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.The frontal sinuses are underdeveloped. Patchy opacification and or or secretions are evident within the ethmoid air cells, sphenoid sinuses and maxillary sinuses. The sphenoethmoidal recesses are obscured. The maxillary outflow pathways are narrowed. Secretion or fluid is evident within the nasal cavity. The nasal septum is intact. The anterior skull base is symmetric and intact. Findings related to recent posterior instrumented fusion are seen. A plate and screw device has been fixed to the occiput to which stabilization rods are attached. These rods are internal fixed via bilateral lateral mass screws to the C3 and C4 levels. No instrument complications are suspected. Amorphous bone graft has been placed along the posterior elements down to C4. Right-sided hemilaminectomy of C1 is also evident. Erosions are evident at the atlantooccipital joints, right side more than left. Furthermore, the anterior arch of C1 and the odontoid process are partially eroded as well. Extensive ventral epidural thickening and fluid seen on the outside MRI is not as well appreciated on the present study though some degree of thickening likely does persist, and this material seems to contact the ventral surface of spinal cord. The CSF space along the lateral and dorsal aspects of the cord does seem to be preserved. The paraspinal soft tissues anterior and posterolateral to the C1 and C2 vertebral bodies are thickened and edematous. Spinal alignment is anatomic. The remaining vertebral bodies are intact and free of destructive lesions. No other significant spinal canal stenosis or neuroforaminal narrowing is detected. The posterior soft tissues of the operative bed contain small foci of air. A surgical drain is in place. No large fluid collections are suspected at this time. The pharyngeal mucosa is edematous perhaps secondary to the presence of NG and ET tubes. As above, the prevertebral soft tissues ventral to the C1 and C2 vertebral bodies are thickened and edematous. No discrete fluid collection can be identified, however. No pathologic adenopathy is detected in the neck. A few scattered mildly prominent lymph nodes may be reactive. The salivary glands are unremarkable. The thyroid appears slightly heterogeneous but this could be due to artifact. Lung apices are unremarkable. Aside from the osseous abnormalities of the cervical spine discussed above, the remaining bony elements are within normal limits.

clinical findings_fin: {'underdeveloped': {'clinical finding': 'underdeveloped', 'existence': 'pos_dx', 'observation': 'underdeveloped'}}anatomical entity_fin: {'cells': {}}clinical findings_fin: {'patchy opacification': {'clinical finding': 'patchy opacification', 'existence': 'unc_dx', 'descriptive_term': 'patchy', 'observation': 'opacification'}}anatomical entity_fin: {'sphenoethmoidal recesses': {}}clinical findings_fin: {'obscured': {'clinical finding': 'obscured', 'existence': 'pos_dx', 'observation': 'obscure'}}clinical findings_fin: {'narrowed': {'clinical finding': 'narrowed', 'existence': 'pos_dx', 'observation': 'narrow'}}anatomical entity_fin: {'fluid': {}, 'nasal cavity': {}}clinical findings_fin: {'secretion or fluid is evident within the nasal cavity': {'clinical finding': 'secretion or fluid is evident within the nasal cavity', 'cf_snomed': {'cavity': 2483006}}}clinical findings_fin: {'nasal septum': {'clinical finding': 'nasal septum', 'existence': 'pos_dx', 'descriptive_term': 'nasal', 'observation': 'septum'}, 'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}anatomical entity_fin: {'skull': {'location descriptor': 'anterior'}, 'base': {}}location descriptor_fin: ['anterior']clinical findings_fin: {'symmetric': {'clinical finding': 'symmetric', 'existence': 'pos_dx', 'observation': 'symmetric'}, 'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}location descriptor_fin: ['posterior']clinical findings_fin: {'recent posterior instrumented fusion': {'clinical finding': 'recent posterior instrumented fusion', 'existence': 'pos_dx', 'descriptive_term': 'recent posterior instrumented', 'observation': 'fusion'}}anatomical entity_fin: {'occiput': {}}clinical findings_fin: {'plate and screw device': {'clinical finding': 'plate and screw device', 'existence': 'pos_dx', 'descriptive_term': 'plate and screw', 'observation': 'device'}, 'stabilization rods': {'clinical finding': 'stabilization rods', 'existence': 'pos_dx', 'descriptive_term': 'stabilization', 'observation': 'rod'}}anatomical entity_fin: {'lateral mass': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'these rods': {'clinical finding': 'these rods', 'existence': 'pos_dx', 'descriptive_term': 'these', 'observation': 'rod'}, 'bilateral lateral mass screws': {'clinical finding': 'bilateral lateral mass screws', 'existence': 'pos_dx', 'descriptive_term': 'bilateral lateral mass', 'observation': 'screw'}}clinical findings_fin: {'instrument complications': {'clinical finding': 'instrument complications', 'existence': 'neg_dx', 'descriptive_term': 'instrument', 'observation': 'complication'}}anatomical entity_fin: {'bone graft': {}}location descriptor_fin: ['posterior']clinical findings_fin: {'amorphous bone graft': {'clinical finding': 'amorphous bone graft', 'existence': 'pos_dx', 'descriptive_term': 'amorphous bone', 'observation': 'graft'}}location descriptor_fin: ['right']clinical findings_fin: {'right-sided hemilaminectomy': {'clinical finding': 'right-sided hemilaminectomy', 'existence': 'pos_dx', 'descriptive_term': 'right-sided', 'observation': 'hemilaminectomy'}}anatomical entity_fin: {'joints': {}}location descriptor_fin: ['right', 'left']clinical findings_fin: {'erosions': {'clinical finding': 'erosions', 'existence': 'pos_dx', 'observation': 'erosion'}}anatomical entity_fin: {'odontoid': {}}location descriptor_fin: ['anterior']clinical findings_fin: {'eroded': {'clinical finding': 'eroded', 'existence': 'pos_dx', 'observation': 'erode'}}anatomical entity_fin: {'fluid': {}, 'surface of spinal cord': {}}clinical findings_fin: {'extensive ventral epidural thickening': {'clinical finding': 'extensive ventral epidural thickening', 'existence': 'pos_dx', 'descriptive_term': 'extensive ventral epidural', 'observation': 'thickening', 'strength_term': 'extensive'}, 'thickening': {'clinical finding': 'thickening', 'existence': 'unc_dx', 'observation': 'thickening'}}imaging observation_fin: ['cord']location descriptor_fin: ['lateral']clinical findings_fin: {'csf space along the lateral and dorsal aspects of the cord does seem to be preserved': {'clinical finding': 'csf space along the lateral and dorsal aspects of the cord does seem to be preserved', 'change_term': 'preserved'}}anatomical entity_fin: {'soft tissues': {}, 'vertebral bodies': {}}location descriptor_fin: ['anterior']clinical findings_fin: {'thickened': {'clinical finding': 'thickened', 'existence': 'pos_dx', 'observation': 'thickened'}, 'edematous': {'clinical finding': 'edematous', 'existence': 'pos_dx', 'observation': 'edematous'}}clinical findings_fin: {'spinal alignment is anatomic': {'clinical finding': 'spinal alignment is anatomic'}}anatomical entity_fin: {'vertebral bodies': {}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}, 'destructive lesions': {'clinical finding': 'destructive lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'destructive', 'observation': 'lesion'}}anatomical entity_fin: {'spinal canal': {}}clinical findings_fin: {'other significant spinal canal stenosis': {'clinical finding': 'other significant spinal canal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'neg_dx', 'descriptive_term': 'other significant spinal canal', 'observation': 'stenosis'}, 'neuroforaminal narrowing': {'clinical finding': 'neuroforaminal narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'neg_dx', 'descriptive_term': 'neuroforaminal', 'observation': 'narrowing'}}imaging observation_fin: ['foci']location descriptor_fin: ['posterior']clinical findings_fin: {'small foci': {'clinical finding': 'small foci', 'existence': 'pos_dx', 'descriptive_term': 'small', 'observation': 'foci', 'strength_term': 'small'}}object_fin: ['surgical drain']clinical findings_fin: {'surgical drain': {'clinical finding': 'surgical drain', 'existence': 'pos_dx', 'descriptive_term': 'surgical', 'observation': 'drain'}}anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'large fluid collections are suspected at this time': {'clinical finding': 'large fluid collections are suspected at this time'}}anatomical entity_fin: {'mucosa': {}}clinical findings_fin: {'edematous': {'clinical finding': 'edematous', 'existence': 'pos_dx', 'observation': 'edematous'}, 'ng and et tubes': {'clinical finding': 'ng and et tubes', 'existence': 'unc_dx', 'descriptive_term': 'ng and et', 'observation': 'tube'}}anatomical entity_fin: {'soft tissues': {}, 'vertebral bodies': {}}clinical findings_fin: {'thickened': {'clinical finding': 'thickened', 'existence': 'pos_dx', 'observation': 'thickened'}, 'edematous': {'clinical finding': 'edematous', 'existence': 'pos_dx', 'observation': 'edematous'}}clinical findings_fin: {'discrete fluid collection': {'clinical finding': 'discrete fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'discrete fluid', 'observation': 'collection'}}anatomical entity_fin: {'neck': {}}clinical findings_fin: {'pathologic adenopathy': {'clinical finding': 'pathologic adenopathy', 'existence': 'neg_dx', 'descriptive_term': 'pathologic', 'observation': 'adenopathy'}}clinical findings_fin: {'few scattered mildly prominent lymph nodes': {'clinical finding': 'few scattered mildly prominent lymph nodes', 'existence': 'unc_dx', 'descriptive_term': 'few scattered mildly prominent lymph', 'observation': 'node', 'strength_term': 'mildly - prominent', 'quantity_term': 'few'}}anatomical entity_fin: {'salivary glands': {}}clinical findings_fin: {'salivary glands are unremarkable': {'clinical finding': 'salivary glands are unremarkable'}}clinical findings_fin: {'heterogeneous': {'clinical finding': 'heterogeneous', 'existence': 'pos_dx', 'observation': 'heterogeneous'}, 'artifact': {'clinical finding': 'artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'unc_dx', 'observation': 'artifact'}}anatomical entity_fin: {'lung': {}, 'apices': {}}clinical findings_fin: {'lung apices are unremarkable': {'clinical finding': 'lung apices are unremarkable'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'osseous abnormalities': {'clinical finding': 'osseous abnormalities', 'existence': 'pos_dx', 'descriptive_term': 'osseous', '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: {'underdeveloped': {'clinical finding': 'underdeveloped', 'existence': 'pos_dx', 'observation': 'underdeveloped'}}anatomical entity_fin: {'cells': {}}clinical findings_fin: {'patchy opacification': {'clinical finding': 'patchy opacification', 'existence': 'unc_dx', 'descriptive_term': 'patchy', 'observation': 'opacification'}}anatomical entity_fin: {'sphenoethmoidal recesses': {}}clinical findings_fin: {'obscured': {'clinical finding': 'obscured', 'existence': 'pos_dx', 'observation': 'obscure'}}clinical findings_fin: {'narrowed': {'clinical finding': 'narrowed', 'existence': 'pos_dx', 'observation': 'narrow'}}anatomical entity_fin: {'fluid': {}, 'nasal cavity': {}}clinical findings_fin: {'secretion or fluid is evident within the nasal cavity': {'clinical finding': 'secretion or fluid is evident within the nasal cavity', 'cf_snomed': {'cavity': 2483006}}}clinical findings_fin: {'nasal septum': {'clinical finding': 'nasal septum', 'existence': 'pos_dx', 'descriptive_term': 'nasal', 'observation': 'septum'}, 'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}anatomical entity_fin: {'skull': {'location descriptor': 'anterior'}, 'base': {}}location descriptor_fin: ['anterior']clinical findings_fin: {'symmetric': {'clinical finding': 'symmetric', 'existence': 'pos_dx', 'observation': 'symmetric'}, 'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}location descriptor_fin: ['posterior']clinical findings_fin: {'recent posterior instrumented fusion': {'clinical finding': 'recent posterior instrumented fusion', 'existence': 'pos_dx', 'descriptive_term': 'recent posterior instrumented', 'observation': 'fusion'}}anatomical entity_fin: {'occiput': {}}clinical findings_fin: {'plate and screw device': {'clinical finding': 'plate and screw device', 'existence': 'pos_dx', 'descriptive_term': 'plate and screw', 'observation': 'device'}, 'stabilization rods': {'clinical finding': 'stabilization rods', 'existence': 'pos_dx', 'descriptive_term': 'stabilization', 'observation': 'rod'}}anatomical entity_fin: {'lateral mass': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'these rods': {'clinical finding': 'these rods', 'existence': 'pos_dx', 'descriptive_term': 'these', 'observation': 'rod'}, 'bilateral lateral mass screws': {'clinical finding': 'bilateral lateral mass screws', 'existence': 'pos_dx', 'descriptive_term': 'bilateral lateral mass', 'observation': 'screw'}}clinical findings_fin: {'instrument complications': {'clinical finding': 'instrument complications', 'existence': 'neg_dx', 'descriptive_term': 'instrument', 'observation': 'complication'}}anatomical entity_fin: {'bone graft': {}}location descriptor_fin: ['posterior']clinical findings_fin: {'amorphous bone graft': {'clinical finding': 'amorphous bone graft', 'existence': 'pos_dx', 'descriptive_term': 'amorphous bone', 'observation': 'graft'}}location descriptor_fin: ['right']clinical findings_fin: {'right-sided hemilaminectomy': {'clinical finding': 'right-sided hemilaminectomy', 'existence': 'pos_dx', 'descriptive_term': 'right-sided', 'observation': 'hemilaminectomy'}}anatomical entity_fin: {'joints': {}}location descriptor_fin: ['right', 'left']clinical findings_fin: {'erosions': {'clinical finding': 'erosions', 'existence': 'pos_dx', 'observation': 'erosion'}}anatomical entity_fin: {'odontoid': {}}location descriptor_fin: ['anterior']clinical findings_fin: {'eroded': {'clinical finding': 'eroded', 'existence': 'pos_dx', 'observation': 'erode'}}anatomical entity_fin: {'fluid': {}, 'surface of spinal cord': {}}clinical findings_fin: {'extensive ventral epidural thickening': {'clinical finding': 'extensive ventral epidural thickening', 'existence': 'pos_dx', 'descriptive_term': 'extensive ventral epidural', 'observation': 'thickening', 'strength_term': 'extensive'}, 'thickening': {'clinical finding': 'thickening', 'existence': 'unc_dx', 'observation': 'thickening'}}imaging observation_fin: ['cord']location descriptor_fin: ['lateral']clinical findings_fin: {'csf space along the lateral and dorsal aspects of the cord does seem to be preserved': {'clinical finding': 'csf space along the lateral and dorsal aspects of the cord does seem to be preserved', 'change_term': 'preserved'}}anatomical entity_fin: {'soft tissues': {}, 'vertebral bodies': {}}location descriptor_fin: ['anterior']clinical findings_fin: {'thickened': {'clinical finding': 'thickened', 'existence': 'pos_dx', 'observation': 'thickened'}, 'edematous': {'clinical finding': 'edematous', 'existence': 'pos_dx', 'observation': 'edematous'}}clinical findings_fin: {'spinal alignment is anatomic': {'clinical finding': 'spinal alignment is anatomic'}}anatomical entity_fin: {'vertebral bodies': {}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}, 'destructive lesions': {'clinical finding': 'destructive lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'destructive', 'observation': 'lesion'}}anatomical entity_fin: {'spinal canal': {}}clinical findings_fin: {'other significant spinal canal stenosis': {'clinical finding': 'other significant spinal canal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'neg_dx', 'descriptive_term': 'other significant spinal canal', 'observation': 'stenosis'}, 'neuroforaminal narrowing': {'clinical finding': 'neuroforaminal narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'neg_dx', 'descriptive_term': 'neuroforaminal', 'observation': 'narrowing'}}imaging observation_fin: ['foci']location descriptor_fin: ['posterior']clinical findings_fin: {'small foci': {'clinical finding': 'small foci', 'existence': 'pos_dx', 'descriptive_term': 'small', 'observation': 'foci', 'strength_term': 'small'}}object_fin: ['surgical drain']clinical findings_fin: {'surgical drain': {'clinical finding': 'surgical drain', 'existence': 'pos_dx', 'descriptive_term': 'surgical', 'observation': 'drain'}}anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'large fluid collections are suspected at this time': {'clinical finding': 'large fluid collections are suspected at this time'}}anatomical entity_fin: {'mucosa': {}}clinical findings_fin: {'edematous': {'clinical finding': 'edematous', 'existence': 'pos_dx', 'observation': 'edematous'}, 'ng and et tubes': {'clinical finding': 'ng and et tubes', 'existence': 'unc_dx', 'descriptive_term': 'ng and et', 'observation': 'tube'}}anatomical entity_fin: {'soft tissues': {}, 'vertebral bodies': {}}clinical findings_fin: {'thickened': {'clinical finding': 'thickened', 'existence': 'pos_dx', 'observation': 'thickened'}, 'edematous': {'clinical finding': 'edematous', 'existence': 'pos_dx', 'observation': 'edematous'}}clinical findings_fin: {'discrete fluid collection': {'clinical finding': 'discrete fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'discrete fluid', 'observation': 'collection'}}anatomical entity_fin: {'neck': {}}clinical findings_fin: {'pathologic adenopathy': {'clinical finding': 'pathologic adenopathy', 'existence': 'neg_dx', 'descriptive_term': 'pathologic', 'observation': 'adenopathy'}}clinical findings_fin: {'few scattered mildly prominent lymph nodes': {'clinical finding': 'few scattered mildly prominent lymph nodes', 'existence': 'unc_dx', 'descriptive_term': 'few scattered mildly prominent lymph', 'observation': 'node', 'strength_term': 'mildly - prominent', 'quantity_term': 'few'}}anatomical entity_fin: {'salivary glands': {}}clinical findings_fin: {'salivary glands are unremarkable': {'clinical finding': 'salivary glands are unremarkable'}}clinical findings_fin: {'heterogeneous': {'clinical finding': 'heterogeneous', 'existence': 'pos_dx', 'observation': 'heterogeneous'}, 'artifact': {'clinical finding': 'artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'unc_dx', 'observation': 'artifact'}}anatomical entity_fin: {'lung': {}, 'apices': {}}clinical findings_fin: {'lung apices are unremarkable': {'clinical finding': 'lung apices are unremarkable'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'osseous abnormalities': {'clinical finding': 'osseous abnormalities', 'existence': 'pos_dx', 'descriptive_term': 'osseous', 'observation': 'abnormality'}} [/INST] .The frontal sinuses are underdeveloped. Patchy opacification and or or secretions are evident within the ethmoid air cells, sphenoid sinuses and maxillary sinuses. The sphenoethmoidal recesses are obscured. The maxillary outflow pathways are narrowed. Secretion or fluid is evident within the nasal cavity. The nasal septum is intact. The anterior skull base is symmetric and intact. Findings related to recent posterior instrumented fusion are seen. A plate and screw device has been fixed to the occiput to which stabilization rods are attached. These rods are internal fixed via bilateral lateral mass screws to the C3 and C4 levels. No instrument complications are suspected. Amorphous bone graft has been placed along the posterior elements down to C4. Right-sided hemilaminectomy of C1 is also evident. Erosions are evident at the atlantooccipital joints, right side more than left. Furthermore, the anterior arch of C1 and the odontoid process are partially eroded as well. Extensive ventral epidural thickening and fluid seen on the outside MRI is not as well appreciated on the present study though some degree of thickening likely does persist, and this material seems to contact the ventral surface of spinal cord. The CSF space along the lateral and dorsal aspects of the cord does seem to be preserved. The paraspinal soft tissues anterior and posterolateral to the C1 and C2 vertebral bodies are thickened and edematous. Spinal alignment is anatomic. The remaining vertebral bodies are intact and free of destructive lesions. No other significant spinal canal stenosis or neuroforaminal narrowing is detected. The posterior soft tissues of the operative bed contain small foci of air. A surgical drain is in place. No large fluid collections are suspected at this time. The pharyngeal mucosa is edematous perhaps secondary to the presence of NG and ET tubes. As above, the prevertebral soft tissues ventral to the C1 and C2 vertebral bodies are thickened and edematous. No discrete fluid collection can be identified, however. No pathologic adenopathy is detected in the neck. A few scattered mildly prominent lymph nodes may be reactive. The salivary glands are unremarkable. The thyroid appears slightly heterogeneous but this could be due to artifact. Lung apices are unremarkable. Aside from the osseous abnormalities of the cervical spine discussed above, the remaining bony elements are within normal limits. </s>

. No evidence of pulmonary embolism. No main pulmonary artery enlargement or right ventricular strain. Multiple micronodules adjacent to major fissures consistent with intrapulmonary lymph nodes. No suspicious pulmonary nodules or masses identified. Mild bibasilar atelectasis and or or scarring. No pleural effusion. Markedly enlarged heterogeneous left thyroid gland with retrosternal extension and marked rightward tracheal deviation. No mediastinal lymphadenopathy. No cardiomegaly or pericardial effusion. None. Degenerative changes of the cervical and thoracic spine. 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: {'main pulmonary artery': {}}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: ['adjacent']clinical findings_fin: {'multiple micronodules': {'clinical finding': 'multiple micronodules', 'existence': 'pos_dx', 'descriptive_term': 'multiple', 'observation': 'micronodule', 'quantity_term': 'multiple'}, 'major fissures': {'clinical finding': 'major fissures', 'cf_snomed': {'fissure': 47393002}, 'existence': 'pos_dx', 'descriptive_term': 'major', 'observation': 'fissure'}, 'intrapulmonary lymph nodes': {'clinical finding': 'intrapulmonary lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'intrapulmonary lymph', 'observation': 'node'}}clinical findings_fin: {'suspicious pulmonary nodules': {'clinical finding': 'suspicious pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious pulmonary', 'observation': 'nodule'}, 'masses': {'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass'}}clinical findings_fin: {'mild bibasilar atelectasis': {'clinical finding': 'mild bibasilar atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'unc_dx', 'descriptive_term': 'mild bibasilar', 'observation': 'atelectasis', 'strength_term': 'mild'}, 'scarring': {'clinical finding': 'scarring', 'existence': 'unc_dx', 'observation': 'scarr'}}clinical findings_fin: {'pleural effusion': {'clinical finding': 'pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}}anatomical entity_fin: {'thyroid gland': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'markedly enlarged': {'clinical finding': 'markedly enlarged', 'existence': 'pos_dx', 'descriptive_term': 'markedly', 'observation': 'enlarged'}, 'marked rightward tracheal deviation': {'clinical finding': 'marked rightward tracheal deviation', 'existence': 'pos_dx', 'descriptive_term': 'marked rightward tracheal', 'observation': 'deviation'}}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: {'cardiomegaly': {'clinical finding': 'cardiomegaly', 'cf_snomed': {'cardiomegaly': 8186001}, 'existence': 'neg_dx', 'observation': 'cardiomegaly'}, 'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'degenerative changes': {'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'}}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: {'main pulmonary artery': {}}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: ['adjacent']clinical findings_fin: {'multiple micronodules': {'clinical finding': 'multiple micronodules', 'existence': 'pos_dx', 'descriptive_term': 'multiple', 'observation': 'micronodule', 'quantity_term': 'multiple'}, 'major fissures': {'clinical finding': 'major fissures', 'cf_snomed': {'fissure': 47393002}, 'existence': 'pos_dx', 'descriptive_term': 'major', 'observation': 'fissure'}, 'intrapulmonary lymph nodes': {'clinical finding': 'intrapulmonary lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'intrapulmonary lymph', 'observation': 'node'}}clinical findings_fin: {'suspicious pulmonary nodules': {'clinical finding': 'suspicious pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious pulmonary', 'observation': 'nodule'}, 'masses': {'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass'}}clinical findings_fin: {'mild bibasilar atelectasis': {'clinical finding': 'mild bibasilar atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'unc_dx', 'descriptive_term': 'mild bibasilar', 'observation': 'atelectasis', 'strength_term': 'mild'}, 'scarring': {'clinical finding': 'scarring', 'existence': 'unc_dx', 'observation': 'scarr'}}clinical findings_fin: {'pleural effusion': {'clinical finding': 'pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}}anatomical entity_fin: {'thyroid gland': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'markedly enlarged': {'clinical finding': 'markedly enlarged', 'existence': 'pos_dx', 'descriptive_term': 'markedly', 'observation': 'enlarged'}, 'marked rightward tracheal deviation': {'clinical finding': 'marked rightward tracheal deviation', 'existence': 'pos_dx', 'descriptive_term': 'marked rightward tracheal', 'observation': 'deviation'}}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: {'cardiomegaly': {'clinical finding': 'cardiomegaly', 'cf_snomed': {'cardiomegaly': 8186001}, 'existence': 'neg_dx', 'observation': 'cardiomegaly'}, 'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'degenerative changes': {'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'}}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. No main pulmonary artery enlargement or right ventricular strain. Multiple micronodules adjacent to major fissures consistent with intrapulmonary lymph nodes. No suspicious pulmonary nodules or masses identified. Mild bibasilar atelectasis and or or scarring. No pleural effusion. Markedly enlarged heterogeneous left thyroid gland with retrosternal extension and marked rightward tracheal deviation. No mediastinal lymphadenopathy. No cardiomegaly or pericardial effusion. None. Degenerative changes of the cervical and thoracic spine. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. No significant abnormality noted. </s>

PHARYNX/. There are persistent posttreatment findings, including diffuse pharyngeal edema, slightly improved in some areas compared to prior. There is persistent epiglottic thickening and stable mild esophageal wall edema, likely treatment-related. No new enhancing soft tissue mass or discrete fluid collection is identified within the pharynx or larynx. The submandibular, sublingual, and parotid glands have an unremarkable noncontrast appearance. The thyroid gland is unremarkable. The oral tongue and floor of mouth are unremarkable, within the limitations of this exam as there is artifact from dental amalgam. Scattered small cervical lymph nodes are identified. A reference left level 2A lymph node measures 8 x 7 mm , unchanged from prior. Scattered small left level 3 and 4 lymph nodes are again seen, the largest measuring up to 4 mm in short axis , unchanged. The visualized intracranial contents are unremarkable without mass, mass effect, midline shift, or abnormal enhancement. The orbits and paranasal sinuses are unremarkable. The cervical spine is unremarkable. The visualized lung apices show some pleuroparenchymal scarring, without new focal nodule. The carotid arteries and jugular veins are patent. A four vessel arch is incidentally noted.

clinical findings_fin: {'persistent posttreatment': {'clinical finding': 'persistent posttreatment', 'existence': 'pos_dx', 'descriptive_term': 'persistent', 'observation': 'posttreatment', 'temporal_term': 'persistent'}, 'diffuse pharyngeal edema': {'clinical finding': 'diffuse pharyngeal edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'descriptive_term': 'diffuse pharyngeal', 'observation': 'edema'}}anatomical entity_fin: {'wall': {}}procedure_fin: ['treatment']clinical findings_fin: {'persistent epiglottic thickening': {'clinical finding': 'persistent epiglottic thickening', 'existence': 'pos_dx', 'descriptive_term': 'persistent epiglottic', 'observation': 'thickening', 'temporal_term': 'persistent'}, 'stable mild esophageal wall edema': {'clinical finding': 'stable mild esophageal wall edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'descriptive_term': 'stable mild esophageal wall', 'observation': 'edema', 'strength_term': 'stable - mild', 'change_term': 'stable'}}anatomical entity_fin: {'pharynx': {}, 'larynx': {}}imaging observation_fin: ['enhancing']clinical findings_fin: {'new enhancing soft tissue mass': {'clinical finding': 'new enhancing soft tissue mass', 'cf_snomed': {'soft tissue mass': 278002000}, 'existence': 'neg_dx', 'descriptive_term': 'new enhancing soft tissue', 'observation': 'mass', 'temporal_term': 'new'}, 'discrete fluid collection': {'clinical finding': 'discrete fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'discrete fluid', 'observation': 'collection'}}anatomical entity_fin: {'parotid glands': {}}clinical findings_fin: {'submandibular , sublingual , and parotid glands have an unremarkable noncontrast appearance': {'clinical finding': 'submandibular , sublingual , and parotid glands have an unremarkable noncontrast appearance'}}anatomical entity_fin: {'thyroid gland': {}}clinical findings_fin: {'thyroid gland is unremarkable': {'clinical finding': 'thyroid gland is unremarkable'}}anatomical entity_fin: {'tongue': {}, 'floor': {}, 'mouth': {}}clinical findings_fin: {'artifact': {'clinical finding': 'artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'pos_dx', 'observation': 'artifact'}, 'dental amalgam': {'clinical finding': 'dental amalgam', 'existence': 'unc_dx', 'descriptive_term': 'dental', 'observation': 'amalgam'}}clinical findings_fin: {'scattered small cervical lymph nodes': {'clinical finding': 'scattered small cervical lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'scattered small cervical lymph', 'observation': 'node', 'strength_term': 'small'}}size_fin: [{'size': '8 x 7 mm'}]location descriptor_fin: ['left']clinical findings_fin: {'reference left level 2a lymph node': {'clinical finding': 'reference left level 2a lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference left level 2a lymph', 'observation': 'node'}}size_fin: [{'size': '4 mm'}]anatomical entity_fin: {'axis': {}}location descriptor_fin: ['left']clinical findings_fin: {'scattered small left level 3 and 4 lymph nodes': {'clinical finding': 'scattered small left level 3 and 4 lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'scattered small left level 3 and 4 lymph', 'observation': 'node', 'strength_term': 'small'}}anatomical entity_fin: {'contents': {}}location descriptor_fin: ['midline']clinical findings_fin: {'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}, 'mass effect': {'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect'}, 'enhancement': {'clinical finding': 'enhancement', 'existence': 'pos_dx', 'observation': 'enhancement'}}anatomical entity_fin: {'orbits': {}, 'paranasal sinuses': {}}clinical findings_fin: {'orbits and paranasal sinuses are unremarkable': {'clinical finding': 'orbits and paranasal sinuses are unremarkable'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'cervical spine is unremarkable': {'clinical finding': 'cervical spine is unremarkable'}}anatomical entity_fin: {'lung': {}, 'apices': {}}clinical findings_fin: {'some pleuroparenchymal scarring': {'clinical finding': 'some pleuroparenchymal scarring', 'existence': 'pos_dx', 'descriptive_term': 'some pleuroparenchymal', 'observation': 'scarr', 'quantity_term': 'some'}, 'new focal nodule': {'clinical finding': 'new focal nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'new focal', 'observation': 'nodule', 'temporal_term': 'new'}}anatomical entity_fin: {'arteries': {}, 'veins': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}clinical findings_fin: {'vessel arch is incidentally noted': {'clinical finding': 'vessel arch is incidentally noted'}}

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: {'persistent posttreatment': {'clinical finding': 'persistent posttreatment', 'existence': 'pos_dx', 'descriptive_term': 'persistent', 'observation': 'posttreatment', 'temporal_term': 'persistent'}, 'diffuse pharyngeal edema': {'clinical finding': 'diffuse pharyngeal edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'descriptive_term': 'diffuse pharyngeal', 'observation': 'edema'}}anatomical entity_fin: {'wall': {}}procedure_fin: ['treatment']clinical findings_fin: {'persistent epiglottic thickening': {'clinical finding': 'persistent epiglottic thickening', 'existence': 'pos_dx', 'descriptive_term': 'persistent epiglottic', 'observation': 'thickening', 'temporal_term': 'persistent'}, 'stable mild esophageal wall edema': {'clinical finding': 'stable mild esophageal wall edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'descriptive_term': 'stable mild esophageal wall', 'observation': 'edema', 'strength_term': 'stable - mild', 'change_term': 'stable'}}anatomical entity_fin: {'pharynx': {}, 'larynx': {}}imaging observation_fin: ['enhancing']clinical findings_fin: {'new enhancing soft tissue mass': {'clinical finding': 'new enhancing soft tissue mass', 'cf_snomed': {'soft tissue mass': 278002000}, 'existence': 'neg_dx', 'descriptive_term': 'new enhancing soft tissue', 'observation': 'mass', 'temporal_term': 'new'}, 'discrete fluid collection': {'clinical finding': 'discrete fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'discrete fluid', 'observation': 'collection'}}anatomical entity_fin: {'parotid glands': {}}clinical findings_fin: {'submandibular , sublingual , and parotid glands have an unremarkable noncontrast appearance': {'clinical finding': 'submandibular , sublingual , and parotid glands have an unremarkable noncontrast appearance'}}anatomical entity_fin: {'thyroid gland': {}}clinical findings_fin: {'thyroid gland is unremarkable': {'clinical finding': 'thyroid gland is unremarkable'}}anatomical entity_fin: {'tongue': {}, 'floor': {}, 'mouth': {}}clinical findings_fin: {'artifact': {'clinical finding': 'artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'pos_dx', 'observation': 'artifact'}, 'dental amalgam': {'clinical finding': 'dental amalgam', 'existence': 'unc_dx', 'descriptive_term': 'dental', 'observation': 'amalgam'}}clinical findings_fin: {'scattered small cervical lymph nodes': {'clinical finding': 'scattered small cervical lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'scattered small cervical lymph', 'observation': 'node', 'strength_term': 'small'}}size_fin: [{'size': '8 x 7 mm'}]location descriptor_fin: ['left']clinical findings_fin: {'reference left level 2a lymph node': {'clinical finding': 'reference left level 2a lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference left level 2a lymph', 'observation': 'node'}}size_fin: [{'size': '4 mm'}]anatomical entity_fin: {'axis': {}}location descriptor_fin: ['left']clinical findings_fin: {'scattered small left level 3 and 4 lymph nodes': {'clinical finding': 'scattered small left level 3 and 4 lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'scattered small left level 3 and 4 lymph', 'observation': 'node', 'strength_term': 'small'}}anatomical entity_fin: {'contents': {}}location descriptor_fin: ['midline']clinical findings_fin: {'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}, 'mass effect': {'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect'}, 'enhancement': {'clinical finding': 'enhancement', 'existence': 'pos_dx', 'observation': 'enhancement'}}anatomical entity_fin: {'orbits': {}, 'paranasal sinuses': {}}clinical findings_fin: {'orbits and paranasal sinuses are unremarkable': {'clinical finding': 'orbits and paranasal sinuses are unremarkable'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'cervical spine is unremarkable': {'clinical finding': 'cervical spine is unremarkable'}}anatomical entity_fin: {'lung': {}, 'apices': {}}clinical findings_fin: {'some pleuroparenchymal scarring': {'clinical finding': 'some pleuroparenchymal scarring', 'existence': 'pos_dx', 'descriptive_term': 'some pleuroparenchymal', 'observation': 'scarr', 'quantity_term': 'some'}, 'new focal nodule': {'clinical finding': 'new focal nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'new focal', 'observation': 'nodule', 'temporal_term': 'new'}}anatomical entity_fin: {'arteries': {}, 'veins': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}clinical findings_fin: {'vessel arch is incidentally noted': {'clinical finding': 'vessel arch is incidentally noted'}} [/INST] PHARYNX/. There are persistent posttreatment findings, including diffuse pharyngeal edema, slightly improved in some areas compared to prior. There is persistent epiglottic thickening and stable mild esophageal wall edema, likely treatment-related. No new enhancing soft tissue mass or discrete fluid collection is identified within the pharynx or larynx. The submandibular, sublingual, and parotid glands have an unremarkable noncontrast appearance. The thyroid gland is unremarkable. The oral tongue and floor of mouth are unremarkable, within the limitations of this exam as there is artifact from dental amalgam. Scattered small cervical lymph nodes are identified. A reference left level 2A lymph node measures 8 x 7 mm , unchanged from prior. Scattered small left level 3 and 4 lymph nodes are again seen, the largest measuring up to 4 mm in short axis , unchanged. The visualized intracranial contents are unremarkable without mass, mass effect, midline shift, or abnormal enhancement. The orbits and paranasal sinuses are unremarkable. The cervical spine is unremarkable. The visualized lung apices show some pleuroparenchymal scarring, without new focal nodule. The carotid arteries and jugular veins are patent. A four vessel arch is incidentally noted. </s>

. 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. Minimal. 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. Previously noted pelvic metastatic lesions less conspicuous on the current examination. 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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'previously noted pelvic metastatic lesions': {'clinical finding': 'previously noted pelvic metastatic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'previously noted pelvic metastatic', 'observation': 'lesion'}}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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'previously noted pelvic metastatic lesions': {'clinical finding': 'previously noted pelvic metastatic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'previously noted pelvic metastatic', 'observation': 'lesion'}}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. No significant abnormality noted. No significant abnormality noted. Minimal. 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. Previously noted pelvic metastatic lesions less conspicuous on the current examination. No significant abnormality noted </s>

Postoperative changes within the neck relating to previous total thyroidectomy and neck dissection remain unchanged without sign of recurrence in the thyroidectomy bed. No significant cervical lymphadenopathy. The postoperative changes related to the more recent mediastinal mass resection show expected evolution. The soft tissue thickening in the superior mediastinum right anterolateral to the trachea between the right common carotid artery and the innominate venous confluence is partially imaged. The lipoma anterior lateral to the right parotid gland is unchanged. There is mild atherosclerotic calcification of the carotid bifurcations. Multilevel spondylotic changes are unchanged most prominent at C6-C7 where there is at least moderate central spinal canal stenosis. Multilevel high-grade foraminal narrowing is also present throughout the cervical spine. There is a a small torus palatinus.

anatomical entity_fin: {'neck': {}}clinical findings_fin: {'postoperative changes': {'clinical finding': 'postoperative changes', 'existence': 'pos_dx', 'descriptive_term': 'postoperative', 'observation': 'change'}, 'previous total thyroidectomy': {'clinical finding': 'previous total thyroidectomy', 'existence': 'pos_dx', 'descriptive_term': 'previous total', 'observation': 'thyroidectomy', 'temporal_term': 'previous'}, 'neck dissection': {'clinical finding': 'neck dissection', 'existence': 'pos_dx', 'descriptive_term': 'neck', 'observation': 'dissection'}, 'recurrence': {'clinical finding': 'recurrence', 'existence': 'neg_dx', 'observation': 'recurrence'}, 'thyroidectomy': {'clinical finding': 'thyroidectomy', 'existence': 'pos_dx', 'observation': 'thyroidectomy'}}clinical findings_fin: {'significant cervical lymphadenopathy': {'clinical finding': 'significant cervical lymphadenopathy', 'cf_snomed': {'cervical lymphadenopathy': 127086001}, 'existence': 'neg_dx', 'descriptive_term': 'significant cervical', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'postoperative changes': {'clinical finding': 'postoperative changes', 'existence': 'pos_dx', 'descriptive_term': 'postoperative', 'observation': 'change'}, 'more recent mediastinal mass': {'clinical finding': 'more recent mediastinal mass', 'cf_snomed': {'mediastinal mass': 94147001}, 'existence': 'pos_dx', 'descriptive_term': 'more recent mediastinal', 'observation': 'mass', 'quantity_term': 'more'}}anatomical entity_fin: {'superior mediastinum': {}, 'trachea': {}, 'common carotid artery': {'location descriptor': 'right'}}location descriptor_fin: ['right', 'anterolateral']clinical findings_fin: {'soft tissue thickening': {'clinical finding': 'soft tissue thickening', 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'thickening'}}anatomical entity_fin: {'right parotid gland': {}}location descriptor_fin: ['anterior', 'lateral']clinical findings_fin: {'lipoma': {'clinical finding': 'lipoma', 'cf_snomed': {'lipoma': 134328007}, 'existence': 'pos_dx', 'observation': 'lipoma'}}clinical findings_fin: {'mild atherosclerotic calcification': {'clinical finding': 'mild atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'mild atherosclerotic', 'observation': 'calcification', 'strength_term': 'mild'}}anatomical entity_fin: {'spinal canal': {'location descriptor': 'central'}}location descriptor_fin: ['central']clinical findings_fin: {'multilevel spondylotic changes': {'clinical finding': 'multilevel spondylotic changes', 'existence': 'pos_dx', 'descriptive_term': 'multilevel spondylotic', 'observation': 'change'}, 'at least moderate central spinal canal stenosis': {'clinical finding': 'at least moderate central spinal canal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'at least moderate central spinal canal', 'observation': 'stenosis', 'strength_term': 'moderate'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'multilevel high-grade foraminal narrowing': {'clinical finding': 'multilevel high-grade foraminal narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'multilevel high-grade foraminal', 'observation': 'narrowing'}}clinical findings_fin: {'a small torus palatinus': {'clinical finding': 'a small torus palatinus', 'cf_snomed': {'torus': 70033004}, 'existence': 'pos_dx', 'descriptive_term': 'a small torus', 'observation': 'palatinus', '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: anatomical entity_fin: {'neck': {}}clinical findings_fin: {'postoperative changes': {'clinical finding': 'postoperative changes', 'existence': 'pos_dx', 'descriptive_term': 'postoperative', 'observation': 'change'}, 'previous total thyroidectomy': {'clinical finding': 'previous total thyroidectomy', 'existence': 'pos_dx', 'descriptive_term': 'previous total', 'observation': 'thyroidectomy', 'temporal_term': 'previous'}, 'neck dissection': {'clinical finding': 'neck dissection', 'existence': 'pos_dx', 'descriptive_term': 'neck', 'observation': 'dissection'}, 'recurrence': {'clinical finding': 'recurrence', 'existence': 'neg_dx', 'observation': 'recurrence'}, 'thyroidectomy': {'clinical finding': 'thyroidectomy', 'existence': 'pos_dx', 'observation': 'thyroidectomy'}}clinical findings_fin: {'significant cervical lymphadenopathy': {'clinical finding': 'significant cervical lymphadenopathy', 'cf_snomed': {'cervical lymphadenopathy': 127086001}, 'existence': 'neg_dx', 'descriptive_term': 'significant cervical', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'postoperative changes': {'clinical finding': 'postoperative changes', 'existence': 'pos_dx', 'descriptive_term': 'postoperative', 'observation': 'change'}, 'more recent mediastinal mass': {'clinical finding': 'more recent mediastinal mass', 'cf_snomed': {'mediastinal mass': 94147001}, 'existence': 'pos_dx', 'descriptive_term': 'more recent mediastinal', 'observation': 'mass', 'quantity_term': 'more'}}anatomical entity_fin: {'superior mediastinum': {}, 'trachea': {}, 'common carotid artery': {'location descriptor': 'right'}}location descriptor_fin: ['right', 'anterolateral']clinical findings_fin: {'soft tissue thickening': {'clinical finding': 'soft tissue thickening', 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'thickening'}}anatomical entity_fin: {'right parotid gland': {}}location descriptor_fin: ['anterior', 'lateral']clinical findings_fin: {'lipoma': {'clinical finding': 'lipoma', 'cf_snomed': {'lipoma': 134328007}, 'existence': 'pos_dx', 'observation': 'lipoma'}}clinical findings_fin: {'mild atherosclerotic calcification': {'clinical finding': 'mild atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'mild atherosclerotic', 'observation': 'calcification', 'strength_term': 'mild'}}anatomical entity_fin: {'spinal canal': {'location descriptor': 'central'}}location descriptor_fin: ['central']clinical findings_fin: {'multilevel spondylotic changes': {'clinical finding': 'multilevel spondylotic changes', 'existence': 'pos_dx', 'descriptive_term': 'multilevel spondylotic', 'observation': 'change'}, 'at least moderate central spinal canal stenosis': {'clinical finding': 'at least moderate central spinal canal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'at least moderate central spinal canal', 'observation': 'stenosis', 'strength_term': 'moderate'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'multilevel high-grade foraminal narrowing': {'clinical finding': 'multilevel high-grade foraminal narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'multilevel high-grade foraminal', 'observation': 'narrowing'}}clinical findings_fin: {'a small torus palatinus': {'clinical finding': 'a small torus palatinus', 'cf_snomed': {'torus': 70033004}, 'existence': 'pos_dx', 'descriptive_term': 'a small torus', 'observation': 'palatinus', 'strength_term': 'small'}} [/INST] Postoperative changes within the neck relating to previous total thyroidectomy and neck dissection remain unchanged without sign of recurrence in the thyroidectomy bed. No significant cervical lymphadenopathy. The postoperative changes related to the more recent mediastinal mass resection show expected evolution. The soft tissue thickening in the superior mediastinum right anterolateral to the trachea between the right common carotid artery and the innominate venous confluence is partially imaged. The lipoma anterior lateral to the right parotid gland is unchanged. There is mild atherosclerotic calcification of the carotid bifurcations. Multilevel spondylotic changes are unchanged most prominent at C6-C7 where there is at least moderate central spinal canal stenosis. Multilevel high-grade foraminal narrowing is also present throughout the cervical spine. There is a a small torus palatinus. </s>

There is no evidence of acute ischemic or hemorrhagic lesion on the scan. Encephalomalacia on bilateral frontal lobe, bilateral frontal temporal craniotomy as well as surgical clips on the distal right ICA and Acom artery area do not show any significant interval change. The ventricles, sulci, and cisterns are symmetric and 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: {'frontal lobe': {'location descriptor': 'bilateral'}, 'artery': {}}location descriptor_fin: ['bilateral', 'distal', 'right']object_fin: ['surgical clips']clinical findings_fin: {'encephalomalacia': {'clinical finding': 'encephalomalacia', 'cf_snomed': {'encephalomalacia': 58762006}, 'existence': 'pos_dx', 'observation': 'encephalomalacia'}, 'surgical clips': {'clinical finding': 'surgical clips', 'existence': 'pos_dx', 'descriptive_term': 'surgical', 'observation': 'clip'}, 'any significant interval change': {'clinical finding': 'any significant interval change', 'existence': 'pos_dx', 'descriptive_term': 'any significant interval', 'observation': 'change'}}clinical findings_fin: {'symmetric': {'clinical finding': 'symmetric', 'existence': 'pos_dx', 'observation': 'symmetric'}}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': '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: {'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: {'frontal lobe': {'location descriptor': 'bilateral'}, 'artery': {}}location descriptor_fin: ['bilateral', 'distal', 'right']object_fin: ['surgical clips']clinical findings_fin: {'encephalomalacia': {'clinical finding': 'encephalomalacia', 'cf_snomed': {'encephalomalacia': 58762006}, 'existence': 'pos_dx', 'observation': 'encephalomalacia'}, 'surgical clips': {'clinical finding': 'surgical clips', 'existence': 'pos_dx', 'descriptive_term': 'surgical', 'observation': 'clip'}, 'any significant interval change': {'clinical finding': 'any significant interval change', 'existence': 'pos_dx', 'descriptive_term': 'any significant interval', 'observation': 'change'}}clinical findings_fin: {'symmetric': {'clinical finding': 'symmetric', 'existence': 'pos_dx', 'observation': 'symmetric'}}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': 'neg_dx', 'observation': 'clear'}} [/INST] There is no evidence of acute ischemic or hemorrhagic lesion on the scan. Encephalomalacia on bilateral frontal lobe, bilateral frontal temporal craniotomy as well as surgical clips on the distal right ICA and Acom artery area do not show any significant interval change. The ventricles, sulci, and cisterns are symmetric and 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>

. Moderate left and small right pleural effusions, with adjacent atelectasis. Heterogeneous mediastinal mass measures 8.8 x 6.6 cm. This mass extends into the left pulmonary window. There is mass effect on bilateral bronchi. Separate conglomerate anterior mediastinal lymph nodes measure 4.6 x 2.3 cm. An endotracheal tube is in place, the tip terminating above the carina. Mild. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Right upper pole nonobstructing calculus. Left lower pole renal cyst and additional bilateral subcentimeter hypodensities, too small to characterize. No hydronephrosis. No significant abnormality noted. Moderate. An enteric tube is identified with the tip terminating in the proximal duodenum. No evidence of bowel obstruction or ileus. There is colonic diverticulosis, without evidence of diverticulitis. A rectal tube is in place. Mild perihepatic and pelvic ascites. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Foley catheter in place. Air within the urinary bladder, probably secondary to instrumentation. No significant abnormality noted. An enteric tube is identified with the tip terminating in the proximal duodenum. No evidence of bowel obstruction or ileus. There is colonic diverticulosis, without evidence of diverticulitis. A rectal tube is in place. Mild perihepatic and pelvic ascites. Mild degenerative changes of the lumbar spine. No significant abnormality noted.

location descriptor_fin: ['left', 'right', 'adjacent']clinical findings_fin: {'moderate left and small right pleural effusions': {'clinical finding': 'moderate left and small right pleural effusions', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'moderate left and small right pleural', 'observation': 'effusion', 'strength_term': 'moderate - small'}, 'adjacent atelectasis': {'clinical finding': 'adjacent atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'adjacent', 'observation': 'atelectasis'}}size_fin: [{'size': '8.8 x 6.6 cm', 'size_descriptor': 'mass'}]clinical findings_fin: {'heterogeneous mediastinal mass': {'clinical finding': 'heterogeneous mediastinal mass', 'cf_snomed': {'mediastinal mass': 94147001}, 'existence': 'pos_dx', 'descriptive_term': 'heterogeneous mediastinal', 'observation': 'mass'}}location descriptor_fin: ['left']clinical findings_fin: {'this mass': {'clinical finding': 'this mass', 'existence': 'pos_dx', 'descriptive_term': 'this', 'observation': 'mass'}, 'left pulmonary': {'clinical finding': 'left pulmonary', 'existence': 'pos_dx', 'descriptive_term': 'left', 'observation': 'pulmonary'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'mass effect': {'clinical finding': 'mass effect', 'existence': 'pos_dx', 'descriptive_term': 'mass', 'observation': 'effect'}}size_fin: [{'size': '4.6 x 2.3 cm', 'size_descriptor': 'nodes'}]anatomical entity_fin: {'anterior mediastinal lymph nodes': {}}clinical findings_fin: {'separate conglomerate anterior mediastinal lymph nodes': {'clinical finding': 'separate conglomerate anterior mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'separate conglomerate anterior mediastinal lymph', 'observation': 'node'}}anatomical entity_fin: {'carina': {}}object_fin: ['endotracheal tube']clinical findings_fin: {'endotracheal tube': {'clinical finding': 'endotracheal tube', 'existence': 'pos_dx', 'descriptive_term': 'endotracheal', 'observation': 'tube'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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': 'right upper'}}location descriptor_fin: ['right', 'upper']clinical findings_fin: {'right upper pole nonobstructing calculus': {'clinical finding': 'right upper pole nonobstructing calculus', 'cf_snomed': {'calculus': 56381008}, 'existence': 'pos_dx', 'descriptive_term': 'right upper pole nonobstructing', 'observation': 'calculus'}}anatomical entity_fin: {'pole': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower', 'bilateral']clinical findings_fin: {'left lower pole renal cyst': {'clinical finding': 'left lower pole renal cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'left lower pole renal', 'observation': 'cyst'}, 'additional bilateral subcentimeter hypodensities': {'clinical finding': 'additional bilateral subcentimeter hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'additional bilateral subcentimeter', 'observation': 'hypodensity'}}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: {'duodenum': {'location descriptor': 'proximal'}}location descriptor_fin: ['proximal']object_fin: ['tube']clinical findings_fin: {'enteric tube is identified with the tip terminating': {'clinical finding': 'enteric tube is identified with the tip terminating'}}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: {'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'}}object_fin: ['tube']clinical findings_fin: {'mild perihepatic and pelvic ascites': {'clinical finding': 'mild perihepatic and pelvic ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'mild perihepatic and pelvic', 'observation': 'ascite', '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'}}object_fin: ['catheter']anatomical entity_fin: {'urinary bladder': {}}clinical findings_fin: {'probably secondary to instrumentation': {'clinical finding': 'probably secondary to instrumentation'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'duodenum': {'location descriptor': 'proximal'}}location descriptor_fin: ['proximal']object_fin: ['tube']clinical findings_fin: {'enteric tube is identified with the tip terminating': {'clinical finding': 'enteric tube is identified with the tip terminating'}}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: {'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'}}object_fin: ['tube']clinical findings_fin: {'mild perihepatic and pelvic ascites': {'clinical finding': 'mild perihepatic and pelvic ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'mild perihepatic and pelvic', 'observation': 'ascite', 'strength_term': 'mild'}}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: location descriptor_fin: ['left', 'right', 'adjacent']clinical findings_fin: {'moderate left and small right pleural effusions': {'clinical finding': 'moderate left and small right pleural effusions', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'moderate left and small right pleural', 'observation': 'effusion', 'strength_term': 'moderate - small'}, 'adjacent atelectasis': {'clinical finding': 'adjacent atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'adjacent', 'observation': 'atelectasis'}}size_fin: [{'size': '8.8 x 6.6 cm', 'size_descriptor': 'mass'}]clinical findings_fin: {'heterogeneous mediastinal mass': {'clinical finding': 'heterogeneous mediastinal mass', 'cf_snomed': {'mediastinal mass': 94147001}, 'existence': 'pos_dx', 'descriptive_term': 'heterogeneous mediastinal', 'observation': 'mass'}}location descriptor_fin: ['left']clinical findings_fin: {'this mass': {'clinical finding': 'this mass', 'existence': 'pos_dx', 'descriptive_term': 'this', 'observation': 'mass'}, 'left pulmonary': {'clinical finding': 'left pulmonary', 'existence': 'pos_dx', 'descriptive_term': 'left', 'observation': 'pulmonary'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'mass effect': {'clinical finding': 'mass effect', 'existence': 'pos_dx', 'descriptive_term': 'mass', 'observation': 'effect'}}size_fin: [{'size': '4.6 x 2.3 cm', 'size_descriptor': 'nodes'}]anatomical entity_fin: {'anterior mediastinal lymph nodes': {}}clinical findings_fin: {'separate conglomerate anterior mediastinal lymph nodes': {'clinical finding': 'separate conglomerate anterior mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'separate conglomerate anterior mediastinal lymph', 'observation': 'node'}}anatomical entity_fin: {'carina': {}}object_fin: ['endotracheal tube']clinical findings_fin: {'endotracheal tube': {'clinical finding': 'endotracheal tube', 'existence': 'pos_dx', 'descriptive_term': 'endotracheal', 'observation': 'tube'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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': 'right upper'}}location descriptor_fin: ['right', 'upper']clinical findings_fin: {'right upper pole nonobstructing calculus': {'clinical finding': 'right upper pole nonobstructing calculus', 'cf_snomed': {'calculus': 56381008}, 'existence': 'pos_dx', 'descriptive_term': 'right upper pole nonobstructing', 'observation': 'calculus'}}anatomical entity_fin: {'pole': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower', 'bilateral']clinical findings_fin: {'left lower pole renal cyst': {'clinical finding': 'left lower pole renal cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'left lower pole renal', 'observation': 'cyst'}, 'additional bilateral subcentimeter hypodensities': {'clinical finding': 'additional bilateral subcentimeter hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'additional bilateral subcentimeter', 'observation': 'hypodensity'}}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: {'duodenum': {'location descriptor': 'proximal'}}location descriptor_fin: ['proximal']object_fin: ['tube']clinical findings_fin: {'enteric tube is identified with the tip terminating': {'clinical finding': 'enteric tube is identified with the tip terminating'}}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: {'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'}}object_fin: ['tube']clinical findings_fin: {'mild perihepatic and pelvic ascites': {'clinical finding': 'mild perihepatic and pelvic ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'mild perihepatic and pelvic', 'observation': 'ascite', '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'}}object_fin: ['catheter']anatomical entity_fin: {'urinary bladder': {}}clinical findings_fin: {'probably secondary to instrumentation': {'clinical finding': 'probably secondary to instrumentation'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'duodenum': {'location descriptor': 'proximal'}}location descriptor_fin: ['proximal']object_fin: ['tube']clinical findings_fin: {'enteric tube is identified with the tip terminating': {'clinical finding': 'enteric tube is identified with the tip terminating'}}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: {'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'}}object_fin: ['tube']clinical findings_fin: {'mild perihepatic and pelvic ascites': {'clinical finding': 'mild perihepatic and pelvic ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'mild perihepatic and pelvic', 'observation': 'ascite', 'strength_term': 'mild'}}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] . Moderate left and small right pleural effusions, with adjacent atelectasis. Heterogeneous mediastinal mass measures 8.8 x 6.6 cm. This mass extends into the left pulmonary window. There is mass effect on bilateral bronchi. Separate conglomerate anterior mediastinal lymph nodes measure 4.6 x 2.3 cm. An endotracheal tube is in place, the tip terminating above the carina. Mild. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Right upper pole nonobstructing calculus. Left lower pole renal cyst and additional bilateral subcentimeter hypodensities, too small to characterize. No hydronephrosis. No significant abnormality noted. Moderate. An enteric tube is identified with the tip terminating in the proximal duodenum. No evidence of bowel obstruction or ileus. There is colonic diverticulosis, without evidence of diverticulitis. A rectal tube is in place. Mild perihepatic and pelvic ascites. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Foley catheter in place. Air within the urinary bladder, probably secondary to instrumentation. No significant abnormality noted. An enteric tube is identified with the tip terminating in the proximal duodenum. No evidence of bowel obstruction or ileus. There is colonic diverticulosis, without evidence of diverticulitis. A rectal tube is in place. Mild perihepatic and pelvic ascites. Mild degenerative changes of the lumbar spine. No significant abnormality noted. </s>

