {'clinical finding': 'collateral venous formation', 'existence': 'pos_dx', 'descriptive_term': 'collateral venous', 'observation': 'formation'}}anatomical entity_fin: {'pulmonary artery': {'location descriptor': 'central'}}location descriptor_fin: ['central']clinical findings_fin: {'central pulmonary artery embolism': {'clinical finding': 'central pulmonary artery embolism', 'cf_snomed': {'embolism': 414086009}, 'existence': 'neg_dx', 'descriptive_term': 'central pulmonary artery', 'observation': 'embolism'}}size_fin: [{'size': '2.9 cm', 'size_descriptor': 'artery'}]anatomical entity_fin: {'pulmonary artery': {}}anatomical entity_fin: {'bases': {}}clinical findings_fin: {'mosaic attenuation': {'clinical finding': 'mosaic attenuation', 'existence': 'pos_dx', 'descriptive_term': 'mosaic', 'observation': 'attenuation'}, 'ground glass': {'clinical finding': 'ground glass', 'existence': 'pos_dx', 'descriptive_term': 'ground', 'observation': 'glass'}, 'edema': {'clinical finding': 'edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'unc_dx', 'observation': 'edema'}}location descriptor_fin: ['bilateral', 'right', 'left']clinical findings_fin: {'small bilateral pleural effusions': {'clinical finding': 'small bilateral pleural effusions', 'cf_snomed': {'bilateral pleural effusion': 425802001}, 'existence': 'pos_dx', 'descriptive_term': 'small bilateral pleural', 'observation': 'effusion', 'strength_term': 'small'}}anatomical entity_fin: {'vein': {}}clinical findings_fin: {'attenuated': {'clinical finding': 'attenuated', 'existence': 'pos_dx', 'observation': 'attenuated'}, 'distended': {'clinical finding': 'distended', 'existence': 'pos_dx', 'observation': 'distended'}}anatomical entity_fin: {'heart': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'right heart strain': {'clinical finding': 'right heart strain', 'existence': 'neg_dx', 'descriptive_term': 'right heart', 'observation': 'strain'}}anatomical entity_fin: {'heart': {}}clinical findings_fin: {'heart size is normal': {'clinical finding': 'heart size is normal'}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}anatomical entity_fin: {'chest wall': {}}clinical findings_fin: {'extensive chest wall venous collaterals': {'clinical finding': 'extensive chest wall venous collaterals', 'existence': 'pos_dx', 'descriptive_term': 'extensive chest wall venous', 'observation': 'collateral', 'strength_term': 'extensive'}, 'edema': {'clinical finding': 'edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'observation': 'edema'}}anatomical entity_fin: {'chest wall': {}, 'veins': {}}location descriptor_fin: ['right']clinical findings_fin: {'injected contrast': {'clinical finding': 'injected contrast', 'existence': 'pos_dx', 'descriptive_term': 'injected', 'observation': 'contrast'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}anatomical entity_fin: {'kidneys': {}}clinical findings_fin: {'atrophic': {'clinical finding': 'atrophic', 'existence': 'pos_dx', 'observation': 'atrophic'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'pulmonary artery': {}}clinical findings_fin: {'markedly limited opacification': {'clinical finding': 'markedly limited opacification', 'existence': 'pos_dx', 'descriptive_term': 'markedly limited', 'observation': 'opacification'}, 'svc occlusion': {'clinical finding': 'svc occlusion', 'existence': 'unc_dx', 'descriptive_term': 'svc', 'observation': 'occlusion'}, 'collateral venous formation': {'clinical finding': 'collateral venous formation', 'existence': 'pos_dx', 'descriptive_term': 'collateral venous', 'observation': 'formation'}}anatomical entity_fin: {'pulmonary artery': {'location descriptor': 'central'}}location descriptor_fin: ['central']clinical findings_fin: {'central pulmonary artery embolism': {'clinical finding': 'central pulmonary artery embolism', 'cf_snomed': {'embolism': 414086009}, 'existence': 'neg_dx', 'descriptive_term': 'central pulmonary artery', 'observation': 'embolism'}}size_fin: [{'size': '2.9 cm', 'size_descriptor': 'artery'}]anatomical entity_fin: {'pulmonary artery': {}}anatomical entity_fin: {'bases': {}}clinical findings_fin: {'mosaic attenuation': {'clinical finding': 'mosaic attenuation', 'existence': 'pos_dx', 'descriptive_term': 'mosaic', 'observation': 'attenuation'}, 'ground glass': {'clinical finding': 'ground glass', 'existence': 'pos_dx', 'descriptive_term': 'ground', 'observation': 'glass'}, 'edema': {'clinical finding': 'edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'unc_dx', 'observation': 'edema'}}location descriptor_fin: ['bilateral', 'right', 'left']clinical findings_fin: {'small bilateral pleural effusions': {'clinical finding': 'small bilateral pleural effusions', 'cf_snomed': {'bilateral pleural effusion': 425802001}, 'existence': 'pos_dx', 'descriptive_term': 'small bilateral pleural', 'observation': 'effusion', 'strength_term': 'small'}}anatomical entity_fin: {'vein': {}}clinical findings_fin: {'attenuated': {'clinical finding': 'attenuated', 'existence': 'pos_dx', 'observation': 'attenuated'}, 'distended': {'clinical finding': 'distended', 'existence': 'pos_dx', 'observation': 'distended'}}anatomical entity_fin: {'heart': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'right heart strain': {'clinical finding': 'right heart strain', 'existence': 'neg_dx', 'descriptive_term': 'right heart', 'observation': 'strain'}}anatomical entity_fin: {'heart': {}}clinical findings_fin: {'heart size is normal': {'clinical finding': 'heart size is normal'}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}anatomical entity_fin: {'chest wall': {}}clinical findings_fin: {'extensive chest wall venous collaterals': {'clinical finding': 'extensive chest wall venous collaterals', 'existence': 'pos_dx', 'descriptive_term': 'extensive chest wall venous', 'observation': 'collateral', 'strength_term': 'extensive'}, 'edema': {'clinical finding': 'edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'observation': 'edema'}}anatomical entity_fin: {'chest wall': {}, 'veins': {}}location descriptor_fin: ['right']clinical findings_fin: {'injected contrast': {'clinical finding': 'injected contrast', 'existence': 'pos_dx', 'descriptive_term': 'injected', 'observation': 'contrast'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}anatomical entity_fin: {'kidneys': {}}clinical findings_fin: {'atrophic': {'clinical finding': 'atrophic', 'existence': 'pos_dx', 'observation': 'atrophic'}} [/INST] . Markedly limited opacification of the pulmonary artery likely related to SVC occlusion with collateral venous formation. Within this limitation there is no evidence of central pulmonary artery embolism. The pulmonary artery measures 2.9 cm in diameter. Mosaic attenuation pattern at the bases with ground glass suggestive of edema. Small bilateral pleural effusions, right greater than left. The SVC is markedly attenuated with a distended azygous vein consistent with SVC syndrome. There is no evidence of right heart strain. Heart size is normal. There is no pericardial effusion. There are extensive chest wall venous collaterals and edema. Much of the injected contrast is retained within the right posterolateral chest wall veins. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. Distended IVC with atrophic kidneys. </s>

. No evidence of pulmonary embolus. The pulmonary arteries are of normal size. No evidence of right ventricular strain. Partially loculated large left pleural effusion with adjacent atelectasis. No other areas of consolidation. Decrease in size of the right hilar node measuring 13 mm x 7 mm compared to 17 mm x 14 mm on previous study. The other nodes in the chest appears smaller as well. Heart is normal sized. There is a small right calcified thyroid nodule. None. Interval increase in sclerosis of vertebral bodies at C7, T6, T7 and new focal area of sclerosis at the level of T4. Interval placement of fixation hardware in T12 vertebral body. No rib fractures. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. Multiple small cystic appearing lesions noted in the liver. The left kidney mass previously noted in the CT abdomen is redemonstrated, but only partially imaged.