. Reference right sided lung nodule unchanged, measuring 5 x 5 mm on image 47 series 5, previously measured 5 x 4 mm. Additional ground glass pulmonary micronodularity seen on prior study appears improved, for example on axial image 47 series 5 in right lower lobe. Bilateral axillary surgical clips. Reference left axillary lymph node stable measuring 1.4 x 1 cm on image 33 series 3, previously measured 1.4 x 1.1 cm. Again seen in incompletely imaged prominent right supraclavicular lymph node, measuring approximately 2 x 1.4 cm on image 3 series 3, without significant change as previously measured 2.3 x 1.5 cm. Stable in size 10 mm left-sided hypoattenuating thyroid nodule, for which follow up with dedicated sonography may be pursued. Right chest wall port with tip near cavoatrial junction. Incompletely imaged bilateral breast prostheses. Without significant change is medial right chest wall soft tissue nodularity, measuring 2 x 1.1 cm on image 34 series 3, previously measured 2 x 1.2 cm. Innumerable hepatic metastases, enlarging and more conglomerate in appearance, new lesions also seen. Reference hepatic segment 6 lesion similar to earlier study, measuring 3.3 x 3 cm on image 77 series 3, previously measured 3.3 x 2.9 cm. Additional hepatic segment 2 lesion on image 68 series 3 measures 2.4 x 1.6 cm, previously measured 2.1 x 1.5 cm. No significant abnormality noted. No significant abnormality noted. Stable right adrenal nodule, measuring up to 1.1 cm on image 84 series No significant abnormality noted. Small gastrohepatic and retroperitoneal lymph nodes as well as pelvic or iliac lymph nodes, stable and mildly increased in prominence or more conglomerate in appearance. Submitted for reference is aortocaval lymph node measuring 1.2 x 0.9 cm on image 121 series 3, previously measured 0.9 to 0.8 cm. Sigmoid colon anastomotic suture material. No significant abnormality noted. No significant abnormality noted. Subjectively similar sclerotic lesions in L2 vertebral body and involving upper sacrum, at approximately S2 level.

size_fin: [{'size': '5 x 5 mm'}, {'size': '5 x 4 mm'}]anatomical entity_fin: {'lung': {}}location descriptor_fin: ['right']clinical findings_fin: {'reference right sided lung nodule': {'clinical finding': 'reference right sided lung nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'reference right sided lung', 'observation': 'nodule'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'additional ground glass pulmonary micronodularity': {'clinical finding': 'additional ground glass pulmonary micronodularity', 'existence': 'neg_dx', 'descriptive_term': 'additional ground glass pulmonary', 'observation': 'micronodularity'}}location descriptor_fin: ['bilateral']object_fin: ['surgical clips']clinical findings_fin: {'bilateral axillary surgical clips': {'clinical finding': 'bilateral axillary surgical clips', 'existence': 'pos_dx', 'descriptive_term': 'bilateral axillary surgical', 'observation': 'clip'}}size_fin: [{'size': '1.4 x 1 cm'}, {'size': '1.4 x 1.1 cm'}]anatomical entity_fin: {'axillary lymph node': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'reference left axillary lymph node': {'clinical finding': 'reference left axillary lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference left axillary lymph', 'observation': 'node'}}size_fin: [{'size': '2 x 1.4 cm'}, {'size': '2.3 x 1.5 cm'}]anatomical entity_fin: {'supraclavicular lymph node': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'incompletely imaged prominent right supraclavicular lymph node': {'clinical finding': 'incompletely imaged prominent right supraclavicular lymph node', 'existence': 'pos_dx', 'descriptive_term': 'incompletely imaged prominent right supraclavicular lymph', 'observation': 'node', 'strength_term': 'prominent'}, 'significant change': {'clinical finding': 'significant change', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'change'}}size_fin: [{'size': '10 mm', 'size_descriptor': 'nodule'}]location descriptor_fin: ['left']clinical findings_fin: {'sided hypoattenuating thyroid nodule': {'clinical finding': 'sided hypoattenuating thyroid nodule', 'cf_snomed': {'thyroid nodule': 237495005}, 'existence': 'pos_dx', 'descriptive_term': 'sided hypoattenuating thyroid', 'observation': 'nodule'}}follow-up_fin: follow-up recommendedanatomical entity_fin: {'chest wall': {'location descriptor': 'right'}}location descriptor_fin: ['right']object_fin: ['port']anatomical entity_fin: {'breast': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'incompletely imaged bilateral breast prostheses': {'clinical finding': 'incompletely imaged bilateral breast prostheses', 'existence': 'pos_dx', 'descriptive_term': 'incompletely imaged bilateral breast', 'observation': 'prosthes'}}size_fin: [{'size': '2 x 1.1 cm'}, {'size': '2 x 1.2 cm'}]anatomical entity_fin: {'chest wall': {'location descriptor': 'medial right'}}location descriptor_fin: ['medial', 'right']clinical findings_fin: {'significant change': {'clinical finding': 'significant change', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'change'}, 'medial right chest wall soft tissue nodularity': {'clinical finding': 'medial right chest wall soft tissue nodularity', 'existence': 'neg_dx', 'descriptive_term': 'medial right chest wall soft tissue', 'observation': 'nodularity'}}clinical findings_fin: {'innumerable hepatic metastases': {'clinical finding': 'innumerable hepatic metastases', 'existence': 'pos_dx', 'descriptive_term': 'innumerable hepatic', 'observation': 'metastase'}, 'new lesions': {'clinical finding': 'new lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'new', 'observation': 'lesion', 'temporal_term': 'new'}}size_fin: [{'size': '3.3 x 3 cm'}, {'size': '3.3 x 2.9 cm'}]clinical findings_fin: {'reference hepatic segment 6 lesion': {'clinical finding': 'reference hepatic segment 6 lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'reference hepatic segment 6', 'observation': 'lesion'}}size_fin: [{'size': '2.4 x 1.6 cm'}, {'size': '2.1 x 1.5 cm'}]clinical findings_fin: {'additional hepatic segment 2 lesion': {'clinical finding': 'additional hepatic segment 2 lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'additional hepatic segment 2', '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'}}size_fin: [{'size': '1.1 cm', 'size_descriptor': 'nodule'}]location descriptor_fin: ['right']clinical findings_fin: {'stable right adrenal nodule': {'clinical finding': 'stable right adrenal nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'stable right adrenal', 'observation': 'nodule', 'strength_term': 'stable', 'change_term': 'stable'}, 'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'small gastrohepatic and retroperitoneal lymph nodes': {'clinical finding': 'small gastrohepatic and retroperitoneal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small gastrohepatic and retroperitoneal lymph', 'observation': 'node', 'strength_term': 'small'}, 'pelvic or iliac lymph nodes': {'clinical finding': 'pelvic or iliac lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'pelvic or iliac lymph', 'observation': 'node'}}size_fin: [{'size': '1.2 x 0.9 cm'}, {'size': '0.8 cm'}]clinical findings_fin: {'aortocaval lymph node': {'clinical finding': 'aortocaval lymph node', 'existence': 'pos_dx', 'descriptive_term': 'aortocaval lymph', 'observation': 'node'}}anatomical entity_fin: {'sigmoid colon': {}}object_fin: ['suture']clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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: {'l2 vertebral body': {}, 'sacrum': {'location descriptor': 'upper'}}location descriptor_fin: ['upper']clinical findings_fin: {'subjectively similar sclerotic lesions': {'clinical finding': 'subjectively similar sclerotic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'subjectively similar sclerotic', '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: size_fin: [{'size': '5 x 5 mm'}, {'size': '5 x 4 mm'}]anatomical entity_fin: {'lung': {}}location descriptor_fin: ['right']clinical findings_fin: {'reference right sided lung nodule': {'clinical finding': 'reference right sided lung nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'reference right sided lung', 'observation': 'nodule'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'additional ground glass pulmonary micronodularity': {'clinical finding': 'additional ground glass pulmonary micronodularity', 'existence': 'neg_dx', 'descriptive_term': 'additional ground glass pulmonary', 'observation': 'micronodularity'}}location descriptor_fin: ['bilateral']object_fin: ['surgical clips']clinical findings_fin: {'bilateral axillary surgical clips': {'clinical finding': 'bilateral axillary surgical clips', 'existence': 'pos_dx', 'descriptive_term': 'bilateral axillary surgical', 'observation': 'clip'}}size_fin: [{'size': '1.4 x 1 cm'}, {'size': '1.4 x 1.1 cm'}]anatomical entity_fin: {'axillary lymph node': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'reference left axillary lymph node': {'clinical finding': 'reference left axillary lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference left axillary lymph', 'observation': 'node'}}size_fin: [{'size': '2 x 1.4 cm'}, {'size': '2.3 x 1.5 cm'}]anatomical entity_fin: {'supraclavicular lymph node': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'incompletely imaged prominent right supraclavicular lymph node': {'clinical finding': 'incompletely imaged prominent right supraclavicular lymph node', 'existence': 'pos_dx', 'descriptive_term': 'incompletely imaged prominent right supraclavicular lymph', 'observation': 'node', 'strength_term': 'prominent'}, 'significant change': {'clinical finding': 'significant change', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'change'}}size_fin: [{'size': '10 mm', 'size_descriptor': 'nodule'}]location descriptor_fin: ['left']clinical findings_fin: {'sided hypoattenuating thyroid nodule': {'clinical finding': 'sided hypoattenuating thyroid nodule', 'cf_snomed': {'thyroid nodule': 237495005}, 'existence': 'pos_dx', 'descriptive_term': 'sided hypoattenuating thyroid', 'observation': 'nodule'}}follow-up_fin: follow-up recommendedanatomical entity_fin: {'chest wall': {'location descriptor': 'right'}}location descriptor_fin: ['right']object_fin: ['port']anatomical entity_fin: {'breast': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'incompletely imaged bilateral breast prostheses': {'clinical finding': 'incompletely imaged bilateral breast prostheses', 'existence': 'pos_dx', 'descriptive_term': 'incompletely imaged bilateral breast', 'observation': 'prosthes'}}size_fin: [{'size': '2 x 1.1 cm'}, {'size': '2 x 1.2 cm'}]anatomical entity_fin: {'chest wall': {'location descriptor': 'medial right'}}location descriptor_fin: ['medial', 'right']clinical findings_fin: {'significant change': {'clinical finding': 'significant change', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'change'}, 'medial right chest wall soft tissue nodularity': {'clinical finding': 'medial right chest wall soft tissue nodularity', 'existence': 'neg_dx', 'descriptive_term': 'medial right chest wall soft tissue', 'observation': 'nodularity'}}clinical findings_fin: {'innumerable hepatic metastases': {'clinical finding': 'innumerable hepatic metastases', 'existence': 'pos_dx', 'descriptive_term': 'innumerable hepatic', 'observation': 'metastase'}, 'new lesions': {'clinical finding': 'new lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'new', 'observation': 'lesion', 'temporal_term': 'new'}}size_fin: [{'size': '3.3 x 3 cm'}, {'size': '3.3 x 2.9 cm'}]clinical findings_fin: {'reference hepatic segment 6 lesion': {'clinical finding': 'reference hepatic segment 6 lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'reference hepatic segment 6', 'observation': 'lesion'}}size_fin: [{'size': '2.4 x 1.6 cm'}, {'size': '2.1 x 1.5 cm'}]clinical findings_fin: {'additional hepatic segment 2 lesion': {'clinical finding': 'additional hepatic segment 2 lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'additional hepatic segment 2', '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'}}size_fin: [{'size': '1.1 cm', 'size_descriptor': 'nodule'}]location descriptor_fin: ['right']clinical findings_fin: {'stable right adrenal nodule': {'clinical finding': 'stable right adrenal nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'stable right adrenal', 'observation': 'nodule', 'strength_term': 'stable', 'change_term': 'stable'}, 'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'small gastrohepatic and retroperitoneal lymph nodes': {'clinical finding': 'small gastrohepatic and retroperitoneal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small gastrohepatic and retroperitoneal lymph', 'observation': 'node', 'strength_term': 'small'}, 'pelvic or iliac lymph nodes': {'clinical finding': 'pelvic or iliac lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'pelvic or iliac lymph', 'observation': 'node'}}size_fin: [{'size': '1.2 x 0.9 cm'}, {'size': '0.8 cm'}]clinical findings_fin: {'aortocaval lymph node': {'clinical finding': 'aortocaval lymph node', 'existence': 'pos_dx', 'descriptive_term': 'aortocaval lymph', 'observation': 'node'}}anatomical entity_fin: {'sigmoid colon': {}}object_fin: ['suture']clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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: {'l2 vertebral body': {}, 'sacrum': {'location descriptor': 'upper'}}location descriptor_fin: ['upper']clinical findings_fin: {'subjectively similar sclerotic lesions': {'clinical finding': 'subjectively similar sclerotic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'subjectively similar sclerotic', 'observation': 'lesion'}} [/INST] . Reference right sided lung nodule unchanged, measuring 5 x 5 mm on image 47 series 5, previously measured 5 x 4 mm. Additional ground glass pulmonary micronodularity seen on prior study appears improved, for example on axial image 47 series 5 in right lower lobe. Bilateral axillary surgical clips. Reference left axillary lymph node stable measuring 1.4 x 1 cm on image 33 series 3, previously measured 1.4 x 1.1 cm. Again seen in incompletely imaged prominent right supraclavicular lymph node, measuring approximately 2 x 1.4 cm on image 3 series 3, without significant change as previously measured 2.3 x 1.5 cm. Stable in size 10 mm left-sided hypoattenuating thyroid nodule, for which follow up with dedicated sonography may be pursued. Right chest wall port with tip near cavoatrial junction. Incompletely imaged bilateral breast prostheses. Without significant change is medial right chest wall soft tissue nodularity, measuring 2 x 1.1 cm on image 34 series 3, previously measured 2 x 1.2 cm. Innumerable hepatic metastases, enlarging and more conglomerate in appearance, new lesions also seen. Reference hepatic segment 6 lesion similar to earlier study, measuring 3.3 x 3 cm on image 77 series 3, previously measured 3.3 x 2.9 cm. Additional hepatic segment 2 lesion on image 68 series 3 measures 2.4 x 1.6 cm, previously measured 2.1 x 1.5 cm. No significant abnormality noted. No significant abnormality noted. Stable right adrenal nodule, measuring up to 1.1 cm on image 84 series No significant abnormality noted. Small gastrohepatic and retroperitoneal lymph nodes as well as pelvic or iliac lymph nodes, stable and mildly increased in prominence or more conglomerate in appearance. Submitted for reference is aortocaval lymph node measuring 1.2 x 0.9 cm on image 121 series 3, previously measured 0.9 to 0.8 cm. Sigmoid colon anastomotic suture material. No significant abnormality noted. No significant abnormality noted. Subjectively similar sclerotic lesions in L2 vertebral body and involving upper sacrum, at approximately S2 level. </s>

. There is a filling defect in distal aspect of the basilar artery beyond the origins of the superior cerebellar arteries. There is also nonvisualization of the right posterior cerebral artery. Posterior communicating arteries are small and not definitively seen on the right. The left posterior cerebral artery and the superior cerebellar arteries are patent. Atherosclerotic changes involving the proximal basilar and distal vertebral arteries. There is heavy atherosclerotic calcification of the cavernous internal carotid arteries with mild to moderate degrees of stenosis. Otherwise no evidence of significant stenosis involving the anterior or middle cerebral arteries. The superficial and deep intracranial venous drainage is unremarkable. There is no abnormal enhancement of the brain. There are severe atherosclerotic calcifications of the aortic arch and the origins of the great vessels without significant stenosis. The origins and cervical segments of the left and right vertebral arteries demonstrate atherosclerosis. There is mild outpouching or ectasia of the aortic arch. There are moderate atherosclerotic calcifications of the carotid arteries at their carotid bifurcations, with less than 50% ICA bulb stenosis bilaterally. The right vertebral artery is hypoplastic and demonstrates superimposed atherosclerotic changes with high-grade stenosis involving the right the V3 segment and better opacification involving the right V4 segment which may be related to retrograde flow. Patient is status post endotracheal intubation, with endotracheal tube terminating superior to the carina. Oroenteric tube is visualized extending into the visualized portion of the thoracic esophagus. There are foci of air noted involving the right jugular and subclavian veins with smaller foci elsewhere which may related to venous line placement.

anatomical entity_fin: {'basilar artery': {}, 'origins': {}, 'superior cerebellar arteries': {}}location descriptor_fin: ['distal']clinical findings_fin: {'filling defect': {'clinical finding': 'filling defect', 'cf_snomed': {'filling defect': 43468004}, 'existence': 'pos_dx', 'descriptive_term': 'filling', 'observation': 'defect'}}anatomical entity_fin: {'right posterior cerebral artery': {}}clinical findings_fin: {'nonvisualization': {'clinical finding': 'nonvisualization', 'existence': 'pos_dx', 'observation': 'nonvisualization'}}anatomical entity_fin: {'posterior communicating arteries': {}}location descriptor_fin: ['right']clinical findings_fin: {'small': {'clinical finding': 'small', 'existence': 'pos_dx', 'observation': 'small'}}anatomical entity_fin: {'left posterior cerebral artery': {}, 'superior cerebellar arteries': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}anatomical entity_fin: {'vertebral arteries': {'location descriptor': 'distal'}}location descriptor_fin: ['proximal', 'distal']clinical findings_fin: {'atherosclerotic changes': {'clinical finding': 'atherosclerotic changes', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'change'}}anatomical entity_fin: {'internal carotid arteries': {}}clinical findings_fin: {'heavy atherosclerotic calcification': {'clinical finding': 'heavy atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'heavy atherosclerotic', 'observation': 'calcification', 'strength_term': 'heavy'}, 'stenosis': {'clinical finding': 'stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'observation': 'stenosis'}}anatomical entity_fin: {'middle cerebral arteries': {}}location descriptor_fin: ['anterior']clinical findings_fin: {'significant stenosis': {'clinical finding': 'significant stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'stenosis'}}location descriptor_fin: ['superficial']procedure_fin: ['drainage']clinical findings_fin: {'superficial and deep intracranial venous drainage is unremarkable': {'clinical finding': 'superficial and deep intracranial venous drainage is unremarkable'}}anatomical entity_fin: {'brain': {}}clinical findings_fin: {'abnormal enhancement': {'clinical finding': 'abnormal enhancement', 'existence': 'neg_dx', 'descriptive_term': 'abnormal', 'observation': 'enhancement'}}anatomical entity_fin: {'aortic arch': {}, 'origins': {}}clinical findings_fin: {'severe atherosclerotic calcifications': {'clinical finding': 'severe atherosclerotic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'severe atherosclerotic', 'observation': 'calcification', 'strength_term': 'severe'}, 'significant stenosis': {'clinical finding': 'significant stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'significant', 'observation': 'stenosis'}}anatomical entity_fin: {'origins': {}, 'right vertebral arteries': {}}location descriptor_fin: ['left']clinical findings_fin: {'atherosclerosis': {'clinical finding': 'atherosclerosis', 'cf_snomed': {'atherosclerosis': 38716007}, 'existence': 'pos_dx', 'observation': 'atherosclerosis'}}anatomical entity_fin: {'aortic arch': {}}clinical findings_fin: {'ectasia': {'clinical finding': 'ectasia', 'existence': 'unc_dx', 'observation': 'ectasia'}}anatomical entity_fin: {'arteries': {}}clinical findings_fin: {'moderate atherosclerotic calcifications': {'clinical finding': 'moderate atherosclerotic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'moderate atherosclerotic', 'observation': 'calcification', 'strength_term': 'moderate'}, 'less than 50% ica bulb stenosis': {'clinical finding': 'less than 50% ica bulb stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'less than 50 ica bulb', 'observation': 'stenosis', 'quantity_term': 'less'}}anatomical entity_fin: {'right vertebral artery': {}}location descriptor_fin: ['right']clinical findings_fin: {'superimposed atherosclerotic changes': {'clinical finding': 'superimposed atherosclerotic changes', 'existence': 'pos_dx', 'descriptive_term': 'superimposed atherosclerotic', 'observation': 'change'}, 'high-grade stenosis': {'clinical finding': 'high-grade stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'high-grade', 'observation': 'stenosis'}, 'better opacification': {'clinical finding': 'better opacification', 'existence': 'pos_dx', 'descriptive_term': 'better', 'observation': 'opacification'}, 'retrograde flow': {'clinical finding': 'retrograde flow', 'existence': 'unc_dx', 'descriptive_term': 'retrograde', 'observation': 'flow'}}anatomical entity_fin: {'carina': {}}location descriptor_fin: ['superior']object_fin: ['endotracheal tube']clinical findings_fin: {'post endotracheal intubation': {'clinical finding': 'post endotracheal intubation', 'existence': 'pos_dx', 'descriptive_term': 'post endotracheal', 'observation': 'intubation'}, 'endotracheal tube': {'clinical finding': 'endotracheal tube', 'existence': 'pos_dx', 'descriptive_term': 'endotracheal', 'observation': 'tube'}}anatomical entity_fin: {'esophagus': {}}object_fin: ['tube']clinical findings_fin: {'oroenteric tube is visualized': {'clinical finding': 'oroenteric tube is visualized'}}anatomical entity_fin: {'subclavian veins': {}}imaging observation_fin: ['foci']location descriptor_fin: ['right']clinical findings_fin: {'foci': {'clinical finding': 'foci', 'existence': 'pos_dx', 'observation': 'foci'}, 'smaller foci': {'clinical finding': 'smaller foci', 'existence': 'pos_dx', 'descriptive_term': 'smaller', 'observation': 'foci'}}

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: {'basilar artery': {}, 'origins': {}, 'superior cerebellar arteries': {}}location descriptor_fin: ['distal']clinical findings_fin: {'filling defect': {'clinical finding': 'filling defect', 'cf_snomed': {'filling defect': 43468004}, 'existence': 'pos_dx', 'descriptive_term': 'filling', 'observation': 'defect'}}anatomical entity_fin: {'right posterior cerebral artery': {}}clinical findings_fin: {'nonvisualization': {'clinical finding': 'nonvisualization', 'existence': 'pos_dx', 'observation': 'nonvisualization'}}anatomical entity_fin: {'posterior communicating arteries': {}}location descriptor_fin: ['right']clinical findings_fin: {'small': {'clinical finding': 'small', 'existence': 'pos_dx', 'observation': 'small'}}anatomical entity_fin: {'left posterior cerebral artery': {}, 'superior cerebellar arteries': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}anatomical entity_fin: {'vertebral arteries': {'location descriptor': 'distal'}}location descriptor_fin: ['proximal', 'distal']clinical findings_fin: {'atherosclerotic changes': {'clinical finding': 'atherosclerotic changes', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'change'}}anatomical entity_fin: {'internal carotid arteries': {}}clinical findings_fin: {'heavy atherosclerotic calcification': {'clinical finding': 'heavy atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'heavy atherosclerotic', 'observation': 'calcification', 'strength_term': 'heavy'}, 'stenosis': {'clinical finding': 'stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'observation': 'stenosis'}}anatomical entity_fin: {'middle cerebral arteries': {}}location descriptor_fin: ['anterior']clinical findings_fin: {'significant stenosis': {'clinical finding': 'significant stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'stenosis'}}location descriptor_fin: ['superficial']procedure_fin: ['drainage']clinical findings_fin: {'superficial and deep intracranial venous drainage is unremarkable': {'clinical finding': 'superficial and deep intracranial venous drainage is unremarkable'}}anatomical entity_fin: {'brain': {}}clinical findings_fin: {'abnormal enhancement': {'clinical finding': 'abnormal enhancement', 'existence': 'neg_dx', 'descriptive_term': 'abnormal', 'observation': 'enhancement'}}anatomical entity_fin: {'aortic arch': {}, 'origins': {}}clinical findings_fin: {'severe atherosclerotic calcifications': {'clinical finding': 'severe atherosclerotic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'severe atherosclerotic', 'observation': 'calcification', 'strength_term': 'severe'}, 'significant stenosis': {'clinical finding': 'significant stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'significant', 'observation': 'stenosis'}}anatomical entity_fin: {'origins': {}, 'right vertebral arteries': {}}location descriptor_fin: ['left']clinical findings_fin: {'atherosclerosis': {'clinical finding': 'atherosclerosis', 'cf_snomed': {'atherosclerosis': 38716007}, 'existence': 'pos_dx', 'observation': 'atherosclerosis'}}anatomical entity_fin: {'aortic arch': {}}clinical findings_fin: {'ectasia': {'clinical finding': 'ectasia', 'existence': 'unc_dx', 'observation': 'ectasia'}}anatomical entity_fin: {'arteries': {}}clinical findings_fin: {'moderate atherosclerotic calcifications': {'clinical finding': 'moderate atherosclerotic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'moderate atherosclerotic', 'observation': 'calcification', 'strength_term': 'moderate'}, 'less than 50% ica bulb stenosis': {'clinical finding': 'less than 50% ica bulb stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'less than 50 ica bulb', 'observation': 'stenosis', 'quantity_term': 'less'}}anatomical entity_fin: {'right vertebral artery': {}}location descriptor_fin: ['right']clinical findings_fin: {'superimposed atherosclerotic changes': {'clinical finding': 'superimposed atherosclerotic changes', 'existence': 'pos_dx', 'descriptive_term': 'superimposed atherosclerotic', 'observation': 'change'}, 'high-grade stenosis': {'clinical finding': 'high-grade stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'high-grade', 'observation': 'stenosis'}, 'better opacification': {'clinical finding': 'better opacification', 'existence': 'pos_dx', 'descriptive_term': 'better', 'observation': 'opacification'}, 'retrograde flow': {'clinical finding': 'retrograde flow', 'existence': 'unc_dx', 'descriptive_term': 'retrograde', 'observation': 'flow'}}anatomical entity_fin: {'carina': {}}location descriptor_fin: ['superior']object_fin: ['endotracheal tube']clinical findings_fin: {'post endotracheal intubation': {'clinical finding': 'post endotracheal intubation', 'existence': 'pos_dx', 'descriptive_term': 'post endotracheal', 'observation': 'intubation'}, 'endotracheal tube': {'clinical finding': 'endotracheal tube', 'existence': 'pos_dx', 'descriptive_term': 'endotracheal', 'observation': 'tube'}}anatomical entity_fin: {'esophagus': {}}object_fin: ['tube']clinical findings_fin: {'oroenteric tube is visualized': {'clinical finding': 'oroenteric tube is visualized'}}anatomical entity_fin: {'subclavian veins': {}}imaging observation_fin: ['foci']location descriptor_fin: ['right']clinical findings_fin: {'foci': {'clinical finding': 'foci', 'existence': 'pos_dx', 'observation': 'foci'}, 'smaller foci': {'clinical finding': 'smaller foci', 'existence': 'pos_dx', 'descriptive_term': 'smaller', 'observation': 'foci'}} [/INST] . There is a filling defect in distal aspect of the basilar artery beyond the origins of the superior cerebellar arteries. There is also nonvisualization of the right posterior cerebral artery. Posterior communicating arteries are small and not definitively seen on the right. The left posterior cerebral artery and the superior cerebellar arteries are patent. Atherosclerotic changes involving the proximal basilar and distal vertebral arteries. There is heavy atherosclerotic calcification of the cavernous internal carotid arteries with mild to moderate degrees of stenosis. Otherwise no evidence of significant stenosis involving the anterior or middle cerebral arteries. The superficial and deep intracranial venous drainage is unremarkable. There is no abnormal enhancement of the brain. There are severe atherosclerotic calcifications of the aortic arch and the origins of the great vessels without significant stenosis. The origins and cervical segments of the left and right vertebral arteries demonstrate atherosclerosis. There is mild outpouching or ectasia of the aortic arch. There are moderate atherosclerotic calcifications of the carotid arteries at their carotid bifurcations, with less than 50% ICA bulb stenosis bilaterally. The right vertebral artery is hypoplastic and demonstrates superimposed atherosclerotic changes with high-grade stenosis involving the right the V3 segment and better opacification involving the right V4 segment which may be related to retrograde flow. Patient is status post endotracheal intubation, with endotracheal tube terminating superior to the carina. Oroenteric tube is visualized extending into the visualized portion of the thoracic esophagus. There are foci of air noted involving the right jugular and subclavian veins with smaller foci elsewhere which may related to venous line placement. </s>

. No significant abnormality noted. Midline subcentimeter 8 mm hypoattenuating thyroid nodule, image 26 series Small mediastinal lymph nodes. Small pericardial effusion, stable. No significant abnormality noted. Hepatic steatosis. Improvement in previously visualized small perihepatic fluid. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Bilateral nonobstructing intrarenal calculi with staghorn appearance seen involving mid to lower pole of left kidney, associated Hounsfield units of approximately 1500 seen. Mild asymmetric prominence of left ureter without evidence of obstructing stone. Small subcentimeter in maximum short axis dimension retroperitoneal including aortocaval and left paraaortic lymph nodes again seen, nonspecific. Submitted for reference is not significantly changed 1.7 x 0.8 cm left para-aortic lymph node, image 138 series Circumaortic left renal vein, a normal variant. Moderate to severe aortobiiliac atherosclerotic disease. Status post appendectomy and omentectomy. Stable to mildly improved minimal peritoneal nodularity. Mild asymmetric ventral abdominal midline thickening on right side on image 158 series 3, likely due in part to postoperative scarring. No ascites. Extensive sigmoid colon diverticulosis without evidence of acute diverticulitis. Scattered descending colon diverticula also seen. Intraprostatic calcifications. Spinal degenerative disease. Scattered sclerotic foci, for example, in right femoral head, proximal left femur and right humeral head, most likely bone islands. No significant abnormality noted.

clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}size_fin: [{'size': '8 mm', 'size_descriptor': 'nodule'}]anatomical entity_fin: {'mediastinal lymph nodes': {}}location descriptor_fin: ['midline']clinical findings_fin: {'8 mm hypoattenuating thyroid nodule': {'clinical finding': '8 mm hypoattenuating thyroid nodule', 'cf_snomed': {'thyroid nodule': 237495005}, 'existence': 'pos_dx', 'descriptive_term': '8 mm hypoattenuating thyroid', 'observation': 'nodule'}, 'small mediastinal lymph nodes': {'clinical finding': 'small mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small mediastinal lymph', 'observation': 'node', 'strength_term': 'small'}}clinical findings_fin: {'small pericardial effusion': {'clinical finding': 'small pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'pos_dx', 'descriptive_term': 'small pericardial', 'observation': 'effusion', 'strength_term': 'small'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'hepatic steatosis': {'clinical finding': 'hepatic steatosis', 'cf_snomed': {'steatosis': 1187537008}, 'existence': 'pos_dx', 'descriptive_term': 'hepatic', 'observation': 'steatosis'}}anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'improvement in previously visualized small perihepatic fluid': {'clinical finding': 'improvement in previously visualized small perihepatic 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'}}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: ['bilateral', 'lower']clinical findings_fin: {'staghorn': {'clinical finding': 'staghorn', 'existence': 'pos_dx', 'observation': 'staghorn'}}anatomical entity_fin: {'left ureter': {}}clinical findings_fin: {'mild asymmetric prominence of left ureter without evidence of obstructing stone': {'clinical finding': 'mild asymmetric prominence of left ureter without evidence of obstructing stone'}}anatomical entity_fin: {'axis': {}}location descriptor_fin: ['left']clinical findings_fin: {'left paraaortic lymph nodes': {'clinical finding': 'left paraaortic lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'left paraaortic lymph', 'observation': 'node'}}size_fin: [{'size': '1.7 x 0.8 cm'}]anatomical entity_fin: {'left renal vein': {}, 'normal variant': {}}location descriptor_fin: ['left']clinical findings_fin: {'1.7 x 0.8 cm left para-aortic lymph node': {'clinical finding': '1.7 x 0.8 cm left para-aortic lymph node', 'existence': 'neg_dx', 'descriptive_term': '1 7 x 0 8 cm left para-aortic lymph', 'observation': 'node'}, 'normal variant': {'clinical finding': 'normal variant', 'existence': 'pos_dx', 'descriptive_term': 'normal', 'observation': 'variant', 'strength_term': 'normal'}}clinical findings_fin: {'moderate to severe aortobiiliac atherosclerotic disease': {'clinical finding': 'moderate to severe aortobiiliac atherosclerotic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'moderate to severe aortobiiliac atherosclerotic', 'observation': 'disease', 'strength_term': 'moderate - severe'}}procedure_fin: ['appendectomy', 'omentectomy']clinical findings_fin: {'stable to mildly improved minimal peritoneal nodularity': {'clinical finding': 'stable to mildly improved minimal peritoneal nodularity', 'existence': 'pos_dx', 'descriptive_term': 'stable to mildly improved minimal peritoneal', 'observation': 'nodularity', 'strength_term': 'stable - mildly - minimal', 'quantity_term': 'minimal', 'change_term': 'stable'}}anatomical entity_fin: {'abdominal': {}}location descriptor_fin: ['midline', 'right']clinical findings_fin: {'mild asymmetric ventral abdominal midline thickening': {'clinical finding': 'mild asymmetric ventral abdominal midline thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild asymmetric ventral abdominal midline', 'observation': 'thickening', 'strength_term': 'mild'}, 'postoperative scarring': {'clinical finding': 'postoperative scarring', 'existence': 'pos_dx', 'descriptive_term': 'postoperative', 'observation': 'scarr'}}clinical findings_fin: {'ascites': {'clinical finding': 'ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'neg_dx', 'observation': 'ascite'}}anatomical entity_fin: {'sigmoid colon': {}}clinical findings_fin: {'extensive sigmoid colon diverticulosis': {'clinical finding': 'extensive sigmoid colon diverticulosis', 'existence': 'pos_dx', 'descriptive_term': 'extensive sigmoid colon', 'observation': 'diverticulosis', 'strength_term': 'extensive'}, 'acute diverticulitis': {'clinical finding': 'acute diverticulitis', 'cf_snomed': {'diverticulitis': 307496006}, 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'diverticulitis', 'strength_term': 'acute', 'temporal_term': 'acute'}}anatomical entity_fin: {'descending colon': {}}clinical findings_fin: {'scattered descending colon diverticula also seen': {'clinical finding': 'scattered descending colon diverticula also seen'}}clinical findings_fin: {'intraprostatic calcifications': {'clinical finding': 'intraprostatic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'intraprostatic', 'observation': 'calcification'}}clinical findings_fin: {'spinal degenerative disease': {'clinical finding': 'spinal degenerative disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'spinal degenerative', 'observation': 'disease'}}anatomical entity_fin: {'head': {}, 'left femur': {'location descriptor': 'proximal'}}imaging observation_fin: ['foci']location descriptor_fin: ['right', 'proximal']clinical findings_fin: {'scattered sclerotic foci': {'clinical finding': 'scattered sclerotic foci', 'existence': 'pos_dx', 'descriptive_term': 'scattered sclerotic', 'observation': 'foci'}}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': '8 mm', 'size_descriptor': 'nodule'}]anatomical entity_fin: {'mediastinal lymph nodes': {}}location descriptor_fin: ['midline']clinical findings_fin: {'8 mm hypoattenuating thyroid nodule': {'clinical finding': '8 mm hypoattenuating thyroid nodule', 'cf_snomed': {'thyroid nodule': 237495005}, 'existence': 'pos_dx', 'descriptive_term': '8 mm hypoattenuating thyroid', 'observation': 'nodule'}, 'small mediastinal lymph nodes': {'clinical finding': 'small mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small mediastinal lymph', 'observation': 'node', 'strength_term': 'small'}}clinical findings_fin: {'small pericardial effusion': {'clinical finding': 'small pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'pos_dx', 'descriptive_term': 'small pericardial', 'observation': 'effusion', 'strength_term': 'small'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'hepatic steatosis': {'clinical finding': 'hepatic steatosis', 'cf_snomed': {'steatosis': 1187537008}, 'existence': 'pos_dx', 'descriptive_term': 'hepatic', 'observation': 'steatosis'}}anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'improvement in previously visualized small perihepatic fluid': {'clinical finding': 'improvement in previously visualized small perihepatic 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'}}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: ['bilateral', 'lower']clinical findings_fin: {'staghorn': {'clinical finding': 'staghorn', 'existence': 'pos_dx', 'observation': 'staghorn'}}anatomical entity_fin: {'left ureter': {}}clinical findings_fin: {'mild asymmetric prominence of left ureter without evidence of obstructing stone': {'clinical finding': 'mild asymmetric prominence of left ureter without evidence of obstructing stone'}}anatomical entity_fin: {'axis': {}}location descriptor_fin: ['left']clinical findings_fin: {'left paraaortic lymph nodes': {'clinical finding': 'left paraaortic lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'left paraaortic lymph', 'observation': 'node'}}size_fin: [{'size': '1.7 x 0.8 cm'}]anatomical entity_fin: {'left renal vein': {}, 'normal variant': {}}location descriptor_fin: ['left']clinical findings_fin: {'1.7 x 0.8 cm left para-aortic lymph node': {'clinical finding': '1.7 x 0.8 cm left para-aortic lymph node', 'existence': 'neg_dx', 'descriptive_term': '1 7 x 0 8 cm left para-aortic lymph', 'observation': 'node'}, 'normal variant': {'clinical finding': 'normal variant', 'existence': 'pos_dx', 'descriptive_term': 'normal', 'observation': 'variant', 'strength_term': 'normal'}}clinical findings_fin: {'moderate to severe aortobiiliac atherosclerotic disease': {'clinical finding': 'moderate to severe aortobiiliac atherosclerotic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'moderate to severe aortobiiliac atherosclerotic', 'observation': 'disease', 'strength_term': 'moderate - severe'}}procedure_fin: ['appendectomy', 'omentectomy']clinical findings_fin: {'stable to mildly improved minimal peritoneal nodularity': {'clinical finding': 'stable to mildly improved minimal peritoneal nodularity', 'existence': 'pos_dx', 'descriptive_term': 'stable to mildly improved minimal peritoneal', 'observation': 'nodularity', 'strength_term': 'stable - mildly - minimal', 'quantity_term': 'minimal', 'change_term': 'stable'}}anatomical entity_fin: {'abdominal': {}}location descriptor_fin: ['midline', 'right']clinical findings_fin: {'mild asymmetric ventral abdominal midline thickening': {'clinical finding': 'mild asymmetric ventral abdominal midline thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild asymmetric ventral abdominal midline', 'observation': 'thickening', 'strength_term': 'mild'}, 'postoperative scarring': {'clinical finding': 'postoperative scarring', 'existence': 'pos_dx', 'descriptive_term': 'postoperative', 'observation': 'scarr'}}clinical findings_fin: {'ascites': {'clinical finding': 'ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'neg_dx', 'observation': 'ascite'}}anatomical entity_fin: {'sigmoid colon': {}}clinical findings_fin: {'extensive sigmoid colon diverticulosis': {'clinical finding': 'extensive sigmoid colon diverticulosis', 'existence': 'pos_dx', 'descriptive_term': 'extensive sigmoid colon', 'observation': 'diverticulosis', 'strength_term': 'extensive'}, 'acute diverticulitis': {'clinical finding': 'acute diverticulitis', 'cf_snomed': {'diverticulitis': 307496006}, 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'diverticulitis', 'strength_term': 'acute', 'temporal_term': 'acute'}}anatomical entity_fin: {'descending colon': {}}clinical findings_fin: {'scattered descending colon diverticula also seen': {'clinical finding': 'scattered descending colon diverticula also seen'}}clinical findings_fin: {'intraprostatic calcifications': {'clinical finding': 'intraprostatic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'intraprostatic', 'observation': 'calcification'}}clinical findings_fin: {'spinal degenerative disease': {'clinical finding': 'spinal degenerative disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'spinal degenerative', 'observation': 'disease'}}anatomical entity_fin: {'head': {}, 'left femur': {'location descriptor': 'proximal'}}imaging observation_fin: ['foci']location descriptor_fin: ['right', 'proximal']clinical findings_fin: {'scattered sclerotic foci': {'clinical finding': 'scattered sclerotic foci', 'existence': 'pos_dx', 'descriptive_term': 'scattered sclerotic', 'observation': 'foci'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . No significant abnormality noted. Midline subcentimeter 8 mm hypoattenuating thyroid nodule, image 26 series Small mediastinal lymph nodes. Small pericardial effusion, stable. No significant abnormality noted. Hepatic steatosis. Improvement in previously visualized small perihepatic fluid. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Bilateral nonobstructing intrarenal calculi with staghorn appearance seen involving mid to lower pole of left kidney, associated Hounsfield units of approximately 1500 seen. Mild asymmetric prominence of left ureter without evidence of obstructing stone. Small subcentimeter in maximum short axis dimension retroperitoneal including aortocaval and left paraaortic lymph nodes again seen, nonspecific. Submitted for reference is not significantly changed 1.7 x 0.8 cm left para-aortic lymph node, image 138 series Circumaortic left renal vein, a normal variant. Moderate to severe aortobiiliac atherosclerotic disease. Status post appendectomy and omentectomy. Stable to mildly improved minimal peritoneal nodularity. Mild asymmetric ventral abdominal midline thickening on right side on image 158 series 3, likely due in part to postoperative scarring. No ascites. Extensive sigmoid colon diverticulosis without evidence of acute diverticulitis. Scattered descending colon diverticula also seen. Intraprostatic calcifications. Spinal degenerative disease. Scattered sclerotic foci, for example, in right femoral head, proximal left femur and right humeral head, most likely bone islands. No significant abnormality noted. </s>

There is no significant interval change in the extent of the cortical and subcortical edema in the bilateral occipital, parietal, and frontal lobes, as well as the bilateral cerebellar hemispheres with a predominantly watershed distribution. There is an unchanged background of mild patchy cerebral white matter hypoattenuation. Although punctate foci of relative hyperattenuation within the areas of edema may represent petechial versus isolated normal tissues, there is no evidence of gross acute intracranial hemorrhage. The ventricles and basal cisterns are essentially unchanged in size and configuration. There is no midline shift or herniation. The orbits, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable.

anatomical entity_fin: {'frontal lobes': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'significant interval change': {'clinical finding': 'significant interval change', 'existence': 'neg_dx', 'descriptive_term': 'significant interval', 'observation': 'change'}, 'cortical and subcortical edema': {'clinical finding': 'cortical and subcortical edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'neg_dx', 'descriptive_term': 'cortical and subcortical', 'observation': 'edema'}}anatomical entity_fin: {'cerebral white matter': {}}clinical findings_fin: {'mild patchy cerebral white matter hypoattenuation': {'clinical finding': 'mild patchy cerebral white matter hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'mild patchy cerebral white matter', 'observation': 'hypoattenuation', 'strength_term': 'mild'}}imaging observation_fin: ['foci']clinical findings_fin: {'relative hyperattenuation': {'clinical finding': 'relative hyperattenuation', 'existence': 'pos_dx', 'descriptive_term': 'relative', 'observation': 'hyperattenuation'}, 'edema': {'clinical finding': 'edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'observation': 'edema'}, 'isolated normal tissues': {'clinical finding': 'isolated normal tissues', 'cf_snomed': {'normal tissue': 30389008}, 'existence': 'unc_dx', 'descriptive_term': 'isolated normal', 'observation': 'tissue', 'strength_term': 'normal'}, 'gross acute intracranial hemorrhage': {'clinical finding': 'gross acute intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'gross acute intracranial', 'observation': 'hemorrhage', 'strength_term': 'acute', 'temporal_term': 'acute'}}clinical findings_fin: {'unchanged': {'clinical finding': 'unchanged', 'existence': 'pos_dx', 'observation': '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'}}

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: {'frontal lobes': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'significant interval change': {'clinical finding': 'significant interval change', 'existence': 'neg_dx', 'descriptive_term': 'significant interval', 'observation': 'change'}, 'cortical and subcortical edema': {'clinical finding': 'cortical and subcortical edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'neg_dx', 'descriptive_term': 'cortical and subcortical', 'observation': 'edema'}}anatomical entity_fin: {'cerebral white matter': {}}clinical findings_fin: {'mild patchy cerebral white matter hypoattenuation': {'clinical finding': 'mild patchy cerebral white matter hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'mild patchy cerebral white matter', 'observation': 'hypoattenuation', 'strength_term': 'mild'}}imaging observation_fin: ['foci']clinical findings_fin: {'relative hyperattenuation': {'clinical finding': 'relative hyperattenuation', 'existence': 'pos_dx', 'descriptive_term': 'relative', 'observation': 'hyperattenuation'}, 'edema': {'clinical finding': 'edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'observation': 'edema'}, 'isolated normal tissues': {'clinical finding': 'isolated normal tissues', 'cf_snomed': {'normal tissue': 30389008}, 'existence': 'unc_dx', 'descriptive_term': 'isolated normal', 'observation': 'tissue', 'strength_term': 'normal'}, 'gross acute intracranial hemorrhage': {'clinical finding': 'gross acute intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'gross acute intracranial', 'observation': 'hemorrhage', 'strength_term': 'acute', 'temporal_term': 'acute'}}clinical findings_fin: {'unchanged': {'clinical finding': 'unchanged', 'existence': 'pos_dx', 'observation': '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'}} [/INST] There is no significant interval change in the extent of the cortical and subcortical edema in the bilateral occipital, parietal, and frontal lobes, as well as the bilateral cerebellar hemispheres with a predominantly watershed distribution. There is an unchanged background of mild patchy cerebral white matter hypoattenuation. Although punctate foci of relative hyperattenuation within the areas of edema may represent petechial versus isolated normal tissues, there is no evidence of gross acute intracranial hemorrhage. The ventricles and basal cisterns are essentially unchanged in size and configuration. There is no midline shift or herniation. The orbits, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable. </s>

. No significant abnormality noted. Thyroid goiter with a large dominant nodule in the isthmus and substernal extension on the left, incompletely evaluated by CT. Small hiatal hernia. None visible. 31 x 39 mm left breast mass extending to the skin surface. The index left axillary lymph node measures 11 x 12 mm, incompletely included in the field of view of the last exam and probably unchanged. Other high left axillary lymph nodes are stable to smaller in size, while the previously mentioned lower left axillary lymph node appears slightly smaller. Skeletal metastases similar to previous. Absence of enteric contrast material limits sensitivity for abdominal pathology. Multiple cysts unchanged. Segment 8 lesion , about the same and remains indeterminate in etiology. No significant abnormality noted. No significant abnormality noted. Right renal cyst. No significant abnormality noted. Atherosclerotic calcifications of the aorta and its branches. Absence of enteric contrast material limits sensitivity for GI pathology. Please note that the bowel is incompletely assessed due to lack of oral contrast material per protocol. Within the right lower quadrant, the distal ileum appears inseparable from the proximal right colon , where there is a questionable filling defect or wall thickening of unclear etiology. If the patient is symptomatic, further assessment with dedicated imaging utilizing oral contrast may be considered. Skeletal metastases about the same. Large calcific lesion in the left pelvis completely included in the scanning range but correlates to the top of a uterine fibroid seen on a CT of 8/20/2014.

clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}location descriptor_fin: ['left']clinical findings_fin: {'thyroid goiter': {'clinical finding': 'thyroid goiter', 'cf_snomed': {'goiter': 3716002}, 'existence': 'pos_dx', 'descriptive_term': 'thyroid', 'observation': 'goiter'}, 'large dominant nodule': {'clinical finding': 'large dominant nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'large dominant', 'observation': 'nodule', 'strength_term': 'large'}, 'ct. small hiatal hernia': {'clinical finding': 'ct. small hiatal hernia', 'cf_snomed': {'hiatal hernia': 84089009}, 'existence': 'pos_dx', 'descriptive_term': 'ct small hiatal', 'observation': 'hernia', 'strength_term': 'small'}}size_fin: [{'size': '31 x 39 mm', 'size_descriptor': 'mass'}]anatomical entity_fin: {'skin': {}}location descriptor_fin: ['left']clinical findings_fin: {'31 x 39 mm left breast mass': {'clinical finding': '31 x 39 mm left breast mass', 'existence': 'pos_dx', 'descriptive_term': '31 x 39 mm left breast', 'observation': 'mass'}}size_fin: [{'size': '11 x 12 mm', 'size_descriptor': 'index'}]anatomical entity_fin: {'axillary lymph node': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'index left axillary lymph node': {'clinical finding': 'index left axillary lymph node', 'existence': 'pos_dx', 'descriptive_term': 'index left axillary lymph', 'observation': 'node'}}anatomical entity_fin: {'axillary lymph nodes': {'location descriptor': 'left'}, 'axillary lymph node': {'location descriptor': 'lower left'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'other high left axillary lymph nodes': {'clinical finding': 'other high left axillary lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'other high left axillary lymph', 'observation': 'node'}, 'previously mentioned lower left axillary lymph node': {'clinical finding': 'previously mentioned lower left axillary lymph node', 'existence': 'pos_dx', 'descriptive_term': 'previously mentioned lower left axillary lymph', 'observation': 'node'}}clinical findings_fin: {'skeletal metastases': {'clinical finding': 'skeletal metastases', 'existence': 'pos_dx', 'descriptive_term': 'skeletal', 'observation': 'metastase'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'multiple cysts': {'clinical finding': 'multiple cysts', 'cf_snomed': {'multiple cysts': 125291005}, 'existence': 'pos_dx', 'descriptive_term': 'multiple', 'observation': 'cyst', 'quantity_term': 'multiple'}}clinical findings_fin: {'segment 8 lesion': {'clinical finding': 'segment 8 lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'segment 8', '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'}}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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'aorta': {}}clinical findings_fin: {'atherosclerotic calcifications': {'clinical finding': 'atherosclerotic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'}}clinical findings_fin: {'gi': {'clinical finding': 'gi', 'existence': 'unc_dx', 'observation': 'gi'}}anatomical entity_fin: {'bowel': {}}non-anatomical substance_fin: ['oral contrast']anatomical entity_fin: {'quadrant': {'location descriptor': 'right lower'}, 'ileum': {'location descriptor': 'distal'}}imaging observation_fin: ['colon']location descriptor_fin: ['right', 'lower', 'distal', 'proximal']clinical findings_fin: {'inseparable': {'clinical finding': 'inseparable', 'existence': 'pos_dx', 'observation': 'inseparable'}, 'questionable filling defect': {'clinical finding': 'questionable filling defect', 'cf_snomed': {'filling defect': 43468004}, 'existence': 'unc_dx', 'descriptive_term': 'questionable filling', 'observation': 'defect'}, 'wall thickening': {'clinical finding': 'wall thickening', 'existence': 'unc_dx', 'descriptive_term': 'wall', 'observation': 'thickening'}}clinical findings_fin: {'skeletal metastases': {'clinical finding': 'skeletal metastases', 'existence': 'pos_dx', 'descriptive_term': 'skeletal', 'observation': 'metastase'}}anatomical entity_fin: {'pelvis': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'large calcific lesion': {'clinical finding': 'large calcific lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'large calcific', 'observation': 'lesion', 'strength_term': 'large'}, 'uterine fibroid': {'clinical finding': 'uterine fibroid', 'existence': 'pos_dx', 'descriptive_term': 'uterine', 'observation': 'fibroid'}}