clinical findings_fin: {'pulmonary embolus': {'clinical finding': 'pulmonary embolus', 'cf_snomed': {'embolus': 55584005}, 'existence': 'neg_dx', 'descriptive_term': 'pulmonary', 'observation': 'embolus'}}anatomical entity_fin: {'pulmonary arteries': {}}clinical findings_fin: {'pulmonary arteries are of normal size': {'clinical finding': 'pulmonary arteries are of normal size', 'cf_snomed': {'normal size': 53461003}}}location descriptor_fin: ['right']clinical findings_fin: {'right ventricular strain': {'clinical finding': 'right ventricular strain', 'existence': 'neg_dx', 'descriptive_term': 'right ventricular', 'observation': 'strain'}}location descriptor_fin: ['left', 'adjacent']clinical findings_fin: {'large left pleural effusion': {'clinical finding': 'large left pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'large left pleural', 'observation': 'effusion', 'strength_term': 'large'}, 'adjacent atelectasis': {'clinical finding': 'adjacent atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'adjacent', 'observation': 'atelectasis'}}clinical findings_fin: {'consolidation': {'clinical finding': 'consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'neg_dx', 'observation': 'consolidation'}}size_fin: [{'size': '13 mm x 7 mm'}, {'size': '17 mm x 14 mm'}]location descriptor_fin: ['right']clinical findings_fin: {'right hilar node': {'clinical finding': 'right hilar node', 'existence': 'pos_dx', 'descriptive_term': 'right hilar', 'observation': 'node'}}anatomical entity_fin: {'chest': {}}clinical findings_fin: {'other nodes': {'clinical finding': 'other nodes', 'existence': 'pos_dx', 'descriptive_term': 'other', 'observation': 'node'}, 'smaller': {'clinical finding': 'smaller', 'existence': 'pos_dx', 'observation': 'small'}}anatomical entity_fin: {'heart': {}}clinical findings_fin: {'heart is normal sized': {'clinical finding': 'heart is normal sized'}}location descriptor_fin: ['right']clinical findings_fin: {'small right calcified thyroid nodule': {'clinical finding': 'small right calcified thyroid nodule', 'cf_snomed': {'thyroid nodule': 237495005}, 'existence': 'pos_dx', 'descriptive_term': 'small right calcified thyroid', 'observation': 'nodule', 'strength_term': 'small', 'change_term': 'calcified'}}anatomical entity_fin: {'vertebral bodies': {}}clinical findings_fin: {'sclerosis_1': {'clinical finding': 'sclerosis', 'cf_snomed': {'sclerosis': 43846000}, 'existence': 'pos_dx', 'observation': 'sclerosis'}, 'sclerosis_2': {'clinical finding': 'sclerosis', 'cf_snomed': {'sclerosis': 43846000}, 'existence': 'pos_dx', 'observation': 'sclerosis'}}anatomical entity_fin: {'t12 vertebral body': {}}clinical findings_fin: {'fixation hardware': {'clinical finding': 'fixation hardware', 'existence': 'pos_dx', 'descriptive_term': 'fixation', 'observation': 'hardware'}}anatomical entity_fin: {'rib': {}}clinical findings_fin: {'rib fractures': {'clinical finding': 'rib fractures', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'descriptive_term': 'rib', 'observation': 'fracture'}}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: {'multiple small cystic appearing lesions': {'clinical finding': 'multiple small cystic appearing lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'multiple small cystic appearing', 'observation': 'lesion', 'strength_term': 'small', 'quantity_term': 'multiple'}}anatomical entity_fin: {'left kidney': {}, 'abdomen': {}}clinical findings_fin: {'left kidney mass': {'clinical finding': 'left kidney mass', 'existence': 'pos_dx', 'descriptive_term': 'left kidney', 'observation': 'mass'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'pulmonary embolus': {'clinical finding': 'pulmonary embolus', 'cf_snomed': {'embolus': 55584005}, 'existence': 'neg_dx', 'descriptive_term': 'pulmonary', 'observation': 'embolus'}}anatomical entity_fin: {'pulmonary arteries': {}}clinical findings_fin: {'pulmonary arteries are of normal size': {'clinical finding': 'pulmonary arteries are of normal size', 'cf_snomed': {'normal size': 53461003}}}location descriptor_fin: ['right']clinical findings_fin: {'right ventricular strain': {'clinical finding': 'right ventricular strain', 'existence': 'neg_dx', 'descriptive_term': 'right ventricular', 'observation': 'strain'}}location descriptor_fin: ['left', 'adjacent']clinical findings_fin: {'large left pleural effusion': {'clinical finding': 'large left pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'large left pleural', 'observation': 'effusion', 'strength_term': 'large'}, 'adjacent atelectasis': {'clinical finding': 'adjacent atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'adjacent', 'observation': 'atelectasis'}}clinical findings_fin: {'consolidation': {'clinical finding': 'consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'neg_dx', 'observation': 'consolidation'}}size_fin: [{'size': '13 mm x 7 mm'}, {'size': '17 mm x 14 mm'}]location descriptor_fin: ['right']clinical findings_fin: {'right hilar node': {'clinical finding': 'right hilar node', 'existence': 'pos_dx', 'descriptive_term': 'right hilar', 'observation': 'node'}}anatomical entity_fin: {'chest': {}}clinical findings_fin: {'other nodes': {'clinical finding': 'other nodes', 'existence': 'pos_dx', 'descriptive_term': 'other', 'observation': 'node'}, 'smaller': {'clinical finding': 'smaller', 'existence': 'pos_dx', 'observation': 'small'}}anatomical entity_fin: {'heart': {}}clinical findings_fin: {'heart is normal sized': {'clinical finding': 'heart is normal sized'}}location descriptor_fin: ['right']clinical findings_fin: {'small right calcified thyroid nodule': {'clinical finding': 'small right calcified thyroid nodule', 'cf_snomed': {'thyroid nodule': 237495005}, 'existence': 'pos_dx', 'descriptive_term': 'small right calcified thyroid', 'observation': 'nodule', 'strength_term': 'small', 'change_term': 'calcified'}}anatomical entity_fin: {'vertebral bodies': {}}clinical findings_fin: {'sclerosis_1': {'clinical finding': 'sclerosis', 'cf_snomed': {'sclerosis': 43846000}, 'existence': 'pos_dx', 'observation': 'sclerosis'}, 'sclerosis_2': {'clinical finding': 'sclerosis', 'cf_snomed': {'sclerosis': 43846000}, 'existence': 'pos_dx', 'observation': 'sclerosis'}}anatomical entity_fin: {'t12 vertebral body': {}}clinical findings_fin: {'fixation hardware': {'clinical finding': 'fixation hardware', 'existence': 'pos_dx', 'descriptive_term': 'fixation', 'observation': 'hardware'}}anatomical entity_fin: {'rib': {}}clinical findings_fin: {'rib fractures': {'clinical finding': 'rib fractures', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'descriptive_term': 'rib', 'observation': 'fracture'}}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: {'multiple small cystic appearing lesions': {'clinical finding': 'multiple small cystic appearing lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'multiple small cystic appearing', 'observation': 'lesion', 'strength_term': 'small', 'quantity_term': 'multiple'}}anatomical entity_fin: {'left kidney': {}, 'abdomen': {}}clinical findings_fin: {'left kidney mass': {'clinical finding': 'left kidney mass', 'existence': 'pos_dx', 'descriptive_term': 'left kidney', 'observation': 'mass'}} [/INST] . No evidence of pulmonary embolus. The pulmonary arteries are of normal size. No evidence of right ventricular strain. Partially loculated large left pleural effusion with adjacent atelectasis. No other areas of consolidation. Decrease in size of the right hilar node measuring 13 mm x 7 mm compared to 17 mm x 14 mm on previous study. The other nodes in the chest appears smaller as well. Heart is normal sized. There is a small right calcified thyroid nodule. None. Interval increase in sclerosis of vertebral bodies at C7, T6, T7 and new focal area of sclerosis at the level of T4. Interval placement of fixation hardware in T12 vertebral body. No rib fractures. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. Multiple small cystic appearing lesions noted in the liver. The left kidney mass previously noted in the CT abdomen is redemonstrated, but only partially imaged. </s>

The CSF spaces are appropriate for the patients stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma. The visualized portions of the paranasal sinuses demonstrate partial opacification of the left ethmoid air cells, and sphenoid sinus and left maxillary sinus. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact. There is an extra-axial hyperdense mass measuring 10 x 14 mm in axial dimensions adjacent to the left middle frontal gyrus. It is associated with a few calcifications along its periphery