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'}}location descriptor_fin: ['left']clinical findings_fin: {'thyroid goiter': {'clinical finding': 'thyroid goiter', 'cf_snomed': {'goiter': 3716002}, 'existence': 'pos_dx', 'descriptive_term': 'thyroid', 'observation': 'goiter'}, 'large dominant nodule': {'clinical finding': 'large dominant nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'large dominant', 'observation': 'nodule', 'strength_term': 'large'}, 'ct. small hiatal hernia': {'clinical finding': 'ct. small hiatal hernia', 'cf_snomed': {'hiatal hernia': 84089009}, 'existence': 'pos_dx', 'descriptive_term': 'ct small hiatal', 'observation': 'hernia', 'strength_term': 'small'}}size_fin: [{'size': '31 x 39 mm', 'size_descriptor': 'mass'}]anatomical entity_fin: {'skin': {}}location descriptor_fin: ['left']clinical findings_fin: {'31 x 39 mm left breast mass': {'clinical finding': '31 x 39 mm left breast mass', 'existence': 'pos_dx', 'descriptive_term': '31 x 39 mm left breast', 'observation': 'mass'}}size_fin: [{'size': '11 x 12 mm', 'size_descriptor': 'index'}]anatomical entity_fin: {'axillary lymph node': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'index left axillary lymph node': {'clinical finding': 'index left axillary lymph node', 'existence': 'pos_dx', 'descriptive_term': 'index left axillary lymph', 'observation': 'node'}}anatomical entity_fin: {'axillary lymph nodes': {'location descriptor': 'left'}, 'axillary lymph node': {'location descriptor': 'lower left'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'other high left axillary lymph nodes': {'clinical finding': 'other high left axillary lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'other high left axillary lymph', 'observation': 'node'}, 'previously mentioned lower left axillary lymph node': {'clinical finding': 'previously mentioned lower left axillary lymph node', 'existence': 'pos_dx', 'descriptive_term': 'previously mentioned lower left axillary lymph', 'observation': 'node'}}clinical findings_fin: {'skeletal metastases': {'clinical finding': 'skeletal metastases', 'existence': 'pos_dx', 'descriptive_term': 'skeletal', 'observation': 'metastase'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'multiple cysts': {'clinical finding': 'multiple cysts', 'cf_snomed': {'multiple cysts': 125291005}, 'existence': 'pos_dx', 'descriptive_term': 'multiple', 'observation': 'cyst', 'quantity_term': 'multiple'}}clinical findings_fin: {'segment 8 lesion': {'clinical finding': 'segment 8 lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'segment 8', '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'}}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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'aorta': {}}clinical findings_fin: {'atherosclerotic calcifications': {'clinical finding': 'atherosclerotic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'}}clinical findings_fin: {'gi': {'clinical finding': 'gi', 'existence': 'unc_dx', 'observation': 'gi'}}anatomical entity_fin: {'bowel': {}}non-anatomical substance_fin: ['oral contrast']anatomical entity_fin: {'quadrant': {'location descriptor': 'right lower'}, 'ileum': {'location descriptor': 'distal'}}imaging observation_fin: ['colon']location descriptor_fin: ['right', 'lower', 'distal', 'proximal']clinical findings_fin: {'inseparable': {'clinical finding': 'inseparable', 'existence': 'pos_dx', 'observation': 'inseparable'}, 'questionable filling defect': {'clinical finding': 'questionable filling defect', 'cf_snomed': {'filling defect': 43468004}, 'existence': 'unc_dx', 'descriptive_term': 'questionable filling', 'observation': 'defect'}, 'wall thickening': {'clinical finding': 'wall thickening', 'existence': 'unc_dx', 'descriptive_term': 'wall', 'observation': 'thickening'}}clinical findings_fin: {'skeletal metastases': {'clinical finding': 'skeletal metastases', 'existence': 'pos_dx', 'descriptive_term': 'skeletal', 'observation': 'metastase'}}anatomical entity_fin: {'pelvis': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'large calcific lesion': {'clinical finding': 'large calcific lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'large calcific', 'observation': 'lesion', 'strength_term': 'large'}, 'uterine fibroid': {'clinical finding': 'uterine fibroid', 'existence': 'pos_dx', 'descriptive_term': 'uterine', 'observation': 'fibroid'}} [/INST] . No significant abnormality noted. Thyroid goiter with a large dominant nodule in the isthmus and substernal extension on the left, incompletely evaluated by CT. Small hiatal hernia. None visible. 31 x 39 mm left breast mass extending to the skin surface. The index left axillary lymph node measures 11 x 12 mm, incompletely included in the field of view of the last exam and probably unchanged. Other high left axillary lymph nodes are stable to smaller in size, while the previously mentioned lower left axillary lymph node appears slightly smaller. Skeletal metastases similar to previous. Absence of enteric contrast material limits sensitivity for abdominal pathology. Multiple cysts unchanged. Segment 8 lesion , about the same and remains indeterminate in etiology. No significant abnormality noted. No significant abnormality noted. Right renal cyst. No significant abnormality noted. Atherosclerotic calcifications of the aorta and its branches. Absence of enteric contrast material limits sensitivity for GI pathology. Please note that the bowel is incompletely assessed due to lack of oral contrast material per protocol. Within the right lower quadrant, the distal ileum appears inseparable from the proximal right colon , where there is a questionable filling defect or wall thickening of unclear etiology. If the patient is symptomatic, further assessment with dedicated imaging utilizing oral contrast may be considered. Skeletal metastases about the same. Large calcific lesion in the left pelvis completely included in the scanning range but correlates to the top of a uterine fibroid seen on a CT of 8/20/2014. </s>

. Trace bilateral pleural effusions and compressive atelectasis. No focal lung consolidation or pneumothorax. No adenopathy. No pericardial effusion. None. Small foci of gas in the anterior upper chest subcutaneous fat. There is a homogeneously enhancing right hepatic lesion measuring 3.3 x 3.1 cm which is isoattenuating on delayed images, most consistent with FNH. No biliary ductal dilatation. No significant abnormality noted. Normal in appearance. No significant abnormality noted. No hydronephrosis or focal hepatic lesion. No adenopathy. None. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Normal appearance. Distended and normal in appearance. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted.

location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral pleural effusions': {'clinical finding': 'bilateral pleural effusions', 'cf_snomed': {'bilateral pleural effusion': 425802001}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral pleural', 'observation': 'effusion'}, 'compressive atelectasis': {'clinical finding': 'compressive atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'compressive', 'observation': 'atelectasis'}}anatomical entity_fin: {'lung': {}}clinical findings_fin: {'focal lung consolidation': {'clinical finding': 'focal lung consolidation', 'cf_snomed': {'lung consolidation': 95436008}, 'existence': 'neg_dx', 'descriptive_term': 'focal lung', 'observation': 'consolidation'}, 'pneumothorax': {'clinical finding': 'pneumothorax', 'cf_snomed': {'pneumothorax': 36118008}, 'existence': 'neg_dx', 'observation': 'pneumothorax'}}clinical findings_fin: {'adenopathy': {'clinical finding': 'adenopathy', 'existence': 'neg_dx', 'observation': 'adenopathy'}}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': {'location descriptor': 'anterior upper'}, 'subcutaneous fat': {}}imaging observation_fin: ['foci']location descriptor_fin: ['anterior', 'upper']clinical findings_fin: {'small foci': {'clinical finding': 'small foci', 'existence': 'pos_dx', 'descriptive_term': 'small', 'observation': 'foci', 'strength_term': 'small'}, 'gas': {'clinical finding': 'gas', 'existence': 'pos_dx', 'observation': 'gas'}}size_fin: [{'size': '3.3 x 3.1 cm', 'size_descriptor': 'lesion'}]imaging observation_fin: ['enhancing']location descriptor_fin: ['right']clinical findings_fin: {'homogeneously enhancing right hepatic lesion': {'clinical finding': 'homogeneously enhancing right hepatic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'homogeneously enhancing right hepatic', 'observation': 'lesion'}, 'fnh': {'clinical finding': 'fnh', 'existence': 'pos_dx', 'observation': 'fnh'}}clinical findings_fin: {'biliary ductal dilatation': {'clinical finding': 'biliary ductal dilatation', 'cf_snomed': {'dilatation': 25322007}, 'existence': 'neg_dx', 'descriptive_term': 'biliary ductal', 'observation': 'dilatation'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'hydronephrosis': {'clinical finding': 'hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'neg_dx', 'observation': 'hydronephrosis'}, 'focal hepatic lesion': {'clinical finding': 'focal hepatic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'focal hepatic', 'observation': 'lesion'}}clinical findings_fin: {'adenopathy': {'clinical finding': 'adenopathy', 'existence': 'neg_dx', 'observation': 'adenopathy'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'distended and normal in appearance': {'clinical finding': 'distended and normal in appearance', 'change_term': 'distended'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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: ['bilateral']clinical findings_fin: {'bilateral pleural effusions': {'clinical finding': 'bilateral pleural effusions', 'cf_snomed': {'bilateral pleural effusion': 425802001}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral pleural', 'observation': 'effusion'}, 'compressive atelectasis': {'clinical finding': 'compressive atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'compressive', 'observation': 'atelectasis'}}anatomical entity_fin: {'lung': {}}clinical findings_fin: {'focal lung consolidation': {'clinical finding': 'focal lung consolidation', 'cf_snomed': {'lung consolidation': 95436008}, 'existence': 'neg_dx', 'descriptive_term': 'focal lung', 'observation': 'consolidation'}, 'pneumothorax': {'clinical finding': 'pneumothorax', 'cf_snomed': {'pneumothorax': 36118008}, 'existence': 'neg_dx', 'observation': 'pneumothorax'}}clinical findings_fin: {'adenopathy': {'clinical finding': 'adenopathy', 'existence': 'neg_dx', 'observation': 'adenopathy'}}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': {'location descriptor': 'anterior upper'}, 'subcutaneous fat': {}}imaging observation_fin: ['foci']location descriptor_fin: ['anterior', 'upper']clinical findings_fin: {'small foci': {'clinical finding': 'small foci', 'existence': 'pos_dx', 'descriptive_term': 'small', 'observation': 'foci', 'strength_term': 'small'}, 'gas': {'clinical finding': 'gas', 'existence': 'pos_dx', 'observation': 'gas'}}size_fin: [{'size': '3.3 x 3.1 cm', 'size_descriptor': 'lesion'}]imaging observation_fin: ['enhancing']location descriptor_fin: ['right']clinical findings_fin: {'homogeneously enhancing right hepatic lesion': {'clinical finding': 'homogeneously enhancing right hepatic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'homogeneously enhancing right hepatic', 'observation': 'lesion'}, 'fnh': {'clinical finding': 'fnh', 'existence': 'pos_dx', 'observation': 'fnh'}}clinical findings_fin: {'biliary ductal dilatation': {'clinical finding': 'biliary ductal dilatation', 'cf_snomed': {'dilatation': 25322007}, 'existence': 'neg_dx', 'descriptive_term': 'biliary ductal', 'observation': 'dilatation'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'hydronephrosis': {'clinical finding': 'hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'neg_dx', 'observation': 'hydronephrosis'}, 'focal hepatic lesion': {'clinical finding': 'focal hepatic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'focal hepatic', 'observation': 'lesion'}}clinical findings_fin: {'adenopathy': {'clinical finding': 'adenopathy', 'existence': 'neg_dx', 'observation': 'adenopathy'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'distended and normal in appearance': {'clinical finding': 'distended and normal in appearance', 'change_term': 'distended'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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] . Trace bilateral pleural effusions and compressive atelectasis. No focal lung consolidation or pneumothorax. No adenopathy. No pericardial effusion. None. Small foci of gas in the anterior upper chest subcutaneous fat. There is a homogeneously enhancing right hepatic lesion measuring 3.3 x 3.1 cm which is isoattenuating on delayed images, most consistent with FNH. No biliary ductal dilatation. No significant abnormality noted. Normal in appearance. No significant abnormality noted. No hydronephrosis or focal hepatic lesion. No adenopathy. None. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Normal appearance. Distended and normal in appearance. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. </s>

. No significant abnormality noted. There is mild heterogeneity in the posterior right lobe of the liver, likely unchanged from the prior exam, which may represent flow abnormality. There is now complete thrombosis of the portal vein and its branches with nonocclusive thrombus in the superior mesenteric vein. There is cavernous transformation of the portal vein. Splenomegaly without focal abnormality is unchanged. Calcifications consistent with chronic pancreatitis. Multiple clips obscure portions of the region of the pancreatic head. Postoperative changes as previously noted without change. No significant abnormality noted. Right renal cyst identified. Mild, focal parenchymal loss lower pole of the left kidney. No significant abnormality noted. There is borderline to mild, and relatively diffuse small bowel dilatation with some degree of fold thickening. There are less distended loops of small bowel identified in the ileum where there also appears to be perhaps mild wall thickening. The appearance is not specific but could be inflammatory or infectious in nature, and less likely ischemic. No significant abnormality noted. There is moderate abdominal and pelvic ascites. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. There is borderline to mild, and relatively diffuse small bowel dilatation with some degree of fold thickening. There are less distended loops of small bowel identified in the ileum where there also appears to be perhaps mild wall thickening. The appearance is not specific but could be inflammatory or infectious in nature, and less likely ischemic. No significant abnormality noted. Moderate abdominal and pelvic ascites.

clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'lobe': {'location descriptor': 'posterior right'}, 'liver': {}}location descriptor_fin: ['posterior', 'right']clinical findings_fin: {'flow abnormality': {'clinical finding': 'flow abnormality', 'existence': 'unc_dx', 'descriptive_term': 'flow', 'observation': 'abnormality'}}anatomical entity_fin: {'portal vein': {}, 'superior mesenteric vein': {}}clinical findings_fin: {'complete thrombosis': {'clinical finding': 'complete thrombosis', 'cf_snomed': {'thrombosis': 439127006}, 'existence': 'pos_dx', 'descriptive_term': 'complete', 'observation': 'thrombosis'}, 'nonocclusive thrombus': {'clinical finding': 'nonocclusive thrombus', 'cf_snomed': {'thrombus': 396339007}, 'existence': 'pos_dx', 'descriptive_term': 'nonocclusive', 'observation': 'thrombus'}}anatomical entity_fin: {'portal vein': {}}clinical findings_fin: {'cavernous transformation': {'clinical finding': 'cavernous transformation', 'existence': 'pos_dx', 'descriptive_term': 'cavernous', 'observation': 'transformation'}}clinical findings_fin: {'splenomegaly': {'clinical finding': 'splenomegaly', 'cf_snomed': {'splenomegaly': 16294009}, 'existence': 'pos_dx', 'observation': 'splenomegaly'}, 'focal abnormality': {'clinical finding': 'focal abnormality', 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'abnormality'}}clinical findings_fin: {'calcifications': {'clinical finding': 'calcifications', 'existence': 'pos_dx', 'observation': 'calcification'}, 'chronic pancreatitis': {'clinical finding': 'chronic pancreatitis', 'cf_snomed': {'chronic pancreatitis': 235494005}, 'existence': 'pos_dx', 'descriptive_term': 'chronic', 'observation': 'pancreatitis', 'temporal_term': 'chronic'}}anatomical entity_fin: {'head': {}}object_fin: ['clips']clinical findings_fin: {'postoperative changes': {'clinical finding': 'postoperative changes', 'existence': 'pos_dx', 'descriptive_term': 'postoperative', 'observation': 'change'}, 'change': {'clinical finding': 'change', 'existence': 'pos_dx', 'observation': 'change'}}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 cyst': {'clinical finding': 'right renal cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'right renal', 'observation': 'cyst'}}anatomical entity_fin: {'pole': {'location descriptor': 'lower'}, 'left kidney': {}}location descriptor_fin: ['lower']clinical findings_fin: {'mild , focal parenchymal loss lower pole of the left kidney': {'clinical finding': 'mild , focal parenchymal loss lower pole of the left kidney'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'fold thickening': {'clinical finding': 'fold thickening', 'cf_snomed': {'fold': 26310004}, 'existence': 'pos_dx', 'descriptive_term': 'fold', 'observation': 'thickening'}}anatomical entity_fin: {'bowel': {}, 'ileum': {}}clinical findings_fin: {'less distended': {'clinical finding': 'less distended', 'existence': 'pos_dx', 'descriptive_term': 'less', 'observation': 'distended', 'quantity_term': 'less'}, 'perhaps mild wall thickening': {'clinical finding': 'perhaps mild wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'perhaps mild wall', 'observation': 'thickening', 'strength_term': 'mild'}}clinical findings_fin: {'appearance is not specific but could be inflammatory or infectious in nature , and less likely ischemic': {'clinical finding': 'appearance is not specific but could be inflammatory or infectious in nature , and less likely ischemic'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'moderate abdominal and pelvic ascites': {'clinical finding': 'moderate abdominal and pelvic ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'moderate abdominal and pelvic', 'observation': 'ascite', 'strength_term': 'moderate'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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: {'fold thickening': {'clinical finding': 'fold thickening', 'cf_snomed': {'fold': 26310004}, 'existence': 'pos_dx', 'descriptive_term': 'fold', 'observation': 'thickening'}}anatomical entity_fin: {'bowel': {}, 'ileum': {}}clinical findings_fin: {'less distended': {'clinical finding': 'less distended', 'existence': 'pos_dx', 'descriptive_term': 'less', 'observation': 'distended', 'quantity_term': 'less'}, 'perhaps mild wall thickening': {'clinical finding': 'perhaps mild wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'perhaps mild wall', 'observation': 'thickening', 'strength_term': 'mild'}}clinical findings_fin: {'appearance is not specific but could be inflammatory or infectious in nature , and less likely ischemic': {'clinical finding': 'appearance is not specific but could be inflammatory or infectious in nature , and less likely ischemic'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'moderate abdominal and pelvic ascites': {'clinical finding': 'moderate abdominal and pelvic ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'moderate abdominal and pelvic', 'observation': 'ascite', '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: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'lobe': {'location descriptor': 'posterior right'}, 'liver': {}}location descriptor_fin: ['posterior', 'right']clinical findings_fin: {'flow abnormality': {'clinical finding': 'flow abnormality', 'existence': 'unc_dx', 'descriptive_term': 'flow', 'observation': 'abnormality'}}anatomical entity_fin: {'portal vein': {}, 'superior mesenteric vein': {}}clinical findings_fin: {'complete thrombosis': {'clinical finding': 'complete thrombosis', 'cf_snomed': {'thrombosis': 439127006}, 'existence': 'pos_dx', 'descriptive_term': 'complete', 'observation': 'thrombosis'}, 'nonocclusive thrombus': {'clinical finding': 'nonocclusive thrombus', 'cf_snomed': {'thrombus': 396339007}, 'existence': 'pos_dx', 'descriptive_term': 'nonocclusive', 'observation': 'thrombus'}}anatomical entity_fin: {'portal vein': {}}clinical findings_fin: {'cavernous transformation': {'clinical finding': 'cavernous transformation', 'existence': 'pos_dx', 'descriptive_term': 'cavernous', 'observation': 'transformation'}}clinical findings_fin: {'splenomegaly': {'clinical finding': 'splenomegaly', 'cf_snomed': {'splenomegaly': 16294009}, 'existence': 'pos_dx', 'observation': 'splenomegaly'}, 'focal abnormality': {'clinical finding': 'focal abnormality', 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'abnormality'}}clinical findings_fin: {'calcifications': {'clinical finding': 'calcifications', 'existence': 'pos_dx', 'observation': 'calcification'}, 'chronic pancreatitis': {'clinical finding': 'chronic pancreatitis', 'cf_snomed': {'chronic pancreatitis': 235494005}, 'existence': 'pos_dx', 'descriptive_term': 'chronic', 'observation': 'pancreatitis', 'temporal_term': 'chronic'}}anatomical entity_fin: {'head': {}}object_fin: ['clips']clinical findings_fin: {'postoperative changes': {'clinical finding': 'postoperative changes', 'existence': 'pos_dx', 'descriptive_term': 'postoperative', 'observation': 'change'}, 'change': {'clinical finding': 'change', 'existence': 'pos_dx', 'observation': 'change'}}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 cyst': {'clinical finding': 'right renal cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'right renal', 'observation': 'cyst'}}anatomical entity_fin: {'pole': {'location descriptor': 'lower'}, 'left kidney': {}}location descriptor_fin: ['lower']clinical findings_fin: {'mild , focal parenchymal loss lower pole of the left kidney': {'clinical finding': 'mild , focal parenchymal loss lower pole of the left kidney'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'fold thickening': {'clinical finding': 'fold thickening', 'cf_snomed': {'fold': 26310004}, 'existence': 'pos_dx', 'descriptive_term': 'fold', 'observation': 'thickening'}}anatomical entity_fin: {'bowel': {}, 'ileum': {}}clinical findings_fin: {'less distended': {'clinical finding': 'less distended', 'existence': 'pos_dx', 'descriptive_term': 'less', 'observation': 'distended', 'quantity_term': 'less'}, 'perhaps mild wall thickening': {'clinical finding': 'perhaps mild wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'perhaps mild wall', 'observation': 'thickening', 'strength_term': 'mild'}}clinical findings_fin: {'appearance is not specific but could be inflammatory or infectious in nature , and less likely ischemic': {'clinical finding': 'appearance is not specific but could be inflammatory or infectious in nature , and less likely ischemic'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'moderate abdominal and pelvic ascites': {'clinical finding': 'moderate abdominal and pelvic ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'moderate abdominal and pelvic', 'observation': 'ascite', 'strength_term': 'moderate'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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: {'fold thickening': {'clinical finding': 'fold thickening', 'cf_snomed': {'fold': 26310004}, 'existence': 'pos_dx', 'descriptive_term': 'fold', 'observation': 'thickening'}}anatomical entity_fin: {'bowel': {}, 'ileum': {}}clinical findings_fin: {'less distended': {'clinical finding': 'less distended', 'existence': 'pos_dx', 'descriptive_term': 'less', 'observation': 'distended', 'quantity_term': 'less'}, 'perhaps mild wall thickening': {'clinical finding': 'perhaps mild wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'perhaps mild wall', 'observation': 'thickening', 'strength_term': 'mild'}}clinical findings_fin: {'appearance is not specific but could be inflammatory or infectious in nature , and less likely ischemic': {'clinical finding': 'appearance is not specific but could be inflammatory or infectious in nature , and less likely ischemic'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'moderate abdominal and pelvic ascites': {'clinical finding': 'moderate abdominal and pelvic ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'moderate abdominal and pelvic', 'observation': 'ascite', 'strength_term': 'moderate'}} [/INST] . No significant abnormality noted. There is mild heterogeneity in the posterior right lobe of the liver, likely unchanged from the prior exam, which may represent flow abnormality. There is now complete thrombosis of the portal vein and its branches with nonocclusive thrombus in the superior mesenteric vein. There is cavernous transformation of the portal vein. Splenomegaly without focal abnormality is unchanged. Calcifications consistent with chronic pancreatitis. Multiple clips obscure portions of the region of the pancreatic head. Postoperative changes as previously noted without change. No significant abnormality noted. Right renal cyst identified. Mild, focal parenchymal loss lower pole of the left kidney. No significant abnormality noted. There is borderline to mild, and relatively diffuse small bowel dilatation with some degree of fold thickening. There are less distended loops of small bowel identified in the ileum where there also appears to be perhaps mild wall thickening. The appearance is not specific but could be inflammatory or infectious in nature, and less likely ischemic. No significant abnormality noted. There is moderate abdominal and pelvic ascites. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. There is borderline to mild, and relatively diffuse small bowel dilatation with some degree of fold thickening. There are less distended loops of small bowel identified in the ileum where there also appears to be perhaps mild wall thickening. The appearance is not specific but could be inflammatory or infectious in nature, and less likely ischemic. No significant abnormality noted. Moderate abdominal and pelvic ascites. </s>

. Central airways are patent. No focal consolidation, pneumothorax, or pleural effusion. Scattered pulmonary micronodules. No suspicious nodules or masses are identified. Mild bronchial wall thickening. Cardiac size within normal limits without significant pericardial effusion. Aorta and great vessels are normal in caliber. No hilar or mediastinal lymphadenopathy. None. No lymphadenopathy. No significant osseous abnormalities. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. No significant abnormality noted.

anatomical entity_fin: {'airways': {'location descriptor': 'central'}}location descriptor_fin: ['central']clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'pos_dx', 'observation': 'patent'}}clinical findings_fin: {'focal consolidation': {'clinical finding': 'focal consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'consolidation'}, '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: {'scattered pulmonary micronodules': {'clinical finding': 'scattered pulmonary micronodules', 'existence': 'pos_dx', 'descriptive_term': 'scattered pulmonary', 'observation': 'micronodule'}}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'}}clinical findings_fin: {'mild bronchial wall thickening': {'clinical finding': 'mild bronchial wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild bronchial wall', 'observation': 'thickening', 'strength_term': 'mild'}}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'}}anatomical entity_fin: {'aorta': {}}clinical findings_fin: {'aorta and great vessels are normal in caliber': {'clinical finding': 'aorta and great vessels are normal in caliber'}}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: {'lymphadenopathy': {'clinical finding': 'lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'significant osseous abnormalities': {'clinical finding': 'significant osseous abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'significant osseous', '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: anatomical entity_fin: {'airways': {'location descriptor': 'central'}}location descriptor_fin: ['central']clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'pos_dx', 'observation': 'patent'}}clinical findings_fin: {'focal consolidation': {'clinical finding': 'focal consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'consolidation'}, '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: {'scattered pulmonary micronodules': {'clinical finding': 'scattered pulmonary micronodules', 'existence': 'pos_dx', 'descriptive_term': 'scattered pulmonary', 'observation': 'micronodule'}}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'}}clinical findings_fin: {'mild bronchial wall thickening': {'clinical finding': 'mild bronchial wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild bronchial wall', 'observation': 'thickening', 'strength_term': 'mild'}}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'}}anatomical entity_fin: {'aorta': {}}clinical findings_fin: {'aorta and great vessels are normal in caliber': {'clinical finding': 'aorta and great vessels are normal in caliber'}}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: {'lymphadenopathy': {'clinical finding': 'lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'significant osseous abnormalities': {'clinical finding': 'significant osseous abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'significant osseous', '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] . Central airways are patent. No focal consolidation, pneumothorax, or pleural effusion. Scattered pulmonary micronodules. No suspicious nodules or masses are identified. Mild bronchial wall thickening. Cardiac size within normal limits without significant pericardial effusion. Aorta and great vessels are normal in caliber. No hilar or mediastinal lymphadenopathy. None. No lymphadenopathy. No significant osseous abnormalities. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. No significant abnormality noted. </s>

There is no evidence of acute intracranial hemorrhage. There is minimal periventricular and subcortical white matter hypoattenuation, which is unchanged and is compatible with mild chronic small vessel ischemic changes. Hypoattenuation in the left inferior basal ganglia is consistent with prominent perivascular space. The ventricles and sulci are within normal limits. There is no extraaxial fluid collection, midline shift, or mass effect. The osseous structures are intact. The imaged portions of the paranasal sinuses and mastoid air cells are grossly clear.

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: {'minimal periventricular and subcortical white matter hypoattenuation': {'clinical finding': 'minimal periventricular and subcortical white matter hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'minimal periventricular and subcortical white matter', 'observation': 'hypoattenuation', 'strength_term': 'minimal', 'quantity_term': 'minimal'}, 'mild chronic small vessel ischemic changes': {'clinical finding': 'mild chronic small vessel ischemic changes', 'existence': 'pos_dx', 'descriptive_term': 'mild chronic small vessel ischemic', 'observation': 'change', 'strength_term': 'mild - small', 'temporal_term': 'chronic'}}anatomical entity_fin: {'basal ganglia': {'location descriptor': 'left inferior'}}location descriptor_fin: ['left', 'inferior']clinical findings_fin: {'hypoattenuation in the left inferior basal ganglia is consistent with prominent perivascular space': {'clinical finding': 'hypoattenuation in the left inferior basal ganglia is consistent with prominent perivascular space'}}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: {'extraaxial fluid collection': {'clinical finding': 'extraaxial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'extraaxial fluid', 'observation': 'collection'}, 'mass effect': {'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect'}}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: 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: {'minimal periventricular and subcortical white matter hypoattenuation': {'clinical finding': 'minimal periventricular and subcortical white matter hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'minimal periventricular and subcortical white matter', 'observation': 'hypoattenuation', 'strength_term': 'minimal', 'quantity_term': 'minimal'}, 'mild chronic small vessel ischemic changes': {'clinical finding': 'mild chronic small vessel ischemic changes', 'existence': 'pos_dx', 'descriptive_term': 'mild chronic small vessel ischemic', 'observation': 'change', 'strength_term': 'mild - small', 'temporal_term': 'chronic'}}anatomical entity_fin: {'basal ganglia': {'location descriptor': 'left inferior'}}location descriptor_fin: ['left', 'inferior']clinical findings_fin: {'hypoattenuation in the left inferior basal ganglia is consistent with prominent perivascular space': {'clinical finding': 'hypoattenuation in the left inferior basal ganglia is consistent with prominent perivascular space'}}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: {'extraaxial fluid collection': {'clinical finding': 'extraaxial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'extraaxial fluid', 'observation': 'collection'}, 'mass effect': {'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect'}}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 evidence of acute intracranial hemorrhage. There is minimal periventricular and subcortical white matter hypoattenuation, which is unchanged and is compatible with mild chronic small vessel ischemic changes. Hypoattenuation in the left inferior basal ganglia is consistent with prominent perivascular space. The ventricles and sulci are within normal limits. There is no extraaxial fluid collection, midline shift, or mass effect. The osseous structures are intact. The imaged portions of the paranasal sinuses and mastoid air cells are grossly clear. </s>

. Mild bibasilar atelectasis without evidence of other significant abnormality. Cholelithiasis without evidence of cholecystitis. No intrahepatic biliary ductal dilatation. Hepatomegaly with fatty infiltration of the liver. Portal vein is patent. Perihepatic high-attenuation fluid suggestive of hemoperitoneum. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. High-attenuation fluid suggestive of hemoperitoneum. Mild. High-attenuation fluid suggestive of hemoperitoneum without evidence of obstruction. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Foley catheter with tip extending into a decompressed bladder. No significant abnormality noted. High-attenuation fluid suggestive of hemoperitoneum without evidence of obstruction. No significant abnormality noted. No significant abnormality noted

clinical findings_fin: {'mild bibasilar atelectasis': {'clinical finding': 'mild bibasilar atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'mild bibasilar', 'observation': 'atelectasis', 'strength_term': 'mild'}, 'other significant abnormality': {'clinical finding': 'other significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'other significant', 'observation': 'abnormality'}}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: {'intrahepatic biliary ductal dilatation': {'clinical finding': 'intrahepatic biliary ductal dilatation', 'cf_snomed': {'dilatation': 25322007}, 'existence': 'neg_dx', 'descriptive_term': 'intrahepatic biliary ductal', 'observation': 'dilatation'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'hepatomegaly': {'clinical finding': 'hepatomegaly', 'existence': 'pos_dx', 'observation': 'hepatomegaly'}, 'fatty infiltration': {'clinical finding': 'fatty infiltration', 'cf_snomed': {'fatty infiltration': 45752008}, 'existence': 'pos_dx', 'descriptive_term': 'fatty', 'observation': 'infiltration'}}anatomical entity_fin: {'portal vein': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'hemoperitoneum': {'clinical finding': 'hemoperitoneum', 'existence': 'unc_dx', 'observation': 'hemoperitoneum'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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': {}}clinical findings_fin: {'hemoperitoneum': {'clinical finding': 'hemoperitoneum', 'existence': 'unc_dx', 'observation': 'hemoperitoneum'}}anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'hemoperitoneum': {'clinical finding': 'hemoperitoneum', 'existence': 'unc_dx', 'observation': 'hemoperitoneum'}, 'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', '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'}}anatomical entity_fin: {'bladder': {}}object_fin: ['catheter']clinical findings_fin: {'decompressed': {'clinical finding': 'decompressed', 'existence': 'pos_dx', 'observation': 'decompressed'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'hemoperitoneum': {'clinical finding': 'hemoperitoneum', 'existence': 'unc_dx', 'observation': 'hemoperitoneum'}, 'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', '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'}}

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 bibasilar atelectasis': {'clinical finding': 'mild bibasilar atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'mild bibasilar', 'observation': 'atelectasis', 'strength_term': 'mild'}, 'other significant abnormality': {'clinical finding': 'other significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'other significant', 'observation': 'abnormality'}}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: {'intrahepatic biliary ductal dilatation': {'clinical finding': 'intrahepatic biliary ductal dilatation', 'cf_snomed': {'dilatation': 25322007}, 'existence': 'neg_dx', 'descriptive_term': 'intrahepatic biliary ductal', 'observation': 'dilatation'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'hepatomegaly': {'clinical finding': 'hepatomegaly', 'existence': 'pos_dx', 'observation': 'hepatomegaly'}, 'fatty infiltration': {'clinical finding': 'fatty infiltration', 'cf_snomed': {'fatty infiltration': 45752008}, 'existence': 'pos_dx', 'descriptive_term': 'fatty', 'observation': 'infiltration'}}anatomical entity_fin: {'portal vein': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'hemoperitoneum': {'clinical finding': 'hemoperitoneum', 'existence': 'unc_dx', 'observation': 'hemoperitoneum'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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': {}}clinical findings_fin: {'hemoperitoneum': {'clinical finding': 'hemoperitoneum', 'existence': 'unc_dx', 'observation': 'hemoperitoneum'}}anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'hemoperitoneum': {'clinical finding': 'hemoperitoneum', 'existence': 'unc_dx', 'observation': 'hemoperitoneum'}, 'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', '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'}}anatomical entity_fin: {'bladder': {}}object_fin: ['catheter']clinical findings_fin: {'decompressed': {'clinical finding': 'decompressed', 'existence': 'pos_dx', 'observation': 'decompressed'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'hemoperitoneum': {'clinical finding': 'hemoperitoneum', 'existence': 'unc_dx', 'observation': 'hemoperitoneum'}, 'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', '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'}} [/INST] . Mild bibasilar atelectasis without evidence of other significant abnormality. Cholelithiasis without evidence of cholecystitis. No intrahepatic biliary ductal dilatation. Hepatomegaly with fatty infiltration of the liver. Portal vein is patent. Perihepatic high-attenuation fluid suggestive of hemoperitoneum. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. High-attenuation fluid suggestive of hemoperitoneum. Mild. High-attenuation fluid suggestive of hemoperitoneum without evidence of obstruction. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Foley catheter with tip extending into a decompressed bladder. No significant abnormality noted. High-attenuation fluid suggestive of hemoperitoneum without evidence of obstruction. No significant abnormality noted. No significant abnormality noted </s>

. No change in the faint subcentimeter opacity along the right minor fissure. No other parenchymal nodules or evidence of airspace disease. No pleural disease. No significant abnormality noted. None. Small subcentimeter normal-appearing bilateral axillary lymph nodes. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. 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 change in the sharply demarcated low density bone lesion with sclerotic margins in right acetabulum. Favor benign etiology and stability over future can confirm. No significant abnormality noted

anatomical entity_fin: {'right minor fissure': {}}clinical findings_fin: {'change': {'clinical finding': 'change', 'existence': 'neg_dx', 'observation': 'change'}, 'faint subcentimeter opacity': {'clinical finding': 'faint subcentimeter opacity', 'cf_snomed': {'opacity': 128305008}, 'existence': 'neg_dx', 'descriptive_term': 'faint subcentimeter', 'observation': 'opacity'}}anatomical entity_fin: {'airspace': {}}clinical findings_fin: {'other parenchymal nodules': {'clinical finding': 'other parenchymal nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'other parenchymal', 'observation': 'nodule'}, 'airspace disease': {'clinical finding': 'airspace disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'neg_dx', 'descriptive_term': 'airspace', 'observation': 'disease'}}clinical findings_fin: {'pleural disease': {'clinical finding': 'pleural disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'disease'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'axillary lymph nodes': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'small subcentimeter normal-appearing bilateral axillary lymph nodes': {'clinical finding': 'small subcentimeter normal-appearing bilateral axillary lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small subcentimeter normal-appearing bilateral axillary lymph', 'observation': 'node', 'strength_term': 'small - 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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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: {'acetabulum': {'location descriptor': 'right'}}imaging observation_fin: ['margins']location descriptor_fin: ['right']clinical findings_fin: {'change': {'clinical finding': 'change', 'existence': 'neg_dx', 'observation': 'change'}, 'sharply demarcated low density bone lesion': {'clinical finding': 'sharply demarcated low density bone lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'sharply demarcated low density bone', 'observation': 'lesion'}}clinical findings_fin: {'favor benign etiology and stability over future can confirm': {'clinical finding': 'favor benign etiology and stability over future can confirm'}}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: {'right minor fissure': {}}clinical findings_fin: {'change': {'clinical finding': 'change', 'existence': 'neg_dx', 'observation': 'change'}, 'faint subcentimeter opacity': {'clinical finding': 'faint subcentimeter opacity', 'cf_snomed': {'opacity': 128305008}, 'existence': 'neg_dx', 'descriptive_term': 'faint subcentimeter', 'observation': 'opacity'}}anatomical entity_fin: {'airspace': {}}clinical findings_fin: {'other parenchymal nodules': {'clinical finding': 'other parenchymal nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'other parenchymal', 'observation': 'nodule'}, 'airspace disease': {'clinical finding': 'airspace disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'neg_dx', 'descriptive_term': 'airspace', 'observation': 'disease'}}clinical findings_fin: {'pleural disease': {'clinical finding': 'pleural disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'disease'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'axillary lymph nodes': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'small subcentimeter normal-appearing bilateral axillary lymph nodes': {'clinical finding': 'small subcentimeter normal-appearing bilateral axillary lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small subcentimeter normal-appearing bilateral axillary lymph', 'observation': 'node', 'strength_term': 'small - 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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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: {'acetabulum': {'location descriptor': 'right'}}imaging observation_fin: ['margins']location descriptor_fin: ['right']clinical findings_fin: {'change': {'clinical finding': 'change', 'existence': 'neg_dx', 'observation': 'change'}, 'sharply demarcated low density bone lesion': {'clinical finding': 'sharply demarcated low density bone lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'sharply demarcated low density bone', 'observation': 'lesion'}}clinical findings_fin: {'favor benign etiology and stability over future can confirm': {'clinical finding': 'favor benign etiology and stability over future can confirm'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . No change in the faint subcentimeter opacity along the right minor fissure. No other parenchymal nodules or evidence of airspace disease. No pleural disease. No significant abnormality noted. None. Small subcentimeter normal-appearing bilateral axillary lymph nodes. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. 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 change in the sharply demarcated low density bone lesion with sclerotic margins in right acetabulum. Favor benign etiology and stability over future can confirm. No significant abnormality noted </s>

. Severe upper lobe predominant centrilobular emphysema. Left upper lobe postsurgical changes redemonstrated. New linear area of scarring or discoid atelectasis in the right upper lobe. Calcified granuloma in the left lower lobe. No suspicious pulmonary nodules or masses. No pleural effusions. No hilar or mediastinal lymphadenopathy. Cardiac size is normal without evidence of pericardial effusion. Moderate. Degenerative changes in the thoracic spine. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. Splenic calcification compatible with prior granulomatous disease.

anatomical entity_fin: {'lobe': {'location descriptor': 'upper'}}location descriptor_fin: ['upper']clinical findings_fin: {'severe upper lobe predominant centrilobular emphysema': {'clinical finding': 'severe upper lobe predominant centrilobular emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'descriptive_term': 'severe upper lobe predominant centrilobular', 'observation': 'emphysema', 'strength_term': 'severe'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'left upper lobe postsurgical changes': {'clinical finding': 'left upper lobe postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'left upper lobe postsurgical', 'observation': 'change'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right upper'}}location descriptor_fin: ['right', 'upper']clinical findings_fin: {'scarring': {'clinical finding': 'scarring', 'existence': 'unc_dx', 'observation': 'scarr'}, 'discoid atelectasis': {'clinical finding': 'discoid atelectasis', 'cf_snomed': {'discoid atelectasis': 40779009}, 'existence': 'unc_dx', 'descriptive_term': 'discoid', 'observation': 'atelectasis'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']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: {'suspicious pulmonary nodules': {'clinical finding': 'suspicious pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious pulmonary', 'observation': 'nodule'}, 'masses': {'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass'}}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'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'degenerative changes': {'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'splenic calcification': {'clinical finding': 'splenic calcification', 'existence': 'pos_dx', 'descriptive_term': 'splenic', 'observation': 'calcification'}, 'prior granulomatous disease': {'clinical finding': 'prior granulomatous disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'prior granulomatous', 'observation': 'disease'}}

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': 'upper'}}location descriptor_fin: ['upper']clinical findings_fin: {'severe upper lobe predominant centrilobular emphysema': {'clinical finding': 'severe upper lobe predominant centrilobular emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'descriptive_term': 'severe upper lobe predominant centrilobular', 'observation': 'emphysema', 'strength_term': 'severe'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'left upper lobe postsurgical changes': {'clinical finding': 'left upper lobe postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'left upper lobe postsurgical', 'observation': 'change'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right upper'}}location descriptor_fin: ['right', 'upper']clinical findings_fin: {'scarring': {'clinical finding': 'scarring', 'existence': 'unc_dx', 'observation': 'scarr'}, 'discoid atelectasis': {'clinical finding': 'discoid atelectasis', 'cf_snomed': {'discoid atelectasis': 40779009}, 'existence': 'unc_dx', 'descriptive_term': 'discoid', 'observation': 'atelectasis'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']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: {'suspicious pulmonary nodules': {'clinical finding': 'suspicious pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious pulmonary', 'observation': 'nodule'}, 'masses': {'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass'}}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'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'degenerative changes': {'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'splenic calcification': {'clinical finding': 'splenic calcification', 'existence': 'pos_dx', 'descriptive_term': 'splenic', 'observation': 'calcification'}, 'prior granulomatous disease': {'clinical finding': 'prior granulomatous disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'prior granulomatous', 'observation': 'disease'}} [/INST] . Severe upper lobe predominant centrilobular emphysema. Left upper lobe postsurgical changes redemonstrated. New linear area of scarring or discoid atelectasis in the right upper lobe. Calcified granuloma in the left lower lobe. No suspicious pulmonary nodules or masses. No pleural effusions. No hilar or mediastinal lymphadenopathy. Cardiac size is normal without evidence of pericardial effusion. Moderate. Degenerative changes in the thoracic spine. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. Splenic calcification compatible with prior granulomatous disease. </s>

. There is a large left upper lobe nodule measuring 1.5 x 2.0 cm , similar to the prior exam. There are numerous additional nodules in bilateral lungs consistent with history of metastases. No pneumothorax. The heart size is normal. No pericardial effusion. There are enlarged mediastinal and right hilar lymph nodes measuring up to 1.5 cm in short axis. There is an expansile, lytic lesion in the right clavicular head with surrounding inflammatory changes compatible with a metastatic lesion. This lesion abuts but does not appear to invade the adjacent mediastinal structures. Left posterior T6 lytic rib lesion is unchanged. Absence of enteric contrast material limits sensitivity for abdominal pathology. Probable splenule is partially visualized.

size_fin: [{'size': '1.5 x 2.0 cm', 'size_descriptor': 'nodule'}]anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'large left upper lobe nodule': {'clinical finding': 'large left upper lobe nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'large left upper lobe', 'observation': 'nodule', 'strength_term': 'large'}}anatomical entity_fin: {'lungs': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'numerous additional nodules': {'clinical finding': 'numerous additional nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'numerous additional', 'observation': 'nodule', 'quantity_term': 'numerous'}, 'metastases': {'clinical finding': 'metastases', 'existence': 'pos_dx', 'observation': 'metastase'}}clinical findings_fin: {'pneumothorax': {'clinical finding': 'pneumothorax', 'cf_snomed': {'pneumothorax': 36118008}, 'existence': 'neg_dx', 'observation': 'pneumothorax'}}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'}}size_fin: [{'size': '1.5 cm', 'size_descriptor': 'nodes'}]anatomical entity_fin: {'axis': {}}location descriptor_fin: ['right']clinical findings_fin: {'enlarged mediastinal and right hilar lymph nodes': {'clinical finding': 'enlarged mediastinal and right hilar lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'enlarged mediastinal and right hilar lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'}}anatomical entity_fin: {'head': {}}location descriptor_fin: ['right']clinical findings_fin: {'expansile, lytic lesion': {'clinical finding': 'expansile, lytic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'expansile lytic', 'observation': 'lesion'}, 'surrounding inflammatory changes': {'clinical finding': 'surrounding inflammatory changes', 'existence': 'pos_dx', 'descriptive_term': 'surrounding inflammatory', 'observation': 'change'}, 'metastatic lesion': {'clinical finding': 'metastatic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'metastatic', 'observation': 'lesion'}}location descriptor_fin: ['adjacent']clinical findings_fin: {'this lesion': {'clinical finding': 'this lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'this', 'observation': 'lesion'}}anatomical entity_fin: {'rib': {}}location descriptor_fin: ['left', 'posterior']clinical findings_fin: {'left posterior t6 lytic rib lesion': {'clinical finding': 'left posterior t6 lytic rib lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'left posterior t6 lytic rib', 'observation': 'lesion'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'probable splenule is partially visualized': {'clinical finding': 'probable splenule is partially visualized'}}

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': '1.5 x 2.0 cm', 'size_descriptor': 'nodule'}]anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'large left upper lobe nodule': {'clinical finding': 'large left upper lobe nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'large left upper lobe', 'observation': 'nodule', 'strength_term': 'large'}}anatomical entity_fin: {'lungs': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'numerous additional nodules': {'clinical finding': 'numerous additional nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'numerous additional', 'observation': 'nodule', 'quantity_term': 'numerous'}, 'metastases': {'clinical finding': 'metastases', 'existence': 'pos_dx', 'observation': 'metastase'}}clinical findings_fin: {'pneumothorax': {'clinical finding': 'pneumothorax', 'cf_snomed': {'pneumothorax': 36118008}, 'existence': 'neg_dx', 'observation': 'pneumothorax'}}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'}}size_fin: [{'size': '1.5 cm', 'size_descriptor': 'nodes'}]anatomical entity_fin: {'axis': {}}location descriptor_fin: ['right']clinical findings_fin: {'enlarged mediastinal and right hilar lymph nodes': {'clinical finding': 'enlarged mediastinal and right hilar lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'enlarged mediastinal and right hilar lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'}}anatomical entity_fin: {'head': {}}location descriptor_fin: ['right']clinical findings_fin: {'expansile, lytic lesion': {'clinical finding': 'expansile, lytic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'expansile lytic', 'observation': 'lesion'}, 'surrounding inflammatory changes': {'clinical finding': 'surrounding inflammatory changes', 'existence': 'pos_dx', 'descriptive_term': 'surrounding inflammatory', 'observation': 'change'}, 'metastatic lesion': {'clinical finding': 'metastatic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'metastatic', 'observation': 'lesion'}}location descriptor_fin: ['adjacent']clinical findings_fin: {'this lesion': {'clinical finding': 'this lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'this', 'observation': 'lesion'}}anatomical entity_fin: {'rib': {}}location descriptor_fin: ['left', 'posterior']clinical findings_fin: {'left posterior t6 lytic rib lesion': {'clinical finding': 'left posterior t6 lytic rib lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'left posterior t6 lytic rib', 'observation': 'lesion'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'probable splenule is partially visualized': {'clinical finding': 'probable splenule is partially visualized'}} [/INST] . There is a large left upper lobe nodule measuring 1.5 x 2.0 cm , similar to the prior exam. There are numerous additional nodules in bilateral lungs consistent with history of metastases. No pneumothorax. The heart size is normal. No pericardial effusion. There are enlarged mediastinal and right hilar lymph nodes measuring up to 1.5 cm in short axis. There is an expansile, lytic lesion in the right clavicular head with surrounding inflammatory changes compatible with a metastatic lesion. This lesion abuts but does not appear to invade the adjacent mediastinal structures. Left posterior T6 lytic rib lesion is unchanged. Absence of enteric contrast material limits sensitivity for abdominal pathology. Probable splenule is partially visualized. </s>

The following observations are made given the limitations of an unenhanced study. Numerous bilateral metastatic nodules are roughly stable to equivocally larger in size. Reference left upper lobe nodule measures 1.5 x 1.3 cm, unchanged. Reference right lower lobe nodule measures 2.8 x 3.3 cm, previously 2.8 x 3.1 cm. No pleural effusions or focal areas of consolidation. No significant abnormality noted. Stable subcentimeter lymph nodes. Scattered aortic calcifications. Mild. Right chest port terminates in the SVC. Hypodense lesion in the left liver lobe measures 2.3 x 2.3 cm, previously 2.2 x 1.5 cm using similar measurement technique. No new hepatic lesions. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Mild. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Mild prostatic enlargement. Partially collapsed without significant abnormality. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted

location descriptor_fin: ['bilateral']clinical findings_fin: {'numerous bilateral metastatic nodules': {'clinical finding': 'numerous bilateral metastatic nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'numerous bilateral metastatic', 'observation': 'nodule', 'quantity_term': 'numerous'}}size_fin: [{'size': '1.5 x 1.3 cm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'reference left upper lobe nodule': {'clinical finding': 'reference left upper lobe nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'reference left upper lobe', 'observation': 'nodule'}}size_fin: [{'size': '2.8 x 3.3 cm'}, {'size': '2.8 x 3.1 cm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'reference right lower lobe nodule': {'clinical finding': 'reference right lower lobe nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'reference right lower lobe', 'observation': 'nodule'}}clinical findings_fin: {'pleural effusions': {'clinical finding': 'pleural effusions', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}, 'consolidation': {'clinical finding': 'consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'neg_dx', 'observation': 'consolidation'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'stable subcentimeter lymph nodes': {'clinical finding': 'stable subcentimeter lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'stable subcentimeter lymph', 'observation': 'node', 'strength_term': 'stable', 'change_term': 'stable'}}clinical findings_fin: {'scattered aortic calcifications': {'clinical finding': 'scattered aortic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'scattered aortic', 'observation': 'calcification'}}anatomical entity_fin: {'chest': {'location descriptor': 'right'}}location descriptor_fin: ['right']object_fin: ['port']size_fin: [{'size': '2.3 x 2.3 cm'}, {'size': '2.2 x 1.5 cm'}]anatomical entity_fin: {'liver': {'location descriptor': 'left'}, 'lobe': {}}location descriptor_fin: ['left']clinical findings_fin: {'hypodense lesion': {'clinical finding': 'hypodense lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'hypodense', 'observation': 'lesion'}}clinical findings_fin: {'new hepatic lesions': {'clinical finding': 'new hepatic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'new hepatic', 'observation': 'lesion', '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: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_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 prostatic enlargement': {'clinical finding': 'mild prostatic enlargement', 'cf_snomed': {'enlargement': 442021009}}}clinical findings_fin: {'collapsed': {'clinical finding': 'collapsed', 'cf_snomed': {'collapse': 271787007}, 'existence': 'pos_dx', 'observation': 'collapse'}, 'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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: ['bilateral']clinical findings_fin: {'numerous bilateral metastatic nodules': {'clinical finding': 'numerous bilateral metastatic nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'numerous bilateral metastatic', 'observation': 'nodule', 'quantity_term': 'numerous'}}size_fin: [{'size': '1.5 x 1.3 cm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'reference left upper lobe nodule': {'clinical finding': 'reference left upper lobe nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'reference left upper lobe', 'observation': 'nodule'}}size_fin: [{'size': '2.8 x 3.3 cm'}, {'size': '2.8 x 3.1 cm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'reference right lower lobe nodule': {'clinical finding': 'reference right lower lobe nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'reference right lower lobe', 'observation': 'nodule'}}clinical findings_fin: {'pleural effusions': {'clinical finding': 'pleural effusions', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}, 'consolidation': {'clinical finding': 'consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'neg_dx', 'observation': 'consolidation'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'stable subcentimeter lymph nodes': {'clinical finding': 'stable subcentimeter lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'stable subcentimeter lymph', 'observation': 'node', 'strength_term': 'stable', 'change_term': 'stable'}}clinical findings_fin: {'scattered aortic calcifications': {'clinical finding': 'scattered aortic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'scattered aortic', 'observation': 'calcification'}}anatomical entity_fin: {'chest': {'location descriptor': 'right'}}location descriptor_fin: ['right']object_fin: ['port']size_fin: [{'size': '2.3 x 2.3 cm'}, {'size': '2.2 x 1.5 cm'}]anatomical entity_fin: {'liver': {'location descriptor': 'left'}, 'lobe': {}}location descriptor_fin: ['left']clinical findings_fin: {'hypodense lesion': {'clinical finding': 'hypodense lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'hypodense', 'observation': 'lesion'}}clinical findings_fin: {'new hepatic lesions': {'clinical finding': 'new hepatic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'new hepatic', 'observation': 'lesion', '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: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_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 prostatic enlargement': {'clinical finding': 'mild prostatic enlargement', 'cf_snomed': {'enlargement': 442021009}}}clinical findings_fin: {'collapsed': {'clinical finding': 'collapsed', 'cf_snomed': {'collapse': 271787007}, 'existence': 'pos_dx', 'observation': 'collapse'}, 'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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. Numerous bilateral metastatic nodules are roughly stable to equivocally larger in size. Reference left upper lobe nodule measures 1.5 x 1.3 cm, unchanged. Reference right lower lobe nodule measures 2.8 x 3.3 cm, previously 2.8 x 3.1 cm. No pleural effusions or focal areas of consolidation. No significant abnormality noted. Stable subcentimeter lymph nodes. Scattered aortic calcifications. Mild. Right chest port terminates in the SVC. Hypodense lesion in the left liver lobe measures 2.3 x 2.3 cm, previously 2.2 x 1.5 cm using similar measurement technique. No new hepatic lesions. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Mild. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Mild prostatic enlargement. Partially collapsed without significant abnormality. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted </s>

Fusion of the C2 and C3 vertebral bodies is seen. It also appears that the laminae and spinous processes of these two levels have been incorporated into a single unit. Sequelae of cervical laminoplasty are seen from C3 through C7. The posterior arches have been canted toward the left and stabilized with bone graft placed in the right-sided laminectomy defects at C4 and C6. As a result of the procedure, it does appear that the spinal canal has been decompressed relative to the preoperative examination. Scattered soft tissue and intraspinal air is an expected finding. An 18 x 15 mm fluid collection is seen within the posterior soft tissues at C4 containing a small amount of dependent blood product. Very slight retrolisthesis of C3 relative to C4, and C5 relative to C6 is seen. Alignment is otherwise unremarkable. Vertebral body heights are preserved. Facet hypertrophy. Posterior disc-osteophyte complex. Mild foraminal narrowing. Spinal canal decompression. Facet hypertrophy. Posterior disc-osteophyte complex. Severe foraminal narrowing. Spinal canal decompression. Posterior disc-osteophyte complex. Moderate foraminal narrowing. Spinal canal decompression. Facet hypertrophy. Posterior disc-osteophyte complex. Moderate left foraminal narrowing. Spinal canal decompression. Facet hypertrophy. Posterior disc-osteophyte complex. Mild right foraminal narrowing. Spinal canal decompression.