location descriptor_fin: ['midline']clinical findings_fin: {'midline shift': {'clinical finding': 'midline shift', 'cf_snomed': {'shift': 9546005}, 'existence': 'neg_dx', 'descriptive_term': 'midline', 'observation': 'shift'}}clinical findings_fin: {'abnormal mass lesions': {'clinical finding': 'abnormal mass lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'abnormal mass', 'observation': 'lesion'}}clinical findings_fin: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}}anatomical entity_fin: {'brain': {}, 'parenchyma': {}}clinical findings_fin: {'edema': {'clinical finding': 'edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'neg_dx', 'observation': 'edema'}}anatomical entity_fin: {'paranasal sinuses': {}, 'cells': {}, 'sphenoid sinus': {}, 'maxillary sinus': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'partial opacification': {'clinical finding': 'partial opacification', 'existence': 'pos_dx', 'descriptive_term': 'partial', 'observation': 'opacification', 'strength_term': 'partial'}}anatomical entity_fin: {'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'orbits': {}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}size_fin: [{'size': '10 x 14 mm', 'size_descriptor': 'mass'}]anatomical entity_fin: {'left middle frontal gyrus': {}}location descriptor_fin: ['adjacent']clinical findings_fin: {'extra-axial hyperdense mass': {'clinical finding': 'extra-axial hyperdense mass', 'existence': 'pos_dx', 'descriptive_term': 'extra-axial hyperdense', 'observation': 'mass'}}clinical findings_fin: {'few calcifications': {'clinical finding': 'few calcifications', 'existence': 'pos_dx', 'descriptive_term': 'few', 'observation': 'calcification', 'quantity_term': 'few'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['midline']clinical findings_fin: {'midline shift': {'clinical finding': 'midline shift', 'cf_snomed': {'shift': 9546005}, 'existence': 'neg_dx', 'descriptive_term': 'midline', 'observation': 'shift'}}clinical findings_fin: {'abnormal mass lesions': {'clinical finding': 'abnormal mass lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'abnormal mass', 'observation': 'lesion'}}clinical findings_fin: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}}anatomical entity_fin: {'brain': {}, 'parenchyma': {}}clinical findings_fin: {'edema': {'clinical finding': 'edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'neg_dx', 'observation': 'edema'}}anatomical entity_fin: {'paranasal sinuses': {}, 'cells': {}, 'sphenoid sinus': {}, 'maxillary sinus': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'partial opacification': {'clinical finding': 'partial opacification', 'existence': 'pos_dx', 'descriptive_term': 'partial', 'observation': 'opacification', 'strength_term': 'partial'}}anatomical entity_fin: {'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'orbits': {}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}size_fin: [{'size': '10 x 14 mm', 'size_descriptor': 'mass'}]anatomical entity_fin: {'left middle frontal gyrus': {}}location descriptor_fin: ['adjacent']clinical findings_fin: {'extra-axial hyperdense mass': {'clinical finding': 'extra-axial hyperdense mass', 'existence': 'pos_dx', 'descriptive_term': 'extra-axial hyperdense', 'observation': 'mass'}}clinical findings_fin: {'few calcifications': {'clinical finding': 'few calcifications', 'existence': 'pos_dx', 'descriptive_term': 'few', 'observation': 'calcification', 'quantity_term': 'few'}} [/INST] The CSF spaces are appropriate for the patients stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma. The visualized portions of the paranasal sinuses demonstrate partial opacification of the left ethmoid air cells, and sphenoid sinus and left maxillary sinus. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact. There is an extra-axial hyperdense mass measuring 10 x 14 mm in axial dimensions adjacent to the left middle frontal gyrus. It is associated with a few calcifications along its periphery </s>

Comminuted fracture of the calcaneus. Superior displacement of the main posterior fragment and impaction of the main anterior fragment. The fracture extends to the anterior articular surface with the talus, articular surface with the cuboid, and posterior articular surface with the talus. No other fracture is identified. Adjacent soft tissue swelling again noted.

anatomical entity_fin: {'calcaneus': {}}clinical findings_fin: {'comminuted fracture': {'clinical finding': 'comminuted fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'comminuted', 'observation': 'fracture'}}location descriptor_fin: ['superior', 'posterior', 'anterior']clinical findings_fin: {'superior displacement': {'clinical finding': 'superior displacement', 'cf_snomed': {'superior displacement': 62470007}, 'existence': 'pos_dx', 'descriptive_term': 'superior', 'observation': 'displacement', 'strength_term': 'superior'}, 'impaction': {'clinical finding': 'impaction', 'cf_snomed': {'impaction': 61494005}, 'existence': 'pos_dx', 'observation': 'impaction'}}anatomical entity_fin: {'articular surface': {'location descriptor': 'posterior'}, 'talus': {}, 'cuboid': {}}location descriptor_fin: ['anterior', 'posterior']clinical findings_fin: {'fracture': {'clinical finding': 'fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'observation': 'fracture'}}clinical findings_fin: {'other fracture': {'clinical finding': 'other fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'descriptive_term': 'other', 'observation': 'fracture'}}location descriptor_fin: ['adjacent']clinical findings_fin: {'adjacent soft tissue swelling': {'clinical finding': 'adjacent soft tissue swelling', 'cf_snomed': {'soft tissue swelling': 298349001}, 'existence': 'pos_dx', 'descriptive_term': 'adjacent soft tissue', 'observation': 'swell'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'calcaneus': {}}clinical findings_fin: {'comminuted fracture': {'clinical finding': 'comminuted fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'comminuted', 'observation': 'fracture'}}location descriptor_fin: ['superior', 'posterior', 'anterior']clinical findings_fin: {'superior displacement': {'clinical finding': 'superior displacement', 'cf_snomed': {'superior displacement': 62470007}, 'existence': 'pos_dx', 'descriptive_term': 'superior', 'observation': 'displacement', 'strength_term': 'superior'}, 'impaction': {'clinical finding': 'impaction', 'cf_snomed': {'impaction': 61494005}, 'existence': 'pos_dx', 'observation': 'impaction'}}anatomical entity_fin: {'articular surface': {'location descriptor': 'posterior'}, 'talus': {}, 'cuboid': {}}location descriptor_fin: ['anterior', 'posterior']clinical findings_fin: {'fracture': {'clinical finding': 'fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'observation': 'fracture'}}clinical findings_fin: {'other fracture': {'clinical finding': 'other fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'descriptive_term': 'other', 'observation': 'fracture'}}location descriptor_fin: ['adjacent']clinical findings_fin: {'adjacent soft tissue swelling': {'clinical finding': 'adjacent soft tissue swelling', 'cf_snomed': {'soft tissue swelling': 298349001}, 'existence': 'pos_dx', 'descriptive_term': 'adjacent soft tissue', 'observation': 'swell'}} [/INST] Comminuted fracture of the calcaneus. Superior displacement of the main posterior fragment and impaction of the main anterior fragment. The fracture extends to the anterior articular surface with the talus, articular surface with the cuboid, and posterior articular surface with the talus. No other fracture is identified. Adjacent soft tissue swelling again noted. </s>

. Innumerable pulmonary nodules, enlarging and new. Reference lingular lung nodule larger, measuring 2.7 x 2.3 cm on image 47 series 5, previously measured 2.2 x 1.6 cm. New trace left pleural effusion. New and enlarging mediastinal and hilar adenopathy, associated left pulmonary vein narrowing, also visualized worsening cardiophrenic and pericardial adenopathy. Reference left paratracheal nodal lesion increased in size, measuring 5.5 x 4.5 cm on image 34 series 3, previously measured 4.2 x 3 cm, associated narrowing of left pulmonary artery visualized. Severe calcified coronary artery disease. Mild gynecomastia. Worsening hepatic metastatic disease, liver now measures 29 cm in craniocaudal dimension, previously measured 19 cm. Lesion measures 6.2 x 5.2 cm on image 92 series 3, previously measured 4.5 x 3.9 cm. Additional reference segment 7 lesion also difficult to see but measures approximately 4.2 x 2.8 cm on image 65 series 4, previously measured 3 x 2.8 cm. Hepatic veins and intrahepatic IVC not well assessed secondary to timing of IV contrast bolus but luminal narrowing visualized secondary to aforementioned masses. Visualized main left and right portal veins patent. Splenomegaly, measures 14.5 cm. Splenic vein near hilum not well visualized, likely reflecting partial thrombosis. Perigastric and perisplenic collateral vessels seen. Stable to mildly increased size of reference lesion adjacent to pancreatic tail but not as well seen, measures approximately 2.4 x 1.2 cm on image 94 series 3, previously measured 2.1 x 1.2 cm. Interval enlargement of right adrenal metastatic lesion, measuring at 5.2 x 3.5 cm on image 82 series 3, previously measured 3.7 x 2.7 cm. Mild left adrenal thickening. Unchanged exophytic left renal hypoattenuating focus, coronal image 33. Enlarging periportal and portacaval lymphadenopathy. Reference portacaval lymph node now measures 3.8 x 3.5 cm on image 112 series 3, previously measured 2.9 x 2.1 cm. Moderate to severe calcified aortobiiliac atherosclerotic disease. Enlarging peritoneal and mesenteric soft tissue nodularity, compatible with metastatic disease. Submitted for reference is upper mid abdominal soft tissue focus measuring 2 x 1.5 cm on image 120 series 3, previously measured up to 0.6 cm. New moderate ascites. No significant abnormality noted. No significant abnormality noted. Osseous metastatic disease with diffuse heterogeneity of bony structures seen. For example, moth-eaten appearance of right glenoid fossa of the scapula on image 10 series Please note that evaluation more sensitive with nuclear medicine bone scan or MRI, please refer to recent MRI spinal imaging for additional findings or better assessment of osseous metastatic disease. Similar to prior study is small subcentimeter subcutaneous soft tissue nodularity, for instance, in the left chest wall on image 43 and image 48, unchanged from prior exam.