anatomical entity_fin: {'c3 vertebral bodies': {}}clinical findings_fin: {'fusion': {'clinical finding': 'fusion', 'existence': 'pos_dx', 'observation': 'fusion'}}anatomical entity_fin: {'cervical': {}}clinical findings_fin: {'cervical laminoplasty': {'clinical finding': 'cervical laminoplasty', 'existence': 'pos_dx', 'descriptive_term': 'cervical', 'observation': 'laminoplasty'}}anatomical entity_fin: {'posterior arches': {}, 'bone graft': {}}location descriptor_fin: ['left', 'right']clinical findings_fin: {'bone graft': {'clinical finding': 'bone graft', 'existence': 'pos_dx', 'descriptive_term': 'bone', 'observation': 'graft'}, 'right-sided laminectomy defects': {'clinical finding': 'right-sided laminectomy defects', 'cf_snomed': {'defect': 6920004}, 'existence': 'pos_dx', 'descriptive_term': 'right-sided laminectomy', 'observation': 'defect'}}anatomical entity_fin: {'spinal canal': {}}clinical findings_fin: {'decompressed': {'clinical finding': 'decompressed', 'existence': 'pos_dx', 'observation': 'decompressed'}}clinical findings_fin: {'scattered soft tissue and intraspinal air': {'clinical finding': 'scattered soft tissue and intraspinal air'}}size_fin: [{'size': '18 x 15 mm', 'size_descriptor': 'collection'}]anatomical entity_fin: {'soft tissues': {'location descriptor': 'posterior'}}imaging observation_fin: ['blood']location descriptor_fin: ['posterior']clinical findings_fin: {'18 x 15 mm fluid collection': {'clinical finding': '18 x 15 mm fluid collection', 'existence': 'pos_dx', 'descriptive_term': '18 x 15 mm fluid', 'observation': 'collection'}, 'dependent blood product': {'clinical finding': 'dependent blood product', 'existence': 'pos_dx', 'descriptive_term': 'dependent blood', 'observation': 'product'}}clinical findings_fin: {'very slight retrolisthesis': {'clinical finding': 'very slight retrolisthesis', 'cf_snomed': {'retrolisthesis': 416981004}, 'existence': 'pos_dx', 'descriptive_term': 'very slight', 'observation': 'retrolisthesis'}}clinical findings_fin: {'alignment is otherwise unremarkable': {'clinical finding': 'alignment is otherwise unremarkable'}}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: {'facet': {}}clinical findings_fin: {'facet hypertrophy': {'clinical finding': 'facet hypertrophy', 'cf_snomed': {'hypertrophy': 56246009}, 'existence': 'pos_dx', 'descriptive_term': 'facet', 'observation': 'hypertrophy'}}location descriptor_fin: ['posterior']clinical findings_fin: {'disc-osteophyte': {'clinical finding': 'disc-osteophyte', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'observation': 'disc'}}clinical findings_fin: {'mild foraminal narrowing': {'clinical finding': 'mild foraminal narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'mild foraminal', 'observation': 'narrowing', 'strength_term': 'mild'}}anatomical entity_fin: {'spinal canal': {}}clinical findings_fin: {'spinal canal decompression': {'clinical finding': 'spinal canal decompression', 'existence': 'pos_dx', 'descriptive_term': 'spinal canal', 'observation': 'decompression'}}anatomical entity_fin: {'facet': {}}clinical findings_fin: {'facet hypertrophy': {'clinical finding': 'facet hypertrophy', 'cf_snomed': {'hypertrophy': 56246009}, 'existence': 'pos_dx', 'descriptive_term': 'facet', 'observation': 'hypertrophy'}}location descriptor_fin: ['posterior']clinical findings_fin: {'disc-osteophyte': {'clinical finding': 'disc-osteophyte', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'observation': 'disc'}}clinical findings_fin: {'severe foraminal narrowing': {'clinical finding': 'severe foraminal narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'severe foraminal', 'observation': 'narrowing', 'strength_term': 'severe'}}anatomical entity_fin: {'spinal canal': {}}clinical findings_fin: {'spinal canal decompression': {'clinical finding': 'spinal canal decompression', 'existence': 'pos_dx', 'descriptive_term': 'spinal canal', 'observation': 'decompression'}}location descriptor_fin: ['posterior']clinical findings_fin: {'disc-osteophyte': {'clinical finding': 'disc-osteophyte', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'observation': 'disc'}}clinical findings_fin: {'moderate foraminal narrowing': {'clinical finding': 'moderate foraminal narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'moderate foraminal', 'observation': 'narrowing', 'strength_term': 'moderate'}}anatomical entity_fin: {'spinal canal': {}}clinical findings_fin: {'spinal canal decompression': {'clinical finding': 'spinal canal decompression', 'existence': 'pos_dx', 'descriptive_term': 'spinal canal', 'observation': 'decompression'}}anatomical entity_fin: {'facet': {}}clinical findings_fin: {'facet hypertrophy': {'clinical finding': 'facet hypertrophy', 'cf_snomed': {'hypertrophy': 56246009}, 'existence': 'pos_dx', 'descriptive_term': 'facet', 'observation': 'hypertrophy'}}location descriptor_fin: ['posterior']clinical findings_fin: {'disc-osteophyte': {'clinical finding': 'disc-osteophyte', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'observation': 'disc'}}location descriptor_fin: ['left']clinical findings_fin: {'moderate left foraminal narrowing': {'clinical finding': 'moderate left foraminal narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'moderate left foraminal', 'observation': 'narrowing', 'strength_term': 'moderate'}}anatomical entity_fin: {'spinal canal': {}}clinical findings_fin: {'spinal canal decompression': {'clinical finding': 'spinal canal decompression', 'existence': 'pos_dx', 'descriptive_term': 'spinal canal', 'observation': 'decompression'}}anatomical entity_fin: {'facet': {}}clinical findings_fin: {'facet hypertrophy': {'clinical finding': 'facet hypertrophy', 'cf_snomed': {'hypertrophy': 56246009}, 'existence': 'pos_dx', 'descriptive_term': 'facet', 'observation': 'hypertrophy'}}location descriptor_fin: ['posterior']clinical findings_fin: {'disc-osteophyte': {'clinical finding': 'disc-osteophyte', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'observation': 'disc'}}location descriptor_fin: ['right']clinical findings_fin: {'mild right foraminal narrowing': {'clinical finding': 'mild right foraminal narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'mild right foraminal', 'observation': 'narrowing', 'strength_term': 'mild'}}anatomical entity_fin: {'spinal canal': {}}clinical findings_fin: {'spinal canal decompression': {'clinical finding': 'spinal canal decompression', 'existence': 'pos_dx', 'descriptive_term': 'spinal canal', 'observation': 'decompression'}}

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: {'c3 vertebral bodies': {}}clinical findings_fin: {'fusion': {'clinical finding': 'fusion', 'existence': 'pos_dx', 'observation': 'fusion'}}anatomical entity_fin: {'cervical': {}}clinical findings_fin: {'cervical laminoplasty': {'clinical finding': 'cervical laminoplasty', 'existence': 'pos_dx', 'descriptive_term': 'cervical', 'observation': 'laminoplasty'}}anatomical entity_fin: {'posterior arches': {}, 'bone graft': {}}location descriptor_fin: ['left', 'right']clinical findings_fin: {'bone graft': {'clinical finding': 'bone graft', 'existence': 'pos_dx', 'descriptive_term': 'bone', 'observation': 'graft'}, 'right-sided laminectomy defects': {'clinical finding': 'right-sided laminectomy defects', 'cf_snomed': {'defect': 6920004}, 'existence': 'pos_dx', 'descriptive_term': 'right-sided laminectomy', 'observation': 'defect'}}anatomical entity_fin: {'spinal canal': {}}clinical findings_fin: {'decompressed': {'clinical finding': 'decompressed', 'existence': 'pos_dx', 'observation': 'decompressed'}}clinical findings_fin: {'scattered soft tissue and intraspinal air': {'clinical finding': 'scattered soft tissue and intraspinal air'}}size_fin: [{'size': '18 x 15 mm', 'size_descriptor': 'collection'}]anatomical entity_fin: {'soft tissues': {'location descriptor': 'posterior'}}imaging observation_fin: ['blood']location descriptor_fin: ['posterior']clinical findings_fin: {'18 x 15 mm fluid collection': {'clinical finding': '18 x 15 mm fluid collection', 'existence': 'pos_dx', 'descriptive_term': '18 x 15 mm fluid', 'observation': 'collection'}, 'dependent blood product': {'clinical finding': 'dependent blood product', 'existence': 'pos_dx', 'descriptive_term': 'dependent blood', 'observation': 'product'}}clinical findings_fin: {'very slight retrolisthesis': {'clinical finding': 'very slight retrolisthesis', 'cf_snomed': {'retrolisthesis': 416981004}, 'existence': 'pos_dx', 'descriptive_term': 'very slight', 'observation': 'retrolisthesis'}}clinical findings_fin: {'alignment is otherwise unremarkable': {'clinical finding': 'alignment is otherwise unremarkable'}}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: {'facet': {}}clinical findings_fin: {'facet hypertrophy': {'clinical finding': 'facet hypertrophy', 'cf_snomed': {'hypertrophy': 56246009}, 'existence': 'pos_dx', 'descriptive_term': 'facet', 'observation': 'hypertrophy'}}location descriptor_fin: ['posterior']clinical findings_fin: {'disc-osteophyte': {'clinical finding': 'disc-osteophyte', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'observation': 'disc'}}clinical findings_fin: {'mild foraminal narrowing': {'clinical finding': 'mild foraminal narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'mild foraminal', 'observation': 'narrowing', 'strength_term': 'mild'}}anatomical entity_fin: {'spinal canal': {}}clinical findings_fin: {'spinal canal decompression': {'clinical finding': 'spinal canal decompression', 'existence': 'pos_dx', 'descriptive_term': 'spinal canal', 'observation': 'decompression'}}anatomical entity_fin: {'facet': {}}clinical findings_fin: {'facet hypertrophy': {'clinical finding': 'facet hypertrophy', 'cf_snomed': {'hypertrophy': 56246009}, 'existence': 'pos_dx', 'descriptive_term': 'facet', 'observation': 'hypertrophy'}}location descriptor_fin: ['posterior']clinical findings_fin: {'disc-osteophyte': {'clinical finding': 'disc-osteophyte', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'observation': 'disc'}}clinical findings_fin: {'severe foraminal narrowing': {'clinical finding': 'severe foraminal narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'severe foraminal', 'observation': 'narrowing', 'strength_term': 'severe'}}anatomical entity_fin: {'spinal canal': {}}clinical findings_fin: {'spinal canal decompression': {'clinical finding': 'spinal canal decompression', 'existence': 'pos_dx', 'descriptive_term': 'spinal canal', 'observation': 'decompression'}}location descriptor_fin: ['posterior']clinical findings_fin: {'disc-osteophyte': {'clinical finding': 'disc-osteophyte', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'observation': 'disc'}}clinical findings_fin: {'moderate foraminal narrowing': {'clinical finding': 'moderate foraminal narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'moderate foraminal', 'observation': 'narrowing', 'strength_term': 'moderate'}}anatomical entity_fin: {'spinal canal': {}}clinical findings_fin: {'spinal canal decompression': {'clinical finding': 'spinal canal decompression', 'existence': 'pos_dx', 'descriptive_term': 'spinal canal', 'observation': 'decompression'}}anatomical entity_fin: {'facet': {}}clinical findings_fin: {'facet hypertrophy': {'clinical finding': 'facet hypertrophy', 'cf_snomed': {'hypertrophy': 56246009}, 'existence': 'pos_dx', 'descriptive_term': 'facet', 'observation': 'hypertrophy'}}location descriptor_fin: ['posterior']clinical findings_fin: {'disc-osteophyte': {'clinical finding': 'disc-osteophyte', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'observation': 'disc'}}location descriptor_fin: ['left']clinical findings_fin: {'moderate left foraminal narrowing': {'clinical finding': 'moderate left foraminal narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'moderate left foraminal', 'observation': 'narrowing', 'strength_term': 'moderate'}}anatomical entity_fin: {'spinal canal': {}}clinical findings_fin: {'spinal canal decompression': {'clinical finding': 'spinal canal decompression', 'existence': 'pos_dx', 'descriptive_term': 'spinal canal', 'observation': 'decompression'}}anatomical entity_fin: {'facet': {}}clinical findings_fin: {'facet hypertrophy': {'clinical finding': 'facet hypertrophy', 'cf_snomed': {'hypertrophy': 56246009}, 'existence': 'pos_dx', 'descriptive_term': 'facet', 'observation': 'hypertrophy'}}location descriptor_fin: ['posterior']clinical findings_fin: {'disc-osteophyte': {'clinical finding': 'disc-osteophyte', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'observation': 'disc'}}location descriptor_fin: ['right']clinical findings_fin: {'mild right foraminal narrowing': {'clinical finding': 'mild right foraminal narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'mild right foraminal', 'observation': 'narrowing', 'strength_term': 'mild'}}anatomical entity_fin: {'spinal canal': {}}clinical findings_fin: {'spinal canal decompression': {'clinical finding': 'spinal canal decompression', 'existence': 'pos_dx', 'descriptive_term': 'spinal canal', 'observation': 'decompression'}} [/INST] Fusion of the C2 and C3 vertebral bodies is seen. It also appears that the laminae and spinous processes of these two levels have been incorporated into a single unit. Sequelae of cervical laminoplasty are seen from C3 through C7. The posterior arches have been canted toward the left and stabilized with bone graft placed in the right-sided laminectomy defects at C4 and C6. As a result of the procedure, it does appear that the spinal canal has been decompressed relative to the preoperative examination. Scattered soft tissue and intraspinal air is an expected finding. An 18 x 15 mm fluid collection is seen within the posterior soft tissues at C4 containing a small amount of dependent blood product. Very slight retrolisthesis of C3 relative to C4, and C5 relative to C6 is seen. Alignment is otherwise unremarkable. Vertebral body heights are preserved. Facet hypertrophy. Posterior disc-osteophyte complex. Mild foraminal narrowing. Spinal canal decompression. Facet hypertrophy. Posterior disc-osteophyte complex. Severe foraminal narrowing. Spinal canal decompression. Posterior disc-osteophyte complex. Moderate foraminal narrowing. Spinal canal decompression. Facet hypertrophy. Posterior disc-osteophyte complex. Moderate left foraminal narrowing. Spinal canal decompression. Facet hypertrophy. Posterior disc-osteophyte complex. Mild right foraminal narrowing. Spinal canal decompression. </s>

NONCONTRAST CT HEADSubtle low attenuations on the right basal ganglia and right temporal lobe which are compatible with evolving acute ischemic infarct. There is no evidence of hemorrhagic transformation. No change of linear encephalomalacia seen on the right cerebellar hemisphere since prior scan. The ventricles, sulci, and cisterns are symmetric and unremarkable. The osseous structures are unremarkable. The paranasal sinuses and mastoid air cells are clear. CTA HEAD AND NECKThe right internal carotid artery at the level of proximal cavernous sinus segment to the level of supraclinoid segment is not visualized. Detailed source imaging evaluation showed tubular intravascular filling defect indicating possible intra-arterial thrombus. Other possibilities include diffuse arterial luminal stenosis which is less likely. Right ophthalmic artery is reconstituted through external carotid collateral, right MCA appear to be reconstituted through the flow via the right Posterior communicating artery. However, the distal right MCA M1 segment is not clearly shown indicating another tandem intra vascular thrombus. There is normal aortic arch origin of the right brachiocephalic, left common carotid, and left subclavian arteries. The bilateral vertebral artery origins are normal. There is large atheromatous plaque with a very severe on the left carotid bulb. Normal contrast opacification through the right common carotid artery. There is normal contrast opacification through bilateral MCAs and ACAs. Vertebrobasilar system appears to be normal. Bilateral Pcom arteries are patent and Acom artery is also patent. No evidence of aneurysm, dissection, or vascular malformation is noted. There is normal superficial and deep intracranial venous drainage.

anatomical entity_fin: {'basal ganglia': {'location descriptor': 'right'}, 'right temporal lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'evolving acute ischemic infarct': {'clinical finding': 'evolving acute ischemic infarct', 'cf_snomed': {'infarct': 55641003}, 'existence': 'pos_dx', 'descriptive_term': 'evolving acute ischemic', 'observation': 'infarct', 'strength_term': 'acute', 'temporal_term': 'acute'}}location descriptor_fin: ['right']clinical findings_fin: {'change': {'clinical finding': 'change', 'existence': 'neg_dx', 'observation': 'change'}, 'linear encephalomalacia': {'clinical finding': 'linear encephalomalacia', 'cf_snomed': {'encephalomalacia': 58762006}, 'existence': 'neg_dx', 'descriptive_term': 'linear', 'observation': 'encephalomalacia'}}clinical findings_fin: {'symmetric': {'clinical finding': 'symmetric', 'existence': 'pos_dx', 'observation': 'symmetric'}}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': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'head': {}, 'internal carotid artery': {'location descriptor': 'right'}, 'cavernous sinus': {'location descriptor': 'proximal'}}location descriptor_fin: ['right', 'proximal']clinical findings_fin: {'cta head and neckthe right internal carotid artery at the level of proximal cavernous sinus segment to the level of supraclinoid segment': {'clinical finding': 'cta head and neckthe right internal carotid artery at the level of proximal cavernous sinus segment to the level of supraclinoid segment', 'cf_snomed': {'sinus': 419351001}}}clinical findings_fin: {'tubular intravascular filling defect': {'clinical finding': 'tubular intravascular filling defect', 'cf_snomed': {'filling defect': 43468004}, 'existence': 'pos_dx', 'descriptive_term': 'tubular intravascular filling', 'observation': 'defect'}, 'possible intra-arterial thrombus': {'clinical finding': 'possible intra-arterial thrombus', 'cf_snomed': {'thrombus': 396339007}, 'existence': 'pos_dx', 'descriptive_term': 'possible intra-arterial', 'observation': 'thrombus'}}clinical findings_fin: {'diffuse arterial luminal stenosis': {'clinical finding': 'diffuse arterial luminal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'unc_dx', 'descriptive_term': 'diffuse arterial luminal', 'observation': 'stenosis'}}anatomical entity_fin: {'right ophthalmic artery': {}, 'right posterior communicating artery': {}}location descriptor_fin: ['external', 'right']clinical findings_fin: {'external carotid collateral': {'clinical finding': 'external carotid collateral', 'existence': 'pos_dx', 'descriptive_term': 'external carotid', 'observation': 'collateral'}, 'flow': {'clinical finding': 'flow', 'existence': 'pos_dx', 'observation': 'flow'}}location descriptor_fin: ['distal', 'right']clinical findings_fin: {'another tandem intra vascular thrombus': {'clinical finding': 'another tandem intra vascular thrombus', 'cf_snomed': {'thrombus': 396339007}, 'existence': 'pos_dx', 'descriptive_term': 'another tandem intra vascular', 'observation': 'thrombus'}}anatomical entity_fin: {'aortic arch': {}, 'origin': {}, 'left subclavian arteries': {}}location descriptor_fin: ['right', 'left']clinical findings_fin: {'is normal aortic arch origin of the right brachiocephalic , left': {'clinical finding': 'is normal aortic arch origin of the right brachiocephalic , left'}}anatomical entity_fin: {'vertebral artery': {'location descriptor': 'bilateral'}, 'origins': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral vertebral artery origins are normal': {'clinical finding': 'bilateral vertebral artery origins are normal'}}location descriptor_fin: ['left']clinical findings_fin: {'severe': {'clinical finding': 'severe', 'existence': 'pos_dx', 'observation': 'severe'}}anatomical entity_fin: {'common carotid artery': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'normal contrast opacification': {'clinical finding': 'normal contrast opacification', 'existence': 'pos_dx', 'descriptive_term': 'normal contrast', 'observation': 'opacification', 'strength_term': 'normal'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'normal contrast opacification': {'clinical finding': 'normal contrast opacification', 'existence': 'pos_dx', 'descriptive_term': 'normal contrast', 'observation': 'opacification', 'strength_term': 'normal'}}clinical findings_fin: {'vertebrobasilar system appears to be normal': {'clinical finding': 'vertebrobasilar system appears to be normal'}}anatomical entity_fin: {'arteries': {}, 'artery': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'patent_1': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}, 'patent_2': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}clinical findings_fin: {'aneurysm': {'clinical finding': 'aneurysm', 'cf_snomed': {'aneurysm': 432119003}, 'existence': 'neg_dx', 'observation': 'aneurysm'}, 'dissection': {'clinical finding': 'dissection', 'existence': 'neg_dx', 'observation': 'dissection'}, 'vascular malformation': {'clinical finding': 'vascular malformation', 'cf_snomed': {'vascular malformation': 783806000}, 'existence': 'neg_dx', 'descriptive_term': 'vascular', 'observation': 'malformation'}}location descriptor_fin: ['superficial']procedure_fin: ['drainage']clinical findings_fin: {'is normal superficial and deep intracranial venous drainage': {'clinical finding': 'is normal superficial and deep intracranial venous drainage'}}

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: {'basal ganglia': {'location descriptor': 'right'}, 'right temporal lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'evolving acute ischemic infarct': {'clinical finding': 'evolving acute ischemic infarct', 'cf_snomed': {'infarct': 55641003}, 'existence': 'pos_dx', 'descriptive_term': 'evolving acute ischemic', 'observation': 'infarct', 'strength_term': 'acute', 'temporal_term': 'acute'}}location descriptor_fin: ['right']clinical findings_fin: {'change': {'clinical finding': 'change', 'existence': 'neg_dx', 'observation': 'change'}, 'linear encephalomalacia': {'clinical finding': 'linear encephalomalacia', 'cf_snomed': {'encephalomalacia': 58762006}, 'existence': 'neg_dx', 'descriptive_term': 'linear', 'observation': 'encephalomalacia'}}clinical findings_fin: {'symmetric': {'clinical finding': 'symmetric', 'existence': 'pos_dx', 'observation': 'symmetric'}}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': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'head': {}, 'internal carotid artery': {'location descriptor': 'right'}, 'cavernous sinus': {'location descriptor': 'proximal'}}location descriptor_fin: ['right', 'proximal']clinical findings_fin: {'cta head and neckthe right internal carotid artery at the level of proximal cavernous sinus segment to the level of supraclinoid segment': {'clinical finding': 'cta head and neckthe right internal carotid artery at the level of proximal cavernous sinus segment to the level of supraclinoid segment', 'cf_snomed': {'sinus': 419351001}}}clinical findings_fin: {'tubular intravascular filling defect': {'clinical finding': 'tubular intravascular filling defect', 'cf_snomed': {'filling defect': 43468004}, 'existence': 'pos_dx', 'descriptive_term': 'tubular intravascular filling', 'observation': 'defect'}, 'possible intra-arterial thrombus': {'clinical finding': 'possible intra-arterial thrombus', 'cf_snomed': {'thrombus': 396339007}, 'existence': 'pos_dx', 'descriptive_term': 'possible intra-arterial', 'observation': 'thrombus'}}clinical findings_fin: {'diffuse arterial luminal stenosis': {'clinical finding': 'diffuse arterial luminal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'unc_dx', 'descriptive_term': 'diffuse arterial luminal', 'observation': 'stenosis'}}anatomical entity_fin: {'right ophthalmic artery': {}, 'right posterior communicating artery': {}}location descriptor_fin: ['external', 'right']clinical findings_fin: {'external carotid collateral': {'clinical finding': 'external carotid collateral', 'existence': 'pos_dx', 'descriptive_term': 'external carotid', 'observation': 'collateral'}, 'flow': {'clinical finding': 'flow', 'existence': 'pos_dx', 'observation': 'flow'}}location descriptor_fin: ['distal', 'right']clinical findings_fin: {'another tandem intra vascular thrombus': {'clinical finding': 'another tandem intra vascular thrombus', 'cf_snomed': {'thrombus': 396339007}, 'existence': 'pos_dx', 'descriptive_term': 'another tandem intra vascular', 'observation': 'thrombus'}}anatomical entity_fin: {'aortic arch': {}, 'origin': {}, 'left subclavian arteries': {}}location descriptor_fin: ['right', 'left']clinical findings_fin: {'is normal aortic arch origin of the right brachiocephalic , left': {'clinical finding': 'is normal aortic arch origin of the right brachiocephalic , left'}}anatomical entity_fin: {'vertebral artery': {'location descriptor': 'bilateral'}, 'origins': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral vertebral artery origins are normal': {'clinical finding': 'bilateral vertebral artery origins are normal'}}location descriptor_fin: ['left']clinical findings_fin: {'severe': {'clinical finding': 'severe', 'existence': 'pos_dx', 'observation': 'severe'}}anatomical entity_fin: {'common carotid artery': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'normal contrast opacification': {'clinical finding': 'normal contrast opacification', 'existence': 'pos_dx', 'descriptive_term': 'normal contrast', 'observation': 'opacification', 'strength_term': 'normal'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'normal contrast opacification': {'clinical finding': 'normal contrast opacification', 'existence': 'pos_dx', 'descriptive_term': 'normal contrast', 'observation': 'opacification', 'strength_term': 'normal'}}clinical findings_fin: {'vertebrobasilar system appears to be normal': {'clinical finding': 'vertebrobasilar system appears to be normal'}}anatomical entity_fin: {'arteries': {}, 'artery': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'patent_1': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}, 'patent_2': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}clinical findings_fin: {'aneurysm': {'clinical finding': 'aneurysm', 'cf_snomed': {'aneurysm': 432119003}, 'existence': 'neg_dx', 'observation': 'aneurysm'}, 'dissection': {'clinical finding': 'dissection', 'existence': 'neg_dx', 'observation': 'dissection'}, 'vascular malformation': {'clinical finding': 'vascular malformation', 'cf_snomed': {'vascular malformation': 783806000}, 'existence': 'neg_dx', 'descriptive_term': 'vascular', 'observation': 'malformation'}}location descriptor_fin: ['superficial']procedure_fin: ['drainage']clinical findings_fin: {'is normal superficial and deep intracranial venous drainage': {'clinical finding': 'is normal superficial and deep intracranial venous drainage'}} [/INST] NONCONTRAST CT HEADSubtle low attenuations on the right basal ganglia and right temporal lobe which are compatible with evolving acute ischemic infarct. There is no evidence of hemorrhagic transformation. No change of linear encephalomalacia seen on the right cerebellar hemisphere since prior scan. The ventricles, sulci, and cisterns are symmetric and unremarkable. The osseous structures are unremarkable. The paranasal sinuses and mastoid air cells are clear. CTA HEAD AND NECKThe right internal carotid artery at the level of proximal cavernous sinus segment to the level of supraclinoid segment is not visualized. Detailed source imaging evaluation showed tubular intravascular filling defect indicating possible intra-arterial thrombus. Other possibilities include diffuse arterial luminal stenosis which is less likely. Right ophthalmic artery is reconstituted through external carotid collateral, right MCA appear to be reconstituted through the flow via the right Posterior communicating artery. However, the distal right MCA M1 segment is not clearly shown indicating another tandem intra vascular thrombus. There is normal aortic arch origin of the right brachiocephalic, left common carotid, and left subclavian arteries. The bilateral vertebral artery origins are normal. There is large atheromatous plaque with a very severe on the left carotid bulb. Normal contrast opacification through the right common carotid artery. There is normal contrast opacification through bilateral MCAs and ACAs. Vertebrobasilar system appears to be normal. Bilateral Pcom arteries are patent and Acom artery is also patent. No evidence of aneurysm, dissection, or vascular malformation is noted. There is normal superficial and deep intracranial venous drainage. </s>

. No evidence of pulmonary embolism. The main pulmonary artery is slightly large suggestion of pulmonary arterial hypertension, and there is slight straightening of the intraventricular septum. Patchy basilar consolidation left greater than right, either infection or aspiration. No mediastinal or hilar lymphadenopathy. Heart and pericardium appear normal. None. No significant abnormality noted. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. Marked hepatic steatosis. Distal esophageal thickening suggestive of esophagitis. Left renal cyst like hypodensity.

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: {'main pulmonary artery': {}}clinical findings_fin: {'main pulmonary': {'clinical finding': 'main pulmonary', 'existence': 'pos_dx', 'descriptive_term': 'main', 'observation': 'pulmonary'}, 'pulmonary arterial hypertension': {'clinical finding': 'pulmonary arterial hypertension', 'cf_snomed': {'pulmonary arterial hypertension': 11399002}, 'existence': 'unc_dx', 'descriptive_term': 'pulmonary arterial', 'observation': 'hypertension'}}location descriptor_fin: ['left', 'right']clinical findings_fin: {'patchy basilar consolidation': {'clinical finding': 'patchy basilar consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'pos_dx', 'descriptive_term': 'patchy basilar', 'observation': 'consolidation'}, 'either infection': {'clinical finding': 'either infection', 'existence': 'pos_dx', 'descriptive_term': 'either', 'observation': 'infection'}, 'aspiration': {'clinical finding': 'aspiration', 'existence': 'unc_dx', 'observation': 'aspiration'}}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: {'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: {'marked hepatic steatosis': {'clinical finding': 'marked hepatic steatosis', 'cf_snomed': {'steatosis': 1187537008}, 'existence': 'pos_dx', 'descriptive_term': 'marked hepatic', 'observation': 'steatosis'}}location descriptor_fin: ['distal']clinical findings_fin: {'distal esophageal thickening': {'clinical finding': 'distal esophageal thickening', 'existence': 'pos_dx', 'descriptive_term': 'distal esophageal', 'observation': 'thickening'}, 'esophagitis': {'clinical finding': 'esophagitis', 'cf_snomed': {'esophagitis': 16761005}, 'existence': 'unc_dx', 'observation': 'esophagitis'}}location descriptor_fin: ['left']clinical findings_fin: {'left renal cyst': {'clinical finding': 'left renal cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'left renal', 'observation': 'cyst'}, 'hypodensity': {'clinical finding': 'hypodensity', 'existence': 'pos_dx', 'observation': 'hypodensity'}}

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: {'main pulmonary artery': {}}clinical findings_fin: {'main pulmonary': {'clinical finding': 'main pulmonary', 'existence': 'pos_dx', 'descriptive_term': 'main', 'observation': 'pulmonary'}, 'pulmonary arterial hypertension': {'clinical finding': 'pulmonary arterial hypertension', 'cf_snomed': {'pulmonary arterial hypertension': 11399002}, 'existence': 'unc_dx', 'descriptive_term': 'pulmonary arterial', 'observation': 'hypertension'}}location descriptor_fin: ['left', 'right']clinical findings_fin: {'patchy basilar consolidation': {'clinical finding': 'patchy basilar consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'pos_dx', 'descriptive_term': 'patchy basilar', 'observation': 'consolidation'}, 'either infection': {'clinical finding': 'either infection', 'existence': 'pos_dx', 'descriptive_term': 'either', 'observation': 'infection'}, 'aspiration': {'clinical finding': 'aspiration', 'existence': 'unc_dx', 'observation': 'aspiration'}}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: {'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: {'marked hepatic steatosis': {'clinical finding': 'marked hepatic steatosis', 'cf_snomed': {'steatosis': 1187537008}, 'existence': 'pos_dx', 'descriptive_term': 'marked hepatic', 'observation': 'steatosis'}}location descriptor_fin: ['distal']clinical findings_fin: {'distal esophageal thickening': {'clinical finding': 'distal esophageal thickening', 'existence': 'pos_dx', 'descriptive_term': 'distal esophageal', 'observation': 'thickening'}, 'esophagitis': {'clinical finding': 'esophagitis', 'cf_snomed': {'esophagitis': 16761005}, 'existence': 'unc_dx', 'observation': 'esophagitis'}}location descriptor_fin: ['left']clinical findings_fin: {'left renal cyst': {'clinical finding': 'left renal cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'left renal', 'observation': 'cyst'}, 'hypodensity': {'clinical finding': 'hypodensity', 'existence': 'pos_dx', 'observation': 'hypodensity'}} [/INST] . No evidence of pulmonary embolism. The main pulmonary artery is slightly large suggestion of pulmonary arterial hypertension, and there is slight straightening of the intraventricular septum. Patchy basilar consolidation left greater than right, either infection or aspiration. No mediastinal or hilar lymphadenopathy. Heart and pericardium appear normal. None. No significant abnormality noted. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. Marked hepatic steatosis. Distal esophageal thickening suggestive of esophagitis. Left renal cyst like hypodensity. </s>

. Bilateral pulmonary nodules are not substantially different compared to 2013 many of these nodules have imaging characteristics suggestive of parenchymal lymph nodes in keeping with given history of sarcoidosis. Mild to moderate mosaic attenuation which may represent air-trapping which has been described in setting of sarcoidosis. Patchy areas of subsegmental atelectasis or scarring again noted. Mild left-sided pleural thickening again noted. Patent central airways. Mild osteophyte fibrosis in the medial aspect of the right lower lobe. Mild mediastinal lymphadenopathy, partially calcified, unchanged compared to 2013. Mild left atrial dilation again noted. Mild aortic calcification again noted. Mild. 00 in the inferior aspect of the left breast on image 55 of series 3, increased from 2013 when it measured 1.3 x 1.1 cm. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. Tiny hepatic hypodensity in the right lobe, again noted, too small to characterize.

location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral pulmonary nodules': {'clinical finding': 'bilateral pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'bilateral pulmonary', 'observation': 'nodule'}, 'these nodules': {'clinical finding': 'these nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'these', 'observation': 'nodule'}, 'parenchymal lymph nodes': {'clinical finding': 'parenchymal lymph nodes', 'existence': 'unc_dx', 'descriptive_term': 'parenchymal lymph', 'observation': 'node'}, 'sarcoidosis': {'clinical finding': 'sarcoidosis', 'cf_snomed': {'sarcoidosis': 31541009}, 'existence': 'pos_dx', 'observation': 'sarcoidosis'}}clinical findings_fin: {'mild to moderate mosaic attenuation': {'clinical finding': 'mild to moderate mosaic attenuation', 'existence': 'pos_dx', 'descriptive_term': 'mild to moderate mosaic', 'observation': 'attenuation', 'strength_term': 'mild - moderate'}, 'air-trapping': {'clinical finding': 'air-trapping', 'existence': 'unc_dx', 'observation': 'air'}, 'sarcoidosis': {'clinical finding': 'sarcoidosis', 'cf_snomed': {'sarcoidosis': 31541009}, 'existence': 'pos_dx', 'observation': 'sarcoidosis'}}location descriptor_fin: ['subsegmental']clinical findings_fin: {'subsegmental atelectasis': {'clinical finding': 'subsegmental atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'subsegmental', 'observation': 'atelectasis'}, 'scarring': {'clinical finding': 'scarring', 'existence': 'unc_dx', 'observation': 'scarr'}}location descriptor_fin: ['left']clinical findings_fin: {'mild left-sided pleural thickening': {'clinical finding': 'mild left-sided pleural thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild left-sided pleural', 'observation': 'thickening', 'strength_term': 'mild'}}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'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['medial', 'right', 'lower']clinical findings_fin: {'mild osteophyte fibrosis': {'clinical finding': 'mild osteophyte fibrosis', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'mild osteophyte', 'observation': 'fibrosis', 'strength_term': 'mild'}}clinical findings_fin: {'mild mediastinal lymphadenopathy': {'clinical finding': 'mild mediastinal lymphadenopathy', 'cf_snomed': {'mediastinal lymphadenopathy': 52324001}, 'existence': 'pos_dx', 'descriptive_term': 'mild mediastinal', 'observation': 'lymphadenopathy', 'strength_term': 'mild'}}location descriptor_fin: ['left']clinical findings_fin: {'mild left atrial dilation': {'clinical finding': 'mild left atrial dilation', 'existence': 'pos_dx', 'descriptive_term': 'mild left atrial', 'observation': 'dilation', 'strength_term': 'mild'}}clinical findings_fin: {'mild aortic calcification': {'clinical finding': 'mild aortic calcification', 'existence': 'pos_dx', 'descriptive_term': 'mild aortic', 'observation': 'calcification', 'strength_term': 'mild'}}size_fin: [{'size': '1.3 x 1.1 cm'}]anatomical entity_fin: {'breast': {'location descriptor': 'left'}}location descriptor_fin: ['inferior', 'left']clinical findings_fin: {'00 in the inferior aspect of the left breast on image 55 of series 3 , increased from 2013': {'clinical finding': '00 in the inferior aspect of the left breast on image 55 of series 3 , increased from 2013', 'change_term': 'increased'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'tiny hepatic hypodensity': {'clinical finding': 'tiny hepatic hypodensity', 'existence': 'pos_dx', 'descriptive_term': 'tiny hepatic', 'observation': 'hypodensity', 'strength_term': 'tiny'}}

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: {'bilateral pulmonary nodules': {'clinical finding': 'bilateral pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'bilateral pulmonary', 'observation': 'nodule'}, 'these nodules': {'clinical finding': 'these nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'these', 'observation': 'nodule'}, 'parenchymal lymph nodes': {'clinical finding': 'parenchymal lymph nodes', 'existence': 'unc_dx', 'descriptive_term': 'parenchymal lymph', 'observation': 'node'}, 'sarcoidosis': {'clinical finding': 'sarcoidosis', 'cf_snomed': {'sarcoidosis': 31541009}, 'existence': 'pos_dx', 'observation': 'sarcoidosis'}}clinical findings_fin: {'mild to moderate mosaic attenuation': {'clinical finding': 'mild to moderate mosaic attenuation', 'existence': 'pos_dx', 'descriptive_term': 'mild to moderate mosaic', 'observation': 'attenuation', 'strength_term': 'mild - moderate'}, 'air-trapping': {'clinical finding': 'air-trapping', 'existence': 'unc_dx', 'observation': 'air'}, 'sarcoidosis': {'clinical finding': 'sarcoidosis', 'cf_snomed': {'sarcoidosis': 31541009}, 'existence': 'pos_dx', 'observation': 'sarcoidosis'}}location descriptor_fin: ['subsegmental']clinical findings_fin: {'subsegmental atelectasis': {'clinical finding': 'subsegmental atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'subsegmental', 'observation': 'atelectasis'}, 'scarring': {'clinical finding': 'scarring', 'existence': 'unc_dx', 'observation': 'scarr'}}location descriptor_fin: ['left']clinical findings_fin: {'mild left-sided pleural thickening': {'clinical finding': 'mild left-sided pleural thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild left-sided pleural', 'observation': 'thickening', 'strength_term': 'mild'}}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'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['medial', 'right', 'lower']clinical findings_fin: {'mild osteophyte fibrosis': {'clinical finding': 'mild osteophyte fibrosis', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'mild osteophyte', 'observation': 'fibrosis', 'strength_term': 'mild'}}clinical findings_fin: {'mild mediastinal lymphadenopathy': {'clinical finding': 'mild mediastinal lymphadenopathy', 'cf_snomed': {'mediastinal lymphadenopathy': 52324001}, 'existence': 'pos_dx', 'descriptive_term': 'mild mediastinal', 'observation': 'lymphadenopathy', 'strength_term': 'mild'}}location descriptor_fin: ['left']clinical findings_fin: {'mild left atrial dilation': {'clinical finding': 'mild left atrial dilation', 'existence': 'pos_dx', 'descriptive_term': 'mild left atrial', 'observation': 'dilation', 'strength_term': 'mild'}}clinical findings_fin: {'mild aortic calcification': {'clinical finding': 'mild aortic calcification', 'existence': 'pos_dx', 'descriptive_term': 'mild aortic', 'observation': 'calcification', 'strength_term': 'mild'}}size_fin: [{'size': '1.3 x 1.1 cm'}]anatomical entity_fin: {'breast': {'location descriptor': 'left'}}location descriptor_fin: ['inferior', 'left']clinical findings_fin: {'00 in the inferior aspect of the left breast on image 55 of series 3 , increased from 2013': {'clinical finding': '00 in the inferior aspect of the left breast on image 55 of series 3 , increased from 2013', 'change_term': 'increased'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'tiny hepatic hypodensity': {'clinical finding': 'tiny hepatic hypodensity', 'existence': 'pos_dx', 'descriptive_term': 'tiny hepatic', 'observation': 'hypodensity', 'strength_term': 'tiny'}} [/INST] . Bilateral pulmonary nodules are not substantially different compared to 2013 many of these nodules have imaging characteristics suggestive of parenchymal lymph nodes in keeping with given history of sarcoidosis. Mild to moderate mosaic attenuation which may represent air-trapping which has been described in setting of sarcoidosis. Patchy areas of subsegmental atelectasis or scarring again noted. Mild left-sided pleural thickening again noted. Patent central airways. Mild osteophyte fibrosis in the medial aspect of the right lower lobe. Mild mediastinal lymphadenopathy, partially calcified, unchanged compared to 2013. Mild left atrial dilation again noted. Mild aortic calcification again noted. Mild. 00 in the inferior aspect of the left breast on image 55 of series 3, increased from 2013 when it measured 1.3 x 1.1 cm. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. Tiny hepatic hypodensity in the right lobe, again noted, too small to characterize. </s>

. Previous identified left lingular nodule has significantly decreased and is obscured by posttherapy changes and not accurately measurable. Residual posttherapy scarring or atelectasis. Surgical clips and calcifications in the left upper lobe again noted. Left lower lobe pulmonary micronodules, unchanged. Right upper lobe ground glass nodule has not significantly changed, measuring 5 mm , previously 4 mm. No new pulmonary nodules or masses. Moderate to marked upper lobe predominant centrilobular and paraseptal emphysema. No pleural effusions. Right thyroid lobe dense calcification. Small nonenlarged mediastinal lymph nodes. No significant mediastinal or hilar lymphadenopathy. Heart size is normal with no pericardial effusion. Severe coronary artery calcifications. Stable multilevel compression deformities and vertebroplasties. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. Postsurgical changes of a cholecystectomy. Interval resolution of pneumobilia. No significant abnormality noted. No significant abnormality noted. Bilateral renal artery stents. Left atrophic kidney. No significant abnormality noted. Atherosclerotic calcification of the abdominal aorta and its branches. Absence of enteric contrast material limits sensitivity for GI pathology. No gross abnormalities noted. Degenerative changes. No significant abnormality noted.

location descriptor_fin: ['left']clinical findings_fin: {'previous identified left lingular nodule': {'clinical finding': 'previous identified left lingular nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'previous identified left lingular', 'observation': 'nodule', 'temporal_term': 'previous'}, 'posttherapy changes': {'clinical finding': 'posttherapy changes', 'existence': 'unc_dx', 'descriptive_term': 'posttherapy', 'observation': 'change'}}clinical findings_fin: {'residual posttherapy scarring': {'clinical finding': 'residual posttherapy scarring', 'existence': 'unc_dx', 'descriptive_term': 'residual posttherapy', 'observation': 'scarr', 'temporal_term': 'residual'}, 'atelectasis': {'clinical finding': 'atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'unc_dx', 'observation': 'atelectasis'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}}location descriptor_fin: ['left', 'upper']object_fin: ['surgical clips']clinical findings_fin: {'surgical clips': {'clinical finding': 'surgical clips', 'existence': 'pos_dx', 'descriptive_term': 'surgical', 'observation': 'clip'}, 'calcifications': {'clinical finding': 'calcifications', 'existence': 'pos_dx', 'observation': 'calcification'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'left lower lobe pulmonary micronodules': {'clinical finding': 'left lower lobe pulmonary micronodules', 'existence': 'pos_dx', 'descriptive_term': 'left lower lobe pulmonary', 'observation': 'micronodule'}}size_fin: [{'size': '5 mm'}, {'size': '4 mm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right upper'}}location descriptor_fin: ['right', 'upper']clinical findings_fin: {'right upper lobe ground glass nodule': {'clinical finding': 'right upper lobe ground glass nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'right upper lobe ground glass', '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'}, 'masses': {'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass'}}anatomical entity_fin: {'lobe': {'location descriptor': 'upper'}}location descriptor_fin: ['upper', 'centrilobular']clinical findings_fin: {'moderate to marked upper lobe predominant centrilobular and paraseptal emphysema': {'clinical finding': 'moderate to marked upper lobe predominant centrilobular and paraseptal emphysema', 'cf_snomed': {'paraseptal emphysema': 31898008}, 'existence': 'pos_dx', 'descriptive_term': 'moderate to marked upper lobe predominant centrilobular and paraseptal', 'observation': 'emphysema', 'strength_term': 'moderate'}}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: {'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'right thyroid lobe dense calcification': {'clinical finding': 'right thyroid lobe dense calcification', 'existence': 'pos_dx', 'descriptive_term': 'right thyroid lobe dense', 'observation': 'calcification'}}anatomical entity_fin: {'mediastinal lymph nodes': {}}clinical findings_fin: {'small nonenlarged mediastinal lymph nodes': {'clinical finding': 'small nonenlarged mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small nonenlarged mediastinal lymph', 'observation': 'node', 'strength_term': 'small'}}clinical findings_fin: {'significant mediastinal or hilar lymphadenopathy': {'clinical finding': 'significant mediastinal or hilar lymphadenopathy', 'cf_snomed': {'hilar lymphadenopathy': 87500009}, 'existence': 'neg_dx', 'descriptive_term': 'significant mediastinal or hilar', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'heart': {}}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: {'severe coronary artery calcifications': {'clinical finding': 'severe coronary artery calcifications', 'existence': 'pos_dx', 'descriptive_term': 'severe coronary artery', 'observation': 'calcification', 'strength_term': 'severe'}}procedure_fin: ['vertebroplasties']clinical findings_fin: {'stable multilevel compression deformities': {'clinical finding': 'stable multilevel compression deformities', 'cf_snomed': {'compression': 71173004}, 'existence': 'pos_dx', 'descriptive_term': 'stable multilevel compression', 'observation': 'deformity', 'strength_term': 'stable', 'change_term': 'stable'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}procedure_fin: ['cholecystectomy']clinical findings_fin: {'postsurgical changes': {'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'}}clinical findings_fin: {'interval resolution': {'clinical finding': 'interval resolution', 'existence': 'pos_dx', 'descriptive_term': 'interval', 'observation': 'resolution'}, 'pneumobilia': {'clinical finding': 'pneumobilia', 'existence': 'pos_dx', 'observation': 'pneumobilia'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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: {'renal artery': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral renal artery stents': {'clinical finding': 'bilateral renal artery stents', 'existence': 'pos_dx', 'descriptive_term': 'bilateral renal artery', 'observation': 'stent'}}anatomical entity_fin: {'kidney': {}}location descriptor_fin: ['left']clinical findings_fin: {'left atrophic': {'clinical finding': 'left atrophic', 'existence': 'pos_dx', 'descriptive_term': 'left', 'observation': 'atrophic'}}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: {'atherosclerotic calcification': {'clinical finding': 'atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'}}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'}}

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: {'previous identified left lingular nodule': {'clinical finding': 'previous identified left lingular nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'previous identified left lingular', 'observation': 'nodule', 'temporal_term': 'previous'}, 'posttherapy changes': {'clinical finding': 'posttherapy changes', 'existence': 'unc_dx', 'descriptive_term': 'posttherapy', 'observation': 'change'}}clinical findings_fin: {'residual posttherapy scarring': {'clinical finding': 'residual posttherapy scarring', 'existence': 'unc_dx', 'descriptive_term': 'residual posttherapy', 'observation': 'scarr', 'temporal_term': 'residual'}, 'atelectasis': {'clinical finding': 'atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'unc_dx', 'observation': 'atelectasis'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}}location descriptor_fin: ['left', 'upper']object_fin: ['surgical clips']clinical findings_fin: {'surgical clips': {'clinical finding': 'surgical clips', 'existence': 'pos_dx', 'descriptive_term': 'surgical', 'observation': 'clip'}, 'calcifications': {'clinical finding': 'calcifications', 'existence': 'pos_dx', 'observation': 'calcification'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'left lower lobe pulmonary micronodules': {'clinical finding': 'left lower lobe pulmonary micronodules', 'existence': 'pos_dx', 'descriptive_term': 'left lower lobe pulmonary', 'observation': 'micronodule'}}size_fin: [{'size': '5 mm'}, {'size': '4 mm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right upper'}}location descriptor_fin: ['right', 'upper']clinical findings_fin: {'right upper lobe ground glass nodule': {'clinical finding': 'right upper lobe ground glass nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'right upper lobe ground glass', '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'}, 'masses': {'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass'}}anatomical entity_fin: {'lobe': {'location descriptor': 'upper'}}location descriptor_fin: ['upper', 'centrilobular']clinical findings_fin: {'moderate to marked upper lobe predominant centrilobular and paraseptal emphysema': {'clinical finding': 'moderate to marked upper lobe predominant centrilobular and paraseptal emphysema', 'cf_snomed': {'paraseptal emphysema': 31898008}, 'existence': 'pos_dx', 'descriptive_term': 'moderate to marked upper lobe predominant centrilobular and paraseptal', 'observation': 'emphysema', 'strength_term': 'moderate'}}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: {'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'right thyroid lobe dense calcification': {'clinical finding': 'right thyroid lobe dense calcification', 'existence': 'pos_dx', 'descriptive_term': 'right thyroid lobe dense', 'observation': 'calcification'}}anatomical entity_fin: {'mediastinal lymph nodes': {}}clinical findings_fin: {'small nonenlarged mediastinal lymph nodes': {'clinical finding': 'small nonenlarged mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small nonenlarged mediastinal lymph', 'observation': 'node', 'strength_term': 'small'}}clinical findings_fin: {'significant mediastinal or hilar lymphadenopathy': {'clinical finding': 'significant mediastinal or hilar lymphadenopathy', 'cf_snomed': {'hilar lymphadenopathy': 87500009}, 'existence': 'neg_dx', 'descriptive_term': 'significant mediastinal or hilar', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'heart': {}}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: {'severe coronary artery calcifications': {'clinical finding': 'severe coronary artery calcifications', 'existence': 'pos_dx', 'descriptive_term': 'severe coronary artery', 'observation': 'calcification', 'strength_term': 'severe'}}procedure_fin: ['vertebroplasties']clinical findings_fin: {'stable multilevel compression deformities': {'clinical finding': 'stable multilevel compression deformities', 'cf_snomed': {'compression': 71173004}, 'existence': 'pos_dx', 'descriptive_term': 'stable multilevel compression', 'observation': 'deformity', 'strength_term': 'stable', 'change_term': 'stable'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}procedure_fin: ['cholecystectomy']clinical findings_fin: {'postsurgical changes': {'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'}}clinical findings_fin: {'interval resolution': {'clinical finding': 'interval resolution', 'existence': 'pos_dx', 'descriptive_term': 'interval', 'observation': 'resolution'}, 'pneumobilia': {'clinical finding': 'pneumobilia', 'existence': 'pos_dx', 'observation': 'pneumobilia'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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: {'renal artery': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral renal artery stents': {'clinical finding': 'bilateral renal artery stents', 'existence': 'pos_dx', 'descriptive_term': 'bilateral renal artery', 'observation': 'stent'}}anatomical entity_fin: {'kidney': {}}location descriptor_fin: ['left']clinical findings_fin: {'left atrophic': {'clinical finding': 'left atrophic', 'existence': 'pos_dx', 'descriptive_term': 'left', 'observation': 'atrophic'}}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: {'atherosclerotic calcification': {'clinical finding': 'atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'}}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'}} [/INST] . Previous identified left lingular nodule has significantly decreased and is obscured by posttherapy changes and not accurately measurable. Residual posttherapy scarring or atelectasis. Surgical clips and calcifications in the left upper lobe again noted. Left lower lobe pulmonary micronodules, unchanged. Right upper lobe ground glass nodule has not significantly changed, measuring 5 mm , previously 4 mm. No new pulmonary nodules or masses. Moderate to marked upper lobe predominant centrilobular and paraseptal emphysema. No pleural effusions. Right thyroid lobe dense calcification. Small nonenlarged mediastinal lymph nodes. No significant mediastinal or hilar lymphadenopathy. Heart size is normal with no pericardial effusion. Severe coronary artery calcifications. Stable multilevel compression deformities and vertebroplasties. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. Postsurgical changes of a cholecystectomy. Interval resolution of pneumobilia. No significant abnormality noted. No significant abnormality noted. Bilateral renal artery stents. Left atrophic kidney. No significant abnormality noted. Atherosclerotic calcification of the abdominal aorta and its branches. Absence of enteric contrast material limits sensitivity for GI pathology. No gross abnormalities noted. Degenerative changes. No significant abnormality noted. </s>

. Stable left apical cyst. Scattered stable additional pulmonary cysts. No suspicious pulmonary mass or nodule. No focal consolidation, pleural effusions or pneumothorax. Stable scattered nonspecific micronodules. Mild basilar atelectasis or scarring. Stable size of increased number of small mediastinal lymph nodes. Stable prevascular fluid attenuating reference lesion may reflect a pericardial recess or low-attenuation lymph node. See reference measurements below. No hilar lymphadenopathy. Normal cardiac size without pericardial effusion. Mild. No axillary lymphadenopathy. Stable left anterior chest wall focal skin thickening is nonspecific and may reflect a skin lesion secondary to the patients history of neurofibromatosis. Postsurgical changes of the right posterolateral or paraspinal chest wall. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Mild. Postsurgical changes from a ventral hernia repair. Small fat-containing umbilical hernia. The small and large bowel is normal in appearance. No evidence of obstruction or intrinsic abnormality. No mesenteric mass. No free mesenteric fluid. Skin and small subcutaneous lesions, likely related to patients known NF1. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Fat-containing small right inguinal hernia. No significant abnormality noted

imaging observation_fin: ['apical']location descriptor_fin: ['left']clinical findings_fin: {'stable left apical cyst': {'clinical finding': 'stable left apical cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'stable left apical', 'observation': 'cyst', 'strength_term': 'stable', 'change_term': 'stable'}}clinical findings_fin: {'stable additional pulmonary cysts': {'clinical finding': 'stable additional pulmonary cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'stable additional pulmonary', 'observation': 'cyst', 'strength_term': 'stable', 'change_term': 'stable'}}clinical findings_fin: {'suspicious pulmonary mass': {'clinical finding': 'suspicious pulmonary mass', 'existence': 'neg_dx', 'descriptive_term': 'suspicious pulmonary', 'observation': 'mass'}, 'nodule': {'clinical finding': 'nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'observation': 'nodule'}}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: {'stable scattered nonspecific micronodules': {'clinical finding': 'stable scattered nonspecific micronodules', 'existence': 'pos_dx', 'descriptive_term': 'stable scattered nonspecific', 'observation': 'micronodule', 'strength_term': 'stable', 'change_term': 'stable'}}clinical findings_fin: {'mild basilar atelectasis': {'clinical finding': 'mild basilar atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'unc_dx', 'descriptive_term': 'mild basilar', 'observation': 'atelectasis', 'strength_term': 'mild'}, 'scarring': {'clinical finding': 'scarring', 'existence': 'unc_dx', 'observation': 'scarr'}}anatomical entity_fin: {'mediastinal lymph nodes': {}}clinical findings_fin: {'small mediastinal lymph nodes': {'clinical finding': 'small mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small mediastinal lymph', 'observation': 'node', 'strength_term': 'small'}}anatomical entity_fin: {'fluid': {}, 'pericardial recess': {}}clinical findings_fin: {'stable prevascular fluid attenuating reference lesion': {'clinical finding': 'stable prevascular fluid attenuating reference lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'stable prevascular fluid attenuating reference', 'observation': 'lesion', 'strength_term': 'stable', 'change_term': 'stable'}, 'low-attenuation lymph node': {'clinical finding': 'low-attenuation lymph node', 'existence': 'unc_dx', 'descriptive_term': 'low-attenuation lymph', 'observation': 'node'}}clinical findings_fin: {'hilar lymphadenopathy': {'clinical finding': 'hilar lymphadenopathy', 'cf_snomed': {'hilar lymphadenopathy': 87500009}, 'existence': 'neg_dx', 'descriptive_term': 'hilar', 'observation': 'lymphadenopathy'}}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: {'axillary lymphadenopathy': {'clinical finding': 'axillary lymphadenopathy', 'cf_snomed': {'axillary lymphadenopathy': 127189005}, 'existence': 'neg_dx', 'descriptive_term': 'axillary', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'anterior chest wall': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'stable left anterior chest wall focal skin thickening': {'clinical finding': 'stable left anterior chest wall focal skin thickening', 'existence': 'pos_dx', 'descriptive_term': 'stable left anterior chest wall focal skin', 'observation': 'thickening', 'strength_term': 'stable', 'change_term': 'stable'}, 'skin lesion': {'clinical finding': 'skin lesion', 'cf_snomed': {'skin lesion': 95324001}, 'existence': 'unc_dx', 'descriptive_term': 'skin', 'observation': 'lesion'}, 'neurofibromatosis': {'clinical finding': 'neurofibromatosis', 'cf_snomed': {'neurofibromatosis': 81669005}, 'existence': 'unc_dx', 'observation': 'neurofibromatosis'}}anatomical entity_fin: {'chest wall': {}}location descriptor_fin: ['right']clinical findings_fin: {'postsurgical changes': {'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', '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'}}procedure_fin: ['repair']clinical findings_fin: {'postsurgical changes': {'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'}, 'ventral hernia': {'clinical finding': 'ventral hernia', 'cf_snomed': {'hernia': 414403008}, 'existence': 'unc_dx', 'descriptive_term': 'ventral', 'observation': 'hernia'}}imaging observation_fin: ['fat']clinical findings_fin: {'small fat-containing umbilical hernia': {'clinical finding': 'small fat-containing umbilical hernia', 'cf_snomed': {'umbilical hernia': 396347007}, 'existence': 'pos_dx', 'descriptive_term': 'small fat-containing umbilical', 'observation': 'hernia', 'strength_term': 'small'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'small and large bowel is normal': {'clinical finding': 'small and large bowel is normal'}}clinical findings_fin: {'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'observation': 'obstruction'}, 'intrinsic abnormality': {'clinical finding': 'intrinsic abnormality', 'existence': 'neg_dx', 'descriptive_term': 'intrinsic', 'observation': 'abnormality'}}clinical findings_fin: {'mesenteric mass': {'clinical finding': 'mesenteric mass', 'existence': 'neg_dx', 'descriptive_term': 'mesenteric', 'observation': 'mass'}}anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'free mesenteric fluid': {'clinical finding': 'free mesenteric fluid'}}anatomical entity_fin: {'skin': {}}clinical findings_fin: {'small subcutaneous lesions': {'clinical finding': 'small subcutaneous lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'small subcutaneous', 'observation': 'lesion', '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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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: ['right']clinical findings_fin: {'fat-containing small right inguinal hernia': {'clinical finding': 'fat-containing small right inguinal hernia', 'cf_snomed': {'right inguinal hernia': 236021006}, 'existence': 'pos_dx', 'descriptive_term': 'fat-containing small right inguinal', 'observation': 'hernia', 'strength_term': 'small'}}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: ['left']clinical findings_fin: {'stable left apical cyst': {'clinical finding': 'stable left apical cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'stable left apical', 'observation': 'cyst', 'strength_term': 'stable', 'change_term': 'stable'}}clinical findings_fin: {'stable additional pulmonary cysts': {'clinical finding': 'stable additional pulmonary cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'stable additional pulmonary', 'observation': 'cyst', 'strength_term': 'stable', 'change_term': 'stable'}}clinical findings_fin: {'suspicious pulmonary mass': {'clinical finding': 'suspicious pulmonary mass', 'existence': 'neg_dx', 'descriptive_term': 'suspicious pulmonary', 'observation': 'mass'}, 'nodule': {'clinical finding': 'nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'observation': 'nodule'}}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: {'stable scattered nonspecific micronodules': {'clinical finding': 'stable scattered nonspecific micronodules', 'existence': 'pos_dx', 'descriptive_term': 'stable scattered nonspecific', 'observation': 'micronodule', 'strength_term': 'stable', 'change_term': 'stable'}}clinical findings_fin: {'mild basilar atelectasis': {'clinical finding': 'mild basilar atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'unc_dx', 'descriptive_term': 'mild basilar', 'observation': 'atelectasis', 'strength_term': 'mild'}, 'scarring': {'clinical finding': 'scarring', 'existence': 'unc_dx', 'observation': 'scarr'}}anatomical entity_fin: {'mediastinal lymph nodes': {}}clinical findings_fin: {'small mediastinal lymph nodes': {'clinical finding': 'small mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small mediastinal lymph', 'observation': 'node', 'strength_term': 'small'}}anatomical entity_fin: {'fluid': {}, 'pericardial recess': {}}clinical findings_fin: {'stable prevascular fluid attenuating reference lesion': {'clinical finding': 'stable prevascular fluid attenuating reference lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'stable prevascular fluid attenuating reference', 'observation': 'lesion', 'strength_term': 'stable', 'change_term': 'stable'}, 'low-attenuation lymph node': {'clinical finding': 'low-attenuation lymph node', 'existence': 'unc_dx', 'descriptive_term': 'low-attenuation lymph', 'observation': 'node'}}clinical findings_fin: {'hilar lymphadenopathy': {'clinical finding': 'hilar lymphadenopathy', 'cf_snomed': {'hilar lymphadenopathy': 87500009}, 'existence': 'neg_dx', 'descriptive_term': 'hilar', 'observation': 'lymphadenopathy'}}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: {'axillary lymphadenopathy': {'clinical finding': 'axillary lymphadenopathy', 'cf_snomed': {'axillary lymphadenopathy': 127189005}, 'existence': 'neg_dx', 'descriptive_term': 'axillary', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'anterior chest wall': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'stable left anterior chest wall focal skin thickening': {'clinical finding': 'stable left anterior chest wall focal skin thickening', 'existence': 'pos_dx', 'descriptive_term': 'stable left anterior chest wall focal skin', 'observation': 'thickening', 'strength_term': 'stable', 'change_term': 'stable'}, 'skin lesion': {'clinical finding': 'skin lesion', 'cf_snomed': {'skin lesion': 95324001}, 'existence': 'unc_dx', 'descriptive_term': 'skin', 'observation': 'lesion'}, 'neurofibromatosis': {'clinical finding': 'neurofibromatosis', 'cf_snomed': {'neurofibromatosis': 81669005}, 'existence': 'unc_dx', 'observation': 'neurofibromatosis'}}anatomical entity_fin: {'chest wall': {}}location descriptor_fin: ['right']clinical findings_fin: {'postsurgical changes': {'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', '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'}}procedure_fin: ['repair']clinical findings_fin: {'postsurgical changes': {'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'}, 'ventral hernia': {'clinical finding': 'ventral hernia', 'cf_snomed': {'hernia': 414403008}, 'existence': 'unc_dx', 'descriptive_term': 'ventral', 'observation': 'hernia'}}imaging observation_fin: ['fat']clinical findings_fin: {'small fat-containing umbilical hernia': {'clinical finding': 'small fat-containing umbilical hernia', 'cf_snomed': {'umbilical hernia': 396347007}, 'existence': 'pos_dx', 'descriptive_term': 'small fat-containing umbilical', 'observation': 'hernia', 'strength_term': 'small'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'small and large bowel is normal': {'clinical finding': 'small and large bowel is normal'}}clinical findings_fin: {'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'observation': 'obstruction'}, 'intrinsic abnormality': {'clinical finding': 'intrinsic abnormality', 'existence': 'neg_dx', 'descriptive_term': 'intrinsic', 'observation': 'abnormality'}}clinical findings_fin: {'mesenteric mass': {'clinical finding': 'mesenteric mass', 'existence': 'neg_dx', 'descriptive_term': 'mesenteric', 'observation': 'mass'}}anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'free mesenteric fluid': {'clinical finding': 'free mesenteric fluid'}}anatomical entity_fin: {'skin': {}}clinical findings_fin: {'small subcutaneous lesions': {'clinical finding': 'small subcutaneous lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'small subcutaneous', 'observation': 'lesion', '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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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: ['right']clinical findings_fin: {'fat-containing small right inguinal hernia': {'clinical finding': 'fat-containing small right inguinal hernia', 'cf_snomed': {'right inguinal hernia': 236021006}, 'existence': 'pos_dx', 'descriptive_term': 'fat-containing small right inguinal', 'observation': 'hernia', 'strength_term': 'small'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . Stable left apical cyst. Scattered stable additional pulmonary cysts. No suspicious pulmonary mass or nodule. No focal consolidation, pleural effusions or pneumothorax. Stable scattered nonspecific micronodules. Mild basilar atelectasis or scarring. Stable size of increased number of small mediastinal lymph nodes. Stable prevascular fluid attenuating reference lesion may reflect a pericardial recess or low-attenuation lymph node. See reference measurements below. No hilar lymphadenopathy. Normal cardiac size without pericardial effusion. Mild. No axillary lymphadenopathy. Stable left anterior chest wall focal skin thickening is nonspecific and may reflect a skin lesion secondary to the patients history of neurofibromatosis. Postsurgical changes of the right posterolateral or paraspinal chest wall. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Mild. Postsurgical changes from a ventral hernia repair. Small fat-containing umbilical hernia. The small and large bowel is normal in appearance. No evidence of obstruction or intrinsic abnormality. No mesenteric mass. No free mesenteric fluid. Skin and small subcutaneous lesions, likely related to patients known NF1. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Fat-containing small right inguinal hernia. No significant abnormality noted </s>

. Widespread pulmonary metastases. For reference purposes, a lesion in the right lung at the level of the main pulmonary artery measures 2.4 x 3.5 cm. Moderate left pleural effusion with overlying compressive atelectasis. Small right pleural effusion. Mediastinal adenopathy. For reference purposes, a low right paratracheal lymph node measures 2.4 x 1.8 cm. Right anterior sixth rib metastasis. Right subclavian chest port. Trace perihepatic fluid. Metastases noted along the capsule of the liver. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Extensive peritoneal carcinomatosis. For reference purposes, an implant in the left upper quadrant measures 2.6 x 1.8 cm. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Perineal carcinomatosis. Small amount of pelvic ascites. No significant abnormality noted. No significant abnormality noted.

clinical findings_fin: {'widespread pulmonary metastases': {'clinical finding': 'widespread pulmonary metastases', 'existence': 'pos_dx', 'descriptive_term': 'widespread pulmonary', 'observation': 'metastase', 'strength_term': 'widespread'}}size_fin: [{'size': '2.4 x 3.5 cm', 'size_descriptor': 'lesion'}]anatomical entity_fin: {'right lung': {}, 'main pulmonary artery': {}}clinical findings_fin: {'lesion': {'clinical finding': 'lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'observation': 'lesion'}}location descriptor_fin: ['left']clinical findings_fin: {'moderate left pleural effusion': {'clinical finding': 'moderate left pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'moderate left pleural', 'observation': 'effusion', 'strength_term': 'moderate'}, 'overlying compressive atelectasis': {'clinical finding': 'overlying compressive atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'overlying compressive', 'observation': 'atelectasis'}}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'}}clinical findings_fin: {'mediastinal adenopathy': {'clinical finding': 'mediastinal adenopathy', 'existence': 'pos_dx', 'descriptive_term': 'mediastinal', 'observation': 'adenopathy'}}size_fin: [{'size': '2.4 x 1.8 cm', 'size_descriptor': 'node'}]location descriptor_fin: ['right']clinical findings_fin: {'low right paratracheal lymph node': {'clinical finding': 'low right paratracheal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'low right paratracheal lymph', 'observation': 'node'}}anatomical entity_fin: {'rib': {}}location descriptor_fin: ['right', 'anterior']clinical findings_fin: {'right anterior sixth rib metastasis': {'clinical finding': 'right anterior sixth rib metastasis', 'existence': 'pos_dx', 'descriptive_term': 'right anterior sixth rib', 'observation': 'metastasis'}}anatomical entity_fin: {'chest': {}}location descriptor_fin: ['right']object_fin: ['port']anatomical entity_fin: {'fluid': {}}anatomical entity_fin: {'capsule': {}, 'liver': {}}clinical findings_fin: {'metastases': {'clinical finding': 'metastases', 'existence': 'pos_dx', 'observation': 'metastase'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'extensive peritoneal carcinomatosis': {'clinical finding': 'extensive peritoneal carcinomatosis', 'cf_snomed': {'carcinomatosis': 307593001}, 'existence': 'pos_dx', 'descriptive_term': 'extensive peritoneal', 'observation': 'carcinomatosis', 'strength_term': 'extensive'}}size_fin: [{'size': '2.6 x 1.8 cm', 'size_descriptor': 'implant'}]anatomical entity_fin: {'quadrant': {'location descriptor': 'left upper'}}location descriptor_fin: ['left', 'upper']object_fin: ['implant']clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'perineal carcinomatosis': {'clinical finding': 'perineal carcinomatosis', 'cf_snomed': {'carcinomatosis': 307593001}, 'existence': 'pos_dx', 'descriptive_term': 'perineal', 'observation': 'carcinomatosis'}}clinical findings_fin: {'pelvic ascites': {'clinical finding': 'pelvic ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'pelvic', '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: {'widespread pulmonary metastases': {'clinical finding': 'widespread pulmonary metastases', 'existence': 'pos_dx', 'descriptive_term': 'widespread pulmonary', 'observation': 'metastase', 'strength_term': 'widespread'}}size_fin: [{'size': '2.4 x 3.5 cm', 'size_descriptor': 'lesion'}]anatomical entity_fin: {'right lung': {}, 'main pulmonary artery': {}}clinical findings_fin: {'lesion': {'clinical finding': 'lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'observation': 'lesion'}}location descriptor_fin: ['left']clinical findings_fin: {'moderate left pleural effusion': {'clinical finding': 'moderate left pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'moderate left pleural', 'observation': 'effusion', 'strength_term': 'moderate'}, 'overlying compressive atelectasis': {'clinical finding': 'overlying compressive atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'overlying compressive', 'observation': 'atelectasis'}}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'}}clinical findings_fin: {'mediastinal adenopathy': {'clinical finding': 'mediastinal adenopathy', 'existence': 'pos_dx', 'descriptive_term': 'mediastinal', 'observation': 'adenopathy'}}size_fin: [{'size': '2.4 x 1.8 cm', 'size_descriptor': 'node'}]location descriptor_fin: ['right']clinical findings_fin: {'low right paratracheal lymph node': {'clinical finding': 'low right paratracheal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'low right paratracheal lymph', 'observation': 'node'}}anatomical entity_fin: {'rib': {}}location descriptor_fin: ['right', 'anterior']clinical findings_fin: {'right anterior sixth rib metastasis': {'clinical finding': 'right anterior sixth rib metastasis', 'existence': 'pos_dx', 'descriptive_term': 'right anterior sixth rib', 'observation': 'metastasis'}}anatomical entity_fin: {'chest': {}}location descriptor_fin: ['right']object_fin: ['port']anatomical entity_fin: {'fluid': {}}anatomical entity_fin: {'capsule': {}, 'liver': {}}clinical findings_fin: {'metastases': {'clinical finding': 'metastases', 'existence': 'pos_dx', 'observation': 'metastase'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'extensive peritoneal carcinomatosis': {'clinical finding': 'extensive peritoneal carcinomatosis', 'cf_snomed': {'carcinomatosis': 307593001}, 'existence': 'pos_dx', 'descriptive_term': 'extensive peritoneal', 'observation': 'carcinomatosis', 'strength_term': 'extensive'}}size_fin: [{'size': '2.6 x 1.8 cm', 'size_descriptor': 'implant'}]anatomical entity_fin: {'quadrant': {'location descriptor': 'left upper'}}location descriptor_fin: ['left', 'upper']object_fin: ['implant']clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'perineal carcinomatosis': {'clinical finding': 'perineal carcinomatosis', 'cf_snomed': {'carcinomatosis': 307593001}, 'existence': 'pos_dx', 'descriptive_term': 'perineal', 'observation': 'carcinomatosis'}}clinical findings_fin: {'pelvic ascites': {'clinical finding': 'pelvic ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'pelvic', '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] . Widespread pulmonary metastases. For reference purposes, a lesion in the right lung at the level of the main pulmonary artery measures 2.4 x 3.5 cm. Moderate left pleural effusion with overlying compressive atelectasis. Small right pleural effusion. Mediastinal adenopathy. For reference purposes, a low right paratracheal lymph node measures 2.4 x 1.8 cm. Right anterior sixth rib metastasis. Right subclavian chest port. Trace perihepatic fluid. Metastases noted along the capsule of the liver. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Extensive peritoneal carcinomatosis. For reference purposes, an implant in the left upper quadrant measures 2.6 x 1.8 cm. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Perineal carcinomatosis. Small amount of pelvic ascites. No significant abnormality noted. No significant abnormality noted. </s>

. Limited exam due to patient body habitus. No acute pulmonary embolism to the level of the main pulmonary arteries. No evidence of right heart strain or main pulmonary artery enlargement. Low lung volumes. Mosaic attenuation suggestive of small airway disease. No suspicious pulmonary nodules or masses identified. No pleural effusion. No mediastinal or hilar lymphadenopathy. No cardiomegaly or pericardial effusion. None. Punctate foci of calcification in right breast, which may be further characterized with mammography. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. Hypodense right greater than left renal cortical lesions incompletely evaluated due to phase of contrast.

anatomical entity_fin: {'main pulmonary arteries': {}}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: {'heart': {'location descriptor': 'right'}, 'main pulmonary artery': {}}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: {'lung': {}}clinical findings_fin: {'low lung volumes': {'clinical finding': 'low lung volumes', 'existence': 'pos_dx', 'descriptive_term': 'low lung', 'observation': 'volume'}}anatomical entity_fin: {'airway': {}}clinical findings_fin: {'mosaic attenuation': {'clinical finding': 'mosaic attenuation', 'existence': 'pos_dx', 'descriptive_term': 'mosaic', 'observation': 'attenuation'}, 'small airway disease': {'clinical finding': 'small airway disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'unc_dx', 'descriptive_term': 'small airway', 'observation': 'disease', 'strength_term': 'small'}}clinical findings_fin: {'suspicious pulmonary nodules': {'clinical finding': 'suspicious pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious pulmonary', 'observation': 'nodule'}, 'masses': {'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass'}}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: {'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'}}clinical findings_fin: {'cardiomegaly': {'clinical finding': 'cardiomegaly', 'cf_snomed': {'cardiomegaly': 8186001}, 'existence': 'neg_dx', 'observation': 'cardiomegaly'}, 'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}anatomical entity_fin: {'breast': {'location descriptor': 'right'}}imaging modality_fin: ['mammography']imaging observation_fin: ['foci']location descriptor_fin: ['right']clinical findings_fin: {'punctate foci': {'clinical finding': 'punctate foci', 'existence': 'pos_dx', 'descriptive_term': 'punctate', 'observation': 'foci'}, 'calcification': {'clinical finding': 'calcification', 'existence': 'pos_dx', 'observation': 'calcification'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}location descriptor_fin: ['right', 'left']clinical findings_fin: {'left renal cortical lesions': {'clinical finding': 'left renal cortical lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'left renal cortical', 'observation': 'lesion'}, 'contrast': {'clinical finding': 'contrast', 'existence': 'pos_dx', 'observation': 'contrast'}}

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 arteries': {}}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: {'heart': {'location descriptor': 'right'}, 'main pulmonary artery': {}}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: {'lung': {}}clinical findings_fin: {'low lung volumes': {'clinical finding': 'low lung volumes', 'existence': 'pos_dx', 'descriptive_term': 'low lung', 'observation': 'volume'}}anatomical entity_fin: {'airway': {}}clinical findings_fin: {'mosaic attenuation': {'clinical finding': 'mosaic attenuation', 'existence': 'pos_dx', 'descriptive_term': 'mosaic', 'observation': 'attenuation'}, 'small airway disease': {'clinical finding': 'small airway disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'unc_dx', 'descriptive_term': 'small airway', 'observation': 'disease', 'strength_term': 'small'}}clinical findings_fin: {'suspicious pulmonary nodules': {'clinical finding': 'suspicious pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious pulmonary', 'observation': 'nodule'}, 'masses': {'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass'}}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: {'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'}}clinical findings_fin: {'cardiomegaly': {'clinical finding': 'cardiomegaly', 'cf_snomed': {'cardiomegaly': 8186001}, 'existence': 'neg_dx', 'observation': 'cardiomegaly'}, 'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}anatomical entity_fin: {'breast': {'location descriptor': 'right'}}imaging modality_fin: ['mammography']imaging observation_fin: ['foci']location descriptor_fin: ['right']clinical findings_fin: {'punctate foci': {'clinical finding': 'punctate foci', 'existence': 'pos_dx', 'descriptive_term': 'punctate', 'observation': 'foci'}, 'calcification': {'clinical finding': 'calcification', 'existence': 'pos_dx', 'observation': 'calcification'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}location descriptor_fin: ['right', 'left']clinical findings_fin: {'left renal cortical lesions': {'clinical finding': 'left renal cortical lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'left renal cortical', 'observation': 'lesion'}, 'contrast': {'clinical finding': 'contrast', 'existence': 'pos_dx', 'observation': 'contrast'}} [/INST] . Limited exam due to patient body habitus. No acute pulmonary embolism to the level of the main pulmonary arteries. No evidence of right heart strain or main pulmonary artery enlargement. Low lung volumes. Mosaic attenuation suggestive of small airway disease. No suspicious pulmonary nodules or masses identified. No pleural effusion. No mediastinal or hilar lymphadenopathy. No cardiomegaly or pericardial effusion. None. Punctate foci of calcification in right breast, which may be further characterized with mammography. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. Hypodense right greater than left renal cortical lesions incompletely evaluated due to phase of contrast. </s>

. The frontal sinus and frontoethmoidal recesses are clear. This minimal mucosal thickening of the anterior ethmoid air cells. There is extensive opacification of the left maxillary sinus including opacification of the ostiomeatal unit. The right maxillary sinus and right ostiomeatal units are clear. There is minimal thickening of the posterior ethmoid air cells. Minimal mucosal thickening in the right sphenoid sinus. Bilateral sphenoethmoidal recesses are clear. There is minimal rightward nasal septal deviation. The nasal turbinate morphology is within normal limits. The nasal cavity is clear. The lamina papyracea are intact. The roof of the ethmoids is relatively symmetric. There is mild opacification of the left mastoid air cells, nonspecific. There is no fluid in the middle ear.

anatomical entity_fin: {'frontal sinus': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'cells': {}}location descriptor_fin: ['anterior']clinical findings_fin: {'this minimal mucosal thickening': {'clinical finding': 'this minimal mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'this minimal mucosal', 'observation': 'thickening', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}anatomical entity_fin: {'maxillary sinus': {'location descriptor': 'left'}, 'ostiomeatal unit': {}}location descriptor_fin: ['left']clinical findings_fin: {'extensive opacification': {'clinical finding': 'extensive opacification', 'existence': 'pos_dx', 'descriptive_term': 'extensive', 'observation': 'opacification', 'strength_term': 'extensive'}, 'opacification': {'clinical finding': 'opacification', 'existence': 'pos_dx', 'observation': 'opacification'}}anatomical entity_fin: {'maxillary sinus': {'location descriptor': 'right'}, 'ostiomeatal units': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'cells': {}}location descriptor_fin: ['posterior']clinical findings_fin: {'minimal thickening': {'clinical finding': 'minimal thickening', 'existence': 'pos_dx', 'descriptive_term': 'minimal', 'observation': 'thickening', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}anatomical entity_fin: {'sphenoid sinus': {'location descriptor': 'right'}}location descriptor_fin: ['right']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: {'sphenoethmoidal recesses': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'nasal turbinate': {}}clinical findings_fin: {'nasal turbinate': {'clinical finding': 'nasal turbinate', 'existence': 'pos_dx', 'descriptive_term': 'nasal', 'observation': 'turbinate'}}anatomical entity_fin: {'nasal cavity': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}anatomical entity_fin: {'roof': {}}clinical findings_fin: {'symmetric': {'clinical finding': 'symmetric', 'existence': 'pos_dx', 'observation': 'symmetric'}}anatomical entity_fin: {'mastoid air cells': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'mild opacification': {'clinical finding': 'mild opacification', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'opacification', 'strength_term': 'mild'}}anatomical entity_fin: {'fluid': {}, 'middle ear': {}}

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: {'frontal sinus': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'cells': {}}location descriptor_fin: ['anterior']clinical findings_fin: {'this minimal mucosal thickening': {'clinical finding': 'this minimal mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'this minimal mucosal', 'observation': 'thickening', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}anatomical entity_fin: {'maxillary sinus': {'location descriptor': 'left'}, 'ostiomeatal unit': {}}location descriptor_fin: ['left']clinical findings_fin: {'extensive opacification': {'clinical finding': 'extensive opacification', 'existence': 'pos_dx', 'descriptive_term': 'extensive', 'observation': 'opacification', 'strength_term': 'extensive'}, 'opacification': {'clinical finding': 'opacification', 'existence': 'pos_dx', 'observation': 'opacification'}}anatomical entity_fin: {'maxillary sinus': {'location descriptor': 'right'}, 'ostiomeatal units': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'cells': {}}location descriptor_fin: ['posterior']clinical findings_fin: {'minimal thickening': {'clinical finding': 'minimal thickening', 'existence': 'pos_dx', 'descriptive_term': 'minimal', 'observation': 'thickening', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}anatomical entity_fin: {'sphenoid sinus': {'location descriptor': 'right'}}location descriptor_fin: ['right']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: {'sphenoethmoidal recesses': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'nasal turbinate': {}}clinical findings_fin: {'nasal turbinate': {'clinical finding': 'nasal turbinate', 'existence': 'pos_dx', 'descriptive_term': 'nasal', 'observation': 'turbinate'}}anatomical entity_fin: {'nasal cavity': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}anatomical entity_fin: {'roof': {}}clinical findings_fin: {'symmetric': {'clinical finding': 'symmetric', 'existence': 'pos_dx', 'observation': 'symmetric'}}anatomical entity_fin: {'mastoid air cells': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'mild opacification': {'clinical finding': 'mild opacification', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'opacification', 'strength_term': 'mild'}}anatomical entity_fin: {'fluid': {}, 'middle ear': {}} [/INST] . The frontal sinus and frontoethmoidal recesses are clear. This minimal mucosal thickening of the anterior ethmoid air cells. There is extensive opacification of the left maxillary sinus including opacification of the ostiomeatal unit. The right maxillary sinus and right ostiomeatal units are clear. There is minimal thickening of the posterior ethmoid air cells. Minimal mucosal thickening in the right sphenoid sinus. Bilateral sphenoethmoidal recesses are clear. There is minimal rightward nasal septal deviation. The nasal turbinate morphology is within normal limits. The nasal cavity is clear. The lamina papyracea are intact. The roof of the ethmoids is relatively symmetric. There is mild opacification of the left mastoid air cells, nonspecific. There is no fluid in the middle ear. </s>

Correlating to areas of increased metabolic activity seen on the prior PET examination in the right parotid gland, there are two or three small nodules and one dominant nodule in the inferior aspect of the gland. These lesions are hyperattenuating which presumably reflects enhancement though it could also indicate high cellularity. The margins of the dominant lesion are fairly well defined, but the margins of the smaller lesions are somewhat indistinct. The lesions appear solid and contain no definite calcifications, though there are vascular structures coursing along their margins. The dominant lesion measures up to 29 x 17 mm in the axial plane and up to 24 mm in the sagittal plane. These lesions are located predominantly within the superficial portion of the gland, though the dominant lesion may project slightly into the deep portion of the gland. The remaining salivary glands are free of focal lesions. No pathologic adenopathy is detected elsewhere in the neck by size criteria. The thyroid gland is unremarkable. The aerodigestive mucosa is smooth and symmetric throughout. Cervical vessels enhance normally with evidence of atherosclerotic calcification at the carotid bifurcations. Reticulation and emphysema is seen in the lung apices. No concerning or destructive osseous lesions are identified. Opacification of several left ethmoid air cells is seen.

anatomical entity_fin: {'right parotid gland': {}, 'gland': {}}location descriptor_fin: ['inferior']clinical findings_fin: {'increased metabolic activity': {'clinical finding': 'increased metabolic activity', 'existence': 'pos_dx', 'descriptive_term': 'increased metabolic', 'observation': 'activity', 'strength_term': 'increased', 'change_term': 'increased'}, 'two or three small nodules': {'clinical finding': 'two or three small nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'two or three small', 'observation': 'nodule', 'strength_term': 'small'}, 'one dominant nodule': {'clinical finding': 'one dominant nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'one dominant', 'observation': 'nodule'}}clinical findings_fin: {'these lesions': {'clinical finding': 'these lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'these', 'observation': 'lesion'}, 'enhancement': {'clinical finding': 'enhancement', 'existence': 'unc_dx', 'observation': 'enhancement'}, 'high cellularity': {'clinical finding': 'high cellularity', 'existence': 'unc_dx', 'descriptive_term': 'high', 'observation': 'cellularity'}}imaging observation_fin: ['margins']clinical findings_fin: {'dominant lesion': {'clinical finding': 'dominant lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'dominant', 'observation': 'lesion'}, 'smaller lesions': {'clinical finding': 'smaller lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'smaller', 'observation': 'lesion'}}imaging observation_fin: ['margins']clinical findings_fin: {'lesions': {'clinical finding': 'lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'observation': 'lesion'}, 'solid': {'clinical finding': 'solid', 'existence': 'pos_dx', 'observation': 'solid'}, 'definite calcifications': {'clinical finding': 'definite calcifications', 'existence': 'neg_dx', 'descriptive_term': 'definite', 'observation': 'calcification'}}size_fin: [{'size': '29 x 17 mm'}, {'size': '24 mm'}]anatomical entity_fin: {'axial plane': {}, 'sagittal plane': {}}clinical findings_fin: {'dominant lesion': {'clinical finding': 'dominant lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'dominant', 'observation': 'lesion'}}anatomical entity_fin: {'gland': {}}location descriptor_fin: ['superficial']clinical findings_fin: {'these lesions': {'clinical finding': 'these lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'these', 'observation': 'lesion'}, 'dominant lesion': {'clinical finding': 'dominant lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'dominant', 'observation': 'lesion'}}anatomical entity_fin: {'salivary glands': {}}clinical findings_fin: {'focal lesions': {'clinical finding': 'focal lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'focal', 'observation': 'lesion'}}anatomical entity_fin: {'neck': {}}clinical findings_fin: {'pathologic adenopathy': {'clinical finding': 'pathologic adenopathy', 'existence': 'neg_dx', 'descriptive_term': 'pathologic', 'observation': 'adenopathy'}}anatomical entity_fin: {'thyroid gland': {}}clinical findings_fin: {'thyroid gland is unremarkable': {'clinical finding': 'thyroid gland is unremarkable'}}anatomical entity_fin: {'mucosa': {}}clinical findings_fin: {'smooth': {'clinical finding': 'smooth', 'existence': 'pos_dx', 'observation': 'smooth'}}clinical findings_fin: {'atherosclerotic calcification': {'clinical finding': 'atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'}}anatomical entity_fin: {'lung': {}, 'apices': {}}imaging observation_fin: ['reticulation']clinical findings_fin: {'reticulation': {'clinical finding': 'reticulation', 'existence': 'pos_dx', 'observation': 'reticulation'}, 'emphysema': {'clinical finding': 'emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'observation': 'emphysema'}}clinical findings_fin: {'concerning or destructive osseous lesions': {'clinical finding': 'concerning or destructive osseous lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'concerning or destructive osseous', 'observation': 'lesion'}}anatomical entity_fin: {'cells': {}}location descriptor_fin: ['left']clinical findings_fin: {'opacification': {'clinical finding': 'opacification', 'existence': 'pos_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: anatomical entity_fin: {'right parotid gland': {}, 'gland': {}}location descriptor_fin: ['inferior']clinical findings_fin: {'increased metabolic activity': {'clinical finding': 'increased metabolic activity', 'existence': 'pos_dx', 'descriptive_term': 'increased metabolic', 'observation': 'activity', 'strength_term': 'increased', 'change_term': 'increased'}, 'two or three small nodules': {'clinical finding': 'two or three small nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'two or three small', 'observation': 'nodule', 'strength_term': 'small'}, 'one dominant nodule': {'clinical finding': 'one dominant nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'one dominant', 'observation': 'nodule'}}clinical findings_fin: {'these lesions': {'clinical finding': 'these lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'these', 'observation': 'lesion'}, 'enhancement': {'clinical finding': 'enhancement', 'existence': 'unc_dx', 'observation': 'enhancement'}, 'high cellularity': {'clinical finding': 'high cellularity', 'existence': 'unc_dx', 'descriptive_term': 'high', 'observation': 'cellularity'}}imaging observation_fin: ['margins']clinical findings_fin: {'dominant lesion': {'clinical finding': 'dominant lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'dominant', 'observation': 'lesion'}, 'smaller lesions': {'clinical finding': 'smaller lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'smaller', 'observation': 'lesion'}}imaging observation_fin: ['margins']clinical findings_fin: {'lesions': {'clinical finding': 'lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'observation': 'lesion'}, 'solid': {'clinical finding': 'solid', 'existence': 'pos_dx', 'observation': 'solid'}, 'definite calcifications': {'clinical finding': 'definite calcifications', 'existence': 'neg_dx', 'descriptive_term': 'definite', 'observation': 'calcification'}}size_fin: [{'size': '29 x 17 mm'}, {'size': '24 mm'}]anatomical entity_fin: {'axial plane': {}, 'sagittal plane': {}}clinical findings_fin: {'dominant lesion': {'clinical finding': 'dominant lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'dominant', 'observation': 'lesion'}}anatomical entity_fin: {'gland': {}}location descriptor_fin: ['superficial']clinical findings_fin: {'these lesions': {'clinical finding': 'these lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'these', 'observation': 'lesion'}, 'dominant lesion': {'clinical finding': 'dominant lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'dominant', 'observation': 'lesion'}}anatomical entity_fin: {'salivary glands': {}}clinical findings_fin: {'focal lesions': {'clinical finding': 'focal lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'focal', 'observation': 'lesion'}}anatomical entity_fin: {'neck': {}}clinical findings_fin: {'pathologic adenopathy': {'clinical finding': 'pathologic adenopathy', 'existence': 'neg_dx', 'descriptive_term': 'pathologic', 'observation': 'adenopathy'}}anatomical entity_fin: {'thyroid gland': {}}clinical findings_fin: {'thyroid gland is unremarkable': {'clinical finding': 'thyroid gland is unremarkable'}}anatomical entity_fin: {'mucosa': {}}clinical findings_fin: {'smooth': {'clinical finding': 'smooth', 'existence': 'pos_dx', 'observation': 'smooth'}}clinical findings_fin: {'atherosclerotic calcification': {'clinical finding': 'atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'}}anatomical entity_fin: {'lung': {}, 'apices': {}}imaging observation_fin: ['reticulation']clinical findings_fin: {'reticulation': {'clinical finding': 'reticulation', 'existence': 'pos_dx', 'observation': 'reticulation'}, 'emphysema': {'clinical finding': 'emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'observation': 'emphysema'}}clinical findings_fin: {'concerning or destructive osseous lesions': {'clinical finding': 'concerning or destructive osseous lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'concerning or destructive osseous', 'observation': 'lesion'}}anatomical entity_fin: {'cells': {}}location descriptor_fin: ['left']clinical findings_fin: {'opacification': {'clinical finding': 'opacification', 'existence': 'pos_dx', 'observation': 'opacification'}} [/INST] Correlating to areas of increased metabolic activity seen on the prior PET examination in the right parotid gland, there are two or three small nodules and one dominant nodule in the inferior aspect of the gland. These lesions are hyperattenuating which presumably reflects enhancement though it could also indicate high cellularity. The margins of the dominant lesion are fairly well defined, but the margins of the smaller lesions are somewhat indistinct. The lesions appear solid and contain no definite calcifications, though there are vascular structures coursing along their margins. The dominant lesion measures up to 29 x 17 mm in the axial plane and up to 24 mm in the sagittal plane. These lesions are located predominantly within the superficial portion of the gland, though the dominant lesion may project slightly into the deep portion of the gland. The remaining salivary glands are free of focal lesions. No pathologic adenopathy is detected elsewhere in the neck by size criteria. The thyroid gland is unremarkable. The aerodigestive mucosa is smooth and symmetric throughout. Cervical vessels enhance normally with evidence of atherosclerotic calcification at the carotid bifurcations. Reticulation and emphysema is seen in the lung apices. No concerning or destructive osseous lesions are identified. Opacification of several left ethmoid air cells is seen. </s>

The scout lateral view and the sagittal reformatted images demonstrate exaggerated cervical lordosis. There is mild retrolisthesis of C3 over C4. The vertebral body heights are well-maintained. There is narrowing of C3-C4 and at C5-C6 disc spaces. There is diffuse osteopenia. There is no acute fracture or dislocation. There are degenerative spondylotic changes seen diffusely at various levels. Along C3-C4 level, there is uncovertebral hypertrophy and disc osteophyte complex, resulting in mild bilateral neural foramina stenosis. At C4-C5, there is bilateral uncovertebral hypertrophy, resulting in moderate bilateral neural foraminal narrowing. Along C5-C6, there is mild bilateral neural foramina stenosis. There is no significant spinal canal stenosis. There are diffuse vascular atherosclerotic plaques involving bilateral common carotid artery and internal carotid artery. The visualized portions of the lung apices appear normal.

location descriptor_fin: ['lateral']clinical findings_fin: {'exaggerated cervical lordosis': {'clinical finding': 'exaggerated cervical lordosis', 'existence': 'unc_dx', 'descriptive_term': 'exaggerated cervical', 'observation': 'lordosis'}}clinical findings_fin: {'mild retrolisthesis': {'clinical finding': 'mild retrolisthesis', 'cf_snomed': {'retrolisthesis': 416981004}, 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'retrolisthesis', 'strength_term': 'mild'}}anatomical entity_fin: {'vertebral body': {}}clinical findings_fin: {'vertebral body heights are well - maintained': {'clinical finding': 'vertebral body heights are well - maintained', 'change_term': 'maintained'}}anatomical entity_fin: {'disc': {}}clinical findings_fin: {'narrowing': {'clinical finding': 'narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'observation': 'narrowing'}}clinical findings_fin: {'diffuse osteopenia': {'clinical finding': 'diffuse osteopenia', 'cf_snomed': {'osteopenia': 312894000}, 'existence': 'pos_dx', 'descriptive_term': 'diffuse', 'observation': 'osteopenia'}}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'}, 'dislocation': {'clinical finding': 'dislocation', 'cf_snomed': {'dislocation': 87642003}, 'existence': 'neg_dx', 'observation': 'dislocation'}}clinical findings_fin: {'degenerative spondylotic changes': {'clinical finding': 'degenerative spondylotic changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative spondylotic', 'observation': 'change'}}anatomical entity_fin: {'uncovertebral': {}, 'neural foramina': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'uncovertebral hypertrophy': {'clinical finding': 'uncovertebral hypertrophy', 'cf_snomed': {'hypertrophy': 56246009}, 'existence': 'pos_dx', 'descriptive_term': 'uncovertebral', 'observation': 'hypertrophy'}, 'disc osteophyte complex': {'clinical finding': 'disc osteophyte complex', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'disc osteophyte', 'observation': 'complex'}, 'mild bilateral neural foramina stenosis': {'clinical finding': 'mild bilateral neural foramina stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'mild bilateral neural foramina', 'observation': 'stenosis', 'strength_term': 'mild'}}anatomical entity_fin: {'uncovertebral': {'location descriptor': 'bilateral'}, 'foraminal': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral uncovertebral hypertrophy': {'clinical finding': 'bilateral uncovertebral hypertrophy', 'cf_snomed': {'hypertrophy': 56246009}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral uncovertebral', 'observation': 'hypertrophy'}, 'moderate bilateral neural foraminal narrowing': {'clinical finding': 'moderate bilateral neural foraminal narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'moderate bilateral neural foraminal', 'observation': 'narrowing', 'strength_term': 'moderate'}}anatomical entity_fin: {'neural foramina': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'mild bilateral neural foramina stenosis': {'clinical finding': 'mild bilateral neural foramina stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'mild bilateral neural foramina', 'observation': 'stenosis', 'strength_term': 'mild'}}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'}}anatomical entity_fin: {'common carotid artery': {'location descriptor': 'bilateral'}, 'internal carotid artery': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'diffuse vascular atherosclerotic plaques': {'clinical finding': 'diffuse vascular atherosclerotic plaques', 'cf_snomed': {'plaque': 1522000}, 'existence': 'pos_dx', 'descriptive_term': 'diffuse vascular atherosclerotic', 'observation': 'plaque'}}anatomical entity_fin: {'lung': {}, 'apices': {}}clinical findings_fin: {'visualized portions of the lung apices appear': {'clinical finding': 'visualized portions of the lung apices appear'}}

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: ['lateral']clinical findings_fin: {'exaggerated cervical lordosis': {'clinical finding': 'exaggerated cervical lordosis', 'existence': 'unc_dx', 'descriptive_term': 'exaggerated cervical', 'observation': 'lordosis'}}clinical findings_fin: {'mild retrolisthesis': {'clinical finding': 'mild retrolisthesis', 'cf_snomed': {'retrolisthesis': 416981004}, 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'retrolisthesis', 'strength_term': 'mild'}}anatomical entity_fin: {'vertebral body': {}}clinical findings_fin: {'vertebral body heights are well - maintained': {'clinical finding': 'vertebral body heights are well - maintained', 'change_term': 'maintained'}}anatomical entity_fin: {'disc': {}}clinical findings_fin: {'narrowing': {'clinical finding': 'narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'observation': 'narrowing'}}clinical findings_fin: {'diffuse osteopenia': {'clinical finding': 'diffuse osteopenia', 'cf_snomed': {'osteopenia': 312894000}, 'existence': 'pos_dx', 'descriptive_term': 'diffuse', 'observation': 'osteopenia'}}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'}, 'dislocation': {'clinical finding': 'dislocation', 'cf_snomed': {'dislocation': 87642003}, 'existence': 'neg_dx', 'observation': 'dislocation'}}clinical findings_fin: {'degenerative spondylotic changes': {'clinical finding': 'degenerative spondylotic changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative spondylotic', 'observation': 'change'}}anatomical entity_fin: {'uncovertebral': {}, 'neural foramina': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'uncovertebral hypertrophy': {'clinical finding': 'uncovertebral hypertrophy', 'cf_snomed': {'hypertrophy': 56246009}, 'existence': 'pos_dx', 'descriptive_term': 'uncovertebral', 'observation': 'hypertrophy'}, 'disc osteophyte complex': {'clinical finding': 'disc osteophyte complex', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'disc osteophyte', 'observation': 'complex'}, 'mild bilateral neural foramina stenosis': {'clinical finding': 'mild bilateral neural foramina stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'mild bilateral neural foramina', 'observation': 'stenosis', 'strength_term': 'mild'}}anatomical entity_fin: {'uncovertebral': {'location descriptor': 'bilateral'}, 'foraminal': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral uncovertebral hypertrophy': {'clinical finding': 'bilateral uncovertebral hypertrophy', 'cf_snomed': {'hypertrophy': 56246009}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral uncovertebral', 'observation': 'hypertrophy'}, 'moderate bilateral neural foraminal narrowing': {'clinical finding': 'moderate bilateral neural foraminal narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'moderate bilateral neural foraminal', 'observation': 'narrowing', 'strength_term': 'moderate'}}anatomical entity_fin: {'neural foramina': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'mild bilateral neural foramina stenosis': {'clinical finding': 'mild bilateral neural foramina stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'mild bilateral neural foramina', 'observation': 'stenosis', 'strength_term': 'mild'}}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'}}anatomical entity_fin: {'common carotid artery': {'location descriptor': 'bilateral'}, 'internal carotid artery': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'diffuse vascular atherosclerotic plaques': {'clinical finding': 'diffuse vascular atherosclerotic plaques', 'cf_snomed': {'plaque': 1522000}, 'existence': 'pos_dx', 'descriptive_term': 'diffuse vascular atherosclerotic', 'observation': 'plaque'}}anatomical entity_fin: {'lung': {}, 'apices': {}}clinical findings_fin: {'visualized portions of the lung apices appear': {'clinical finding': 'visualized portions of the lung apices appear'}} [/INST] The scout lateral view and the sagittal reformatted images demonstrate exaggerated cervical lordosis. There is mild retrolisthesis of C3 over C4. The vertebral body heights are well-maintained. There is narrowing of C3-C4 and at C5-C6 disc spaces. There is diffuse osteopenia. There is no acute fracture or dislocation. There are degenerative spondylotic changes seen diffusely at various levels. Along C3-C4 level, there is uncovertebral hypertrophy and disc osteophyte complex, resulting in mild bilateral neural foramina stenosis. At C4-C5, there is bilateral uncovertebral hypertrophy, resulting in moderate bilateral neural foraminal narrowing. Along C5-C6, there is mild bilateral neural foramina stenosis. There is no significant spinal canal stenosis. There are diffuse vascular atherosclerotic plaques involving bilateral common carotid artery and internal carotid artery. The visualized portions of the lung apices appear normal. </s>

. Small micronodule in the right upper lobe likely present on the prior study and unchanged. No significant abnormality noted. Somewhat linear soft tissue density inferior to the left axilla measures approximately 0.9 x 1.5 cm on image 38/230, without interval change. Also, presumed scar involving the left posterior hemithorax subcutaneous tissues. Severe fatty liver somewhat limits exam. Poorly visualized mass in the right lobe, segment 8 measuring approximately 2 x 2.5 cm on image 101/230 without change. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Small low-attenuation focus left kidney too small to characterize but likely a cyst. 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. Reference portacaval lymph node measures 1.2 x 1.9 cm on image 108/230 without change. No significant abnormality noted. No significant abnormality noted

anatomical entity_fin: {'lobe': {'location descriptor': 'right upper'}}location descriptor_fin: ['right', 'upper']clinical findings_fin: {'small micronodule': {'clinical finding': 'small micronodule', 'existence': 'pos_dx', 'descriptive_term': 'small', 'observation': 'micronodule', 'strength_term': 'small'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}size_fin: [{'size': '0.9 x 1.5 cm', 'size_descriptor': 'density'}]anatomical entity_fin: {'axilla': {'location descriptor': 'left'}}imaging observation_fin: ['soft tissue density']location descriptor_fin: ['inferior', 'left']clinical findings_fin: {'somewhat linear soft tissue density': {'clinical finding': 'somewhat linear soft tissue density', 'existence': 'pos_dx', 'descriptive_term': 'somewhat linear soft tissue', 'observation': 'density'}, 'interval change': {'clinical finding': 'interval change', 'existence': 'neg_dx', 'descriptive_term': 'interval', 'observation': 'change'}}anatomical entity_fin: {'hemithorax': {'location descriptor': 'left posterior'}}location descriptor_fin: ['left', 'posterior']clinical findings_fin: {'also, presumed scar': {'clinical finding': 'also, presumed scar', 'cf_snomed': {'scar': 275322007}, 'existence': 'pos_dx', 'descriptive_term': 'also presumed', 'observation': 'scar'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'severe fatty': {'clinical finding': 'severe fatty', 'existence': 'pos_dx', 'descriptive_term': 'severe', 'observation': 'fatty', 'strength_term': 'severe'}}size_fin: [{'size': '2 x 2.5 cm', 'size_descriptor': 'mass'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'poorly visualized mass': {'clinical finding': 'poorly visualized mass', 'existence': 'pos_dx', 'descriptive_term': 'poorly visualized', 'observation': 'mass'}, 'change': {'clinical finding': 'change', 'existence': 'pos_dx', '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'}}anatomical entity_fin: {'left kidney': {}}clinical findings_fin: {'small low-attenuation focus': {'clinical finding': 'small low-attenuation focus', 'existence': 'pos_dx', 'descriptive_term': 'small low-attenuation', 'observation': 'focus', 'strength_term': 'small'}, 'likely a cyst': {'clinical finding': 'likely a cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'likely a', '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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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': '1.2 x 1.9 cm'}]clinical findings_fin: {'reference portacaval lymph node': {'clinical finding': 'reference portacaval lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference portacaval lymph', 'observation': 'node'}, 'change': {'clinical finding': 'change', 'existence': 'pos_dx', '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'}}

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 upper'}}location descriptor_fin: ['right', 'upper']clinical findings_fin: {'small micronodule': {'clinical finding': 'small micronodule', 'existence': 'pos_dx', 'descriptive_term': 'small', 'observation': 'micronodule', 'strength_term': 'small'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}size_fin: [{'size': '0.9 x 1.5 cm', 'size_descriptor': 'density'}]anatomical entity_fin: {'axilla': {'location descriptor': 'left'}}imaging observation_fin: ['soft tissue density']location descriptor_fin: ['inferior', 'left']clinical findings_fin: {'somewhat linear soft tissue density': {'clinical finding': 'somewhat linear soft tissue density', 'existence': 'pos_dx', 'descriptive_term': 'somewhat linear soft tissue', 'observation': 'density'}, 'interval change': {'clinical finding': 'interval change', 'existence': 'neg_dx', 'descriptive_term': 'interval', 'observation': 'change'}}anatomical entity_fin: {'hemithorax': {'location descriptor': 'left posterior'}}location descriptor_fin: ['left', 'posterior']clinical findings_fin: {'also, presumed scar': {'clinical finding': 'also, presumed scar', 'cf_snomed': {'scar': 275322007}, 'existence': 'pos_dx', 'descriptive_term': 'also presumed', 'observation': 'scar'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'severe fatty': {'clinical finding': 'severe fatty', 'existence': 'pos_dx', 'descriptive_term': 'severe', 'observation': 'fatty', 'strength_term': 'severe'}}size_fin: [{'size': '2 x 2.5 cm', 'size_descriptor': 'mass'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'poorly visualized mass': {'clinical finding': 'poorly visualized mass', 'existence': 'pos_dx', 'descriptive_term': 'poorly visualized', 'observation': 'mass'}, 'change': {'clinical finding': 'change', 'existence': 'pos_dx', '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'}}anatomical entity_fin: {'left kidney': {}}clinical findings_fin: {'small low-attenuation focus': {'clinical finding': 'small low-attenuation focus', 'existence': 'pos_dx', 'descriptive_term': 'small low-attenuation', 'observation': 'focus', 'strength_term': 'small'}, 'likely a cyst': {'clinical finding': 'likely a cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'likely a', '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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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': '1.2 x 1.9 cm'}]clinical findings_fin: {'reference portacaval lymph node': {'clinical finding': 'reference portacaval lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference portacaval lymph', 'observation': 'node'}, 'change': {'clinical finding': 'change', 'existence': 'pos_dx', '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'}} [/INST] . Small micronodule in the right upper lobe likely present on the prior study and unchanged. No significant abnormality noted. Somewhat linear soft tissue density inferior to the left axilla measures approximately 0.9 x 1.5 cm on image 38/230, without interval change. Also, presumed scar involving the left posterior hemithorax subcutaneous tissues. Severe fatty liver somewhat limits exam. Poorly visualized mass in the right lobe, segment 8 measuring approximately 2 x 2.5 cm on image 101/230 without change. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Small low-attenuation focus left kidney too small to characterize but likely a cyst. 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. Reference portacaval lymph node measures 1.2 x 1.9 cm on image 108/230 without change. No significant abnormality noted. No significant abnormality noted </s>

Todays CT portion grossly demonstrates diffusely osteopenic and mottled appearing bones throughout the spine, ribs and pelvis. There are multiple levels of vertebral body height loss within the thoracic and lumbar spine with evidence of kyphoplasty at T11, L1 and L4 multiple expansile lesions are seen within the ribs, particularly involving the right seventh rib where there is an associated fracture. There is bilateral pleural thickening with a small right basilar opacity which is decreased since the prior exam. A left femoral fixation rod is again seen. Todays PET examination demonstrates diffusely heterogeneous activity throughout the axial and proximal appendicular skeleton. There are more focal areas of increase in metabolic activity, particularly involving the right seventh rib where there is a pathologic fracture, right ilium and right scapula which are suspicious for myelomatous deposits. Increased activity in a right basilar opacity is at the site of previous right lower lobe pneumonia. Decreased activity in the lower left pelvis and acetabulum may be from radiation, correlate with history. Decreased activity from left femoral fixation rod.

anatomical entity_fin: {'spine': {}, 'ribs': {}, 'pelvis': {}}clinical findings_fin: {'diffusely osteopenic and mottled': {'clinical finding': 'diffusely osteopenic and mottled', 'existence': 'pos_dx', 'descriptive_term': 'diffusely osteopenic and', 'observation': 'mottled'}}anatomical entity_fin: {'vertebral body': {}, 'thoracic': {}, 'lumbar spine': {}, 'ribs': {}, 'rib': {}}location descriptor_fin: ['right']procedure_fin: ['kyphoplasty']clinical findings_fin: {'vertebral body height loss': {'clinical finding': 'vertebral body height loss', 'existence': 'pos_dx', 'descriptive_term': 'vertebral body height', 'observation': 'loss'}, 'multiple expansile lesions': {'clinical finding': 'multiple expansile lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'multiple expansile', 'observation': 'lesion', 'quantity_term': 'multiple'}, 'associated fracture': {'clinical finding': 'associated fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'associated', 'observation': 'fracture'}}location descriptor_fin: ['bilateral', 'right']clinical findings_fin: {'bilateral pleural thickening': {'clinical finding': 'bilateral pleural thickening', 'existence': 'pos_dx', 'descriptive_term': 'bilateral pleural', 'observation': 'thickening'}, 'small right basilar opacity': {'clinical finding': 'small right basilar opacity', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'small right basilar', 'observation': 'opacity', 'strength_term': 'small'}}location descriptor_fin: ['left']clinical findings_fin: {'left femoral fixation rod': {'clinical finding': 'left femoral fixation rod', 'existence': 'pos_dx', 'descriptive_term': 'left femoral fixation', 'observation': 'rod'}}anatomical entity_fin: {'appendicular skeleton': {'location descriptor': 'proximal'}}location descriptor_fin: ['proximal']clinical findings_fin: {'todays pet examination demonstrates diffusely heterogeneous activity throughout the axial and proximal appendicular skeleton': {'clinical finding': 'todays pet examination demonstrates diffusely heterogeneous activity throughout the axial and proximal appendicular skeleton'}}anatomical entity_fin: {'rib': {}, 'ilium': {'location descriptor': 'right'}, 'right scapula': {}}location descriptor_fin: ['right']clinical findings_fin: {'metabolic activity': {'clinical finding': 'metabolic activity', 'existence': 'pos_dx', 'descriptive_term': 'metabolic', 'observation': 'activity'}, 'pathologic fracture': {'clinical finding': 'pathologic fracture', 'cf_snomed': {'pathologic fracture': 22640007}, 'existence': 'pos_dx', 'descriptive_term': 'pathologic', 'observation': 'fracture'}, 'myelomatous deposits': {'clinical finding': 'myelomatous deposits', 'existence': 'unc_dx', 'descriptive_term': 'myelomatous', 'observation': 'deposit'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'right basilar opacity': {'clinical finding': 'right basilar opacity', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'right basilar', 'observation': 'opacity'}, 'previous right lower lobe pneumonia': {'clinical finding': 'previous right lower lobe pneumonia', 'cf_snomed': {'pneumonia': 233604007}, 'existence': 'pos_dx', 'descriptive_term': 'previous right lower lobe', 'observation': 'pneumonia', 'temporal_term': 'previous'}}anatomical entity_fin: {'pelvis': {'location descriptor': 'lower left'}, 'acetabulum': {}}location descriptor_fin: ['lower', 'left']clinical findings_fin: {'decreased activity in the lower left pelvis and acetabulum': {'clinical finding': 'decreased activity in the lower left pelvis and acetabulum', 'change_term': 'decreased'}}location descriptor_fin: ['left']clinical findings_fin: {'left femoral fixation rod': {'clinical finding': 'left femoral fixation rod', 'existence': 'pos_dx', 'descriptive_term': 'left femoral fixation', 'observation': 'rod'}}