clinical findings_fin: {'innumerable pulmonary nodules': {'clinical finding': 'innumerable pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'innumerable pulmonary', 'observation': 'nodule'}}size_fin: [{'size': '2.7 x 2.3 cm'}, {'size': '2.2 x 1.6 cm'}]anatomical entity_fin: {'lung': {}}clinical findings_fin: {'reference lingular lung nodule': {'clinical finding': 'reference lingular lung nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'reference lingular lung', 'observation': 'nodule'}}location descriptor_fin: ['left']clinical findings_fin: {'pleural effusion': {'clinical finding': 'pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}}anatomical entity_fin: {'pulmonary vein': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'new and enlarging mediastinal and hilar adenopathy': {'clinical finding': 'new and enlarging mediastinal and hilar adenopathy', 'existence': 'pos_dx', 'descriptive_term': 'new and enlarging mediastinal and hilar', 'observation': 'adenopathy', 'temporal_term': 'new'}, 'associated left pulmonary vein narrowing': {'clinical finding': 'associated left pulmonary vein narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'associated left pulmonary vein', 'observation': 'narrowing'}, 'worsening cardiophrenic and pericardial adenopathy': {'clinical finding': 'worsening cardiophrenic and pericardial adenopathy', 'existence': 'pos_dx', 'descriptive_term': 'worsening cardiophrenic and pericardial', 'observation': 'adenopathy', 'strength_term': 'worsening', 'change_term': 'worsening'}}size_fin: [{'size': '5.5 x 4.5 cm'}, {'size': '4.2 x 3 cm'}]anatomical entity_fin: {'left pulmonary artery': {}}location descriptor_fin: ['left']clinical findings_fin: {'reference left paratracheal nodal lesion': {'clinical finding': 'reference left paratracheal nodal lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'reference left paratracheal nodal', 'observation': 'lesion'}, 'associated narrowing': {'clinical finding': 'associated narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'associated', 'observation': 'narrowing'}}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: {'mild gynecomastia': {'clinical finding': 'mild gynecomastia', 'cf_snomed': {'gynecomastia': 4754008}, 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'gynecomastia', 'strength_term': 'mild'}}size_fin: [{'size': '29 cm', 'size_descriptor': 'disease'}, {'size': '19 cm', 'size_descriptor': 'liver'}]anatomical entity_fin: {'liver': {}}clinical findings_fin: {'hepatic metastatic disease': {'clinical finding': 'hepatic metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'hepatic metastatic', 'observation': 'disease'}}size_fin: [{'size': '6.2 x 5.2 cm'}, {'size': '4.5 x 3.9 cm'}]clinical findings_fin: {'lesion': {'clinical finding': 'lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'observation': 'lesion'}}size_fin: [{'size': '4.2 x 2.8 cm', 'size_descriptor': 'segment'}, {'size': '3 x 2.8 cm', 'size_descriptor': 'lesion'}]clinical findings_fin: {'additional reference segment 7 lesion': {'clinical finding': 'additional reference segment 7 lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'additional reference segment 7', 'observation': 'lesion'}}anatomical entity_fin: {'hepatic veins': {}}clinical findings_fin: {'iv contrast': {'clinical finding': 'iv contrast', 'existence': 'unc_dx', 'descriptive_term': 'iv', 'observation': 'contrast'}, 'luminal narrowing': {'clinical finding': 'luminal narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'luminal', 'observation': 'narrowing'}, 'aforementioned masses': {'clinical finding': 'aforementioned masses', 'existence': 'pos_dx', 'descriptive_term': 'aforementioned', 'observation': 'mass'}}anatomical entity_fin: {'right portal veins': {}}location descriptor_fin: ['left']clinical findings_fin: {'visualized main left and right portal veins patent': {'clinical finding': 'visualized main left and right portal veins patent', 'existence': 'neg_dx', 'descriptive_term': 'visualized main left and right portal veins', 'observation': 'patent'}}size_fin: [{'size': '14.5 cm'}]clinical findings_fin: {'splenomegaly': {'clinical finding': 'splenomegaly', 'cf_snomed': {'splenomegaly': 16294009}, 'existence': 'pos_dx', 'observation': 'splenomegaly'}}anatomical entity_fin: {'splenic vein': {}, 'hilum': {}}clinical findings_fin: {'partial thrombosis': {'clinical finding': 'partial thrombosis', 'cf_snomed': {'thrombosis': 439127006}, 'existence': 'pos_dx', 'descriptive_term': 'partial', 'observation': 'thrombosis', 'strength_term': 'partial'}}clinical findings_fin: {'perigastric and perisplenic collateral vessels': {'clinical finding': 'perigastric and perisplenic collateral vessels', 'existence': 'pos_dx', 'descriptive_term': 'perigastric and perisplenic collateral', 'observation': 'vessel'}}size_fin: [{'size': '2.4 x 1.2 cm'}, {'size': '2.1 x 1.2 cm'}]location descriptor_fin: ['adjacent']clinical findings_fin: {'reference lesion': {'clinical finding': 'reference lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'reference', 'observation': 'lesion'}, 'pancreatic tail': {'clinical finding': 'pancreatic tail', 'existence': 'pos_dx', 'descriptive_term': 'pancreatic', 'observation': 'tail'}}size_fin: [{'size': '5.2 x 3.5 cm'}, {'size': '3.7 x 2.7 cm'}]location descriptor_fin: ['right']clinical findings_fin: {'right adrenal metastatic lesion': {'clinical finding': 'right adrenal metastatic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'right adrenal metastatic', 'observation': 'lesion'}}location descriptor_fin: ['left']clinical findings_fin: {'mild left adrenal thickening': {'clinical finding': 'mild left adrenal thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild left adrenal', 'observation': 'thickening', 'strength_term': 'mild'}}location descriptor_fin: ['left']clinical findings_fin: {'unchanged exophytic left renal hypoattenuating focus': {'clinical finding': 'unchanged exophytic left renal hypoattenuating focus', 'existence': 'pos_dx', 'descriptive_term': 'unchanged exophytic left renal hypoattenuating', 'observation': 'focus', 'strength_term': 'unchanged', 'change_term': 'unchanged'}}clinical findings_fin: {'enlarging periportal and portacaval lymphadenopathy': {'clinical finding': 'enlarging periportal and portacaval lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'pos_dx', 'descriptive_term': 'enlarging periportal and portacaval', 'observation': 'lymphadenopathy'}}size_fin: [{'size': '3.8 x 3.5 cm'}, {'size': '2.9 x 2.1 cm'}]clinical findings_fin: {'reference portacaval lymph node': {'clinical finding': 'reference portacaval lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference portacaval lymph', 'observation': 'node'}}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'}}clinical findings_fin: {'enlarging peritoneal and mesenteric soft tissue nodularity': {'clinical finding': 'enlarging peritoneal and mesenteric soft tissue nodularity', 'existence': 'pos_dx', 'descriptive_term': 'enlarging peritoneal and mesenteric soft tissue', 'observation': 'nodularity'}, 'metastatic disease': {'clinical finding': 'metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'metastatic', 'observation': 'disease'}}size_fin: [{'size': '2 x 1.5 cm'}, {'size': '0.6 cm'}]anatomical entity_fin: {'abdominal': {}}location descriptor_fin: ['upper']clinical findings_fin: {'upper mid abdominal soft tissue focus': {'clinical finding': 'upper mid abdominal soft tissue focus', 'existence': 'pos_dx', 'descriptive_term': 'upper mid abdominal soft tissue', 'observation': 'focus'}}clinical findings_fin: {'new moderate ascites': {'clinical finding': 'new moderate ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'new moderate', 'observation': 'ascite', 'strength_term': 'moderate', 'temporal_term': 'new'}}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: {'osseous metastatic disease': {'clinical finding': 'osseous metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'osseous metastatic', 'observation': 'disease'}}anatomical entity_fin: {'right glenoid fossa': {}, 'scapula': {}}imaging observation_fin: ['assessment']clinical findings_fin: {'osseous metastatic disease': {'clinical finding': 'osseous metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'unc_dx', 'descriptive_term': 'osseous metastatic', 'observation': 'disease'}}anatomical entity_fin: {'chest wall': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'small subcentimeter subcutaneous soft tissue nodularity': {'clinical finding': 'small subcentimeter subcutaneous soft tissue nodularity', 'existence': 'pos_dx', 'descriptive_term': 'small subcentimeter subcutaneous soft tissue', 'observation': 'nodularity', 'strength_term': 'small'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'innumerable pulmonary nodules': {'clinical finding': 'innumerable pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'innumerable pulmonary', 'observation': 'nodule'}}size_fin: [{'size': '2.7 x 2.3 cm'}, {'size': '2.2 x 1.6 cm'}]anatomical entity_fin: {'lung': {}}clinical findings_fin: {'reference lingular lung nodule': {'clinical finding': 'reference lingular lung nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'reference lingular lung', 'observation': 'nodule'}}location descriptor_fin: ['left']clinical findings_fin: {'pleural effusion': {'clinical finding': 'pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}}anatomical entity_fin: {'pulmonary vein': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'new and enlarging mediastinal and hilar adenopathy': {'clinical finding': 'new and enlarging mediastinal and hilar adenopathy', 'existence': 'pos_dx', 'descriptive_term': 'new and enlarging mediastinal and hilar', 'observation': 'adenopathy', 'temporal_term': 'new'}, 'associated left pulmonary vein narrowing': {'clinical finding': 'associated left pulmonary vein narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'associated left pulmonary vein', 'observation': 'narrowing'}, 'worsening cardiophrenic and pericardial adenopathy': {'clinical finding': 'worsening cardiophrenic and pericardial adenopathy', 'existence': 'pos_dx', 'descriptive_term': 'worsening cardiophrenic and pericardial', 