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': {}, 'ribs': {}, 'pelvis': {}}clinical findings_fin: {'diffusely osteopenic and mottled': {'clinical finding': 'diffusely osteopenic and mottled', 'existence': 'pos_dx', 'descriptive_term': 'diffusely osteopenic and', 'observation': 'mottled'}}anatomical entity_fin: {'vertebral body': {}, 'thoracic': {}, 'lumbar spine': {}, 'ribs': {}, 'rib': {}}location descriptor_fin: ['right']procedure_fin: ['kyphoplasty']clinical findings_fin: {'vertebral body height loss': {'clinical finding': 'vertebral body height loss', 'existence': 'pos_dx', 'descriptive_term': 'vertebral body height', 'observation': 'loss'}, 'multiple expansile lesions': {'clinical finding': 'multiple expansile lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'multiple expansile', 'observation': 'lesion', 'quantity_term': 'multiple'}, 'associated fracture': {'clinical finding': 'associated fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'associated', 'observation': 'fracture'}}location descriptor_fin: ['bilateral', 'right']clinical findings_fin: {'bilateral pleural thickening': {'clinical finding': 'bilateral pleural thickening', 'existence': 'pos_dx', 'descriptive_term': 'bilateral pleural', 'observation': 'thickening'}, 'small right basilar opacity': {'clinical finding': 'small right basilar opacity', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'small right basilar', 'observation': 'opacity', 'strength_term': 'small'}}location descriptor_fin: ['left']clinical findings_fin: {'left femoral fixation rod': {'clinical finding': 'left femoral fixation rod', 'existence': 'pos_dx', 'descriptive_term': 'left femoral fixation', 'observation': 'rod'}}anatomical entity_fin: {'appendicular skeleton': {'location descriptor': 'proximal'}}location descriptor_fin: ['proximal']clinical findings_fin: {'todays pet examination demonstrates diffusely heterogeneous activity throughout the axial and proximal appendicular skeleton': {'clinical finding': 'todays pet examination demonstrates diffusely heterogeneous activity throughout the axial and proximal appendicular skeleton'}}anatomical entity_fin: {'rib': {}, 'ilium': {'location descriptor': 'right'}, 'right scapula': {}}location descriptor_fin: ['right']clinical findings_fin: {'metabolic activity': {'clinical finding': 'metabolic activity', 'existence': 'pos_dx', 'descriptive_term': 'metabolic', 'observation': 'activity'}, 'pathologic fracture': {'clinical finding': 'pathologic fracture', 'cf_snomed': {'pathologic fracture': 22640007}, 'existence': 'pos_dx', 'descriptive_term': 'pathologic', 'observation': 'fracture'}, 'myelomatous deposits': {'clinical finding': 'myelomatous deposits', 'existence': 'unc_dx', 'descriptive_term': 'myelomatous', 'observation': 'deposit'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'right basilar opacity': {'clinical finding': 'right basilar opacity', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'right basilar', 'observation': 'opacity'}, 'previous right lower lobe pneumonia': {'clinical finding': 'previous right lower lobe pneumonia', 'cf_snomed': {'pneumonia': 233604007}, 'existence': 'pos_dx', 'descriptive_term': 'previous right lower lobe', 'observation': 'pneumonia', 'temporal_term': 'previous'}}anatomical entity_fin: {'pelvis': {'location descriptor': 'lower left'}, 'acetabulum': {}}location descriptor_fin: ['lower', 'left']clinical findings_fin: {'decreased activity in the lower left pelvis and acetabulum': {'clinical finding': 'decreased activity in the lower left pelvis and acetabulum', 'change_term': 'decreased'}}location descriptor_fin: ['left']clinical findings_fin: {'left femoral fixation rod': {'clinical finding': 'left femoral fixation rod', 'existence': 'pos_dx', 'descriptive_term': 'left femoral fixation', 'observation': 'rod'}} [/INST] Todays CT portion grossly demonstrates diffusely osteopenic and mottled appearing bones throughout the spine, ribs and pelvis. There are multiple levels of vertebral body height loss within the thoracic and lumbar spine with evidence of kyphoplasty at T11, L1 and L4 multiple expansile lesions are seen within the ribs, particularly involving the right seventh rib where there is an associated fracture. There is bilateral pleural thickening with a small right basilar opacity which is decreased since the prior exam. A left femoral fixation rod is again seen. Todays PET examination demonstrates diffusely heterogeneous activity throughout the axial and proximal appendicular skeleton. There are more focal areas of increase in metabolic activity, particularly involving the right seventh rib where there is a pathologic fracture, right ilium and right scapula which are suspicious for myelomatous deposits. Increased activity in a right basilar opacity is at the site of previous right lower lobe pneumonia. Decreased activity in the lower left pelvis and acetabulum may be from radiation, correlate with history. Decreased activity from left femoral fixation rod. </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 calvarium is intact. The mastoid air cells 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'}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'pos_dx', 'observation': 'intact'}}anatomical entity_fin: {'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: {'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'}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'pos_dx', 'observation': 'intact'}}anatomical entity_fin: {'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'pos_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 calvarium is intact. The mastoid air cells are clear. </s>

. No significant abnormality noted. Stable subcentimeter anteriorly located hepatic hypoattenuating focus, too small to characterize, image 37 series Common bile duct measures upper limits of normal at 6 mm with distal tapering seen, minimal intrahepatic biliary duct prominence, appearance stable from prior study. Possible focal fatty infiltration seen near falciform ligament. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Left renal cyst. Atherosclerotic aorta. Extensive left-sided colon diverticulosis with the distal descending clonic wall thickening and adjacent fat stranding seen, appearance compatible with acute diverticulitis. Best seen on image 85 series 4 is small paracolic or fluid and air containing collection, structure measures 1.8 x 1.4 x 1.4 cm, image 85 series 4, surrounding induration seen. Underdistended distal gastric body, making evaluation for wall thickening suboptimal. New small pelvic free fluid. Calcified fibroid uterus. No significant abnormality noted. Degenerative disease of spine, most pronounced at L5/S1, grade 1 anterolisthesis of L4 on L5, levoscoliosis seen. Decreased osseous mineralization.

clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}size_fin: [{'size': '6 mm'}]anatomical entity_fin: {'common bile duct': {}, 'duct': {}}location descriptor_fin: ['upper', 'distal']clinical findings_fin: {'located hepatic hypoattenuating focus': {'clinical finding': 'located hepatic hypoattenuating focus', 'existence': 'pos_dx', 'descriptive_term': 'located hepatic hypoattenuating', 'observation': 'focus'}}imaging observation_fin: ['falciform ligament']clinical findings_fin: {'possible focal fatty infiltration': {'clinical finding': 'possible focal fatty infiltration', 'cf_snomed': {'fatty infiltration': 45752008}, 'existence': 'pos_dx', 'descriptive_term': 'possible focal 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'}}location descriptor_fin: ['left']clinical findings_fin: {'left renal cyst': {'clinical finding': 'left renal cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'left renal', 'observation': 'cyst'}}anatomical entity_fin: {'aorta': {}}clinical findings_fin: {'atherosclerotic aorta': {'clinical finding': 'atherosclerotic aorta'}}imaging observation_fin: ['colon', 'fat']location descriptor_fin: ['left', 'distal', 'adjacent']clinical findings_fin: {'extensive left-sided colon diverticulosis': {'clinical finding': 'extensive left-sided colon diverticulosis', 'existence': 'pos_dx', 'descriptive_term': 'extensive left-sided colon', 'observation': 'diverticulosis', 'strength_term': 'extensive'}, 'distal descending clonic wall thickening': {'clinical finding': 'distal descending clonic wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'distal descending clonic wall', 'observation': 'thickening'}, 'adjacent fat stranding': {'clinical finding': 'adjacent fat stranding', 'existence': 'pos_dx', 'descriptive_term': 'adjacent fat', 'observation': 'strand'}, 'acute diverticulitis': {'clinical finding': 'acute diverticulitis', 'cf_snomed': {'diverticulitis': 307496006}, 'existence': 'pos_dx', 'descriptive_term': 'acute', 'observation': 'diverticulitis', 'strength_term': 'acute', 'temporal_term': 'acute'}}size_fin: [{'size': '1.8 x 1.4 x 1.4 cm', 'size_descriptor': 'structure'}]anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'best seen on image 85 series': {'clinical finding': 'best seen on image 85 series'}}anatomical entity_fin: {'body': {}}location descriptor_fin: ['distal']clinical findings_fin: {'wall thickening': {'clinical finding': 'wall thickening', 'existence': 'unc_dx', 'descriptive_term': 'wall', 'observation': 'thickening'}}clinical findings_fin: {'new small pelvic free fluid': {'clinical finding': 'new small pelvic free fluid', 'existence': 'pos_dx', 'descriptive_term': 'new small pelvic free', 'observation': 'fluid', 'strength_term': 'small', 'temporal_term': 'new'}}anatomical entity_fin: {'uterus': {}}clinical findings_fin: {'calcified fibroid uterus': {'clinical finding': 'calcified fibroid uterus', 'change_term': 'calcified'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'degenerative disease': {'clinical finding': 'degenerative disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'disease'}, 'grade 1 anterolisthesis': {'clinical finding': 'grade 1 anterolisthesis', 'existence': 'pos_dx', 'descriptive_term': 'grade 1', 'observation': 'anterolisthesis'}, 'levoscoliosis': {'clinical finding': 'levoscoliosis', 'cf_snomed': {'levoscoliosis': 430991000124102}, 'existence': 'pos_dx', 'observation': 'levoscoliosis'}}clinical findings_fin: {'decreased osseous mineralization': {'clinical finding': 'decreased osseous mineralization', 'change_term': 'decreased'}}

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': '6 mm'}]anatomical entity_fin: {'common bile duct': {}, 'duct': {}}location descriptor_fin: ['upper', 'distal']clinical findings_fin: {'located hepatic hypoattenuating focus': {'clinical finding': 'located hepatic hypoattenuating focus', 'existence': 'pos_dx', 'descriptive_term': 'located hepatic hypoattenuating', 'observation': 'focus'}}imaging observation_fin: ['falciform ligament']clinical findings_fin: {'possible focal fatty infiltration': {'clinical finding': 'possible focal fatty infiltration', 'cf_snomed': {'fatty infiltration': 45752008}, 'existence': 'pos_dx', 'descriptive_term': 'possible focal 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'}}location descriptor_fin: ['left']clinical findings_fin: {'left renal cyst': {'clinical finding': 'left renal cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'left renal', 'observation': 'cyst'}}anatomical entity_fin: {'aorta': {}}clinical findings_fin: {'atherosclerotic aorta': {'clinical finding': 'atherosclerotic aorta'}}imaging observation_fin: ['colon', 'fat']location descriptor_fin: ['left', 'distal', 'adjacent']clinical findings_fin: {'extensive left-sided colon diverticulosis': {'clinical finding': 'extensive left-sided colon diverticulosis', 'existence': 'pos_dx', 'descriptive_term': 'extensive left-sided colon', 'observation': 'diverticulosis', 'strength_term': 'extensive'}, 'distal descending clonic wall thickening': {'clinical finding': 'distal descending clonic wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'distal descending clonic wall', 'observation': 'thickening'}, 'adjacent fat stranding': {'clinical finding': 'adjacent fat stranding', 'existence': 'pos_dx', 'descriptive_term': 'adjacent fat', 'observation': 'strand'}, 'acute diverticulitis': {'clinical finding': 'acute diverticulitis', 'cf_snomed': {'diverticulitis': 307496006}, 'existence': 'pos_dx', 'descriptive_term': 'acute', 'observation': 'diverticulitis', 'strength_term': 'acute', 'temporal_term': 'acute'}}size_fin: [{'size': '1.8 x 1.4 x 1.4 cm', 'size_descriptor': 'structure'}]anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'best seen on image 85 series': {'clinical finding': 'best seen on image 85 series'}}anatomical entity_fin: {'body': {}}location descriptor_fin: ['distal']clinical findings_fin: {'wall thickening': {'clinical finding': 'wall thickening', 'existence': 'unc_dx', 'descriptive_term': 'wall', 'observation': 'thickening'}}clinical findings_fin: {'new small pelvic free fluid': {'clinical finding': 'new small pelvic free fluid', 'existence': 'pos_dx', 'descriptive_term': 'new small pelvic free', 'observation': 'fluid', 'strength_term': 'small', 'temporal_term': 'new'}}anatomical entity_fin: {'uterus': {}}clinical findings_fin: {'calcified fibroid uterus': {'clinical finding': 'calcified fibroid uterus', 'change_term': 'calcified'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'degenerative disease': {'clinical finding': 'degenerative disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'disease'}, 'grade 1 anterolisthesis': {'clinical finding': 'grade 1 anterolisthesis', 'existence': 'pos_dx', 'descriptive_term': 'grade 1', 'observation': 'anterolisthesis'}, 'levoscoliosis': {'clinical finding': 'levoscoliosis', 'cf_snomed': {'levoscoliosis': 430991000124102}, 'existence': 'pos_dx', 'observation': 'levoscoliosis'}}clinical findings_fin: {'decreased osseous mineralization': {'clinical finding': 'decreased osseous mineralization', 'change_term': 'decreased'}} [/INST] . No significant abnormality noted. Stable subcentimeter anteriorly located hepatic hypoattenuating focus, too small to characterize, image 37 series Common bile duct measures upper limits of normal at 6 mm with distal tapering seen, minimal intrahepatic biliary duct prominence, appearance stable from prior study. Possible focal fatty infiltration seen near falciform ligament. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Left renal cyst. Atherosclerotic aorta. Extensive left-sided colon diverticulosis with the distal descending clonic wall thickening and adjacent fat stranding seen, appearance compatible with acute diverticulitis. Best seen on image 85 series 4 is small paracolic or fluid and air containing collection, structure measures 1.8 x 1.4 x 1.4 cm, image 85 series 4, surrounding induration seen. Underdistended distal gastric body, making evaluation for wall thickening suboptimal. New small pelvic free fluid. Calcified fibroid uterus. No significant abnormality noted. Degenerative disease of spine, most pronounced at L5/S1, grade 1 anterolisthesis of L4 on L5, levoscoliosis seen. Decreased osseous mineralization. </s>

There is soft tissue swelling and fat stranding of the face, right cheek greater than left. There is also right sided periorbital preseptal swelling and fat stranding. There is no evidence of acute facial bone or orbital fracture. The globes are intact without evidence of intraorbital hematoma or stranding. The temporomandibular joints are intact. The imaged paranasal sinuses and mastoid air cells are clear.

anatomical entity_fin: {'face': {}, 'cheek': {'location descriptor': 'right'}}imaging observation_fin: ['fat']location descriptor_fin: ['right', 'left']clinical findings_fin: {'soft tissue swelling': {'clinical finding': 'soft tissue swelling', 'cf_snomed': {'soft tissue swelling': 298349001}, 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'swell'}, 'fat stranding': {'clinical finding': 'fat stranding', 'existence': 'pos_dx', 'descriptive_term': 'fat', 'observation': 'strand'}}imaging observation_fin: ['fat']location descriptor_fin: ['right']clinical findings_fin: {'right sided periorbital preseptal swelling': {'clinical finding': 'right sided periorbital preseptal swelling', 'cf_snomed': {'swelling': 65124004}, 'existence': 'pos_dx', 'descriptive_term': 'right sided periorbital preseptal', 'observation': 'swell'}, 'fat stranding': {'clinical finding': 'fat stranding', 'existence': 'pos_dx', 'descriptive_term': 'fat', 'observation': 'strand'}}clinical findings_fin: {'acute facial bone or orbital fracture': {'clinical finding': 'acute facial bone or orbital fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'descriptive_term': 'acute facial bone or orbital', 'observation': 'fracture', 'strength_term': 'acute', 'temporal_term': 'acute'}}anatomical entity_fin: {'globes': {}}imaging observation_fin: ['hematoma']clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}, 'intraorbital hematoma': {'clinical finding': 'intraorbital hematoma', 'cf_snomed': {'hematoma': 385494008}, 'existence': 'neg_dx', 'descriptive_term': 'intraorbital', 'observation': 'hematoma'}, 'stranding': {'clinical finding': 'stranding', 'existence': 'neg_dx', 'observation': 'strand'}}anatomical entity_fin: {'temporomandibular joints': {}}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: {'face': {}, 'cheek': {'location descriptor': 'right'}}imaging observation_fin: ['fat']location descriptor_fin: ['right', 'left']clinical findings_fin: {'soft tissue swelling': {'clinical finding': 'soft tissue swelling', 'cf_snomed': {'soft tissue swelling': 298349001}, 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'swell'}, 'fat stranding': {'clinical finding': 'fat stranding', 'existence': 'pos_dx', 'descriptive_term': 'fat', 'observation': 'strand'}}imaging observation_fin: ['fat']location descriptor_fin: ['right']clinical findings_fin: {'right sided periorbital preseptal swelling': {'clinical finding': 'right sided periorbital preseptal swelling', 'cf_snomed': {'swelling': 65124004}, 'existence': 'pos_dx', 'descriptive_term': 'right sided periorbital preseptal', 'observation': 'swell'}, 'fat stranding': {'clinical finding': 'fat stranding', 'existence': 'pos_dx', 'descriptive_term': 'fat', 'observation': 'strand'}}clinical findings_fin: {'acute facial bone or orbital fracture': {'clinical finding': 'acute facial bone or orbital fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'descriptive_term': 'acute facial bone or orbital', 'observation': 'fracture', 'strength_term': 'acute', 'temporal_term': 'acute'}}anatomical entity_fin: {'globes': {}}imaging observation_fin: ['hematoma']clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}, 'intraorbital hematoma': {'clinical finding': 'intraorbital hematoma', 'cf_snomed': {'hematoma': 385494008}, 'existence': 'neg_dx', 'descriptive_term': 'intraorbital', 'observation': 'hematoma'}, 'stranding': {'clinical finding': 'stranding', 'existence': 'neg_dx', 'observation': 'strand'}}anatomical entity_fin: {'temporomandibular joints': {}}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 soft tissue swelling and fat stranding of the face, right cheek greater than left. There is also right sided periorbital preseptal swelling and fat stranding. There is no evidence of acute facial bone or orbital fracture. The globes are intact without evidence of intraorbital hematoma or stranding. The temporomandibular joints are intact. The imaged paranasal sinuses and mastoid air cells are clear. </s>

There are numerous lytic lesions within the calvarium that were not prior on the comparison study consistent with metastases as demonstrated on previous bone scan. A few of the larger lesions have eroded through the inner cortex and abuts the dura, however without evidence of underlying brain parenchymal invasion. The ventricles and sulci are normal in size. There are no parenchymal 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.

clinical findings_fin: {'numerous lytic lesions': {'clinical finding': 'numerous lytic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'numerous lytic', 'observation': 'lesion', 'quantity_term': 'numerous'}, 'metastases': {'clinical finding': 'metastases', 'existence': 'pos_dx', 'observation': 'metastase'}}anatomical entity_fin: {'cortex': {}, 'brain': {}}clinical findings_fin: {'larger lesions': {'clinical finding': 'larger lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'larger', 'observation': 'lesion'}, 'underlying brain parenchymal invasion': {'clinical finding': 'underlying brain parenchymal invasion', 'existence': 'neg_dx', 'descriptive_term': 'underlying brain parenchymal', 'observation': 'invasion'}}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: {'parenchymal masses': {'clinical finding': 'parenchymal masses', 'existence': 'neg_dx', 'descriptive_term': 'parenchymal', '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'}}

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: {'numerous lytic lesions': {'clinical finding': 'numerous lytic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'numerous lytic', 'observation': 'lesion', 'quantity_term': 'numerous'}, 'metastases': {'clinical finding': 'metastases', 'existence': 'pos_dx', 'observation': 'metastase'}}anatomical entity_fin: {'cortex': {}, 'brain': {}}clinical findings_fin: {'larger lesions': {'clinical finding': 'larger lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'larger', 'observation': 'lesion'}, 'underlying brain parenchymal invasion': {'clinical finding': 'underlying brain parenchymal invasion', 'existence': 'neg_dx', 'descriptive_term': 'underlying brain parenchymal', 'observation': 'invasion'}}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: {'parenchymal masses': {'clinical finding': 'parenchymal masses', 'existence': 'neg_dx', 'descriptive_term': 'parenchymal', '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'}} [/INST] There are numerous lytic lesions within the calvarium that were not prior on the comparison study consistent with metastases as demonstrated on previous bone scan. A few of the larger lesions have eroded through the inner cortex and abuts the dura, however without evidence of underlying brain parenchymal invasion. The ventricles and sulci are normal in size. There are no parenchymal 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. </s>

NONCONTRAST CT HEADRedemonstration of left basal ganglia intracerebral hemorrhage with IVH extending into bilateral lateral ventricles, third ventricle and fourth ventricles. Chronic ischemic infarcts with encephalomalacia seen on bilateral frontal lobes and right parietal lobe, no change since prior scan. Ventriculomegaly is seen likely related to intraventricular hemorrhage as well as ex vacuo changes, no change of ventricular size since prior scan. Minimal midline shift toward the right side, no interval change since prior scan. The osseous structures are unremarkable. The paranasal sinuses and mastoid air cells are clear. CTA HEAD AND NECKThere are many fine linear enhancing structures around bilateral distal ICA without clearly demonstrated bilateral distal ICA as well as proximal MCA M1 segment indicating possible moyamoya phenomenon. Bilateral MCAs were reconstituted from the proximal bilateral MCA M1 segment, and was able to trace down to the M3 segments. There is normal aortic arch origin of the right brachiocephalic, left common carotid, and left subclavian arteries. The bilateral vertebral artery origins are normal. Bilateral extracranial proximal ICAs show luminal irregularities with wall calcifications without significant luminal stenosis. Vertebrobasilar system appears to be normal. Bilateral Pcom arteries are patent and Acom artery is also patent. There is normal superficial and deep intracranial venous drainage.

anatomical entity_fin: {'basal ganglia': {'location descriptor': 'left'}, 'lateral ventricles': {'location descriptor': 'bilateral'}, 'third ventricle': {}, 'fourth ventricles': {}}location descriptor_fin: ['left', 'bilateral']clinical findings_fin: {'left basal ganglia intracerebral hemorrhage': {'clinical finding': 'left basal ganglia intracerebral hemorrhage', 'cf_snomed': {'left basal ganglia': 110683006, 'hemorrhage': 50960005}, 'existence': 'pos_dx', 'descriptive_term': 'left basal ganglia intracerebral', 'observation': 'hemorrhage'}, 'ivh': {'clinical finding': 'ivh', 'existence': 'pos_dx', 'observation': 'ivh'}}anatomical entity_fin: {'frontal lobes': {'location descriptor': 'bilateral'}, 'right parietal lobe': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'chronic ischemic infarcts': {'clinical finding': 'chronic ischemic infarcts', 'cf_snomed': {'infarct': 55641003}, 'existence': 'pos_dx', 'descriptive_term': 'chronic ischemic', 'observation': 'infarct', 'temporal_term': 'chronic'}, 'encephalomalacia': {'clinical finding': 'encephalomalacia', 'cf_snomed': {'encephalomalacia': 58762006}, 'existence': 'pos_dx', 'observation': 'encephalomalacia'}, 'change': {'clinical finding': 'change', 'existence': 'neg_dx', 'observation': 'change'}}clinical findings_fin: {'ventriculomegaly': {'clinical finding': 'ventriculomegaly', 'existence': 'unc_dx', 'observation': 'ventriculomegaly'}, 'intraventricular hemorrhage': {'clinical finding': 'intraventricular hemorrhage', 'cf_snomed': {'hemorrhage': 50960005}, 'existence': 'unc_dx', 'descriptive_term': 'intraventricular', 'observation': 'hemorrhage'}, 'ex vacuo changes': {'clinical finding': 'ex vacuo changes', 'existence': 'unc_dx', 'descriptive_term': 'ex vacuo', 'observation': 'change'}, 'change': {'clinical finding': 'change', 'existence': 'neg_dx', 'observation': 'change'}}location descriptor_fin: ['midline', 'right']clinical findings_fin: {'interval change': {'clinical finding': 'interval change', 'existence': 'neg_dx', 'descriptive_term': 'interval', 'observation': 'change'}}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': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'head': {}}imaging observation_fin: ['enhancing']location descriptor_fin: ['bilateral', 'distal', 'proximal']clinical findings_fin: {'many fine linear enhancing': {'clinical finding': 'many fine linear enhancing', 'existence': 'pos_dx', 'descriptive_term': 'many fine linear', 'observation': 'enhancing', 'quantity_term': 'many'}, 'bilateral distal ica': {'clinical finding': 'bilateral distal ica', 'existence': 'pos_dx', 'descriptive_term': 'bilateral distal', 'observation': 'ica'}, 'clearly demonstrated bilateral distal ica': {'clinical finding': 'clearly demonstrated bilateral distal ica', 'existence': 'neg_dx', 'descriptive_term': 'clearly demonstrated bilateral distal', 'observation': 'ica'}, 'possible moyamoya phenomenon': {'clinical finding': 'possible moyamoya phenomenon', 'existence': 'pos_dx', 'descriptive_term': 'possible moyamoya', 'observation': 'phenomenon'}}location descriptor_fin: ['bilateral', 'proximal']clinical findings_fin: {'bilateral mcas were reconstituted from the proximal bilateral mca m1 segment , and was able': {'clinical finding': 'bilateral mcas were reconstituted from the proximal bilateral mca m1 segment , and was able'}}anatomical entity_fin: {'aortic arch': {}, 'origin': {}, 'left subclavian arteries': {}}location descriptor_fin: ['right', 'left']clinical findings_fin: {'is normal aortic arch origin of the right brachiocephalic , left': {'clinical finding': 'is normal aortic arch origin of the right brachiocephalic , left'}}anatomical entity_fin: {'vertebral artery': {'location descriptor': 'bilateral'}, 'origins': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral vertebral artery origins are normal': {'clinical finding': 'bilateral vertebral artery origins are normal'}}anatomical entity_fin: {'wall': {}}location descriptor_fin: ['bilateral', 'proximal']clinical findings_fin: {'bilateral extracranial proximal icas': {'clinical finding': 'bilateral extracranial proximal icas', 'existence': 'pos_dx', 'descriptive_term': 'bilateral extracranial proximal', 'observation': 'icas'}, 'luminal irregularities': {'clinical finding': 'luminal irregularities', 'existence': 'pos_dx', 'descriptive_term': 'luminal', 'observation': 'irregularity'}, 'wall calcifications': {'clinical finding': 'wall calcifications', 'existence': 'pos_dx', 'descriptive_term': 'wall', 'observation': 'calcification'}, 'significant luminal stenosis': {'clinical finding': 'significant luminal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'neg_dx', 'descriptive_term': 'significant luminal', 'observation': 'stenosis'}}clinical findings_fin: {'vertebrobasilar system appears to be normal': {'clinical finding': 'vertebrobasilar system appears to be normal'}}anatomical entity_fin: {'arteries': {}, 'artery': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral pcom': {'clinical finding': 'bilateral pcom', 'existence': 'pos_dx', 'descriptive_term': 'bilateral', 'observation': 'pcom'}, 'patent_1': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}, 'patent_2': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}location descriptor_fin: ['superficial']procedure_fin: ['drainage']clinical findings_fin: {'is normal superficial and deep intracranial venous drainage': {'clinical finding': 'is normal superficial and deep intracranial venous drainage'}}

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: {'basal ganglia': {'location descriptor': 'left'}, 'lateral ventricles': {'location descriptor': 'bilateral'}, 'third ventricle': {}, 'fourth ventricles': {}}location descriptor_fin: ['left', 'bilateral']clinical findings_fin: {'left basal ganglia intracerebral hemorrhage': {'clinical finding': 'left basal ganglia intracerebral hemorrhage', 'cf_snomed': {'left basal ganglia': 110683006, 'hemorrhage': 50960005}, 'existence': 'pos_dx', 'descriptive_term': 'left basal ganglia intracerebral', 'observation': 'hemorrhage'}, 'ivh': {'clinical finding': 'ivh', 'existence': 'pos_dx', 'observation': 'ivh'}}anatomical entity_fin: {'frontal lobes': {'location descriptor': 'bilateral'}, 'right parietal lobe': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'chronic ischemic infarcts': {'clinical finding': 'chronic ischemic infarcts', 'cf_snomed': {'infarct': 55641003}, 'existence': 'pos_dx', 'descriptive_term': 'chronic ischemic', 'observation': 'infarct', 'temporal_term': 'chronic'}, 'encephalomalacia': {'clinical finding': 'encephalomalacia', 'cf_snomed': {'encephalomalacia': 58762006}, 'existence': 'pos_dx', 'observation': 'encephalomalacia'}, 'change': {'clinical finding': 'change', 'existence': 'neg_dx', 'observation': 'change'}}clinical findings_fin: {'ventriculomegaly': {'clinical finding': 'ventriculomegaly', 'existence': 'unc_dx', 'observation': 'ventriculomegaly'}, 'intraventricular hemorrhage': {'clinical finding': 'intraventricular hemorrhage', 'cf_snomed': {'hemorrhage': 50960005}, 'existence': 'unc_dx', 'descriptive_term': 'intraventricular', 'observation': 'hemorrhage'}, 'ex vacuo changes': {'clinical finding': 'ex vacuo changes', 'existence': 'unc_dx', 'descriptive_term': 'ex vacuo', 'observation': 'change'}, 'change': {'clinical finding': 'change', 'existence': 'neg_dx', 'observation': 'change'}}location descriptor_fin: ['midline', 'right']clinical findings_fin: {'interval change': {'clinical finding': 'interval change', 'existence': 'neg_dx', 'descriptive_term': 'interval', 'observation': 'change'}}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': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'head': {}}imaging observation_fin: ['enhancing']location descriptor_fin: ['bilateral', 'distal', 'proximal']clinical findings_fin: {'many fine linear enhancing': {'clinical finding': 'many fine linear enhancing', 'existence': 'pos_dx', 'descriptive_term': 'many fine linear', 'observation': 'enhancing', 'quantity_term': 'many'}, 'bilateral distal ica': {'clinical finding': 'bilateral distal ica', 'existence': 'pos_dx', 'descriptive_term': 'bilateral distal', 'observation': 'ica'}, 'clearly demonstrated bilateral distal ica': {'clinical finding': 'clearly demonstrated bilateral distal ica', 'existence': 'neg_dx', 'descriptive_term': 'clearly demonstrated bilateral distal', 'observation': 'ica'}, 'possible moyamoya phenomenon': {'clinical finding': 'possible moyamoya phenomenon', 'existence': 'pos_dx', 'descriptive_term': 'possible moyamoya', 'observation': 'phenomenon'}}location descriptor_fin: ['bilateral', 'proximal']clinical findings_fin: {'bilateral mcas were reconstituted from the proximal bilateral mca m1 segment , and was able': {'clinical finding': 'bilateral mcas were reconstituted from the proximal bilateral mca m1 segment , and was able'}}anatomical entity_fin: {'aortic arch': {}, 'origin': {}, 'left subclavian arteries': {}}location descriptor_fin: ['right', 'left']clinical findings_fin: {'is normal aortic arch origin of the right brachiocephalic , left': {'clinical finding': 'is normal aortic arch origin of the right brachiocephalic , left'}}anatomical entity_fin: {'vertebral artery': {'location descriptor': 'bilateral'}, 'origins': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral vertebral artery origins are normal': {'clinical finding': 'bilateral vertebral artery origins are normal'}}anatomical entity_fin: {'wall': {}}location descriptor_fin: ['bilateral', 'proximal']clinical findings_fin: {'bilateral extracranial proximal icas': {'clinical finding': 'bilateral extracranial proximal icas', 'existence': 'pos_dx', 'descriptive_term': 'bilateral extracranial proximal', 'observation': 'icas'}, 'luminal irregularities': {'clinical finding': 'luminal irregularities', 'existence': 'pos_dx', 'descriptive_term': 'luminal', 'observation': 'irregularity'}, 'wall calcifications': {'clinical finding': 'wall calcifications', 'existence': 'pos_dx', 'descriptive_term': 'wall', 'observation': 'calcification'}, 'significant luminal stenosis': {'clinical finding': 'significant luminal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'neg_dx', 'descriptive_term': 'significant luminal', 'observation': 'stenosis'}}clinical findings_fin: {'vertebrobasilar system appears to be normal': {'clinical finding': 'vertebrobasilar system appears to be normal'}}anatomical entity_fin: {'arteries': {}, 'artery': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral pcom': {'clinical finding': 'bilateral pcom', 'existence': 'pos_dx', 'descriptive_term': 'bilateral', 'observation': 'pcom'}, 'patent_1': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}, 'patent_2': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}location descriptor_fin: ['superficial']procedure_fin: ['drainage']clinical findings_fin: {'is normal superficial and deep intracranial venous drainage': {'clinical finding': 'is normal superficial and deep intracranial venous drainage'}} [/INST] NONCONTRAST CT HEADRedemonstration of left basal ganglia intracerebral hemorrhage with IVH extending into bilateral lateral ventricles, third ventricle and fourth ventricles. Chronic ischemic infarcts with encephalomalacia seen on bilateral frontal lobes and right parietal lobe, no change since prior scan. Ventriculomegaly is seen likely related to intraventricular hemorrhage as well as ex vacuo changes, no change of ventricular size since prior scan. Minimal midline shift toward the right side, no interval change since prior scan. The osseous structures are unremarkable. The paranasal sinuses and mastoid air cells are clear. CTA HEAD AND NECKThere are many fine linear enhancing structures around bilateral distal ICA without clearly demonstrated bilateral distal ICA as well as proximal MCA M1 segment indicating possible moyamoya phenomenon. Bilateral MCAs were reconstituted from the proximal bilateral MCA M1 segment, and was able to trace down to the M3 segments. There is normal aortic arch origin of the right brachiocephalic, left common carotid, and left subclavian arteries. The bilateral vertebral artery origins are normal. Bilateral extracranial proximal ICAs show luminal irregularities with wall calcifications without significant luminal stenosis. Vertebrobasilar system appears to be normal. Bilateral Pcom arteries are patent and Acom artery is also patent. There is normal superficial and deep intracranial venous drainage. </s>

. No evidence of metastases. Patchy opacities in the right lower lobe and centrilobular opacities in the right upper lobe are suggestive of aspiration. Mild emphysema is noted. Tracheomegaly consistent with COPD. No lymphadenopathy. Heart and pericardium normal. None. No significant abnormality noted. Absence of enteric contrast material limits sensitivity for abdominal pathology. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Absence of enteric contrast material limits sensitivity for GI pathology. Gastrostomy tube noted. No significant abnormality noted. No significant abnormality noted.

clinical findings_fin: {'metastases': {'clinical finding': 'metastases', 'existence': 'neg_dx', 'observation': 'metastase'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right upper'}}location descriptor_fin: ['right', 'lower', 'centrilobular', 'upper']clinical findings_fin: {'patchy opacities': {'clinical finding': 'patchy opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'patchy', 'observation': 'opacity'}, 'centrilobular opacities': {'clinical finding': 'centrilobular opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'centrilobular', 'observation': 'opacity'}, 'aspiration': {'clinical finding': 'aspiration', 'existence': 'unc_dx', 'observation': 'aspiration'}}clinical findings_fin: {'mild emphysema': {'clinical finding': 'mild emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'emphysema', 'strength_term': 'mild'}}clinical findings_fin: {'tracheomegaly': {'clinical finding': 'tracheomegaly', 'existence': 'pos_dx', 'observation': 'tracheomegaly'}, 'copd': {'clinical finding': 'copd', 'existence': 'pos_dx', 'observation': 'copd'}}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 normal': {'clinical finding': 'heart and pericardium 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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_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'}}object_fin: ['tube']procedure_fin: ['gastrostomy']clinical findings_fin: {'gastrostomy tube noted': {'clinical finding': 'gastrostomy tube 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'}}

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'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right upper'}}location descriptor_fin: ['right', 'lower', 'centrilobular', 'upper']clinical findings_fin: {'patchy opacities': {'clinical finding': 'patchy opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'patchy', 'observation': 'opacity'}, 'centrilobular opacities': {'clinical finding': 'centrilobular opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'centrilobular', 'observation': 'opacity'}, 'aspiration': {'clinical finding': 'aspiration', 'existence': 'unc_dx', 'observation': 'aspiration'}}clinical findings_fin: {'mild emphysema': {'clinical finding': 'mild emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'emphysema', 'strength_term': 'mild'}}clinical findings_fin: {'tracheomegaly': {'clinical finding': 'tracheomegaly', 'existence': 'pos_dx', 'observation': 'tracheomegaly'}, 'copd': {'clinical finding': 'copd', 'existence': 'pos_dx', 'observation': 'copd'}}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 normal': {'clinical finding': 'heart and pericardium 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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_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'}}object_fin: ['tube']procedure_fin: ['gastrostomy']clinical findings_fin: {'gastrostomy tube noted': {'clinical finding': 'gastrostomy tube 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'}} [/INST] . No evidence of metastases. Patchy opacities in the right lower lobe and centrilobular opacities in the right upper lobe are suggestive of aspiration. Mild emphysema is noted. Tracheomegaly consistent with COPD. No lymphadenopathy. Heart and pericardium normal. None. No significant abnormality noted. Absence of enteric contrast material limits sensitivity for abdominal pathology. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Absence of enteric contrast material limits sensitivity for GI pathology. Gastrostomy tube noted. No significant abnormality noted. No significant abnormality noted. </s>

. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Unchanged punctate nonobstructing stone in the mid right kidney. Unchanged bilateral renal cysts. No hydronephrosis. No significant abnormality noted. Redemonstrated soft tissue mass with calcifications in the mesentery previously measured 2.9 x 1.7 cm , now measures 2.9 x 1.6 cm. Mild multilevel degenerative changes of the spine. No significant abnormality noted. PROSTATE/. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Colonic diverticulosis without evidence of diverticulitis. 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: {'right kidney': {}}clinical findings_fin: {'unchanged punctate': {'clinical finding': 'unchanged punctate', 'existence': 'pos_dx', 'descriptive_term': 'unchanged', 'observation': 'punctate', 'strength_term': 'unchanged', 'change_term': 'unchanged'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'unchanged bilateral renal cysts': {'clinical finding': 'unchanged bilateral renal cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'unchanged bilateral renal', 'observation': 'cyst', 'strength_term': 'unchanged', 'change_term': 'unchanged'}}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'}}size_fin: [{'size': '2.9 x 1.7 cm'}, {'size': '2.9 x 1.6 cm'}]anatomical entity_fin: {'mesentery': {}}clinical findings_fin: {'redemonstrated soft tissue mass': {'clinical finding': 'redemonstrated soft tissue mass', 'cf_snomed': {'soft tissue mass': 278002000}, 'existence': 'pos_dx', 'descriptive_term': 'redemonstrated soft tissue', 'observation': 'mass'}, 'calcifications': {'clinical finding': 'calcifications', 'existence': 'pos_dx', 'observation': 'calcification'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'mild multilevel degenerative changes': {'clinical finding': 'mild multilevel degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'mild multilevel 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: {'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: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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: {'right kidney': {}}clinical findings_fin: {'unchanged punctate': {'clinical finding': 'unchanged punctate', 'existence': 'pos_dx', 'descriptive_term': 'unchanged', 'observation': 'punctate', 'strength_term': 'unchanged', 'change_term': 'unchanged'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'unchanged bilateral renal cysts': {'clinical finding': 'unchanged bilateral renal cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'unchanged bilateral renal', 'observation': 'cyst', 'strength_term': 'unchanged', 'change_term': 'unchanged'}}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'}}size_fin: [{'size': '2.9 x 1.7 cm'}, {'size': '2.9 x 1.6 cm'}]anatomical entity_fin: {'mesentery': {}}clinical findings_fin: {'redemonstrated soft tissue mass': {'clinical finding': 'redemonstrated soft tissue mass', 'cf_snomed': {'soft tissue mass': 278002000}, 'existence': 'pos_dx', 'descriptive_term': 'redemonstrated soft tissue', 'observation': 'mass'}, 'calcifications': {'clinical finding': 'calcifications', 'existence': 'pos_dx', 'observation': 'calcification'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'mild multilevel degenerative changes': {'clinical finding': 'mild multilevel degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'mild multilevel 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: {'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: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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. Unchanged punctate nonobstructing stone in the mid right kidney. Unchanged bilateral renal cysts. No hydronephrosis. No significant abnormality noted. Redemonstrated soft tissue mass with calcifications in the mesentery previously measured 2.9 x 1.7 cm , now measures 2.9 x 1.6 cm. Mild multilevel degenerative changes of the spine. No significant abnormality noted. PROSTATE/. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Colonic diverticulosis without evidence of diverticulitis. No significant abnormality noted. No significant abnormality noted. </s>

. Trace pleural effusions. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Bilateral adrenal nodules the right adrenal nodule which is dominant measuring 2.1 cm is indeterminate by CT. No nephrolithiasis or hydronephrosis in either kidney. Ureters are normal in caliber and course. Mild calcific arteriosclerotic disease affects the aorta. No retroperitoneal hematoma. No significant abnormality noted. Soft tissue infiltration adjacent to the left lateral oblique musculature possibly a sequelae of direct trauma. No significant abnormality noted. PROSTATE/. No significant abnormality noted. No distal ureteral or bladder calculi. No significant abnormality noted. Colonic diverticulosis. No significant abnormality noted. No significant abnormality noted.

clinical findings_fin: {'trace pleural effusions': {'clinical finding': 'trace pleural effusions', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'trace pleural', 'observation': 'effusion'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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': '2.1 cm'}]anatomical entity_fin: {'kidney': {}}location descriptor_fin: ['bilateral', 'right']clinical findings_fin: {'bilateral adrenal nodules': {'clinical finding': 'bilateral adrenal nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral adrenal', 'observation': 'nodule'}, 'right adrenal nodule': {'clinical finding': 'right adrenal nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'right adrenal', 'observation': 'nodule'}, 'ct. no nephrolithiasis': {'clinical finding': 'ct. no nephrolithiasis', 'existence': 'unc_dx', 'descriptive_term': 'ct no', 'observation': 'nephrolithiasis', 'quantity_term': 'no'}, 'hydronephrosis': {'clinical finding': 'hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'neg_dx', 'observation': 'hydronephrosis'}}anatomical entity_fin: {'ureters': {}}clinical findings_fin: {'ureters are normal in caliber and course': {'clinical finding': 'ureters are normal in caliber and course'}}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'}}imaging observation_fin: ['hematoma']clinical findings_fin: {'retroperitoneal hematoma': {'clinical finding': 'retroperitoneal hematoma', 'cf_snomed': {'retroperitoneal hematoma': 236002003}, 'existence': 'neg_dx', 'descriptive_term': 'retroperitoneal', 'observation': 'hematoma'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'musculature': {}}location descriptor_fin: ['adjacent', 'left', 'lateral']clinical findings_fin: {'soft': {'clinical finding': 'soft', 'existence': 'pos_dx', 'observation': 'soft'}, 'direct trauma': {'clinical finding': 'direct trauma', 'existence': 'unc_dx', 'descriptive_term': 'direct', 'observation': 'trauma'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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: {'bladder': {}}location descriptor_fin: ['distal']clinical findings_fin: {'distal ureteral': {'clinical finding': 'distal ureteral', 'existence': 'neg_dx', 'descriptive_term': 'distal', 'observation': 'ureteral'}}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: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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: {'trace pleural effusions': {'clinical finding': 'trace pleural effusions', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'trace pleural', 'observation': 'effusion'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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': '2.1 cm'}]anatomical entity_fin: {'kidney': {}}location descriptor_fin: ['bilateral', 'right']clinical findings_fin: {'bilateral adrenal nodules': {'clinical finding': 'bilateral adrenal nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral adrenal', 'observation': 'nodule'}, 'right adrenal nodule': {'clinical finding': 'right adrenal nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'right adrenal', 'observation': 'nodule'}, 'ct. no nephrolithiasis': {'clinical finding': 'ct. no nephrolithiasis', 'existence': 'unc_dx', 'descriptive_term': 'ct no', 'observation': 'nephrolithiasis', 'quantity_term': 'no'}, 'hydronephrosis': {'clinical finding': 'hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'neg_dx', 'observation': 'hydronephrosis'}}anatomical entity_fin: {'ureters': {}}clinical findings_fin: {'ureters are normal in caliber and course': {'clinical finding': 'ureters are normal in caliber and course'}}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'}}imaging observation_fin: ['hematoma']clinical findings_fin: {'retroperitoneal hematoma': {'clinical finding': 'retroperitoneal hematoma', 'cf_snomed': {'retroperitoneal hematoma': 236002003}, 'existence': 'neg_dx', 'descriptive_term': 'retroperitoneal', 'observation': 'hematoma'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'musculature': {}}location descriptor_fin: ['adjacent', 'left', 'lateral']clinical findings_fin: {'soft': {'clinical finding': 'soft', 'existence': 'pos_dx', 'observation': 'soft'}, 'direct trauma': {'clinical finding': 'direct trauma', 'existence': 'unc_dx', 'descriptive_term': 'direct', 'observation': 'trauma'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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: {'bladder': {}}location descriptor_fin: ['distal']clinical findings_fin: {'distal ureteral': {'clinical finding': 'distal ureteral', 'existence': 'neg_dx', 'descriptive_term': 'distal', 'observation': 'ureteral'}}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: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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] . Trace pleural effusions. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Bilateral adrenal nodules the right adrenal nodule which is dominant measuring 2.1 cm is indeterminate by CT. No nephrolithiasis or hydronephrosis in either kidney. Ureters are normal in caliber and course. Mild calcific arteriosclerotic disease affects the aorta. No retroperitoneal hematoma. No significant abnormality noted. Soft tissue infiltration adjacent to the left lateral oblique musculature possibly a sequelae of direct trauma. No significant abnormality noted. PROSTATE/. No significant abnormality noted. No distal ureteral or bladder calculi. No significant abnormality noted. Colonic diverticulosis. No significant abnormality noted. No significant abnormality noted. </s>

. Please see separate chest CT report. Interval increase in size and number of bilobar hepatic metastatic lesions. The reference segment 6 lesion best seen on image 56 of series 9 now measures 5.6 x 5.2 cm this is in comparison to 3.6 x 3.4 cm on 7/21/2015. The reference segment 2 lesion best seen on image 36 of series 9 now measures 3.9 x 2.6 cm this is in comparison to 3.5 x 2.5 cm on 7/21/2015. A representative new segment 8 lesion best seen on image 34 series 9 measures 2.4 x 2.4 cm. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Stable bilateral renal cysts. Relatively stable bulky retrocrural and retroperitoneal adenopathy. Reference portacaval lymph node best seen on image 44 series 9 measures 3.1 x 2.4 cm. Reference right retrocrural lymph node best seen on image 46 of series 9 measures 3 x 1.5 cm. Mild. Relatively stable omental or peritoneal tumor nodularity. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. New resolution of previously noted ascites. Anterior pelvic tumor nodularity relatively unchanged. Destructive lytic lesion with cortical disruption involving posterior left iliac wing. Stable left pubic sclerotic metastatic lesion. No significant abnormality noted

anatomical entity_fin: {'chest': {}}clinical findings_fin: {'bilobar hepatic metastatic lesions': {'clinical finding': 'bilobar hepatic metastatic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'bilobar hepatic metastatic', 'observation': 'lesion'}}size_fin: [{'size': '5.6 x 5.2 cm'}, {'size': '3.6 x 3.4 cm'}]clinical findings_fin: {'lesion': {'clinical finding': 'lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'observation': 'lesion'}}size_fin: [{'size': '3.9 x 2.6 cm'}, {'size': '3.5 x 2.5 cm'}]clinical findings_fin: {'reference segment 2 lesion': {'clinical finding': 'reference segment 2 lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'reference segment 2', 'observation': 'lesion'}}size_fin: [{'size': '2.4 x 2.4 cm', 'size_descriptor': 'lesion'}]clinical findings_fin: {'representative new segment 8 lesion': {'clinical finding': 'representative new segment 8 lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'representative new segment 8', 'observation': 'lesion', '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: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'stable bilateral renal cysts': {'clinical finding': 'stable bilateral renal cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'stable bilateral renal', 'observation': 'cyst', 'strength_term': 'stable', 'change_term': 'stable'}}clinical findings_fin: {'relatively stable bulky retrocrural and retroperitoneal adenopathy': {'clinical finding': 'relatively stable bulky retrocrural and retroperitoneal adenopathy', 'existence': 'pos_dx', 'descriptive_term': 'relatively stable bulky retrocrural and retroperitoneal', 'observation': 'adenopathy', 'strength_term': 'stable', 'change_term': 'stable'}}size_fin: [{'size': '3.1 x 2.4 cm'}]clinical findings_fin: {'reference portacaval lymph node': {'clinical finding': 'reference portacaval lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference portacaval lymph', 'observation': 'node'}}size_fin: [{'size': '3 x 1.5 cm'}]anatomical entity_fin: {'retrocrural lymph node': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'reference right retrocrural lymph node': {'clinical finding': 'reference right retrocrural lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference right retrocrural lymph', 'observation': 'node'}}clinical findings_fin: {'relatively stable omental or peritoneal tumor': {'clinical finding': 'relatively stable omental or peritoneal tumor', 'existence': 'pos_dx', 'descriptive_term': 'relatively stable omental or peritoneal', 'observation': 'tumor', '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: {'new resolution': {'clinical finding': 'new resolution', 'existence': 'pos_dx', 'descriptive_term': 'new', 'observation': 'resolution', 'temporal_term': 'new'}, 'previously noted ascites': {'clinical finding': 'previously noted ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'previously noted', 'observation': 'ascite'}}location descriptor_fin: ['anterior']clinical findings_fin: {'anterior pelvic tumor nodularity': {'clinical finding': 'anterior pelvic tumor nodularity', 'existence': 'pos_dx', 'descriptive_term': 'anterior pelvic tumor', 'observation': 'nodularity'}}anatomical entity_fin: {'iliac wing': {'location descriptor': 'posterior left'}}location descriptor_fin: ['posterior', 'left']clinical findings_fin: {'destructive lytic lesion': {'clinical finding': 'destructive lytic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'destructive lytic', 'observation': 'lesion'}, 'cortical disruption': {'clinical finding': 'cortical disruption', 'cf_snomed': {'disruption': 76555007}, 'existence': 'pos_dx', 'descriptive_term': 'cortical', 'observation': 'disruption'}}location descriptor_fin: ['left']clinical findings_fin: {'stable left pubic sclerotic metastatic lesion': {'clinical finding': 'stable left pubic sclerotic metastatic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'stable left pubic sclerotic metastatic', 'observation': 'lesion', 'strength_term': 'stable', 'change_term': 'stable'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}

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: {'chest': {}}clinical findings_fin: {'bilobar hepatic metastatic lesions': {'clinical finding': 'bilobar hepatic metastatic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'bilobar hepatic metastatic', 'observation': 'lesion'}}size_fin: [{'size': '5.6 x 5.2 cm'}, {'size': '3.6 x 3.4 cm'}]clinical findings_fin: {'lesion': {'clinical finding': 'lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'observation': 'lesion'}}size_fin: [{'size': '3.9 x 2.6 cm'}, {'size': '3.5 x 2.5 cm'}]clinical findings_fin: {'reference segment 2 lesion': {'clinical finding': 'reference segment 2 lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'reference segment 2', 'observation': 'lesion'}}size_fin: [{'size': '2.4 x 2.4 cm', 'size_descriptor': 'lesion'}]clinical findings_fin: {'representative new segment 8 lesion': {'clinical finding': 'representative new segment 8 lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'representative new segment 8', 'observation': 'lesion', '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: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'stable bilateral renal cysts': {'clinical finding': 'stable bilateral renal cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'stable bilateral renal', 'observation': 'cyst', 'strength_term': 'stable', 'change_term': 'stable'}}clinical findings_fin: {'relatively stable bulky retrocrural and retroperitoneal adenopathy': {'clinical finding': 'relatively stable bulky retrocrural and retroperitoneal adenopathy', 'existence': 'pos_dx', 'descriptive_term': 'relatively stable bulky retrocrural and retroperitoneal', 'observation': 'adenopathy', 'strength_term': 'stable', 'change_term': 'stable'}}size_fin: [{'size': '3.1 x 2.4 cm'}]clinical findings_fin: {'reference portacaval lymph node': {'clinical finding': 'reference portacaval lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference portacaval lymph', 'observation': 'node'}}size_fin: [{'size': '3 x 1.5 cm'}]anatomical entity_fin: {'retrocrural lymph node': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'reference right retrocrural lymph node': {'clinical finding': 'reference right retrocrural lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference right retrocrural lymph', 'observation': 'node'}}clinical findings_fin: {'relatively stable omental or peritoneal tumor': {'clinical finding': 'relatively stable omental or peritoneal tumor', 'existence': 'pos_dx', 'descriptive_term': 'relatively stable omental or peritoneal', 'observation': 'tumor', '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: {'new resolution': {'clinical finding': 'new resolution', 'existence': 'pos_dx', 'descriptive_term': 'new', 'observation': 'resolution', 'temporal_term': 'new'}, 'previously noted ascites': {'clinical finding': 'previously noted ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'previously noted', 'observation': 'ascite'}}location descriptor_fin: ['anterior']clinical findings_fin: {'anterior pelvic tumor nodularity': {'clinical finding': 'anterior pelvic tumor nodularity', 'existence': 'pos_dx', 'descriptive_term': 'anterior pelvic tumor', 'observation': 'nodularity'}}anatomical entity_fin: {'iliac wing': {'location descriptor': 'posterior left'}}location descriptor_fin: ['posterior', 'left']clinical findings_fin: {'destructive lytic lesion': {'clinical finding': 'destructive lytic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'destructive lytic', 'observation': 'lesion'}, 'cortical disruption': {'clinical finding': 'cortical disruption', 'cf_snomed': {'disruption': 76555007}, 'existence': 'pos_dx', 'descriptive_term': 'cortical', 'observation': 'disruption'}}location descriptor_fin: ['left']clinical findings_fin: {'stable left pubic sclerotic metastatic lesion': {'clinical finding': 'stable left pubic sclerotic metastatic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'stable left pubic sclerotic metastatic', 'observation': 'lesion', 'strength_term': 'stable', 'change_term': 'stable'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . Please see separate chest CT report. Interval increase in size and number of bilobar hepatic metastatic lesions. The reference segment 6 lesion best seen on image 56 of series 9 now measures 5.6 x 5.2 cm this is in comparison to 3.6 x 3.4 cm on 7/21/2015. The reference segment 2 lesion best seen on image 36 of series 9 now measures 3.9 x 2.6 cm this is in comparison to 3.5 x 2.5 cm on 7/21/2015. A representative new segment 8 lesion best seen on image 34 series 9 measures 2.4 x 2.4 cm. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Stable bilateral renal cysts. Relatively stable bulky retrocrural and retroperitoneal adenopathy. Reference portacaval lymph node best seen on image 44 series 9 measures 3.1 x 2.4 cm. Reference right retrocrural lymph node best seen on image 46 of series 9 measures 3 x 1.5 cm. Mild. Relatively stable omental or peritoneal tumor nodularity. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. New resolution of previously noted ascites. Anterior pelvic tumor nodularity relatively unchanged. Destructive lytic lesion with cortical disruption involving posterior left iliac wing. Stable left pubic sclerotic metastatic lesion. No significant abnormality noted </s>

.Non-displaced fracturing of the anterior mastoid portion of the temporal bone is seen with mild opacification of the adjacent mastoid air cells and with mild fragmentation of the tegmen mastoideum. The ossicular chain and the otic capsule are not violated by these fractures. An additional nondisplaced fracture is suspected arising from the occipitomastoid suture and extending superiorly through the posterior wall of the jugular fossa. Soft tissue material is evident within the external auditory canal. The tympanic membrane appears to be intact and normal. The ossicles are well visualized, intact, and normally articulated. The middle ear cavity is clear. The inner ear structures including the cochlea and semicircular canals are unremarkable. The internal auditory canal is within normal limits. Soft tissue material is seen within the external auditory canal. The tympanic membrane appears to be intact and normal. The ossicles are well visualized, intact and normally articulated. The middle ear cavity is clear. The inner ear structures including the cochlea and semicircular canals are unremarkable. The internal auditory canal is within normal limits.

anatomical entity_fin: {'temporal bone': {}, 'mastoid air cells': {'location descriptor': 'adjacent'}}location descriptor_fin: ['displaced', 'anterior', 'adjacent']clinical findings_fin: {'non-displaced fracturing': {'clinical finding': 'non-displaced fracturing', 'existence': 'pos_dx', 'descriptive_term': 'non-displaced', 'observation': 'fractureng', 'change_term': 'displaced'}, 'mild opacification': {'clinical finding': 'mild opacification', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'opacification', 'strength_term': 'mild'}, 'adjacent mastoid air cells': {'clinical finding': 'adjacent mastoid air cells', 'existence': 'pos_dx', 'descriptive_term': 'adjacent mastoid air', 'observation': 'cell'}, 'mild fragmentation': {'clinical finding': 'mild fragmentation', 'cf_snomed': {'fragmentation': 112624007}, 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'fragmentation', 'strength_term': 'mild'}}anatomical entity_fin: {'capsule': {}}clinical findings_fin: {'these fractures': {'clinical finding': 'these fractures', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'descriptive_term': 'these', 'observation': 'fracture'}}anatomical entity_fin: {'occipitomastoid suture': {}, 'wall': {'location descriptor': 'posterior'}, 'jugular fossa': {}}location descriptor_fin: ['posterior']clinical findings_fin: {'additional nondisplaced fracture': {'clinical finding': 'additional nondisplaced fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'unc_dx', 'descriptive_term': 'additional nondisplaced', 'observation': 'fracture'}, 'occipitomastoid suture': {'clinical finding': 'occipitomastoid suture', 'existence': 'unc_dx', 'descriptive_term': 'occipitomastoid', 'observation': 'suture'}}anatomical entity_fin: {'external auditory canal': {}}clinical findings_fin: {'soft tissue material is evident within the external auditory canal': {'clinical finding': 'soft tissue material is evident within the external auditory canal'}}anatomical entity_fin: {'tympanic membrane': {}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'pos_dx', 'observation': 'intact'}}clinical findings_fin: {'ossicles': {'clinical finding': 'ossicles', 'existence': 'pos_dx', 'observation': 'ossicle'}, 'intact': {'clinical finding': 'intact', 'existence': 'pos_dx', 'observation': 'intact'}}anatomical entity_fin: {'middle ear cavity': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'}}anatomical entity_fin: {'inner ear': {}, 'cochlea': {}, 'semicircular canals': {}}clinical findings_fin: {'inner ear structures including the cochlea and semicircular canals are unremarkable': {'clinical finding': 'inner ear structures including the cochlea and semicircular canals are unremarkable'}}anatomical entity_fin: {'internal auditory canal': {}}clinical findings_fin: {'internal auditory canal is within normal limits': {'clinical finding': 'internal auditory canal is within normal limits'}}anatomical entity_fin: {'external auditory canal': {}}clinical findings_fin: {'soft tissue material is seen within the external auditory canal': {'clinical finding': 'soft tissue material is seen within the external auditory canal'}}anatomical entity_fin: {'tympanic membrane': {}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'pos_dx', 'observation': 'intact'}}clinical findings_fin: {'ossicles': {'clinical finding': 'ossicles', 'existence': 'pos_dx', 'observation': 'ossicle'}, 'intact': {'clinical finding': 'intact', 'existence': 'pos_dx', 'observation': 'intact'}}anatomical entity_fin: {'middle ear cavity': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'}}anatomical entity_fin: {'inner ear': {}, 'cochlea': {}, 'semicircular canals': {}}clinical findings_fin: {'inner ear structures including the cochlea and semicircular canals are unremarkable': {'clinical finding': 'inner ear structures including the cochlea and semicircular canals are unremarkable'}}anatomical entity_fin: {'internal auditory canal': {}}clinical findings_fin: {'internal auditory canal is within normal limits': {'clinical finding': 'internal auditory canal is within normal limits'}}

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: {'temporal bone': {}, 'mastoid air cells': {'location descriptor': 'adjacent'}}location descriptor_fin: ['displaced', 'anterior', 'adjacent']clinical findings_fin: {'non-displaced fracturing': {'clinical finding': 'non-displaced fracturing', 'existence': 'pos_dx', 'descriptive_term': 'non-displaced', 'observation': 'fractureng', 'change_term': 'displaced'}, 'mild opacification': {'clinical finding': 'mild opacification', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'opacification', 'strength_term': 'mild'}, 'adjacent mastoid air cells': {'clinical finding': 'adjacent mastoid air cells', 'existence': 'pos_dx', 'descriptive_term': 'adjacent mastoid air', 'observation': 'cell'}, 'mild fragmentation': {'clinical finding': 'mild fragmentation', 'cf_snomed': {'fragmentation': 112624007}, 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'fragmentation', 'strength_term': 'mild'}}anatomical entity_fin: {'capsule': {}}clinical findings_fin: {'these fractures': {'clinical finding': 'these fractures', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'descriptive_term': 'these', 'observation': 'fracture'}}anatomical entity_fin: {'occipitomastoid suture': {}, 'wall': {'location descriptor': 'posterior'}, 'jugular fossa': {}}location descriptor_fin: ['posterior']clinical findings_fin: {'additional nondisplaced fracture': {'clinical finding': 'additional nondisplaced fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'unc_dx', 'descriptive_term': 'additional nondisplaced', 'observation': 'fracture'}, 'occipitomastoid suture': {'clinical finding': 'occipitomastoid suture', 'existence': 'unc_dx', 'descriptive_term': 'occipitomastoid', 'observation': 'suture'}}anatomical entity_fin: {'external auditory canal': {}}clinical findings_fin: {'soft tissue material is evident within the external auditory canal': {'clinical finding': 'soft tissue material is evident within the external auditory canal'}}anatomical entity_fin: {'tympanic membrane': {}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'pos_dx', 'observation': 'intact'}}clinical findings_fin: {'ossicles': {'clinical finding': 'ossicles', 'existence': 'pos_dx', 'observation': 'ossicle'}, 'intact': {'clinical finding': 'intact', 'existence': 'pos_dx', 'observation': 'intact'}}anatomical entity_fin: {'middle ear cavity': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'}}anatomical entity_fin: {'inner ear': {}, 'cochlea': {}, 'semicircular canals': {}}clinical findings_fin: {'inner ear structures including the cochlea and semicircular canals are unremarkable': {'clinical finding': 'inner ear structures including the cochlea and semicircular canals are unremarkable'}}anatomical entity_fin: {'internal auditory canal': {}}clinical findings_fin: {'internal auditory canal is within normal limits': {'clinical finding': 'internal auditory canal is within normal limits'}}anatomical entity_fin: {'external auditory canal': {}}clinical findings_fin: {'soft tissue material is seen within the external auditory canal': {'clinical finding': 'soft tissue material is seen within the external auditory canal'}}anatomical entity_fin: {'tympanic membrane': {}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'pos_dx', 'observation': 'intact'}}clinical findings_fin: {'ossicles': {'clinical finding': 'ossicles', 'existence': 'pos_dx', 'observation': 'ossicle'}, 'intact': {'clinical finding': 'intact', 'existence': 'pos_dx', 'observation': 'intact'}}anatomical entity_fin: {'middle ear cavity': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'}}anatomical entity_fin: {'inner ear': {}, 'cochlea': {}, 'semicircular canals': {}}clinical findings_fin: {'inner ear structures including the cochlea and semicircular canals are unremarkable': {'clinical finding': 'inner ear structures including the cochlea and semicircular canals are unremarkable'}}anatomical entity_fin: {'internal auditory canal': {}}clinical findings_fin: {'internal auditory canal is within normal limits': {'clinical finding': 'internal auditory canal is within normal limits'}} [/INST] .Non-displaced fracturing of the anterior mastoid portion of the temporal bone is seen with mild opacification of the adjacent mastoid air cells and with mild fragmentation of the tegmen mastoideum. The ossicular chain and the otic capsule are not violated by these fractures. An additional nondisplaced fracture is suspected arising from the occipitomastoid suture and extending superiorly through the posterior wall of the jugular fossa. Soft tissue material is evident within the external auditory canal. The tympanic membrane appears to be intact and normal. The ossicles are well visualized, intact, and normally articulated. The middle ear cavity is clear. The inner ear structures including the cochlea and semicircular canals are unremarkable. The internal auditory canal is within normal limits. Soft tissue material is seen within the external auditory canal. The tympanic membrane appears to be intact and normal. The ossicles are well visualized, intact and normally articulated. The middle ear cavity is clear. The inner ear structures including the cochlea and semicircular canals are unremarkable. The internal auditory canal is within normal limits. </s>

. No significant abnormality noted. Diffuse hepatic steatosis making evaluation of liver lesions difficult. Cholelithiasis without evidence of cholecystitis. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Moderate. The stomach is under distended with possible thickening and enhancement of the rugal folds which may be due to under distention however this may be seen in setting of gastritis. No obstruction or free air. The appendix is well-visualized and is normal. Osteopenia. Degenerative changes of the spine including grade 1 anterolisthesis of L4 on L5. No significant abnormality noted. No significant abnormality noted. Specifically the ovaries appear unremarkable with no discrete lesions identified. No pelvic free fluid. No significant abnormality noted. No significant abnormality noted. No obstruction or free air. Osteopenia. Degenerative changes of the spine including grade 1 anterolisthesis of L4 on L5. 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 hepatic steatosis': {'clinical finding': 'diffuse hepatic steatosis', 'cf_snomed': {'steatosis': 1187537008}, 'existence': 'pos_dx', 'descriptive_term': 'diffuse hepatic', 'observation': 'steatosis'}, 'liver lesions': {'clinical finding': 'liver lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'unc_dx', 'descriptive_term': 'liver', 'observation': 'lesion'}}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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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: {'stomach': {}, 'folds': {}}clinical findings_fin: {'distended': {'clinical finding': 'distended', 'existence': 'pos_dx', 'observation': 'distended'}, 'possible thickening': {'clinical finding': 'possible thickening', 'existence': 'pos_dx', 'descriptive_term': 'possible', 'observation': 'thickening'}, 'enhancement': {'clinical finding': 'enhancement', 'existence': 'unc_dx', 'observation': 'enhancement'}, 'under distention': {'clinical finding': 'under distention', 'existence': 'unc_dx', 'descriptive_term': 'under', 'observation': 'distention'}, 'gastritis': {'clinical finding': 'gastritis', 'cf_snomed': {'gastritis': 4556007}, 'existence': 'unc_dx', 'observation': 'gastritis'}}clinical findings_fin: {'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'observation': 'obstruction'}, 'free air': {'clinical finding': 'free air', 'existence': 'neg_dx', 'descriptive_term': 'free', 'observation': 'air'}}anatomical entity_fin: {'appendix': {}}clinical findings_fin: {'well - visualized and is normal': {'clinical finding': 'well - visualized and is normal'}}clinical findings_fin: {'osteopenia': {'clinical finding': 'osteopenia', 'cf_snomed': {'osteopenia': 312894000}, 'existence': 'pos_dx', 'observation': 'osteopenia'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'degenerative changes': {'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'}, 'grade 1 anterolisthesis': {'clinical finding': 'grade 1 anterolisthesis', 'existence': 'pos_dx', 'descriptive_term': 'grade 1', 'observation': 'anterolisthesis'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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: {'ovaries': {}}clinical findings_fin: {'discrete lesions': {'clinical finding': 'discrete lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'discrete', 'observation': 'lesion'}}clinical findings_fin: {'pelvic free fluid': {'clinical finding': 'pelvic free fluid', 'existence': 'neg_dx', 'descriptive_term': 'pelvic free', 'observation': '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'}}clinical findings_fin: {'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'observation': 'obstruction'}, 'free air': {'clinical finding': 'free air', 'existence': 'neg_dx', 'descriptive_term': 'free', 'observation': 'air'}}clinical findings_fin: {'osteopenia': {'clinical finding': 'osteopenia', 'cf_snomed': {'osteopenia': 312894000}, 'existence': 'pos_dx', 'observation': 'osteopenia'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'degenerative changes': {'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'}, 'grade 1 anterolisthesis': {'clinical finding': 'grade 1 anterolisthesis', 'existence': 'pos_dx', 'descriptive_term': 'grade 1', 'observation': 'anterolisthesis'}}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 hepatic steatosis': {'clinical finding': 'diffuse hepatic steatosis', 'cf_snomed': {'steatosis': 1187537008}, 'existence': 'pos_dx', 'descriptive_term': 'diffuse hepatic', 'observation': 'steatosis'}, 'liver lesions': {'clinical finding': 'liver lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'unc_dx', 'descriptive_term': 'liver', 'observation': 'lesion'}}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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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: {'stomach': {}, 'folds': {}}clinical findings_fin: {'distended': {'clinical finding': 'distended', 'existence': 'pos_dx', 'observation': 'distended'}, 'possible thickening': {'clinical finding': 'possible thickening', 'existence': 'pos_dx', 'descriptive_term': 'possible', 'observation': 'thickening'}, 'enhancement': {'clinical finding': 'enhancement', 'existence': 'unc_dx', 'observation': 'enhancement'}, 'under distention': {'clinical finding': 'under distention', 'existence': 'unc_dx', 'descriptive_term': 'under', 'observation': 'distention'}, 'gastritis': {'clinical finding': 'gastritis', 'cf_snomed': {'gastritis': 4556007}, 'existence': 'unc_dx', 'observation': 'gastritis'}}clinical findings_fin: {'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'observation': 'obstruction'}, 'free air': {'clinical finding': 'free air', 'existence': 'neg_dx', 'descriptive_term': 'free', 'observation': 'air'}}anatomical entity_fin: {'appendix': {}}clinical findings_fin: {'well - visualized and is normal': {'clinical finding': 'well - visualized and is normal'}}clinical findings_fin: {'osteopenia': {'clinical finding': 'osteopenia', 'cf_snomed': {'osteopenia': 312894000}, 'existence': 'pos_dx', 'observation': 'osteopenia'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'degenerative changes': {'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'}, 'grade 1 anterolisthesis': {'clinical finding': 'grade 1 anterolisthesis', 'existence': 'pos_dx', 'descriptive_term': 'grade 1', 'observation': 'anterolisthesis'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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: {'ovaries': {}}clinical findings_fin: {'discrete lesions': {'clinical finding': 'discrete lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'discrete', 'observation': 'lesion'}}clinical findings_fin: {'pelvic free fluid': {'clinical finding': 'pelvic free fluid', 'existence': 'neg_dx', 'descriptive_term': 'pelvic free', 'observation': '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'}}clinical findings_fin: {'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'observation': 'obstruction'}, 'free air': {'clinical finding': 'free air', 'existence': 'neg_dx', 'descriptive_term': 'free', 'observation': 'air'}}clinical findings_fin: {'osteopenia': {'clinical finding': 'osteopenia', 'cf_snomed': {'osteopenia': 312894000}, 'existence': 'pos_dx', 'observation': 'osteopenia'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'degenerative changes': {'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'}, 'grade 1 anterolisthesis': {'clinical finding': 'grade 1 anterolisthesis', 'existence': 'pos_dx', 'descriptive_term': 'grade 1', 'observation': 'anterolisthesis'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . No significant abnormality noted. Diffuse hepatic steatosis making evaluation of liver lesions difficult. Cholelithiasis without evidence of cholecystitis. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Moderate. The stomach is under distended with possible thickening and enhancement of the rugal folds which may be due to under distention however this may be seen in setting of gastritis. No obstruction or free air. The appendix is well-visualized and is normal. Osteopenia. Degenerative changes of the spine including grade 1 anterolisthesis of L4 on L5. No significant abnormality noted. No significant abnormality noted. Specifically the ovaries appear unremarkable with no discrete lesions identified. No pelvic free fluid. No significant abnormality noted. No significant abnormality noted. No obstruction or free air. Osteopenia. Degenerative changes of the spine including grade 1 anterolisthesis of L4 on L5. No significant abnormality noted </s>

There is a right-sided cervical lymphadenopathy. For example, a right level four necrotic lymph node conglomerate measures 20 x 12 mm. A right level IIb quadrant measures 15 x 13 mm. Mildly asymmetric enhancing soft tissue at the base of the tongue is nonspecific and may simply reflect normal lymphoid tissue. The nasopharynx, oropharynx, hypopharynx, and larynx are otherwise unremarkable. The upper trachea and esophagus are unremarkable. The epiglottis, vallecula, piriform sinuses, and vocal cords are normal. There is a well marginated subcentimeter right thyroid hypodensity. The major salivary glands and thyroid gland are otherwise unremarkable. The visualized intracranial contents are unremarkable without mass, mass effect, midline shift, or abnormal enhancement. The orbits and paranasal sinuses are unremarkable. The cervical spine is unremarkable. The visualized lung apices are unremarkable. The carotid arteries and jugular veins are patent.

location descriptor_fin: ['right']clinical findings_fin: {'right-sided cervical lymphadenopathy': {'clinical finding': 'right-sided cervical lymphadenopathy', 'cf_snomed': {'cervical lymphadenopathy': 127086001}, 'existence': 'pos_dx', 'descriptive_term': 'right-sided cervical', 'observation': 'lymphadenopathy'}}size_fin: [{'size': '20 x 12 mm', 'size_descriptor': 'conglomerate'}]location descriptor_fin: ['right']clinical findings_fin: {'right level four necrotic lymph node': {'clinical finding': 'right level four necrotic lymph node', 'existence': 'pos_dx', 'descriptive_term': 'right level four necrotic lymph', 'observation': 'node'}}size_fin: [{'size': '15 x 13 mm', 'size_descriptor': 'quadrant'}]anatomical entity_fin: {'quadrant': {}}location descriptor_fin: ['right']anatomical entity_fin: {'base': {}, 'tongue': {}, 'lymphoid tissue': {}}imaging observation_fin: ['enhancing']clinical findings_fin: {'mildly asymmetric enhancing soft tissue': {'clinical finding': 'mildly asymmetric enhancing soft tissue', 'existence': 'pos_dx', 'descriptive_term': 'mildly asymmetric enhancing soft', 'observation': 'tissue', 'strength_term': 'mildly'}, 'nonspecific': {'clinical finding': 'nonspecific', 'existence': 'pos_dx', 'observation': 'nonspecific'}, 'normal lymphoid tissue': {'clinical finding': 'normal lymphoid tissue', 'existence': 'unc_dx', 'descriptive_term': 'normal lymphoid', 'observation': 'tissue', 'strength_term': 'normal'}}anatomical entity_fin: {'nasopharynx': {}, 'oropharynx': {}, 'hypopharynx': {}, 'larynx': {}}clinical findings_fin: {'nasopharynx , oropharynx , hypopharynx , and larynx are otherwise unremarkable': {'clinical finding': 'nasopharynx , oropharynx , hypopharynx , and larynx are otherwise 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'}}anatomical entity_fin: {'epiglottis': {}}imaging observation_fin: ['cords']clinical findings_fin: {'epiglottis , vallecula , piriform sinuses , and vocal cords are normal': {'clinical finding': 'epiglottis , vallecula , piriform sinuses , and vocal cords are normal'}}location descriptor_fin: ['right']clinical findings_fin: {'well marginated subcentimeter right thyroid hypodensity': {'clinical finding': 'well marginated subcentimeter right thyroid hypodensity', 'existence': 'pos_dx', 'descriptive_term': 'well marginated subcentimeter right thyroid', 'observation': 'hypodensity'}}anatomical entity_fin: {'major salivary glands': {}, 'thyroid gland': {}}clinical findings_fin: {'major salivary glands and thyroid gland are otherwise unremarkable': {'clinical finding': 'major salivary glands and thyroid gland are otherwise unremarkable'}}anatomical entity_fin: {'contents': {}}location descriptor_fin: ['midline']clinical findings_fin: {'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}, 'mass effect': {'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect'}, 'enhancement': {'clinical finding': 'enhancement', 'existence': 'pos_dx', 'observation': 'enhancement'}}anatomical entity_fin: {'orbits': {}, 'paranasal sinuses': {}}clinical findings_fin: {'orbits and paranasal sinuses are unremarkable': {'clinical finding': 'orbits and paranasal sinuses are unremarkable'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'cervical spine is unremarkable': {'clinical finding': 'cervical spine is unremarkable'}}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': 'pos_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: location descriptor_fin: ['right']clinical findings_fin: {'right-sided cervical lymphadenopathy': {'clinical finding': 'right-sided cervical lymphadenopathy', 'cf_snomed': {'cervical lymphadenopathy': 127086001}, 'existence': 'pos_dx', 'descriptive_term': 'right-sided cervical', 'observation': 'lymphadenopathy'}}size_fin: [{'size': '20 x 12 mm', 'size_descriptor': 'conglomerate'}]location descriptor_fin: ['right']clinical findings_fin: {'right level four necrotic lymph node': {'clinical finding': 'right level four necrotic lymph node', 'existence': 'pos_dx', 'descriptive_term': 'right level four necrotic lymph', 'observation': 'node'}}size_fin: [{'size': '15 x 13 mm', 'size_descriptor': 'quadrant'}]anatomical entity_fin: {'quadrant': {}}location descriptor_fin: ['right']anatomical entity_fin: {'base': {}, 'tongue': {}, 'lymphoid tissue': {}}imaging observation_fin: ['enhancing']clinical findings_fin: {'mildly asymmetric enhancing soft tissue': {'clinical finding': 'mildly asymmetric enhancing soft tissue', 'existence': 'pos_dx', 'descriptive_term': 'mildly asymmetric enhancing soft', 'observation': 'tissue', 'strength_term': 'mildly'}, 'nonspecific': {'clinical finding': 'nonspecific', 'existence': 'pos_dx', 'observation': 'nonspecific'}, 'normal lymphoid tissue': {'clinical finding': 'normal lymphoid tissue', 'existence': 'unc_dx', 'descriptive_term': 'normal lymphoid', 'observation': 'tissue', 'strength_term': 'normal'}}anatomical entity_fin: {'nasopharynx': {}, 'oropharynx': {}, 'hypopharynx': {}, 'larynx': {}}clinical findings_fin: {'nasopharynx , oropharynx , hypopharynx , and larynx are otherwise unremarkable': {'clinical finding': 'nasopharynx , oropharynx , hypopharynx , and larynx are otherwise 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'}}anatomical entity_fin: {'epiglottis': {}}imaging observation_fin: ['cords']clinical findings_fin: {'epiglottis , vallecula , piriform sinuses , and vocal cords are normal': {'clinical finding': 'epiglottis , vallecula , piriform sinuses , and vocal cords are normal'}}location descriptor_fin: ['right']clinical findings_fin: {'well marginated subcentimeter right thyroid hypodensity': {'clinical finding': 'well marginated subcentimeter right thyroid hypodensity', 'existence': 'pos_dx', 'descriptive_term': 'well marginated subcentimeter right thyroid', 'observation': 'hypodensity'}}anatomical entity_fin: {'major salivary glands': {}, 'thyroid gland': {}}clinical findings_fin: {'major salivary glands and thyroid gland are otherwise unremarkable': {'clinical finding': 'major salivary glands and thyroid gland are otherwise unremarkable'}}anatomical entity_fin: {'contents': {}}location descriptor_fin: ['midline']clinical findings_fin: {'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}, 'mass effect': {'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect'}, 'enhancement': {'clinical finding': 'enhancement', 'existence': 'pos_dx', 'observation': 'enhancement'}}anatomical entity_fin: {'orbits': {}, 'paranasal sinuses': {}}clinical findings_fin: {'orbits and paranasal sinuses are unremarkable': {'clinical finding': 'orbits and paranasal sinuses are unremarkable'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'cervical spine is unremarkable': {'clinical finding': 'cervical spine is unremarkable'}}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': 'pos_dx', 'observation': 'patent'}} [/INST] There is a right-sided cervical lymphadenopathy. For example, a right level four necrotic lymph node conglomerate measures 20 x 12 mm. A right level IIb quadrant measures 15 x 13 mm. Mildly asymmetric enhancing soft tissue at the base of the tongue is nonspecific and may simply reflect normal lymphoid tissue. The nasopharynx, oropharynx, hypopharynx, and larynx are otherwise unremarkable. The upper trachea and esophagus are unremarkable. The epiglottis, vallecula, piriform sinuses, and vocal cords are normal. There is a well marginated subcentimeter right thyroid hypodensity. The major salivary glands and thyroid gland are otherwise unremarkable. The visualized intracranial contents are unremarkable without mass, mass effect, midline shift, or abnormal enhancement. The orbits and paranasal sinuses are unremarkable. The cervical spine is unremarkable. The visualized lung apices are unremarkable. The carotid arteries and jugular veins are patent. </s>

. No focal lung nodules. Effusions or pneumothorax. No mediastinal lymphadenopathy. No pericardial effusion. No significant abnormality noted. Normal enhancement of the liver with no evidence of intra or extrahepatic biliary duct dilatation. No gallbladder stones or sludge. Normal enhancement of the spleen with no evidence of perisplenic fluid. Homogeneous enhancement of the pancreas with no peripancreatic fluid collections. No significant abnormality noted. Symmetric enhancement of both kidneys with no evidence of hydronephrosis or ureteral dilatation. 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. No significant abnormality noted

anatomical entity_fin: {'lung': {}}clinical findings_fin: {'focal lung nodules': {'clinical finding': 'focal lung nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'focal lung', 'observation': 'nodule'}}clinical findings_fin: {'effusions': {'clinical finding': 'effusions', 'cf_snomed': {'effusion': 41699000}, 'existence': 'pos_dx', 'observation': 'effusion'}, 'pneumothorax': {'clinical finding': 'pneumothorax', 'cf_snomed': {'pneumothorax': 36118008}, 'existence': 'unc_dx', 'observation': 'pneumothorax'}}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: {'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: {'liver': {}, 'duct': {}}clinical findings_fin: {'normal enhancement': {'clinical finding': 'normal enhancement', 'existence': 'pos_dx', 'descriptive_term': 'normal', 'observation': 'enhancement', 'strength_term': 'normal'}}anatomical entity_fin: {'gallbladder': {}}clinical findings_fin: {'gallbladder stones': {'clinical finding': 'gallbladder stones', 'existence': 'neg_dx', 'descriptive_term': 'gallbladder', 'observation': 'stone'}, 'sludge': {'clinical finding': 'sludge', 'cf_snomed': {'sludge': 44901006}, 'existence': 'neg_dx', 'observation': 'sludge'}}anatomical entity_fin: {'spleen': {}, 'fluid': {}}clinical findings_fin: {'normal enhancement': {'clinical finding': 'normal enhancement', 'existence': 'pos_dx', 'descriptive_term': 'normal', 'observation': 'enhancement', 'strength_term': 'normal'}}anatomical entity_fin: {'pancreas': {}, 'fluid': {}}imaging observation_fin: ['homogeneous enhancement']clinical findings_fin: {'homogeneous enhancement': {'clinical finding': 'homogeneous enhancement', 'existence': 'pos_dx', 'descriptive_term': 'homogeneous', 'observation': 'enhancement'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'kidneys': {}}imaging observation_fin: ['symmetric enhancement']clinical findings_fin: {'symmetric enhancement': {'clinical finding': 'symmetric enhancement', 'existence': 'pos_dx', 'descriptive_term': 'symmetric', 'observation': 'enhancement'}, '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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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: {'lung': {}}clinical findings_fin: {'focal lung nodules': {'clinical finding': 'focal lung nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'focal lung', 'observation': 'nodule'}}clinical findings_fin: {'effusions': {'clinical finding': 'effusions', 'cf_snomed': {'effusion': 41699000}, 'existence': 'pos_dx', 'observation': 'effusion'}, 'pneumothorax': {'clinical finding': 'pneumothorax', 'cf_snomed': {'pneumothorax': 36118008}, 'existence': 'unc_dx', 'observation': 'pneumothorax'}}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: {'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: {'liver': {}, 'duct': {}}clinical findings_fin: {'normal enhancement': {'clinical finding': 'normal enhancement', 'existence': 'pos_dx', 'descriptive_term': 'normal', 'observation': 'enhancement', 'strength_term': 'normal'}}anatomical entity_fin: {'gallbladder': {}}clinical findings_fin: {'gallbladder stones': {'clinical finding': 'gallbladder stones', 'existence': 'neg_dx', 'descriptive_term': 'gallbladder', 'observation': 'stone'}, 'sludge': {'clinical finding': 'sludge', 'cf_snomed': {'sludge': 44901006}, 'existence': 'neg_dx', 'observation': 'sludge'}}anatomical entity_fin: {'spleen': {}, 'fluid': {}}clinical findings_fin: {'normal enhancement': {'clinical finding': 'normal enhancement', 'existence': 'pos_dx', 'descriptive_term': 'normal', 'observation': 'enhancement', 'strength_term': 'normal'}}anatomical entity_fin: {'pancreas': {}, 'fluid': {}}imaging observation_fin: ['homogeneous enhancement']clinical findings_fin: {'homogeneous enhancement': {'clinical finding': 'homogeneous enhancement', 'existence': 'pos_dx', 'descriptive_term': 'homogeneous', 'observation': 'enhancement'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'kidneys': {}}imaging observation_fin: ['symmetric enhancement']clinical findings_fin: {'symmetric enhancement': {'clinical finding': 'symmetric enhancement', 'existence': 'pos_dx', 'descriptive_term': 'symmetric', 'observation': 'enhancement'}, '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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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 focal lung nodules. Effusions or pneumothorax. No mediastinal lymphadenopathy. No pericardial effusion. No significant abnormality noted. Normal enhancement of the liver with no evidence of intra or extrahepatic biliary duct dilatation. No gallbladder stones or sludge. Normal enhancement of the spleen with no evidence of perisplenic fluid. Homogeneous enhancement of the pancreas with no peripancreatic fluid collections. No significant abnormality noted. Symmetric enhancement of both kidneys with no evidence of hydronephrosis or ureteral dilatation. 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. No significant abnormality noted </s>

. Small left Bochdalek hernia. Mild intra-and extrahepatic biliary ductal dilation status post cholecystectomy. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Renal foci too small to further characterize. 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. Lobulated presacral mass measures 4.3 x 2.5 cm , previously 4.5 x 2.6 cm. There is an unchanged peripheral focus of calcification. There is minimal scalloping of the S2 vertebral body without frank erosion.

location descriptor_fin: ['left']clinical findings_fin: {'small left bochdalek hernia': {'clinical finding': 'small left bochdalek hernia', 'cf_snomed': {'hernia': 414403008}, 'existence': 'pos_dx', 'descriptive_term': 'small left bochdalek', 'observation': 'hernia', 'strength_term': 'small'}}procedure_fin: ['cholecystectomy']clinical findings_fin: {'mild intra-and extrahepatic biliary ductal dilation': {'clinical finding': 'mild intra-and extrahepatic biliary ductal dilation', 'existence': 'pos_dx', 'descriptive_term': 'mild intra-and extrahepatic biliary ductal', 'observation': 'dilation', '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'}}imaging observation_fin: ['foci']clinical findings_fin: {'renal foci': {'clinical finding': 'renal foci', 'existence': 'pos_dx', 'descriptive_term': 'renal', 'observation': 'foci'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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': '4.3 x 2.5 cm'}, {'size': '4.5 x 2.6 cm'}]clinical findings_fin: {'lobulated presacral mass': {'clinical finding': 'lobulated presacral mass', 'existence': 'pos_dx', 'descriptive_term': 'lobulated presacral', 'observation': 'mass', 'change_term': 'lobulated'}}location descriptor_fin: ['peripheral']clinical findings_fin: {'calcification': {'clinical finding': 'calcification', 'existence': 'pos_dx', 'observation': 'calcification'}}anatomical entity_fin: {'vertebral body': {}}clinical findings_fin: {'minimal scalloping': {'clinical finding': 'minimal scalloping', 'existence': 'pos_dx', 'descriptive_term': 'minimal', 'observation': 'scallop', 'strength_term': 'minimal', 'quantity_term': 'minimal'}, 'frank erosion': {'clinical finding': 'frank erosion', 'existence': 'pos_dx', 'descriptive_term': 'frank', 'observation': 'erosion'}}

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: {'small left bochdalek hernia': {'clinical finding': 'small left bochdalek hernia', 'cf_snomed': {'hernia': 414403008}, 'existence': 'pos_dx', 'descriptive_term': 'small left bochdalek', 'observation': 'hernia', 'strength_term': 'small'}}procedure_fin: ['cholecystectomy']clinical findings_fin: {'mild intra-and extrahepatic biliary ductal dilation': {'clinical finding': 'mild intra-and extrahepatic biliary ductal dilation', 'existence': 'pos_dx', 'descriptive_term': 'mild intra-and extrahepatic biliary ductal', 'observation': 'dilation', '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'}}imaging observation_fin: ['foci']clinical findings_fin: {'renal foci': {'clinical finding': 'renal foci', 'existence': 'pos_dx', 'descriptive_term': 'renal', 'observation': 'foci'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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': '4.3 x 2.5 cm'}, {'size': '4.5 x 2.6 cm'}]clinical findings_fin: {'lobulated presacral mass': {'clinical finding': 'lobulated presacral mass', 'existence': 'pos_dx', 'descriptive_term': 'lobulated presacral', 'observation': 'mass', 'change_term': 'lobulated'}}location descriptor_fin: ['peripheral']clinical findings_fin: {'calcification': {'clinical finding': 'calcification', 'existence': 'pos_dx', 'observation': 'calcification'}}anatomical entity_fin: {'vertebral body': {}}clinical findings_fin: {'minimal scalloping': {'clinical finding': 'minimal scalloping', 'existence': 'pos_dx', 'descriptive_term': 'minimal', 'observation': 'scallop', 'strength_term': 'minimal', 'quantity_term': 'minimal'}, 'frank erosion': {'clinical finding': 'frank erosion', 'existence': 'pos_dx', 'descriptive_term': 'frank', 'observation': 'erosion'}} [/INST] . Small left Bochdalek hernia. Mild intra-and extrahepatic biliary ductal dilation status post cholecystectomy. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Renal foci too small to further characterize. 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. Lobulated presacral mass measures 4.3 x 2.5 cm , previously 4.5 x 2.6 cm. There is an unchanged peripheral focus of calcification. There is minimal scalloping of the S2 vertebral body without frank erosion. </s>

. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No nephrolithiasis, ureterolithiasis, hydronephrosis or hydroureter. No significant abnormality noted. None. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Cystic changes of the right adnexa are likely physiologic. A vague hyperdensity in the region of the left adnexa with possible associated fluid-fluid level may reflect a hemorrhagic ovarian cyst. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Small amount of complex fluid in the right paracolic gutter in the setting of the aforementioned adnexal findings may represent a ruptured hemorrhagic ovarian cyst. If further imaging evaluation is warranted given the patients history clinical exam, ultrasound could be considered. 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'}}clinical findings_fin: {'nephrolithiasis': {'clinical finding': 'nephrolithiasis', 'existence': 'neg_dx', 'observation': 'nephrolithiasis'}, 'ureterolithiasis': {'clinical finding': 'ureterolithiasis', 'existence': 'neg_dx', 'observation': 'ureterolithiasis'}, 'hydronephrosis': {'clinical finding': 'hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'neg_dx', 'observation': 'hydronephrosis'}, 'hydroureter': {'clinical finding': 'hydroureter', 'cf_snomed': {'hydroureter': 69758005}, 'existence': 'neg_dx', 'observation': 'hydroureter'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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: {'cystic changes': {'clinical finding': 'cystic changes', 'existence': 'pos_dx', 'descriptive_term': 'cystic', 'observation': 'change'}}imaging observation_fin: ['fluid-fluid level']location descriptor_fin: ['left']clinical findings_fin: {'vague hyperdensity': {'clinical finding': 'vague hyperdensity', 'existence': 'pos_dx', 'descriptive_term': 'vague', 'observation': 'hyperdensity'}, 'possible associated fluid-fluid': {'clinical finding': 'possible associated fluid-fluid', 'existence': 'pos_dx', 'descriptive_term': 'possible associated', 'observation': 'fluid'}, 'hemorrhagic ovarian cyst': {'clinical finding': 'hemorrhagic ovarian cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'unc_dx', 'descriptive_term': 'hemorrhagic ovarian', '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: {'fluid': {}, 'paracolic gutter': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'ruptured hemorrhagic ovarian cyst': {'clinical finding': 'ruptured hemorrhagic ovarian cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'unc_dx', 'descriptive_term': 'ruptured hemorrhagic ovarian', 'observation': 'cyst'}}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'}}clinical findings_fin: {'nephrolithiasis': {'clinical finding': 'nephrolithiasis', 'existence': 'neg_dx', 'observation': 'nephrolithiasis'}, 'ureterolithiasis': {'clinical finding': 'ureterolithiasis', 'existence': 'neg_dx', 'observation': 'ureterolithiasis'}, 'hydronephrosis': {'clinical finding': 'hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'neg_dx', 'observation': 'hydronephrosis'}, 'hydroureter': {'clinical finding': 'hydroureter', 'cf_snomed': {'hydroureter': 69758005}, 'existence': 'neg_dx', 'observation': 'hydroureter'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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: {'cystic changes': {'clinical finding': 'cystic changes', 'existence': 'pos_dx', 'descriptive_term': 'cystic', 'observation': 'change'}}imaging observation_fin: ['fluid-fluid level']location descriptor_fin: ['left']clinical findings_fin: {'vague hyperdensity': {'clinical finding': 'vague hyperdensity', 'existence': 'pos_dx', 'descriptive_term': 'vague', 'observation': 'hyperdensity'}, 'possible associated fluid-fluid': {'clinical finding': 'possible associated fluid-fluid', 'existence': 'pos_dx', 'descriptive_term': 'possible associated', 'observation': 'fluid'}, 'hemorrhagic ovarian cyst': {'clinical finding': 'hemorrhagic ovarian cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'unc_dx', 'descriptive_term': 'hemorrhagic ovarian', '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: {'fluid': {}, 'paracolic gutter': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'ruptured hemorrhagic ovarian cyst': {'clinical finding': 'ruptured hemorrhagic ovarian cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'unc_dx', 'descriptive_term': 'ruptured hemorrhagic ovarian', 'observation': 'cyst'}}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. No nephrolithiasis, ureterolithiasis, hydronephrosis or hydroureter. No significant abnormality noted. None. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Cystic changes of the right adnexa are likely physiologic. A vague hyperdensity in the region of the left adnexa with possible associated fluid-fluid level may reflect a hemorrhagic ovarian cyst. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Small amount of complex fluid in the right paracolic gutter in the setting of the aforementioned adnexal findings may represent a ruptured hemorrhagic ovarian cyst. If further imaging evaluation is warranted given the patients history clinical exam, ultrasound could be considered. No significant abnormality noted </s>

The postoperative findings related to recent tumor resection have evolved with decreased pneumocephalus and edema surrounding the surgical cavity, with associated with decreased mass effect upon the adjacent right lateral ventricle and almost resolved midline shift. The extra-axial heterogeneous fluid underlying the craniotomy flap is smaller as well. The fluid-filled surgical cavity has not significantly changed. A persistent punctate focus of hyperattenuation along the posterior inferior surgical margin is unchanged and probably reflects blood products. Otherwise, there is no evidence of intracranial hemorrhage or mass. The paranasal sinuses are clear. There is decreased scalp soft tissue swelling overlying the craniotomy flap.

anatomical entity_fin: {'right lateral ventricle': {'location descriptor': 'adjacent'}}location descriptor_fin: ['adjacent', 'midline']clinical findings_fin: {'postoperative': {'clinical finding': 'postoperative', 'existence': 'pos_dx', 'observation': 'postoperative'}, 'recent tumor resection': {'clinical finding': 'recent tumor resection', 'existence': 'pos_dx', 'descriptive_term': 'recent tumor', 'observation': 'resection'}, 'decreased pneumocephalus': {'clinical finding': 'decreased pneumocephalus', 'cf_snomed': {'pneumocephalus': 14415006}, 'existence': 'pos_dx', 'descriptive_term': 'decreased', 'observation': 'pneumocephalus', 'strength_term': 'decreased', 'change_term': 'decreased'}, 'edema': {'clinical finding': 'edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'observation': 'edema'}, 'surgical cavity': {'clinical finding': 'surgical cavity', 'cf_snomed': {'cavity': 2483006}, 'existence': 'pos_dx', 'descriptive_term': 'surgical', 'observation': 'cavity'}, 'decreased mass effect': {'clinical finding': 'decreased mass effect', 'existence': 'pos_dx', 'descriptive_term': 'decreased mass', 'observation': 'effect', 'strength_term': 'decreased', 'change_term': 'decreased'}, 'almost resolved midline shift': {'clinical finding': 'almost resolved midline shift', 'cf_snomed': {'shift': 9546005}, 'existence': 'pos_dx', 'descriptive_term': 'almost resolved midline', 'observation': 'shift'}}anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'extra-axial heterogeneous fluid underlying': {'clinical finding': 'extra-axial heterogeneous fluid underlying'}}anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'fluid-filled surgical cavity': {'clinical finding': 'fluid-filled surgical cavity', 'cf_snomed': {'cavity': 2483006}, 'existence': 'neg_dx', 'descriptive_term': 'fluid-filled surgical', 'observation': 'cavity', 'change_term': 'filled'}}imaging observation_fin: ['margin', 'blood products']location descriptor_fin: ['posterior', 'inferior']clinical findings_fin: {'hyperattenuation': {'clinical finding': 'hyperattenuation', 'existence': 'pos_dx', 'observation': 'hyperattenuation'}, 'posterior inferior surgical margin': {'clinical finding': 'posterior inferior surgical margin', 'cf_snomed': {'inferior surgical margin': 3860001000004101}, 'existence': 'pos_dx', 'descriptive_term': 'posterior inferior surgical', 'observation': 'margin'}, 'blood products': {'clinical finding': 'blood products', 'existence': 'unc_dx', 'descriptive_term': 'blood', 'observation': 'product'}}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'}}anatomical entity_fin: {'paranasal sinuses': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'}}anatomical entity_fin: {'scalp': {}}clinical findings_fin: {'soft tissue swelling': {'clinical finding': 'soft tissue swelling', 'cf_snomed': {'soft tissue swelling': 298349001}, 'existence': 'pos_dx', 'descriptive_term': '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: {'right lateral ventricle': {'location descriptor': 'adjacent'}}location descriptor_fin: ['adjacent', 'midline']clinical findings_fin: {'postoperative': {'clinical finding': 'postoperative', 'existence': 'pos_dx', 'observation': 'postoperative'}, 'recent tumor resection': {'clinical finding': 'recent tumor resection', 'existence': 'pos_dx', 'descriptive_term': 'recent tumor', 'observation': 'resection'}, 'decreased pneumocephalus': {'clinical finding': 'decreased pneumocephalus', 'cf_snomed': {'pneumocephalus': 14415006}, 'existence': 'pos_dx', 'descriptive_term': 'decreased', 'observation': 'pneumocephalus', 'strength_term': 'decreased', 'change_term': 'decreased'}, 'edema': {'clinical finding': 'edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'observation': 'edema'}, 'surgical cavity': {'clinical finding': 'surgical cavity', 'cf_snomed': {'cavity': 2483006}, 'existence': 'pos_dx', 'descriptive_term': 'surgical', 'observation': 'cavity'}, 'decreased mass effect': {'clinical finding': 'decreased mass effect', 'existence': 'pos_dx', 'descriptive_term': 'decreased mass', 'observation': 'effect', 'strength_term': 'decreased', 'change_term': 'decreased'}, 'almost resolved midline shift': {'clinical finding': 'almost resolved midline shift', 'cf_snomed': {'shift': 9546005}, 'existence': 'pos_dx', 'descriptive_term': 'almost resolved midline', 'observation': 'shift'}}anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'extra-axial heterogeneous fluid underlying': {'clinical finding': 'extra-axial heterogeneous fluid underlying'}}anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'fluid-filled surgical cavity': {'clinical finding': 'fluid-filled surgical cavity', 'cf_snomed': {'cavity': 2483006}, 'existence': 'neg_dx', 'descriptive_term': 'fluid-filled surgical', 'observation': 'cavity', 'change_term': 'filled'}}imaging observation_fin: ['margin', 'blood products']location descriptor_fin: ['posterior', 'inferior']clinical findings_fin: {'hyperattenuation': {'clinical finding': 'hyperattenuation', 'existence': 'pos_dx', 'observation': 'hyperattenuation'}, 'posterior inferior surgical margin': {'clinical finding': 'posterior inferior surgical margin', 'cf_snomed': {'inferior surgical margin': 3860001000004101}, 'existence': 'pos_dx', 'descriptive_term': 'posterior inferior surgical', 'observation': 'margin'}, 'blood products': {'clinical finding': 'blood products', 'existence': 'unc_dx', 'descriptive_term': 'blood', 'observation': 'product'}}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'}}anatomical entity_fin: {'paranasal sinuses': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'}}anatomical entity_fin: {'scalp': {}}clinical findings_fin: {'soft tissue swelling': {'clinical finding': 'soft tissue swelling', 'cf_snomed': {'soft tissue swelling': 298349001}, 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'swell'}} [/INST] The postoperative findings related to recent tumor resection have evolved with decreased pneumocephalus and edema surrounding the surgical cavity, with associated with decreased mass effect upon the adjacent right lateral ventricle and almost resolved midline shift. The extra-axial heterogeneous fluid underlying the craniotomy flap is smaller as well. The fluid-filled surgical cavity has not significantly changed. A persistent punctate focus of hyperattenuation along the posterior inferior surgical margin is unchanged and probably reflects blood products. Otherwise, there is no evidence of intracranial hemorrhage or mass. The paranasal sinuses are clear. There is decreased scalp soft tissue swelling overlying the craniotomy flap. </s>

. Bilateral metastatic pulmonary nodules. Reference right lower lobe nodule measures 2.2 x 1.2 cm , previously 2.0 x 1.1 cm. Reference right middle lobe nodule measures 0.9 x 0.8 cm , previously 0.7 x 0.7 cm. Additional nonreference pulmonary nodules have increased in size. No mediastinal or hilar lymphadenopathy. Heart size is normal. No pericardial effusion. None. No significant abnormality noted. Two subcentimeter hepatic hypodensities are unchanged. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Bilateral renal cysts. Right renal cortical scarring. Right nephroureteral catheter in the expected location. IVC filter. Stent in the right iliac vein. Moderate. Increasing mesenteric masses. Reference right mesenteric mass measures 19.0 x 13.8 cm , previously 16.0 x 11.1 cm. Reference left mesenteric mass measures 5.9 x 4.9 cm , previously 4.9 x 3.6 cm. Small amount of peritoneal free fluid. Wide neck ventral hernia containing a small bowel loop with a small focus of adjacent fluid. No evidence of bowel wall thickening or obstruction. Soft tissue nodularity in the subcutaneous tissues of the anterior abdominal wall, likely injection sites. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Thickening of the peritoneum and mesorectal fascia, eccentric to the right, unchanged. No significant abnormality noted.

location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral metastatic pulmonary nodules': {'clinical finding': 'bilateral metastatic pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral metastatic pulmonary', 'observation': 'nodule'}}size_fin: [{'size': '2.2 x 1.2 cm'}, {'size': '2.0 x 1.1 cm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'reference right lower lobe nodule': {'clinical finding': 'reference right lower lobe nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'reference right lower lobe', 'observation': 'nodule'}}size_fin: [{'size': '0.9 x 0.8 cm'}, {'size': '0.7 x 0.7 cm'}]anatomical entity_fin: {'middle': {'location descriptor': 'right'}, 'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'reference right middle lobe nodule': {'clinical finding': 'reference right middle lobe nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'reference right middle lobe', 'observation': 'nodule'}}clinical findings_fin: {'additional nonreference pulmonary nodules': {'clinical finding': 'additional nonreference pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'additional nonreference pulmonary', 'observation': 'nodule'}}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: {'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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'two subcentimeter hepatic hypodensities': {'clinical finding': 'two subcentimeter hepatic hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'two subcentimeter hepatic', '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: ['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'}}location descriptor_fin: ['right']clinical findings_fin: {'right renal cortical scarring': {'clinical finding': 'right renal cortical scarring', 'existence': 'pos_dx', 'descriptive_term': 'right renal cortical', 'observation': 'scarr'}}location descriptor_fin: ['right']object_fin: ['catheter']clinical findings_fin: {'right nephroureteral catheter in the expected location': {'clinical finding': 'right nephroureteral catheter in the expected location'}}object_fin: ['filter']clinical findings_fin: {'ivc filter': {'clinical finding': 'ivc filter'}}anatomical entity_fin: {'vein': {}}location descriptor_fin: ['right']clinical findings_fin: {'mesenteric masses': {'clinical finding': 'mesenteric masses', 'existence': 'pos_dx', 'descriptive_term': 'mesenteric', 'observation': 'mass'}}size_fin: [{'size': '19.0 x 13.8 cm'}, {'size': '16.0 x 11.1 cm'}]location descriptor_fin: ['right']clinical findings_fin: {'reference right mesenteric mass': {'clinical finding': 'reference right mesenteric mass', 'existence': 'pos_dx', 'descriptive_term': 'reference right mesenteric', 'observation': 'mass'}}size_fin: [{'size': '5.9 x 4.9 cm'}, {'size': '4.9 x 3.6 cm'}]location descriptor_fin: ['left']clinical findings_fin: {'reference left mesenteric mass': {'clinical finding': 'reference left mesenteric mass', 'existence': 'pos_dx', 'descriptive_term': 'reference left mesenteric', 'observation': 'mass'}}clinical findings_fin: {'peritoneal free fluid': {'clinical finding': 'peritoneal free fluid', 'existence': 'pos_dx', 'descriptive_term': 'peritoneal free', 'observation': 'fluid'}}anatomical entity_fin: {'neck': {}, 'bowel': {}, 'fluid': {'location descriptor': 'adjacent'}}location descriptor_fin: ['adjacent']clinical findings_fin: {'wide neck ventral hernia': {'clinical finding': 'wide neck ventral hernia', 'cf_snomed': {'hernia': 414403008}, 'existence': 'pos_dx', 'descriptive_term': 'wide neck ventral', 'observation': 'hernia', 'strength_term': 'wide'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'bowel wall thickening': {'clinical finding': 'bowel wall thickening', 'existence': 'neg_dx', 'descriptive_term': 'bowel wall', 'observation': 'thickening'}, 'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'observation': 'obstruction'}}anatomical entity_fin: {'anterior abdominal wall': {}}clinical findings_fin: {'soft tissue nodularity': {'clinical finding': 'soft tissue nodularity', 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'nodularity'}, 'likely injection sites': {'clinical finding': 'likely injection sites', 'cf_snomed': {'injection site': 13136005}, 'existence': 'pos_dx', 'descriptive_term': 'likely injection', 'observation': 'site'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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: {'peritoneum': {}, 'fascia': {}}location descriptor_fin: ['right']clinical findings_fin: {'thickening of the peritoneum and mesorectal fascia , eccentric to the right , unchanged': {'clinical finding': 'thickening of the peritoneum and mesorectal fascia , eccentric to the right , unchanged', 'change_term': 'unchanged'}}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: ['bilateral']clinical findings_fin: {'bilateral metastatic pulmonary nodules': {'clinical finding': 'bilateral metastatic pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral metastatic pulmonary', 'observation': 'nodule'}}size_fin: [{'size': '2.2 x 1.2 cm'}, {'size': '2.0 x 1.1 cm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'reference right lower lobe nodule': {'clinical finding': 'reference right lower lobe nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'reference right lower lobe', 'observation': 'nodule'}}size_fin: [{'size': '0.9 x 0.8 cm'}, {'size': '0.7 x 0.7 cm'}]anatomical entity_fin: {'middle': {'location descriptor': 'right'}, 'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'reference right middle lobe nodule': {'clinical finding': 'reference right middle lobe nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'reference right middle lobe', 'observation': 'nodule'}}clinical findings_fin: {'additional nonreference pulmonary nodules': {'clinical finding': 'additional nonreference pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'additional nonreference pulmonary', 'observation': 'nodule'}}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: {'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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'two subcentimeter hepatic hypodensities': {'clinical finding': 'two subcentimeter hepatic hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'two subcentimeter hepatic', '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: ['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'}}location descriptor_fin: ['right']clinical findings_fin: {'right renal cortical scarring': {'clinical finding': 'right renal cortical scarring', 'existence': 'pos_dx', 'descriptive_term': 'right renal cortical', 'observation': 'scarr'}}location descriptor_fin: ['right']object_fin: ['catheter']clinical findings_fin: {'right nephroureteral catheter in the expected location': {'clinical finding': 'right nephroureteral catheter in the expected location'}}object_fin: ['filter']clinical findings_fin: {'ivc filter': {'clinical finding': 'ivc filter'}}anatomical entity_fin: {'vein': {}}location descriptor_fin: ['right']clinical findings_fin: {'mesenteric masses': {'clinical finding': 'mesenteric masses', 'existence': 'pos_dx', 'descriptive_term': 'mesenteric', 'observation': 'mass'}}size_fin: [{'size': '19.0 x 13.8 cm'}, {'size': '16.0 x 11.1 cm'}]location descriptor_fin: ['right']clinical findings_fin: {'reference right mesenteric mass': {'clinical finding': 'reference right mesenteric mass', 'existence': 'pos_dx', 'descriptive_term': 'reference right mesenteric', 'observation': 'mass'}}size_fin: [{'size': '5.9 x 4.9 cm'}, {'size': '4.9 x 3.6 cm'}]location descriptor_fin: ['left']clinical findings_fin: {'reference left mesenteric mass': {'clinical finding': 'reference left mesenteric mass', 'existence': 'pos_dx', 'descriptive_term': 'reference left mesenteric', 'observation': 'mass'}}clinical findings_fin: {'peritoneal free fluid': {'clinical finding': 'peritoneal free fluid', 'existence': 'pos_dx', 'descriptive_term': 'peritoneal free', 'observation': 'fluid'}}anatomical entity_fin: {'neck': {}, 'bowel': {}, 'fluid': {'location descriptor': 'adjacent'}}location descriptor_fin: ['adjacent']clinical findings_fin: {'wide neck ventral hernia': {'clinical finding': 'wide neck ventral hernia', 'cf_snomed': {'hernia': 414403008}, 'existence': 'pos_dx', 'descriptive_term': 'wide neck ventral', 'observation': 'hernia', 'strength_term': 'wide'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'bowel wall thickening': {'clinical finding': 'bowel wall thickening', 'existence': 'neg_dx', 'descriptive_term': 'bowel wall', 'observation': 'thickening'}, 'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'observation': 'obstruction'}}anatomical entity_fin: {'anterior abdominal wall': {}}clinical findings_fin: {'soft tissue nodularity': {'clinical finding': 'soft tissue nodularity', 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'nodularity'}, 'likely injection sites': {'clinical finding': 'likely injection sites', 'cf_snomed': {'injection site': 13136005}, 'existence': 'pos_dx', 'descriptive_term': 'likely injection', 'observation': 'site'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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: {'peritoneum': {}, 'fascia': {}}location descriptor_fin: ['right']clinical findings_fin: {'thickening of the peritoneum and mesorectal fascia , eccentric to the right , unchanged': {'clinical finding': 'thickening of the peritoneum and mesorectal fascia , eccentric to the right , unchanged', 'change_term': 'unchanged'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . Bilateral metastatic pulmonary nodules. Reference right lower lobe nodule measures 2.2 x 1.2 cm , previously 2.0 x 1.1 cm. Reference right middle lobe nodule measures 0.9 x 0.8 cm , previously 0.7 x 0.7 cm. Additional nonreference pulmonary nodules have increased in size. No mediastinal or hilar lymphadenopathy. Heart size is normal. No pericardial effusion. None. No significant abnormality noted. Two subcentimeter hepatic hypodensities are unchanged. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Bilateral renal cysts. Right renal cortical scarring. Right nephroureteral catheter in the expected location. IVC filter. Stent in the right iliac vein. Moderate. Increasing mesenteric masses. Reference right mesenteric mass measures 19.0 x 13.8 cm , previously 16.0 x 11.1 cm. Reference left mesenteric mass measures 5.9 x 4.9 cm , previously 4.9 x 3.6 cm. Small amount of peritoneal free fluid. Wide neck ventral hernia containing a small bowel loop with a small focus of adjacent fluid. No evidence of bowel wall thickening or obstruction. Soft tissue nodularity in the subcutaneous tissues of the anterior abdominal wall, likely injection sites. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Thickening of the peritoneum and mesorectal fascia, eccentric to the right, unchanged. No significant abnormality noted. </s>