'observation': 'adenopathy', 'strength_term': 'worsening', 'change_term': 'worsening'}}size_fin: [{'size': '5.5 x 4.5 cm'}, {'size': '4.2 x 3 cm'}]anatomical entity_fin: {'left pulmonary artery': {}}location descriptor_fin: ['left']clinical findings_fin: {'reference left paratracheal nodal lesion': {'clinical finding': 'reference left paratracheal nodal lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'reference left paratracheal nodal', 'observation': 'lesion'}, 'associated narrowing': {'clinical finding': 'associated narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'associated', 'observation': 'narrowing'}}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: {'mild gynecomastia': {'clinical finding': 'mild gynecomastia', 'cf_snomed': {'gynecomastia': 4754008}, 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'gynecomastia', 'strength_term': 'mild'}}size_fin: [{'size': '29 cm', 'size_descriptor': 'disease'}, {'size': '19 cm', 'size_descriptor': 'liver'}]anatomical entity_fin: {'liver': {}}clinical findings_fin: {'hepatic metastatic disease': {'clinical finding': 'hepatic metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'hepatic metastatic', 'observation': 'disease'}}size_fin: [{'size': '6.2 x 5.2 cm'}, {'size': '4.5 x 3.9 cm'}]clinical findings_fin: {'lesion': {'clinical finding': 'lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'observation': 'lesion'}}size_fin: [{'size': '4.2 x 2.8 cm', 'size_descriptor': 'segment'}, {'size': '3 x 2.8 cm', 'size_descriptor': 'lesion'}]clinical findings_fin: {'additional reference segment 7 lesion': {'clinical finding': 'additional reference segment 7 lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'additional reference segment 7', 'observation': 'lesion'}}anatomical entity_fin: {'hepatic veins': {}}clinical findings_fin: {'iv contrast': {'clinical finding': 'iv contrast', 'existence': 'unc_dx', 'descriptive_term': 'iv', 'observation': 'contrast'}, 'luminal narrowing': {'clinical finding': 'luminal narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'luminal', 'observation': 'narrowing'}, 'aforementioned masses': {'clinical finding': 'aforementioned masses', 'existence': 'pos_dx', 'descriptive_term': 'aforementioned', 'observation': 'mass'}}anatomical entity_fin: {'right portal veins': {}}location descriptor_fin: ['left']clinical findings_fin: {'visualized main left and right portal veins patent': {'clinical finding': 'visualized main left and right portal veins patent', 'existence': 'neg_dx', 'descriptive_term': 'visualized main left and right portal veins', 'observation': 'patent'}}size_fin: [{'size': '14.5 cm'}]clinical findings_fin: {'splenomegaly': {'clinical finding': 'splenomegaly', 'cf_snomed': {'splenomegaly': 16294009}, 'existence': 'pos_dx', 'observation': 'splenomegaly'}}anatomical entity_fin: {'splenic vein': {}, 'hilum': {}}clinical findings_fin: {'partial thrombosis': {'clinical finding': 'partial thrombosis', 'cf_snomed': {'thrombosis': 439127006}, 'existence': 'pos_dx', 'descriptive_term': 'partial', 'observation': 'thrombosis', 'strength_term': 'partial'}}clinical findings_fin: {'perigastric and perisplenic collateral vessels': {'clinical finding': 'perigastric and perisplenic collateral vessels', 'existence': 'pos_dx', 'descriptive_term': 'perigastric and perisplenic collateral', 'observation': 'vessel'}}size_fin: [{'size': '2.4 x 1.2 cm'}, {'size': '2.1 x 1.2 cm'}]location descriptor_fin: ['adjacent']clinical findings_fin: {'reference lesion': {'clinical finding': 'reference lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'reference', 'observation': 'lesion'}, 'pancreatic tail': {'clinical finding': 'pancreatic tail', 'existence': 'pos_dx', 'descriptive_term': 'pancreatic', 'observation': 'tail'}}size_fin: [{'size': '5.2 x 3.5 cm'}, {'size': '3.7 x 2.7 cm'}]location descriptor_fin: ['right']clinical findings_fin: {'right adrenal metastatic lesion': {'clinical finding': 'right adrenal metastatic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'right adrenal metastatic', 'observation': 'lesion'}}location descriptor_fin: ['left']clinical findings_fin: {'mild left adrenal thickening': {'clinical finding': 'mild left adrenal thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild left adrenal', 'observation': 'thickening', 'strength_term': 'mild'}}location descriptor_fin: ['left']clinical findings_fin: {'unchanged exophytic left renal hypoattenuating focus': {'clinical finding': 'unchanged exophytic left renal hypoattenuating focus', 'existence': 'pos_dx', 'descriptive_term': 'unchanged exophytic left renal hypoattenuating', 'observation': 'focus', 'strength_term': 'unchanged', 'change_term': 'unchanged'}}clinical findings_fin: {'enlarging periportal and portacaval lymphadenopathy': {'clinical finding': 'enlarging periportal and portacaval lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'pos_dx', 'descriptive_term': 'enlarging periportal and portacaval', 'observation': 'lymphadenopathy'}}size_fin: [{'size': '3.8 x 3.5 cm'}, {'size': '2.9 x 2.1 cm'}]clinical findings_fin: {'reference portacaval lymph node': {'clinical finding': 'reference portacaval lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference portacaval lymph', 'observation': 'node'}}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'}}clinical findings_fin: {'enlarging peritoneal and mesenteric soft tissue nodularity': {'clinical finding': 'enlarging peritoneal and mesenteric soft tissue nodularity', 'existence': 'pos_dx', 'descriptive_term': 'enlarging peritoneal and mesenteric soft tissue', 'observation': 'nodularity'}, 'metastatic disease': {'clinical finding': 'metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'metastatic', 'observation': 'disease'}}size_fin: [{'size': '2 x 1.5 cm'}, {'size': '0.6 cm'}]anatomical entity_fin: {'abdominal': {}}location descriptor_fin: ['upper']clinical findings_fin: {'upper mid abdominal soft tissue focus': {'clinical finding': 'upper mid abdominal soft tissue focus', 'existence': 'pos_dx', 'descriptive_term': 'upper mid abdominal soft tissue', 'observation': 'focus'}}clinical findings_fin: {'new moderate ascites': {'clinical finding': 'new moderate ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'new moderate', 'observation': 'ascite', 'strength_term': 'moderate', 'temporal_term': 'new'}}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: {'osseous metastatic disease': {'clinical finding': 'osseous metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'osseous metastatic', 'observation': 'disease'}}anatomical entity_fin: {'right glenoid fossa': {}, 'scapula': {}}imaging observation_fin: ['assessment']clinical findings_fin: {'osseous metastatic disease': {'clinical finding': 'osseous metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'unc_dx', 'descriptive_term': 'osseous metastatic', 'observation': 'disease'}}anatomical entity_fin: {'chest wall': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'small subcentimeter subcutaneous soft tissue nodularity': {'clinical finding': 'small subcentimeter subcutaneous soft tissue nodularity', 'existence': 'pos_dx', 'descriptive_term': 'small subcentimeter subcutaneous soft tissue', 'observation': 'nodularity', 'strength_term': 'small'}} [/INST] . Innumerable pulmonary nodules, enlarging and new. Reference lingular lung nodule larger, measuring 2.7 x 2.3 cm on image 47 series 5, previously measured 2.2 x 1.6 cm. New trace left pleural effusion. New and enlarging mediastinal and hilar adenopathy, associated left pulmonary vein narrowing, also visualized worsening cardiophrenic and pericardial adenopathy. Reference left paratracheal nodal lesion increased in size, measuring 5.5 x 4.5 cm on image 34 series 3, previously measured 4.2 x 3 cm, associated narrowing of left pulmonary artery visualized. Severe calcified coronary artery disease. Mild gynecomastia. Worsening hepatic metastatic disease, liver now measures 29 cm in craniocaudal dimension, previously measured 19 cm. Lesion measures 6.2 x 5.2 cm on image 92 series 3, previously measured 4.5 x 3.9 cm. Additional reference segment 7 lesion also difficult to see but measures approximately 4.2 x 2.8 cm on image 65 series 4, previously measured 3 x 2.8 cm. Hepatic veins and intrahepatic IVC not well assessed secondary to timing of IV contrast bolus but luminal narrowing visualized secondary to aforementioned masses. Visualized main left and right portal veins patent. Splenomegaly, measures 14.5 cm. Splenic vein near hilum not well visualized, likely reflecting partial thrombosis. Perigastric and perisplenic collateral vessels seen. Stable to mildly increased size of reference lesion adjacent to pancreatic tail but not as well seen, measures approximately 2.4 x 1.2 cm on image 94 series 3, previously measured 2.1 x 1.2 cm. Interval enlargement of right adrenal metastatic lesion, measuring at 5.2 x 3.5 cm on image 82 series 3, previously measured 3.7 x 2.7 cm. Mild left adrenal thickening. Unchanged exophytic left renal hypoattenuating focus, coronal image 33. Enlarging periportal and portacaval lymphadenopathy. Reference portacaval lymph node now measures 3.8 x 3.5 cm on image 112 series 3, previously measured 2.9 x 2.1 cm. Moderate to severe calcified aortobiiliac atherosclerotic disease. Enlarging peritoneal and mesenteric soft tissue nodularity, compatible with metastatic disease. Submitted for reference is upper mid abdominal soft tissue focus measuring 2 x 1.5 cm on image 120 series 3, previously measured up to 0.6 cm. New moderate ascites. No significant abnormality noted. No significant abnormality noted. Osseous metastatic disease with diffuse heterogeneity of bony structures seen. For example, moth-eaten appearance of right glenoid fossa of the scapula on image 10 series Please note that evaluation more sensitive with nuclear medicine bone scan or MRI, please refer to recent MRI spinal imaging for additional findings or better assessment of osseous metastatic disease. Similar to prior study is small subcentimeter subcutaneous soft tissue nodularity, for instance, in the left chest wall on image 43 and image 48, unchanged from prior exam. </s>

The patient did have extensive cranial vault reconstructive surgery with osteotomies along the coronal sutures as well as bony fusion. Similar changes are present along the superior sagittal and frontal sutures. Growth along the transverse diameter of the head is less than on the anterior posterior diameter but there has been more craniocaudal growth and less frontal bossing. There are foci of severe bony thinning or defects. The overall appearance is within expected. Small ossification just external to the skull at midline posteriorly may represent heterotopic ossification. The patient has preserved gray-white differentiation and volume. There is no intracranial hemorrhage. The ventricles are normal in size. The orbits are normal. Mastoid air cells and imaged paranasal sinuses are clear.

anatomical entity_fin: {'coronal sutures': {}}procedure_fin: ['osteotomies']clinical findings_fin: {'extensive cranial vault reconstructive surgery': {'clinical finding': 'extensive cranial vault reconstructive surgery', 'existence': 'pos_dx', 'descriptive_term': 'extensive cranial vault reconstructive', 'observation': 'surgery', 'strength_term': 'extensive'}, 'coronal sutures': {'clinical finding': 'coronal sutures', 'existence': 'pos_dx', 'descriptive_term': 'coronal', 'observation': 'suture'}, 'bony fusion': {'clinical finding': 'bony fusion', 'existence': 'pos_dx', 'descriptive_term': 'bony', 'observation': 'fusion'}}location descriptor_fin: ['superior']object_fin: ['sutures']clinical findings_fin: {'similar changes': {'clinical finding': 'similar changes', 'existence': 'pos_dx', 'descriptive_term': 'similar', 'observation': 'change'}}anatomical entity_fin: {'head': {}}location descriptor_fin: ['anterior', 'posterior']clinical findings_fin: {'less frontal bossing': {'clinical finding': 'less frontal bossing', 'cf_snomed': {'frontal bossing': 90145001}, 'existence': 'pos_dx', 'descriptive_term': 'less frontal', 'observation': 'boss', 'quantity_term': 'less'}}imaging observation_fin: ['foci']clinical findings_fin: {'severe bony thinning': {'clinical finding': 'severe bony thinning', 'existence': 'unc_dx', 'descriptive_term': 'severe bony', 'observation': 'thinning', 'strength_term': 'severe'}, 'defects': {'clinical finding': 'defects', 'cf_snomed': {'defect': 6920004}, 'existence': 'unc_dx', 'observation': 'defect'}}clinical findings_fin: {'overall appearance is within expected': {'clinical finding': 'overall appearance is within expected'}}anatomical entity_fin: {'skull': {}}location descriptor_fin: ['external', 'midline']clinical findings_fin: {'small ossification': {'clinical finding': 'small ossification', 'existence': 'pos_dx', 'descriptive_term': 'small', 'observation': 'ossification', 'strength_term': 'small'}, 'heterotopic ossification': {'clinical finding': 'heterotopic ossification', 'cf_snomed': {'heterotopic ossification': 128491006}, 'existence': 'unc_dx', 'descriptive_term': 'heterotopic', 'observation': 'ossification'}}clinical findings_fin: {'gray-white differentiation': {'clinical finding': 'gray-white differentiation', 'existence': 'pos_dx', 'descriptive_term': 'gray-white', 'observation': 'differentiation'}, 'volume': {'clinical finding': 'volume', 'existence': 'pos_dx', 'observation': 'volume'}}clinical findings_fin: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}}clinical findings_fin: {'ventricles are normal in size': {'clinical finding': 'ventricles are normal in size'}}anatomical entity_fin: {'orbits': {}}clinical findings_fin: {'orbits are normal': {'clinical finding': 'orbits are normal'}}anatomical entity_fin: {'mastoid air cells': {}, 'paranasal sinuses': {}}clinical findings_fin: {'mastoid air cells': {'clinical finding': 'mastoid air cells', 'existence': 'pos_dx', 'descriptive_term': 'mastoid air', 'observation': 'cell'}, 'clear': {'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'coronal sutures': {}}procedure_fin: ['osteotomies']clinical findings_fin: {'extensive cranial vault reconstructive surgery': {'clinical finding': 'extensive cranial vault reconstructive surgery', 'existence': 'pos_dx', 'descriptive_term': 'extensive cranial vault reconstructive', 'observation': 'surgery', 'strength_term': 'extensive'}, 'coronal sutures': {'clinical finding': 'coronal sutures', 'existence': 'pos_dx', 'descriptive_term': 'coronal', 'observation': 'suture'}, 'bony fusion': {'clinical finding': 'bony fusion', 'existence': 'pos_dx', 'descriptive_term': 'bony', 'observation': 'fusion'}}location descriptor_fin: ['superior']object_fin: ['sutures']clinical findings_fin: {'similar changes': {'clinical finding': 'similar changes', 'existence': 'pos_dx', 'descriptive_term': 'similar', 'observation': 'change'}}anatomical entity_fin: {'head': {}}location descriptor_fin: ['anterior', 'posterior']clinical findings_fin: {'less frontal bossing': {'clinical finding': 'less frontal bossing', 'cf_snomed': {'frontal bossing': 90145001}, 'existence': 'pos_dx', 'descriptive_term': 'less frontal', 'observation': 'boss', 'quantity_term': 'less'}}imaging observation_fin: ['foci']clinical findings_fin: {'severe bony thinning': {'clinical finding': 'severe bony thinning', 'existence': 'unc_dx', 'descriptive_term': 'severe bony', 'observation': 'thinning', 'strength_term': 'severe'}, 'defects': {'clinical finding': 'defects', 'cf_snomed': {'defect': 6920004}, 'existence': 'unc_dx', 'observation': 'defect'}}clinical findings_fin: {'overall appearance is within expected': {'clinical finding': 'overall appearance is within expected'}}anatomical entity_fin: {'skull': {}}location descriptor_fin: ['external', 'midline']clinical findings_fin: {'small ossification': {'clinical finding': 'small ossification', 'existence': 'pos_dx', 'descriptive_term': 'small', 'observation': 'ossification', 'strength_term': 'small'}, 'heterotopic ossification': {'clinical finding': 'heterotopic ossification', 'cf_snomed': {'heterotopic ossification': 128491006}, 'existence': 'unc_dx', 'descriptive_term': 'heterotopic', 'observation': 'ossification'}}clinical findings_fin: {'gray-white differentiation': {'clinical finding': 'gray-white differentiation', 'existence': 'pos_dx', 'descriptive_term': 'gray-white', 'observation': 'differentiation'}, 'volume': {'clinical finding': 'volume', 'existence': 'pos_dx', 'observation': 'volume'}}clinical findings_fin: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}}clinical findings_fin: {'ventricles are normal in size': {'clinical finding': 'ventricles are normal in size'}}anatomical entity_fin: {'orbits': {}}clinical findings_fin: {'orbits are normal': {'clinical finding': 'orbits are normal'}}anatomical entity_fin: {'mastoid air cells': {}, 'paranasal sinuses': {}}clinical findings_fin: {'mastoid air cells': {'clinical finding': 'mastoid air cells', 'existence': 'pos_dx', 'descriptive_term': 'mastoid air', 'observation': 'cell'}, 'clear': {'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'}} [/INST] The patient did have extensive cranial vault reconstructive surgery with osteotomies along the coronal sutures as well as bony fusion. Similar changes are present along the superior sagittal and frontal sutures. Growth along the transverse diameter of the head is less than on the anterior posterior diameter but there has been more craniocaudal growth and less frontal bossing. There are foci of severe bony thinning or defects. The overall appearance is within expected. Small ossification just external to the skull at midline posteriorly may represent heterotopic ossification. The patient has preserved gray-white differentiation and volume. There is no intracranial hemorrhage. The ventricles are normal in size. The orbits are normal. Mastoid air cells and imaged paranasal sinuses are clear. </s>

Note is made of an exostosis or osteochondroma along the medial aspect of the proximal tibial metaphysis. There is a 3.5 x 0.9 cm fluid collection along the medial aspect of the aforementioned exostosis within the soft tissues of the left knee which may represent bursa formation. There is also thin peripheral enhancement, and a bursitis cannot be completely excluded. Evaluation of the cartilaginous cap is limited on CT examination. No acute fracture or malalignment. The visualized musculature is within normal limits. The extensor mechanism is grossly intact. The cruciate ligaments are grossly intact within the limitations of CT examination. Mild degenerative changes affect the left knee.

anatomical entity_fin: {'metaphysis': {}}location descriptor_fin: ['medial', 'proximal']clinical findings_fin: {'exostosis': {'clinical finding': 'exostosis', 'cf_snomed': {'exostosis': 416189003}, 'existence': 'pos_dx', 'observation': 'exostosis'}, 'osteochondroma': {'clinical finding': 'osteochondroma', 'cf_snomed': {'osteochondroma': 443093007}, 'existence': 'unc_dx', 'observation': 'osteochondroma'}}size_fin: [{'size': '3.5 x 0.9 cm', 'size_descriptor': 'collection'}]anatomical entity_fin: {'left knee': {}}location descriptor_fin: ['medial']clinical findings_fin: {'3.5 x 0.9 cm fluid collection': {'clinical finding': '3.5 x 0.9 cm fluid collection', 'existence': 'pos_dx', 'descriptive_term': '3 5 x 0 9 cm fluid', 'observation': 'collection'}, 'aforementioned exostosis': {'clinical finding': 'aforementioned exostosis', 'cf_snomed': {'exostosis': 416189003}, 'existence': 'pos_dx', 'descriptive_term': 'aforementioned', 'observation': 'exostosis'}, 'bursa formation': {'clinical finding': 'bursa formation', 'existence': 'unc_dx', 'descriptive_term': 'bursa', 'observation': 'formation'}}location descriptor_fin: ['peripheral']clinical findings_fin: {'thin peripheral enhancement': {'clinical finding': 'thin peripheral enhancement', 'existence': 'pos_dx', 'descriptive_term': 'thin peripheral', 'observation': 'enhancement'}, 'bursitis': {'clinical finding': 'bursitis', 'cf_snomed': {'bursitis': 84017003}, 'existence': 'unc_dx', 'observation': 'bursitis'}}clinical findings_fin: {'cartilaginous cap': {'clinical finding': 'cartilaginous cap', 'existence': 'unc_dx', 'descriptive_term': 'cartilaginous', 'observation': 'cap'}}clinical findings_fin: {'acute fracture': {'clinical finding': 'acute fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'fracture', 'strength_term': 'acute', 'temporal_term': 'acute'}, 'malalignment': {'clinical finding': 'malalignment', 'existence': 'neg_dx', 'observation': 'malalignment'}}anatomical entity_fin: {'musculature': {}}clinical findings_fin: {'visualized musculature is within normal limits': {'clinical finding': 'visualized musculature is within normal limits'}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}clinical findings_fin: {'cruciate ligaments': {'clinical finding': 'cruciate ligaments', 'existence': 'pos_dx', 'descriptive_term': 'cruciate', 'observation': 'ligament'}, 'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}anatomical entity_fin: {'left knee': {}}clinical findings_fin: {'mild degenerative changes': {'clinical finding': 'mild degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'mild degenerative', 'observation': 'change', 'strength_term': 'mild'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'metaphysis': {}}location descriptor_fin: ['medial', 'proximal']clinical findings_fin: {'exostosis': {'clinical finding': 'exostosis', 'cf_snomed': {'exostosis': 416189003}, 'existence': 'pos_dx', 'observation': 'exostosis'}, 'osteochondroma': {'clinical finding': 'osteochondroma', 'cf_snomed': {'osteochondroma': 443093007}, 'existence': 'unc_dx', 'observation': 'osteochondroma'}}size_fin: [{'size': '3.5 x 0.9 cm', 'size_descriptor': 'collection'}]anatomical entity_fin: {'left knee': {}}location descriptor_fin: ['medial']clinical findings_fin: {'3.5 x 0.9 cm fluid collection': {'clinical finding': '3.5 x 0.9 cm fluid collection', 'existence': 'pos_dx', 'descriptive_term': '3 5 x 0 9 cm fluid', 'observation': 'collection'}, 'aforementioned exostosis': {'clinical finding': 'aforementioned exostosis', 'cf_snomed': {'exostosis': 416189003}, 'existence': 'pos_dx', 'descriptive_term': 'aforementioned', 'observation': 'exostosis'}, 'bursa formation': {'clinical finding': 'bursa formation', 'existence': 'unc_dx', 'descriptive_term': 'bursa', 'observation': 'formation'}}location descriptor_fin: ['peripheral']clinical findings_fin: {'thin peripheral enhancement': {'clinical finding': 'thin peripheral enhancement', 'existence': 'pos_dx', 'descriptive_term': 'thin peripheral', 'observation': 'enhancement'}, 'bursitis': {'clinical finding': 'bursitis', 'cf_snomed': {'bursitis': 84017003}, 'existence': 'unc_dx', 'observation': 'bursitis'}}clinical findings_fin: {'cartilaginous cap': {'clinical finding': 'cartilaginous cap', 'existence': 'unc_dx', 'descriptive_term': 'cartilaginous', 'observation': 'cap'}}clinical findings_fin: {'acute fracture': {'clinical finding': 'acute fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'fracture', 'strength_term': 'acute', 'temporal_term': 'acute'}, 'malalignment': {'clinical finding': 'malalignment', 'existence': 'neg_dx', 'observation': 'malalignment'}}anatomical entity_fin: {'musculature': {}}clinical findings_fin: {'visualized musculature is within normal limits': {'clinical finding': 'visualized musculature is within normal limits'}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}clinical findings_fin: {'cruciate ligaments': {'clinical finding': 'cruciate ligaments', 'existence': 'pos_dx', 'descriptive_term': 'cruciate', 'observation': 'ligament'}, 'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}anatomical entity_fin: {'left knee': {}}clinical findings_fin: {'mild degenerative changes': {'clinical finding': 'mild degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'mild degenerative', 'observation': 'change', 'strength_term': 'mild'}} [/INST] Note is made of an exostosis or osteochondroma along the medial aspect of the proximal tibial metaphysis. There is a 3.5 x 0.9 cm fluid collection along the medial aspect of the aforementioned exostosis within the soft tissues of the left knee which may represent bursa formation. There is also thin peripheral enhancement, and a bursitis cannot be completely excluded. Evaluation of the cartilaginous cap is limited on CT examination. No acute fracture or malalignment. The visualized musculature is within normal limits. The extensor mechanism is grossly intact. The cruciate ligaments are grossly intact within the limitations of CT examination. Mild degenerative changes affect the left knee. </s>

. Bilateral lower lobe subpleural honeycombing and mild lower lobe predominant bronchiectasis. Centrilobular emphysema also noted. Enhancing lesion within segment 4A measuring 1.5 x 1.7 cm, not significantly changed from prior exam dated 5/14/2012. Fatty infiltration of the liver noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Post-surgical changes of the lower pole of the left kidney with interval removal of two hypodense lesions. Upper pole scarring noted in the area of prior hypodense cystic lesion. Small non-obstructive stone within the left renal pelvis noted. No significant abnormality noted. Mild. No significant abnormality noted. Bilateral pars defects at L5. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Bilateral pars defects at L5. No significant abnormality noted

anatomical entity_fin: {'lobe': {'location descriptor': 'lower'}}location descriptor_fin: ['bilateral', 'lower']clinical findings_fin: {'bilateral lower lobe subpleural honeycombing': {'clinical finding': 'bilateral lower lobe subpleural honeycombing', 'existence': 'pos_dx', 'descriptive_term': 'bilateral lower lobe subpleural', 'observation': 'honeycombing'}, 'mild lower lobe predominant bronchiectasis': {'clinical finding': 'mild lower lobe predominant bronchiectasis', 'cf_snomed': {'bronchiectasis': 12295008}, 'existence': 'pos_dx', 'descriptive_term': 'mild lower lobe predominant', 'observation': 'bronchiectasis', 'strength_term': 'mild'}}clinical findings_fin: {'centrilobular emphysema': {'clinical finding': 'centrilobular emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'descriptive_term': 'centrilobular', 'observation': 'emphysema'}}size_fin: [{'size': '1.5 x 1.7 cm', 'size_descriptor': 'lesion'}]imaging observation_fin: ['enhancing']clinical findings_fin: {'lesion': {'clinical finding': 'lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'observation': 'lesion'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'fatty infiltration': {'clinical finding': 'fatty infiltration', 'cf_snomed': {'fatty infiltration': 45752008}, 'existence': 'pos_dx', 'descriptive_term': 'fatty', 'observation': 'infiltration'}}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'}}anatomical entity_fin: {'pole': {'location descriptor': 'lower'}, 'left kidney': {}}location descriptor_fin: ['lower']clinical findings_fin: {'post-surgical changes': {'clinical finding': 'post-surgical changes', 'existence': 'pos_dx', 'descriptive_term': 'post-surgical', 'observation': 'change'}, 'two hypodense lesions': {'clinical finding': 'two hypodense lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'two hypodense', 'observation': 'lesion'}}anatomical entity_fin: {'pole': {'location descriptor': 'upper'}}location descriptor_fin: ['upper']clinical findings_fin: {'upper pole scarring': {'clinical finding': 'upper pole scarring', 'existence': 'pos_dx', 'descriptive_term': 'upper pole', 'observation': 'scarr'}, 'prior hypodense cystic lesion': {'clinical finding': 'prior hypodense cystic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'prior hypodense cystic', 'observation': 'lesion'}}anatomical entity_fin: {'renal pelvis': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'small non-obstructive stone': {'clinical finding': 'small non-obstructive stone', 'existence': 'pos_dx', 'descriptive_term': 'small non-obstructive', 'observation': 'stone', 'strength_term': 'small'}}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 pars defects': {'clinical finding': 'bilateral pars defects', 'cf_snomed': {'defect': 6920004}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral pars', 'observation': 'defect'}}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'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral pars defects': {'clinical finding': 'bilateral pars defects', 'cf_snomed': {'defect': 6920004}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral pars', 'observation': 'defect'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'lobe': {'location descriptor': 'lower'}}location descriptor_fin: ['bilateral', 'lower']clinical findings_fin: {'bilateral lower lobe subpleural honeycombing': {'clinical finding': 'bilateral lower lobe subpleural honeycombing', 'existence': 'pos_dx', 'descriptive_term': 'bilateral lower lobe subpleural', 'observation': 'honeycombing'}, 'mild lower lobe predominant bronchiectasis': {'clinical finding': 'mild lower lobe predominant bronchiectasis', 'cf_snomed': {'bronchiectasis': 12295008}, 'existence': 'pos_dx', 'descriptive_term': 'mild lower lobe predominant', 'observation': 'bronchiectasis', 'strength_term': 'mild'}}clinical findings_fin: {'centrilobular emphysema': {'clinical finding': 'centrilobular emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'descriptive_term': 'centrilobular', 'observation': 'emphysema'}}size_fin: [{'size': '1.5 x 1.7 cm', 'size_descriptor': 'lesion'}]imaging observation_fin: ['enhancing']clinical findings_fin: {'lesion': {'clinical finding': 'lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'observation': 'lesion'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'fatty infiltration': {'clinical finding': 'fatty infiltration', 'cf_snomed': {'fatty infiltration': 45752008}, 'existence': 'pos_dx', 'descriptive_term': 'fatty', 'observation': 'infiltration'}}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'}}anatomical entity_fin: {'pole': {'location descriptor': 'lower'}, 'left kidney': {}}location descriptor_fin: ['lower']clinical findings_fin: {'post-surgical changes': {'clinical finding': 'post-surgical changes', 'existence': 'pos_dx', 'descriptive_term': 'post-surgical', 'observation': 'change'}, 'two hypodense lesions': {'clinical finding': 'two hypodense lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'two hypodense', 'observation': 'lesion'}}anatomical entity_fin: {'pole': {'location descriptor': 'upper'}}location descriptor_fin: ['upper']clinical findings_fin: {'upper pole scarring': {'clinical finding': 'upper pole scarring', 'existence': 'pos_dx', 'descriptive_term': 'upper pole', 'observation': 'scarr'}, 'prior hypodense cystic lesion': {'clinical finding': 'prior hypodense cystic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'prior hypodense cystic', 'observation': 'lesion'}}anatomical entity_fin: {'renal pelvis': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'small non-obstructive stone': {'clinical finding': 'small non-obstructive stone', 'existence': 'pos_dx', 'descriptive_term': 'small non-obstructive', 'observation': 'stone', 'strength_term': 'small'}}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 pars defects': {'clinical finding': 'bilateral pars defects', 'cf_snomed': {'defect': 6920004}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral pars', 'observation': 'defect'}}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'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral pars defects': {'clinical finding': 'bilateral pars defects', 'cf_snomed': {'defect': 6920004}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral pars', 'observation': 'defect'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . Bilateral lower lobe subpleural honeycombing and mild lower lobe predominant bronchiectasis. Centrilobular emphysema also noted. Enhancing lesion within segment 4A measuring 1.5 x 1.7 cm, not significantly changed from prior exam dated 5/14/2012. Fatty infiltration of the liver noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Post-surgical changes of the lower pole of the left kidney with interval removal of two hypodense lesions. Upper pole scarring noted in the area of prior hypodense cystic lesion. Small non-obstructive stone within the left renal pelvis noted. No significant abnormality noted. Mild. No significant abnormality noted. Bilateral pars defects at L5. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Bilateral pars defects at L5. No significant abnormality noted </s>

There is a nondisplaced, minimally impacted, intra-articular fracture through the volar and medial aspect of the radial head. I see no additional fractures. There is a small joint effusion or hemarthrosis. The soft tissues of the elbow appear normal given the limitations inherent to CT.

anatomical entity_fin: {'head': {}}location descriptor_fin: ['medial']clinical findings_fin: {'nondisplaced, minimally impacted, intra-articular fracture': {'clinical finding': 'nondisplaced, minimally impacted, intra-articular fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'nondisplaced minimally impacted intra-articular', 'observation': 'fracture'}}clinical findings_fin: {'additional fractures': {'clinical finding': 'additional fractures', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'descriptive_term': 'additional', 'observation': 'fracture'}}anatomical entity_fin: {'small joint': {}}clinical findings_fin: {'small joint effusion': {'clinical finding': 'small joint effusion', 'cf_snomed': {'effusion': 41699000}, 'existence': 'pos_dx', 'descriptive_term': 'small joint', 'observation': 'effusion', 'strength_term': 'small'}, 'hemarthrosis': {'clinical finding': 'hemarthrosis', 'cf_snomed': {'hemarthrosis': 81808003}, 'existence': 'unc_dx', 'observation': 'hemarthrosis'}}anatomical entity_fin: {'elbow': {}}clinical findings_fin: {'soft tissues of the elbow appear normal given the limitations inherent': {'clinical finding': 'soft tissues of the elbow appear normal given the limitations inherent'}}

Write the finding section for a radiology report based on the following information:

<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'head': {}}location descriptor_fin: ['medial']clinical findings_fin: {'nondisplaced, minimally impacted, intra-articular fracture': {'clinical finding': 'nondisplaced, minimally impacted, intra-articular fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'nondisplaced minimally impacted intra-articular', 'observation': 'fracture'}}clinical findings_fin: {'additional fractures': {'clinical finding': 'additional fractures', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'descriptive_term': 'additional', 'observation': 'fracture'}}anatomical entity_fin: {'small joint': {}}clinical findings_fin: {'small joint effusion': {'clinical finding': 'small joint effusion', 'cf_snomed': {'effusion': 41699000}, 'existence': 'pos_dx', 'descriptive_term': 'small joint', 'observation': 'effusion', 'strength_term': 'small'}, 'hemarthrosis': {'clinical finding': 'hemarthrosis', 'cf_snomed': {'hemarthrosis': 81808003}, 'existence': 'unc_dx', 'observation': 'hemarthrosis'}}anatomical entity_fin: {'elbow': {}}clinical findings_fin: {'soft tissues of the elbow appear normal given the limitations inherent': {'clinical finding': 'soft tissues of the elbow appear normal given the limitations inherent'}} [/INST] There is a nondisplaced, minimally impacted, intra-articular fracture through the volar and medial aspect of the radial head. I see no additional fractures. There is a small joint effusion or hemarthrosis. The soft tissues of the elbow appear normal given the limitations inherent to CT. </s>