Neck. There is opacification of the aortic arch, great vessels from the aortic arch and carotid arteries and vertebral arteries. There is no stenosis identified of the great vessels from the aortic arch. On the basis of NASCET criteria there is no significant stenosis at the carotid bifurcations. There is no significant stenosis along the course of the vertebral arteries. Atherosclerotic calcifications are present at the carotid bifurcations. There are multilevel degenerative changes present in the cervical spine with endplate and uncovertebral osteophytes at C3-4, C4-5, C5-6 and 67 as well as C7-T1 with associated loss of disc space height. Appears to be worse at C5-6 where there are findings suggestive of spinal stenosis. Brain. There is a 3mm pseudoaneurysm along the superior lobule branch of the right facial artery. There is opacification of the distal internal carotid arteries, the distal vertebral arteries and the proximal anterior middle and posterior cerebral arteries. No aneurysms or intracranial stenosis is appreciated. The anterior communicating artery and the posterior communicating arteries are identified and are intact. The CSF spaces are appropriate for the patients stated age with no midline shift. There is marked soft tissue swelling and infiltration of the cheeks bilaterally right more than left. There is redemonstration of bilateral fractures of the lateral walls of the maxillary sinuses and fractures of the medial walls of the maxillary sinuses and fractures along the pterygoid plates bilaterally in a pattern similar to LeFort type I, however, the alveolar ridges are minimally involved. There is minimal displacement on the left and the left sided fractures do not involve the entire length of the left lateral maxillary sinus wall ni continuity. Periventricular and subcortical white matter hypodensities of a moderate degree are present. Atherosclerotic calcifications are present along the distal internal carotid arteries. 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 are opacified with hyperdense material. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact. The right eye lens is thin

anatomical entity_fin: {'aortic arch': {}, 'arteries': {}, 'vertebral arteries': {}}clinical findings_fin: {'opacification': {'clinical finding': 'opacification', 'existence': 'pos_dx', 'observation': 'opacification'}}anatomical entity_fin: {'aortic arch': {}}clinical findings_fin: {'stenosis': {'clinical finding': 'stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'neg_dx', 'observation': 'stenosis'}}clinical findings_fin: {'nascet': {'clinical finding': 'nascet', 'existence': 'unc_dx', 'observation': 'nascet'}, 'significant stenosis': {'clinical finding': 'significant stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'stenosis'}}anatomical entity_fin: {'vertebral arteries': {}}clinical findings_fin: {'significant stenosis': {'clinical finding': 'significant stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'stenosis'}}clinical findings_fin: {'atherosclerotic calcifications': {'clinical finding': 'atherosclerotic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'}}anatomical entity_fin: {'cervical spine': {}, 'endplate': {}, 'disc': {}}clinical findings_fin: {'multilevel degenerative changes': {'clinical finding': 'multilevel degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'multilevel degenerative', 'observation': 'change'}, 'endplate and uncovertebral osteophytes': {'clinical finding': 'endplate and uncovertebral osteophytes', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'endplate and uncovertebral', 'observation': 'osteophyte'}, 'disc space height': {'clinical finding': 'disc space height', 'existence': 'pos_dx', 'descriptive_term': 'disc space', 'observation': 'height'}}anatomical entity_fin: {'spinal': {}}clinical findings_fin: {'spinal stenosis': {'clinical finding': 'spinal stenosis', 'cf_snomed': {'spinal stenosis': 76107001}, 'existence': 'unc_dx', 'descriptive_term': 'spinal', 'observation': 'stenosis'}}size_fin: [{'size': '3mm', 'size_descriptor': 'pseudoaneurysm'}]anatomical entity_fin: {'lobule': {'location descriptor': 'superior'}, 'facial artery': {'location descriptor': 'right'}}location descriptor_fin: ['superior', 'right']clinical findings_fin: {'3mm pseudoaneurysm': {'clinical finding': '3mm pseudoaneurysm', 'cf_snomed': {'pseudoaneurysm': 443089001}, 'existence': 'pos_dx', 'descriptive_term': '3mm', 'observation': 'pseudoaneurysm'}}anatomical entity_fin: {'internal carotid arteries': {'location descriptor': 'distal'}, 'vertebral arteries': {'location descriptor': 'distal'}, 'middle': {'location descriptor': 'proximal anterior'}, 'posterior cerebral arteries': {}}location descriptor_fin: ['distal', 'proximal', 'anterior']clinical findings_fin: {'opacification': {'clinical finding': 'opacification', 'existence': 'pos_dx', 'observation': 'opacification'}}clinical findings_fin: {'aneurysms': {'clinical finding': 'aneurysms', 'cf_snomed': {'aneurysm': 432119003}, 'existence': 'neg_dx', 'observation': 'aneurysm'}, 'intracranial stenosis': {'clinical finding': 'intracranial stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'stenosis'}}anatomical entity_fin: {'anterior communicating artery': {}, 'posterior communicating arteries': {}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': '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: {'cheeks': {}}location descriptor_fin: ['right', 'left']clinical findings_fin: {'marked soft tissue swelling': {'clinical finding': 'marked soft tissue swelling', 'cf_snomed': {'soft tissue swelling': 298349001}, 'existence': 'pos_dx', 'descriptive_term': 'marked soft tissue', 'observation': 'swell'}}anatomical entity_fin: {'walls': {'location descriptor': 'medial'}}location descriptor_fin: ['bilateral', 'lateral', 'medial']clinical findings_fin: {'bilateral fractures': {'clinical finding': 'bilateral fractures', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral', 'observation': 'fracture'}, 'fractures_1': {'clinical finding': 'fractures', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'observation': 'fracture'}, 'fractures_2': {'clinical finding': 'fractures', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'observation': 'fracture'}, 'alveolar ridges': {'clinical finding': 'alveolar ridges', 'existence': 'pos_dx', 'descriptive_term': 'alveolar', 'observation': 'ridges'}}anatomical entity_fin: {'maxillary sinus': {'location descriptor': 'left lateral'}, 'wall': {}}location descriptor_fin: ['left', 'lateral']clinical findings_fin: {'minimal displacement': {'clinical finding': 'minimal displacement', 'existence': 'pos_dx', 'descriptive_term': 'minimal', 'observation': 'displacement', 'strength_term': 'minimal', 'quantity_term': 'minimal'}, 'left sided fractures': {'clinical finding': 'left sided fractures', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'left sided', 'observation': 'fracture'}, 'left lateral maxillary sinus wall ni continuity': {'clinical finding': 'left lateral maxillary sinus wall ni continuity', 'cf_snomed': {'sinus': 419351001}, 'existence': 'unc_dx', 'descriptive_term': 'left lateral maxillary sinus wall ni', 'observation': 'continuity'}}clinical findings_fin: {'periventricular and subcortical white matter hypodensities': {'clinical finding': 'periventricular and subcortical white matter hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'periventricular and subcortical white matter', 'observation': 'hypodensity'}}anatomical entity_fin: {'internal carotid arteries': {'location descriptor': 'distal'}}location descriptor_fin: ['distal']clinical findings_fin: {'atherosclerotic calcifications': {'clinical finding': 'atherosclerotic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'}}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': {}}clinical findings_fin: {'hyperdense material': {'clinical finding': 'hyperdense material', 'existence': 'pos_dx', 'descriptive_term': 'hyperdense', 'observation': 'material'}}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'}}anatomical entity_fin: {'eye': {'location descriptor': 'right'}, 'lens': {}}location descriptor_fin: ['right']clinical findings_fin: {'right eye lens is thin': {'clinical finding': 'right eye lens is thin'}}

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': {}, 'arteries': {}, 'vertebral arteries': {}}clinical findings_fin: {'opacification': {'clinical finding': 'opacification', 'existence': 'pos_dx', 'observation': 'opacification'}}anatomical entity_fin: {'aortic arch': {}}clinical findings_fin: {'stenosis': {'clinical finding': 'stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'neg_dx', 'observation': 'stenosis'}}clinical findings_fin: {'nascet': {'clinical finding': 'nascet', 'existence': 'unc_dx', 'observation': 'nascet'}, 'significant stenosis': {'clinical finding': 'significant stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'stenosis'}}anatomical entity_fin: {'vertebral arteries': {}}clinical findings_fin: {'significant stenosis': {'clinical finding': 'significant stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'stenosis'}}clinical findings_fin: {'atherosclerotic calcifications': {'clinical finding': 'atherosclerotic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'}}anatomical entity_fin: {'cervical spine': {}, 'endplate': {}, 'disc': {}}clinical findings_fin: {'multilevel degenerative changes': {'clinical finding': 'multilevel degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'multilevel degenerative', 'observation': 'change'}, 'endplate and uncovertebral osteophytes': {'clinical finding': 'endplate and uncovertebral osteophytes', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'endplate and uncovertebral', 'observation': 'osteophyte'}, 'disc space height': {'clinical finding': 'disc space height', 'existence': 'pos_dx', 'descriptive_term': 'disc space', 'observation': 'height'}}anatomical entity_fin: {'spinal': {}}clinical findings_fin: {'spinal stenosis': {'clinical finding': 'spinal stenosis', 'cf_snomed': {'spinal stenosis': 76107001}, 'existence': 'unc_dx', 'descriptive_term': 'spinal', 'observation': 'stenosis'}}size_fin: [{'size': '3mm', 'size_descriptor': 'pseudoaneurysm'}]anatomical entity_fin: {'lobule': {'location descriptor': 'superior'}, 'facial artery': {'location descriptor': 'right'}}location descriptor_fin: ['superior', 'right']clinical findings_fin: {'3mm pseudoaneurysm': {'clinical finding': '3mm pseudoaneurysm', 'cf_snomed': {'pseudoaneurysm': 443089001}, 'existence': 'pos_dx', 'descriptive_term': '3mm', 'observation': 'pseudoaneurysm'}}anatomical entity_fin: {'internal carotid arteries': {'location descriptor': 'distal'}, 'vertebral arteries': {'location descriptor': 'distal'}, 'middle': {'location descriptor': 'proximal anterior'}, 'posterior cerebral arteries': {}}location descriptor_fin: ['distal', 'proximal', 'anterior']clinical findings_fin: {'opacification': {'clinical finding': 'opacification', 'existence': 'pos_dx', 'observation': 'opacification'}}clinical findings_fin: {'aneurysms': {'clinical finding': 'aneurysms', 'cf_snomed': {'aneurysm': 432119003}, 'existence': 'neg_dx', 'observation': 'aneurysm'}, 'intracranial stenosis': {'clinical finding': 'intracranial stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'stenosis'}}anatomical entity_fin: {'anterior communicating artery': {}, 'posterior communicating arteries': {}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': '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: {'cheeks': {}}location descriptor_fin: ['right', 'left']clinical findings_fin: {'marked soft tissue swelling': {'clinical finding': 'marked soft tissue swelling', 'cf_snomed': {'soft tissue swelling': 298349001}, 'existence': 'pos_dx', 'descriptive_term': 'marked soft tissue', 'observation': 'swell'}}anatomical entity_fin: {'walls': {'location descriptor': 'medial'}}location descriptor_fin: ['bilateral', 'lateral', 'medial']clinical findings_fin: {'bilateral fractures': {'clinical finding': 'bilateral fractures', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral', 'observation': 'fracture'}, 'fractures_1': {'clinical finding': 'fractures', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'observation': 'fracture'}, 'fractures_2': {'clinical finding': 'fractures', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'observation': 'fracture'}, 'alveolar ridges': {'clinical finding': 'alveolar ridges', 'existence': 'pos_dx', 'descriptive_term': 'alveolar', 'observation': 'ridges'}}anatomical entity_fin: {'maxillary sinus': {'location descriptor': 'left lateral'}, 'wall': {}}location descriptor_fin: ['left', 'lateral']clinical findings_fin: {'minimal displacement': {'clinical finding': 'minimal displacement', 'existence': 'pos_dx', 'descriptive_term': 'minimal', 'observation': 'displacement', 'strength_term': 'minimal', 'quantity_term': 'minimal'}, 'left sided fractures': {'clinical finding': 'left sided fractures', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'left sided', 'observation': 'fracture'}, 'left lateral maxillary sinus wall ni continuity': {'clinical finding': 'left lateral maxillary sinus wall ni continuity', 'cf_snomed': {'sinus': 419351001}, 'existence': 'unc_dx', 'descriptive_term': 'left lateral maxillary sinus wall ni', 'observation': 'continuity'}}clinical findings_fin: {'periventricular and subcortical white matter hypodensities': {'clinical finding': 'periventricular and subcortical white matter hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'periventricular and subcortical white matter', 'observation': 'hypodensity'}}anatomical entity_fin: {'internal carotid arteries': {'location descriptor': 'distal'}}location descriptor_fin: ['distal']clinical findings_fin: {'atherosclerotic calcifications': {'clinical finding': 'atherosclerotic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'}}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': {}}clinical findings_fin: {'hyperdense material': {'clinical finding': 'hyperdense material', 'existence': 'pos_dx', 'descriptive_term': 'hyperdense', 'observation': 'material'}}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'}}anatomical entity_fin: {'eye': {'location descriptor': 'right'}, 'lens': {}}location descriptor_fin: ['right']clinical findings_fin: {'right eye lens is thin': {'clinical finding': 'right eye lens is thin'}} [/INST] Neck. There is opacification of the aortic arch, great vessels from the aortic arch and carotid arteries and vertebral arteries. There is no stenosis identified of the great vessels from the aortic arch. On the basis of NASCET criteria there is no significant stenosis at the carotid bifurcations. There is no significant stenosis along the course of the vertebral arteries. Atherosclerotic calcifications are present at the carotid bifurcations. There are multilevel degenerative changes present in the cervical spine with endplate and uncovertebral osteophytes at C3-4, C4-5, C5-6 and 67 as well as C7-T1 with associated loss of disc space height. Appears to be worse at C5-6 where there are findings suggestive of spinal stenosis. Brain. There is a 3mm pseudoaneurysm along the superior lobule branch of the right facial artery. There is opacification of the distal internal carotid arteries, the distal vertebral arteries and the proximal anterior middle and posterior cerebral arteries. No aneurysms or intracranial stenosis is appreciated. The anterior communicating artery and the posterior communicating arteries are identified and are intact. The CSF spaces are appropriate for the patients stated age with no midline shift. There is marked soft tissue swelling and infiltration of the cheeks bilaterally right more than left. There is redemonstration of bilateral fractures of the lateral walls of the maxillary sinuses and fractures of the medial walls of the maxillary sinuses and fractures along the pterygoid plates bilaterally in a pattern similar to LeFort type I, however, the alveolar ridges are minimally involved. There is minimal displacement on the left and the left sided fractures do not involve the entire length of the left lateral maxillary sinus wall ni continuity. Periventricular and subcortical white matter hypodensities of a moderate degree are present. Atherosclerotic calcifications are present along the distal internal carotid arteries. 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 are opacified with hyperdense material. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact. The right eye lens is thin </s>

. Bilateral pleural effusions, new when compared to prior exam with mild basilar consolidation. Diaphragmatic calcification on the right. Limited images with contrast of the lung bases raise the possibility of a lower lobe pulmonary embolus. This was reported to the ordering service. If further evaluation is needed, recommend full chest CT for pulmonary embolus. There is significant artifact from patient arm positioning which partially obscures previously identified hepatic masses. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Small right renal cyst. No significant abnormality noted. Mild. There is nonencapsulated fluid in the region of surgery in the right lower quadrant and the mesentery. No extraluminal gas is identified. Trace of associated ascites. No bowel dilatation and no wall thickening. There is again noted a left rectus mass or hematoma measuring 10.1 x 4.3 cm without significant change. Minimal hernia involving the anterior abdominal wall to the right of midline. Cannot completely exclude involvement of one wall of adjacent colon, but there is no significant wall thickening or evidence for obstruction. No significant abnormality noted. Prior prostatectomy. No significant abnormality noted. No significant abnormality noted. There is again noted a left rectus mass or hematoma measuring 10.1 x 4.3 cm without significant change. Minimal hernia involving the anterior abdominal wall to the right of midline. Cannot completely exclude involvement of one wall of adjacent colon, but there is no significant wall thickening or evidence for obstruction. No significant abnormality noted. No significant abnormality noted

location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral pleural effusions': {'clinical finding': 'bilateral pleural effusions', 'cf_snomed': {'bilateral pleural effusion': 425802001}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral pleural', 'observation': 'effusion'}, 'mild basilar consolidation': {'clinical finding': 'mild basilar consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'pos_dx', 'descriptive_term': 'mild basilar', 'observation': 'consolidation', 'strength_term': 'mild'}}location descriptor_fin: ['right']clinical findings_fin: {'diaphragmatic calcification': {'clinical finding': 'diaphragmatic calcification', 'existence': 'pos_dx', 'descriptive_term': 'diaphragmatic', 'observation': 'calcification'}}anatomical entity_fin: {'lung': {}, 'bases': {}, 'lobe': {'location descriptor': 'lower'}}location descriptor_fin: ['lower']clinical findings_fin: {'contrast': {'clinical finding': 'contrast', 'existence': 'pos_dx', 'observation': 'contrast'}, 'lower lobe pulmonary embolus': {'clinical finding': 'lower lobe pulmonary embolus', 'cf_snomed': {'embolus': 55584005}, 'existence': 'unc_dx', 'descriptive_term': 'lower lobe pulmonary', 'observation': 'embolus'}}anatomical entity_fin: {'chest': {}}clinical findings_fin: {'pulmonary embolus': {'clinical finding': 'pulmonary embolus', 'cf_snomed': {'embolus': 55584005}, 'existence': 'unc_dx', 'descriptive_term': 'pulmonary', 'observation': 'embolus'}}anatomical entity_fin: {'arm': {}}clinical findings_fin: {'significant artifact': {'clinical finding': 'significant artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'pos_dx', 'descriptive_term': 'significant', 'observation': 'artifact'}, 'previously identified hepatic masses': {'clinical finding': 'previously identified hepatic masses', 'existence': 'pos_dx', 'descriptive_term': 'previously identified hepatic', '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'}}location descriptor_fin: ['right']clinical findings_fin: {'small right renal cyst': {'clinical finding': 'small right renal cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'small right renal', '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: {'fluid': {}, 'quadrant': {'location descriptor': 'right lower'}, 'mesentery': {}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'extraluminal gas': {'clinical finding': 'extraluminal gas', 'existence': 'neg_dx', 'descriptive_term': 'extraluminal', 'observation': 'gas'}}clinical findings_fin: {'associated ascites': {'clinical finding': 'associated ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'associated', 'observation': 'ascite'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'bowel dilatation': {'clinical finding': 'bowel dilatation', 'cf_snomed': {'dilatation': 25322007}, 'existence': 'neg_dx', 'descriptive_term': 'bowel', 'observation': 'dilatation'}, 'wall thickening': {'clinical finding': 'wall thickening', 'existence': 'neg_dx', 'descriptive_term': 'wall', 'observation': 'thickening'}}size_fin: [{'size': '10.1 x 4.3 cm'}]imaging observation_fin: ['hematoma']location descriptor_fin: ['left']clinical findings_fin: {'left rectus mass': {'clinical finding': 'left rectus mass', 'existence': 'pos_dx', 'descriptive_term': 'left rectus', 'observation': 'mass'}, 'hematoma': {'clinical finding': 'hematoma', 'cf_snomed': {'hematoma': 385494008}, 'existence': 'unc_dx', 'observation': 'hematoma'}, 'significant change': {'clinical finding': 'significant change', 'existence': 'pos_dx', 'descriptive_term': 'significant', 'observation': 'change'}}anatomical entity_fin: {'anterior abdominal wall': {}}location descriptor_fin: ['right', 'midline']clinical findings_fin: {'minimal hernia': {'clinical finding': 'minimal hernia', 'cf_snomed': {'hernia': 414403008}, 'existence': 'pos_dx', 'descriptive_term': 'minimal', 'observation': 'hernia', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}anatomical entity_fin: {'wall': {}}imaging observation_fin: ['colon']location descriptor_fin: ['adjacent']clinical findings_fin: {'significant wall thickening': {'clinical finding': 'significant wall thickening', 'existence': 'neg_dx', 'descriptive_term': 'significant wall', 'observation': 'thickening'}, 'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'observation': 'obstruction'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}procedure_fin: ['prostatectomy']clinical findings_fin: {'prior prostatectomy': {'clinical finding': 'prior prostatectomy'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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': '10.1 x 4.3 cm'}]imaging observation_fin: ['hematoma']location descriptor_fin: ['left']clinical findings_fin: {'left rectus mass': {'clinical finding': 'left rectus mass', 'existence': 'pos_dx', 'descriptive_term': 'left rectus', 'observation': 'mass'}, 'hematoma': {'clinical finding': 'hematoma', 'cf_snomed': {'hematoma': 385494008}, 'existence': 'unc_dx', 'observation': 'hematoma'}, 'significant change': {'clinical finding': 'significant change', 'existence': 'pos_dx', 'descriptive_term': 'significant', 'observation': 'change'}}anatomical entity_fin: {'anterior abdominal wall': {}}location descriptor_fin: ['right', 'midline']clinical findings_fin: {'minimal hernia': {'clinical finding': 'minimal hernia', 'cf_snomed': {'hernia': 414403008}, 'existence': 'pos_dx', 'descriptive_term': 'minimal', 'observation': 'hernia', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}anatomical entity_fin: {'wall': {}}imaging observation_fin: ['colon']location descriptor_fin: ['adjacent']clinical findings_fin: {'significant wall thickening': {'clinical finding': 'significant wall thickening', 'existence': 'neg_dx', 'descriptive_term': 'significant wall', 'observation': 'thickening'}, 'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', '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'}}

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: {'bilateral pleural effusions': {'clinical finding': 'bilateral pleural effusions', 'cf_snomed': {'bilateral pleural effusion': 425802001}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral pleural', 'observation': 'effusion'}, 'mild basilar consolidation': {'clinical finding': 'mild basilar consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'pos_dx', 'descriptive_term': 'mild basilar', 'observation': 'consolidation', 'strength_term': 'mild'}}location descriptor_fin: ['right']clinical findings_fin: {'diaphragmatic calcification': {'clinical finding': 'diaphragmatic calcification', 'existence': 'pos_dx', 'descriptive_term': 'diaphragmatic', 'observation': 'calcification'}}anatomical entity_fin: {'lung': {}, 'bases': {}, 'lobe': {'location descriptor': 'lower'}}location descriptor_fin: ['lower']clinical findings_fin: {'contrast': {'clinical finding': 'contrast', 'existence': 'pos_dx', 'observation': 'contrast'}, 'lower lobe pulmonary embolus': {'clinical finding': 'lower lobe pulmonary embolus', 'cf_snomed': {'embolus': 55584005}, 'existence': 'unc_dx', 'descriptive_term': 'lower lobe pulmonary', 'observation': 'embolus'}}anatomical entity_fin: {'chest': {}}clinical findings_fin: {'pulmonary embolus': {'clinical finding': 'pulmonary embolus', 'cf_snomed': {'embolus': 55584005}, 'existence': 'unc_dx', 'descriptive_term': 'pulmonary', 'observation': 'embolus'}}anatomical entity_fin: {'arm': {}}clinical findings_fin: {'significant artifact': {'clinical finding': 'significant artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'pos_dx', 'descriptive_term': 'significant', 'observation': 'artifact'}, 'previously identified hepatic masses': {'clinical finding': 'previously identified hepatic masses', 'existence': 'pos_dx', 'descriptive_term': 'previously identified hepatic', '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'}}location descriptor_fin: ['right']clinical findings_fin: {'small right renal cyst': {'clinical finding': 'small right renal cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'small right renal', '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: {'fluid': {}, 'quadrant': {'location descriptor': 'right lower'}, 'mesentery': {}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'extraluminal gas': {'clinical finding': 'extraluminal gas', 'existence': 'neg_dx', 'descriptive_term': 'extraluminal', 'observation': 'gas'}}clinical findings_fin: {'associated ascites': {'clinical finding': 'associated ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'associated', 'observation': 'ascite'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'bowel dilatation': {'clinical finding': 'bowel dilatation', 'cf_snomed': {'dilatation': 25322007}, 'existence': 'neg_dx', 'descriptive_term': 'bowel', 'observation': 'dilatation'}, 'wall thickening': {'clinical finding': 'wall thickening', 'existence': 'neg_dx', 'descriptive_term': 'wall', 'observation': 'thickening'}}size_fin: [{'size': '10.1 x 4.3 cm'}]imaging observation_fin: ['hematoma']location descriptor_fin: ['left']clinical findings_fin: {'left rectus mass': {'clinical finding': 'left rectus mass', 'existence': 'pos_dx', 'descriptive_term': 'left rectus', 'observation': 'mass'}, 'hematoma': {'clinical finding': 'hematoma', 'cf_snomed': {'hematoma': 385494008}, 'existence': 'unc_dx', 'observation': 'hematoma'}, 'significant change': {'clinical finding': 'significant change', 'existence': 'pos_dx', 'descriptive_term': 'significant', 'observation': 'change'}}anatomical entity_fin: {'anterior abdominal wall': {}}location descriptor_fin: ['right', 'midline']clinical findings_fin: {'minimal hernia': {'clinical finding': 'minimal hernia', 'cf_snomed': {'hernia': 414403008}, 'existence': 'pos_dx', 'descriptive_term': 'minimal', 'observation': 'hernia', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}anatomical entity_fin: {'wall': {}}imaging observation_fin: ['colon']location descriptor_fin: ['adjacent']clinical findings_fin: {'significant wall thickening': {'clinical finding': 'significant wall thickening', 'existence': 'neg_dx', 'descriptive_term': 'significant wall', 'observation': 'thickening'}, 'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'observation': 'obstruction'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}procedure_fin: ['prostatectomy']clinical findings_fin: {'prior prostatectomy': {'clinical finding': 'prior prostatectomy'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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': '10.1 x 4.3 cm'}]imaging observation_fin: ['hematoma']location descriptor_fin: ['left']clinical findings_fin: {'left rectus mass': {'clinical finding': 'left rectus mass', 'existence': 'pos_dx', 'descriptive_term': 'left rectus', 'observation': 'mass'}, 'hematoma': {'clinical finding': 'hematoma', 'cf_snomed': {'hematoma': 385494008}, 'existence': 'unc_dx', 'observation': 'hematoma'}, 'significant change': {'clinical finding': 'significant change', 'existence': 'pos_dx', 'descriptive_term': 'significant', 'observation': 'change'}}anatomical entity_fin: {'anterior abdominal wall': {}}location descriptor_fin: ['right', 'midline']clinical findings_fin: {'minimal hernia': {'clinical finding': 'minimal hernia', 'cf_snomed': {'hernia': 414403008}, 'existence': 'pos_dx', 'descriptive_term': 'minimal', 'observation': 'hernia', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}anatomical entity_fin: {'wall': {}}imaging observation_fin: ['colon']location descriptor_fin: ['adjacent']clinical findings_fin: {'significant wall thickening': {'clinical finding': 'significant wall thickening', 'existence': 'neg_dx', 'descriptive_term': 'significant wall', 'observation': 'thickening'}, 'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', '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'}} [/INST] . Bilateral pleural effusions, new when compared to prior exam with mild basilar consolidation. Diaphragmatic calcification on the right. Limited images with contrast of the lung bases raise the possibility of a lower lobe pulmonary embolus. This was reported to the ordering service. If further evaluation is needed, recommend full chest CT for pulmonary embolus. There is significant artifact from patient arm positioning which partially obscures previously identified hepatic masses. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Small right renal cyst. No significant abnormality noted. Mild. There is nonencapsulated fluid in the region of surgery in the right lower quadrant and the mesentery. No extraluminal gas is identified. Trace of associated ascites. No bowel dilatation and no wall thickening. There is again noted a left rectus mass or hematoma measuring 10.1 x 4.3 cm without significant change. Minimal hernia involving the anterior abdominal wall to the right of midline. Cannot completely exclude involvement of one wall of adjacent colon, but there is no significant wall thickening or evidence for obstruction. No significant abnormality noted. Prior prostatectomy. No significant abnormality noted. No significant abnormality noted. There is again noted a left rectus mass or hematoma measuring 10.1 x 4.3 cm without significant change. Minimal hernia involving the anterior abdominal wall to the right of midline. Cannot completely exclude involvement of one wall of adjacent colon, but there is no significant wall thickening or evidence for obstruction. No significant abnormality noted. No significant abnormality noted </s>

. Subcentimeter peripheral and subpleural nodules not significantly changed from prior exam. Reference right upper lobe subpleural nodule measures 7 mm, slightly increased from prior 4 mm. New reference right basilar nodule measures 7 x 10 mm. No significant abnormality noted. None. No significant abnormality noted. Hepatic and portal veins are patent without evidence of intrahepatic biliary ductal dilatation. Scattered subcentimeter hypodense lesions stable in appearance from prior exam. Marked perihepatic ascites decreased from prior exam. Splenectomy post-surgical changes noted. Distal pancreatectomy post-surgical changes noted. No significant abnormality noted. New moderate to severe right hydroureteronephrosis to the level of the proximal ureter, where there is compression from a large adnexal cyst, with asymmetric renal cortical attenuation suggestive of right-sided obstruction. Mildly enlarged retroperitoneal lymph nodes appearing similar to prior exam. Mild. Marked loculated abdominal ascites decreased from prior exam. No evidence of obstruction. No significant abnormality noted. No significant abnormality noted. Significant interval enlargement of bilateral adnexal cysts with the right cyst now measuring up to 11.9 x 11.5 cm and the left cyst now measuring up to 5.2 x 6.5 cm. No significant abnormality noted. No significant abnormality noted. Marked loculated abdominal ascites decreased from prior exam. No evidence of obstruction. No significant abnormality noted. No significant abnormality noted.

location descriptor_fin: ['peripheral']clinical findings_fin: {'subcentimeter peripheral and subpleural nodules': {'clinical finding': 'subcentimeter peripheral and subpleural nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'subcentimeter peripheral and subpleural', 'observation': 'nodule'}}size_fin: [{'size': '7 mm'}, {'size': '4 mm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right upper'}}location descriptor_fin: ['right', 'upper']clinical findings_fin: {'reference right upper lobe subpleural nodule': {'clinical finding': 'reference right upper lobe subpleural nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'reference right upper lobe subpleural', 'observation': 'nodule'}}size_fin: [{'size': '7 x 10 mm'}]location descriptor_fin: ['right']clinical findings_fin: {'new reference right basilar nodule': {'clinical finding': 'new reference right basilar nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'new reference right basilar', 'observation': 'nodule', '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'}}anatomical entity_fin: {'portal veins': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}, 'intrahepatic biliary ductal dilatation': {'clinical finding': 'intrahepatic biliary ductal dilatation', 'cf_snomed': {'dilatation': 25322007}, 'existence': 'neg_dx', 'descriptive_term': 'intrahepatic biliary ductal', 'observation': 'dilatation'}}clinical findings_fin: {'scattered subcentimeter hypodense lesions': {'clinical finding': 'scattered subcentimeter hypodense lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'scattered subcentimeter hypodense', 'observation': 'lesion'}}clinical findings_fin: {'marked perihepatic ascites': {'clinical finding': 'marked perihepatic ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'marked perihepatic', 'observation': 'ascite'}}procedure_fin: ['splenectomy']clinical findings_fin: {'splenectomy post-surgical changes': {'clinical finding': 'splenectomy post-surgical changes', 'existence': 'pos_dx', 'descriptive_term': 'splenectomy post-surgical', 'observation': 'change'}}location descriptor_fin: ['distal']procedure_fin: ['pancreatectomy']clinical findings_fin: {'distal pancreatectomy post-surgical changes': {'clinical finding': 'distal pancreatectomy post-surgical changes', 'existence': 'pos_dx', 'descriptive_term': 'distal pancreatectomy post-surgical', 'observation': 'change'}}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', 'proximal']clinical findings_fin: {'new moderate to severe right hydroureteronephrosis': {'clinical finding': 'new moderate to severe right hydroureteronephrosis', 'cf_snomed': {'hydroureteronephrosis': 40068008}, 'existence': 'pos_dx', 'descriptive_term': 'new moderate to severe right', 'observation': 'hydroureteronephrosis', 'strength_term': 'moderate - severe', 'temporal_term': 'new'}, 'compression': {'clinical finding': 'compression', 'cf_snomed': {'compression': 71173004}, 'existence': 'pos_dx', 'observation': 'compression'}, 'large adnexal cyst': {'clinical finding': 'large adnexal cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'large adnexal', 'observation': 'cyst', 'strength_term': 'large'}, 'asymmetric renal cortical attenuation': {'clinical finding': 'asymmetric renal cortical attenuation', 'existence': 'pos_dx', 'descriptive_term': 'asymmetric renal cortical', 'observation': 'attenuation'}, 'right-sided obstruction': {'clinical finding': 'right-sided obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'pos_dx', 'descriptive_term': 'right-sided', 'observation': 'obstruction'}}clinical findings_fin: {'mildly enlarged retroperitoneal lymph nodes': {'clinical finding': 'mildly enlarged retroperitoneal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'mildly enlarged retroperitoneal lymph', 'observation': 'node', 'strength_term': 'mildly - enlarged', 'change_term': 'enlarged'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'marked loculated abdominal ascites': {'clinical finding': 'marked loculated abdominal ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'marked loculated abdominal', 'observation': 'ascite'}}clinical findings_fin: {'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', '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'}}size_fin: [{'size': '11.9 x 11.5 cm'}, {'size': '5.2 x 6.5 cm'}]location descriptor_fin: ['bilateral', 'right', 'left']clinical findings_fin: {'bilateral adnexal cysts': {'clinical finding': 'bilateral adnexal cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral adnexal', 'observation': 'cyst'}, 'right cyst': {'clinical finding': 'right cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'right', 'observation': 'cyst'}, 'left cyst': {'clinical finding': 'left cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'left', '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'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'marked loculated abdominal ascites': {'clinical finding': 'marked loculated abdominal ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'marked loculated abdominal', 'observation': 'ascite'}}clinical findings_fin: {'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', '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'}}

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: ['peripheral']clinical findings_fin: {'subcentimeter peripheral and subpleural nodules': {'clinical finding': 'subcentimeter peripheral and subpleural nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'subcentimeter peripheral and subpleural', 'observation': 'nodule'}}size_fin: [{'size': '7 mm'}, {'size': '4 mm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right upper'}}location descriptor_fin: ['right', 'upper']clinical findings_fin: {'reference right upper lobe subpleural nodule': {'clinical finding': 'reference right upper lobe subpleural nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'reference right upper lobe subpleural', 'observation': 'nodule'}}size_fin: [{'size': '7 x 10 mm'}]location descriptor_fin: ['right']clinical findings_fin: {'new reference right basilar nodule': {'clinical finding': 'new reference right basilar nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'new reference right basilar', 'observation': 'nodule', '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'}}anatomical entity_fin: {'portal veins': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}, 'intrahepatic biliary ductal dilatation': {'clinical finding': 'intrahepatic biliary ductal dilatation', 'cf_snomed': {'dilatation': 25322007}, 'existence': 'neg_dx', 'descriptive_term': 'intrahepatic biliary ductal', 'observation': 'dilatation'}}clinical findings_fin: {'scattered subcentimeter hypodense lesions': {'clinical finding': 'scattered subcentimeter hypodense lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'scattered subcentimeter hypodense', 'observation': 'lesion'}}clinical findings_fin: {'marked perihepatic ascites': {'clinical finding': 'marked perihepatic ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'marked perihepatic', 'observation': 'ascite'}}procedure_fin: ['splenectomy']clinical findings_fin: {'splenectomy post-surgical changes': {'clinical finding': 'splenectomy post-surgical changes', 'existence': 'pos_dx', 'descriptive_term': 'splenectomy post-surgical', 'observation': 'change'}}location descriptor_fin: ['distal']procedure_fin: ['pancreatectomy']clinical findings_fin: {'distal pancreatectomy post-surgical changes': {'clinical finding': 'distal pancreatectomy post-surgical changes', 'existence': 'pos_dx', 'descriptive_term': 'distal pancreatectomy post-surgical', 'observation': 'change'}}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', 'proximal']clinical findings_fin: {'new moderate to severe right hydroureteronephrosis': {'clinical finding': 'new moderate to severe right hydroureteronephrosis', 'cf_snomed': {'hydroureteronephrosis': 40068008}, 'existence': 'pos_dx', 'descriptive_term': 'new moderate to severe right', 'observation': 'hydroureteronephrosis', 'strength_term': 'moderate - severe', 'temporal_term': 'new'}, 'compression': {'clinical finding': 'compression', 'cf_snomed': {'compression': 71173004}, 'existence': 'pos_dx', 'observation': 'compression'}, 'large adnexal cyst': {'clinical finding': 'large adnexal cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'large adnexal', 'observation': 'cyst', 'strength_term': 'large'}, 'asymmetric renal cortical attenuation': {'clinical finding': 'asymmetric renal cortical attenuation', 'existence': 'pos_dx', 'descriptive_term': 'asymmetric renal cortical', 'observation': 'attenuation'}, 'right-sided obstruction': {'clinical finding': 'right-sided obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'pos_dx', 'descriptive_term': 'right-sided', 'observation': 'obstruction'}}clinical findings_fin: {'mildly enlarged retroperitoneal lymph nodes': {'clinical finding': 'mildly enlarged retroperitoneal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'mildly enlarged retroperitoneal lymph', 'observation': 'node', 'strength_term': 'mildly - enlarged', 'change_term': 'enlarged'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'marked loculated abdominal ascites': {'clinical finding': 'marked loculated abdominal ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'marked loculated abdominal', 'observation': 'ascite'}}clinical findings_fin: {'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', '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'}}size_fin: [{'size': '11.9 x 11.5 cm'}, {'size': '5.2 x 6.5 cm'}]location descriptor_fin: ['bilateral', 'right', 'left']clinical findings_fin: {'bilateral adnexal cysts': {'clinical finding': 'bilateral adnexal cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral adnexal', 'observation': 'cyst'}, 'right cyst': {'clinical finding': 'right cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'right', 'observation': 'cyst'}, 'left cyst': {'clinical finding': 'left cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'left', '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'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'marked loculated abdominal ascites': {'clinical finding': 'marked loculated abdominal ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'marked loculated abdominal', 'observation': 'ascite'}}clinical findings_fin: {'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', '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'}} [/INST] . Subcentimeter peripheral and subpleural nodules not significantly changed from prior exam. Reference right upper lobe subpleural nodule measures 7 mm, slightly increased from prior 4 mm. New reference right basilar nodule measures 7 x 10 mm. No significant abnormality noted. None. No significant abnormality noted. Hepatic and portal veins are patent without evidence of intrahepatic biliary ductal dilatation. Scattered subcentimeter hypodense lesions stable in appearance from prior exam. Marked perihepatic ascites decreased from prior exam. Splenectomy post-surgical changes noted. Distal pancreatectomy post-surgical changes noted. No significant abnormality noted. New moderate to severe right hydroureteronephrosis to the level of the proximal ureter, where there is compression from a large adnexal cyst, with asymmetric renal cortical attenuation suggestive of right-sided obstruction. Mildly enlarged retroperitoneal lymph nodes appearing similar to prior exam. Mild. Marked loculated abdominal ascites decreased from prior exam. No evidence of obstruction. No significant abnormality noted. No significant abnormality noted. Significant interval enlargement of bilateral adnexal cysts with the right cyst now measuring up to 11.9 x 11.5 cm and the left cyst now measuring up to 5.2 x 6.5 cm. No significant abnormality noted. No significant abnormality noted. Marked loculated abdominal ascites decreased from prior exam. No evidence of obstruction. No significant abnormality noted. No significant abnormality noted. </s>

. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No distinct adrenal nodule. Questionable subcentimeter nodular thickening has attenuation values of 32, 131, and 42 on noncontrast, enhanced, and delayed imaging respectively. Using these values, the absolute washout is 90%, and relative washout 68%. No significant abnormality noted. No significant abnormality noted. None. 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: {'distinct adrenal nodule': {'clinical finding': 'distinct adrenal nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'distinct adrenal', 'observation': 'nodule'}}clinical findings_fin: {'subcentimeter nodular thickening': {'clinical finding': 'subcentimeter nodular thickening', 'existence': 'unc_dx', 'descriptive_term': 'subcentimeter nodular', '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'}}

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: {'distinct adrenal nodule': {'clinical finding': 'distinct adrenal nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'distinct adrenal', 'observation': 'nodule'}}clinical findings_fin: {'subcentimeter nodular thickening': {'clinical finding': 'subcentimeter nodular thickening', 'existence': 'unc_dx', 'descriptive_term': 'subcentimeter nodular', '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'}} [/INST] . No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No distinct adrenal nodule. Questionable subcentimeter nodular thickening has attenuation values of 32, 131, and 42 on noncontrast, enhanced, and delayed imaging respectively. Using these values, the absolute washout is 90%, and relative washout 68%. No significant abnormality noted. No significant abnormality noted. None. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted </s>

Nonenhanced head. There is no detectable acute posttraumatic intracranial, calvarial or soft tissues of the scalp findingUnremarkable cerebral cortex, cortical sulci, ventricular system, CSF spaces and the gray-white matter differentiation for age. Unremarkable calvarium, soft tissues of the scalp, orbits, paranasal sinuses and mastoid air cells.

anatomical entity_fin: {'head': {}}clinical findings_fin: {'nonenhanced head': {'clinical finding': 'nonenhanced head'}}anatomical entity_fin: {'scalp': {}, 'cerebral cortex': {}}clinical findings_fin: {'white matter differentiation': {'clinical finding': 'white matter differentiation', 'existence': 'pos_dx', 'descriptive_term': 'white matter', 'observation': 'differentiation'}}anatomical entity_fin: {'scalp': {}, 'orbits': {}, 'paranasal sinuses': {}, 'mastoid air cells': {}}clinical findings_fin: {'unremarkable calvarium , soft tissues of the scalp , orbits , paranasal sinuses and mastoid air cells': {'clinical finding': 'unremarkable calvarium , soft tissues of the scalp , orbits , paranasal sinuses and mastoid air cells'}}

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': {}}clinical findings_fin: {'nonenhanced head': {'clinical finding': 'nonenhanced head'}}anatomical entity_fin: {'scalp': {}, 'cerebral cortex': {}}clinical findings_fin: {'white matter differentiation': {'clinical finding': 'white matter differentiation', 'existence': 'pos_dx', 'descriptive_term': 'white matter', 'observation': 'differentiation'}}anatomical entity_fin: {'scalp': {}, 'orbits': {}, 'paranasal sinuses': {}, 'mastoid air cells': {}}clinical findings_fin: {'unremarkable calvarium , soft tissues of the scalp , orbits , paranasal sinuses and mastoid air cells': {'clinical finding': 'unremarkable calvarium , soft tissues of the scalp , orbits , paranasal sinuses and mastoid air cells'}} [/INST] Nonenhanced head. There is no detectable acute posttraumatic intracranial, calvarial or soft tissues of the scalp findingUnremarkable cerebral cortex, cortical sulci, ventricular system, CSF spaces and the gray-white matter differentiation for age. Unremarkable calvarium, soft tissues of the scalp, orbits, paranasal sinuses and mastoid air cells. </s>

. The abdominal aorta, celiac axis, SMA, renal arteries, and proximal iliac arteries are patent without evidence of dissection or flow-limiting stenosis. However, these vessels demonstrate extensive atherosclerotic disease, particularly at the celiac axis and SMA origins. No obvious arterial contrast extravasation or venous pooling to suggest active or recent hemorrhage. Moderate bilateral pleural effusions with overlying compressive atelectasis. Nonspecific skin thickening and dystrophic calcification involving the right breast consider mammographic correlation. Scattered hepatic hypodensities are too small to definitively characterize. No biliary ductal dilatation. Minimal high density layering material in the gallbladder may represent sludge. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Bilateral atrophic kidneys. No hydronephrosis. Scattered nonspecific periportal lymph nodes. Significant. Enteric tube terminates in the gastric body. High-density material within the bowel lumen makes evaluation for hemorrhage suboptimal please correlate with any prior imaging history. However, given this limitation, there is no obvious arterial contrast extravasation or venous pooling to suggest active or recent hemorrhage. No bowel obstruction or free air. Diverticulosis without evidence of complication. No significant abnormality noted. No significant abnormality noted. Calcified uterine fibroids. Foley catheter terminates in the bladder. No significant abnormality noted. Enteric tube terminates in the gastric body. High-density material within the bowel lumen makes evaluation for hemorrhage suboptimal please correlate with any prior imaging history. However, given this limitation, there is no obvious arterial contrast extravasation or venous pooling to suggest active or recent hemorrhage. No bowel obstruction or free air. Diverticulosis without evidence of complication. No significant abnormality noted. Extensive infiltration or edema in the anterior pelvic subcutaneous tissues.

anatomical entity_fin: {'abdominal aorta': {}, 'axis': {}, 'renal arteries': {}, 'arteries': {}}location descriptor_fin: ['proximal']clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'pos_dx', 'observation': 'patent'}, 'dissection': {'clinical finding': 'dissection', 'existence': 'neg_dx', 'observation': 'dissection'}, 'flow-limiting stenosis': {'clinical finding': 'flow-limiting stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'neg_dx', 'descriptive_term': 'flow-limiting', 'observation': 'stenosis'}}anatomical entity_fin: {'axis': {}, 'origins': {}}clinical findings_fin: {'extensive atherosclerotic disease': {'clinical finding': 'extensive atherosclerotic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'unc_dx', 'descriptive_term': 'extensive atherosclerotic', 'observation': 'disease', 'strength_term': 'extensive'}}clinical findings_fin: {'obvious arterial contrast extravasation': {'clinical finding': 'obvious arterial contrast extravasation', 'cf_snomed': {'extravasation': 76676007}, 'existence': 'neg_dx', 'descriptive_term': 'obvious arterial contrast', 'observation': 'extravasation'}, 'active or recent hemorrhage': {'clinical finding': 'active or recent hemorrhage', 'cf_snomed': {'hemorrhage': 50960005}, 'existence': 'unc_dx', 'descriptive_term': 'active or recent', 'observation': 'hemorrhage', 'strength_term': 'active'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'moderate bilateral pleural effusions': {'clinical finding': 'moderate bilateral pleural effusions', 'cf_snomed': {'bilateral pleural effusion': 425802001}, 'existence': 'pos_dx', 'descriptive_term': 'moderate bilateral pleural', 'observation': 'effusion', 'strength_term': 'moderate'}, 'overlying compressive atelectasis': {'clinical finding': 'overlying compressive atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'overlying compressive', 'observation': 'atelectasis'}}anatomical entity_fin: {'breast': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'nonspecific skin thickening': {'clinical finding': 'nonspecific skin thickening', 'existence': 'pos_dx', 'descriptive_term': 'nonspecific skin', 'observation': 'thickening'}, 'dystrophic calcification': {'clinical finding': 'dystrophic calcification', 'cf_snomed': {'dystrophic calcification': 129750001}, 'existence': 'pos_dx', 'descriptive_term': 'dystrophic', 'observation': 'calcification'}}clinical findings_fin: {'scattered hepatic hypodensities': {'clinical finding': 'scattered hepatic hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'scattered hepatic', 'observation': 'hypodensity'}}anatomical entity_fin: {'gallbladder': {}}clinical findings_fin: {'minimal high density layering material': {'clinical finding': 'minimal high density layering material', 'existence': 'pos_dx', 'descriptive_term': 'minimal high density layering', 'observation': 'material', 'strength_term': 'minimal', 'quantity_term': 'minimal'}, 'sludge': {'clinical finding': 'sludge', 'cf_snomed': {'sludge': 44901006}, 'existence': 'unc_dx', 'observation': 'sludge'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral atrophic': {'clinical finding': 'bilateral atrophic', 'existence': 'pos_dx', 'descriptive_term': 'bilateral', 'observation': 'atrophic'}}clinical findings_fin: {'hydronephrosis': {'clinical finding': 'hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'neg_dx', 'observation': 'hydronephrosis'}}clinical findings_fin: {'scattered nonspecific periportal lymph nodes': {'clinical finding': 'scattered nonspecific periportal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'scattered nonspecific periportal lymph', 'observation': 'node'}}anatomical entity_fin: {'body': {}}object_fin: ['tube']anatomical entity_fin: {'bowel': {}, 'lumen': {}}clinical findings_fin: {'hemorrhage': {'clinical finding': 'hemorrhage', 'cf_snomed': {'hemorrhage': 50960005}, 'existence': 'unc_dx', 'observation': 'hemorrhage'}}clinical findings_fin: {'obvious arterial contrast extravasation': {'clinical finding': 'obvious arterial contrast extravasation', 'cf_snomed': {'extravasation': 76676007}, 'existence': 'neg_dx', 'descriptive_term': 'obvious arterial contrast', 'observation': 'extravasation'}, 'active or recent hemorrhage': {'clinical finding': 'active or recent hemorrhage', 'cf_snomed': {'hemorrhage': 50960005}, 'existence': 'unc_dx', 'descriptive_term': 'active or recent', 'observation': 'hemorrhage', 'strength_term': 'active'}}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: {'diverticulosis': {'clinical finding': 'diverticulosis', 'existence': 'pos_dx', 'observation': 'diverticulosis'}, 'complication': {'clinical finding': 'complication', 'existence': 'neg_dx', 'observation': 'complication'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'calcified uterine fibroids': {'clinical finding': 'calcified uterine fibroids', 'change_term': 'calcified'}}anatomical entity_fin: {'bladder': {}}object_fin: ['catheter']clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'body': {}}object_fin: ['tube']anatomical entity_fin: {'bowel': {}, 'lumen': {}}clinical findings_fin: {'hemorrhage': {'clinical finding': 'hemorrhage', 'cf_snomed': {'hemorrhage': 50960005}, 'existence': 'unc_dx', 'observation': 'hemorrhage'}}clinical findings_fin: {'obvious arterial contrast extravasation': {'clinical finding': 'obvious arterial contrast extravasation', 'cf_snomed': {'extravasation': 76676007}, 'existence': 'neg_dx', 'descriptive_term': 'obvious arterial contrast', 'observation': 'extravasation'}, 'active or recent hemorrhage': {'clinical finding': 'active or recent hemorrhage', 'cf_snomed': {'hemorrhage': 50960005}, 'existence': 'unc_dx', 'descriptive_term': 'active or recent', 'observation': 'hemorrhage', 'strength_term': 'active'}}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: {'diverticulosis': {'clinical finding': 'diverticulosis', 'existence': 'pos_dx', 'observation': 'diverticulosis'}, 'complication': {'clinical finding': 'complication', 'existence': 'neg_dx', 'observation': 'complication'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}location descriptor_fin: ['anterior']clinical findings_fin: {'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: anatomical entity_fin: {'abdominal aorta': {}, 'axis': {}, 'renal arteries': {}, 'arteries': {}}location descriptor_fin: ['proximal']clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'pos_dx', 'observation': 'patent'}, 'dissection': {'clinical finding': 'dissection', 'existence': 'neg_dx', 'observation': 'dissection'}, 'flow-limiting stenosis': {'clinical finding': 'flow-limiting stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'neg_dx', 'descriptive_term': 'flow-limiting', 'observation': 'stenosis'}}anatomical entity_fin: {'axis': {}, 'origins': {}}clinical findings_fin: {'extensive atherosclerotic disease': {'clinical finding': 'extensive atherosclerotic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'unc_dx', 'descriptive_term': 'extensive atherosclerotic', 'observation': 'disease', 'strength_term': 'extensive'}}clinical findings_fin: {'obvious arterial contrast extravasation': {'clinical finding': 'obvious arterial contrast extravasation', 'cf_snomed': {'extravasation': 76676007}, 'existence': 'neg_dx', 'descriptive_term': 'obvious arterial contrast', 'observation': 'extravasation'}, 'active or recent hemorrhage': {'clinical finding': 'active or recent hemorrhage', 'cf_snomed': {'hemorrhage': 50960005}, 'existence': 'unc_dx', 'descriptive_term': 'active or recent', 'observation': 'hemorrhage', 'strength_term': 'active'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'moderate bilateral pleural effusions': {'clinical finding': 'moderate bilateral pleural effusions', 'cf_snomed': {'bilateral pleural effusion': 425802001}, 'existence': 'pos_dx', 'descriptive_term': 'moderate bilateral pleural', 'observation': 'effusion', 'strength_term': 'moderate'}, 'overlying compressive atelectasis': {'clinical finding': 'overlying compressive atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'overlying compressive', 'observation': 'atelectasis'}}anatomical entity_fin: {'breast': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'nonspecific skin thickening': {'clinical finding': 'nonspecific skin thickening', 'existence': 'pos_dx', 'descriptive_term': 'nonspecific skin', 'observation': 'thickening'}, 'dystrophic calcification': {'clinical finding': 'dystrophic calcification', 'cf_snomed': {'dystrophic calcification': 129750001}, 'existence': 'pos_dx', 'descriptive_term': 'dystrophic', 'observation': 'calcification'}}clinical findings_fin: {'scattered hepatic hypodensities': {'clinical finding': 'scattered hepatic hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'scattered hepatic', 'observation': 'hypodensity'}}anatomical entity_fin: {'gallbladder': {}}clinical findings_fin: {'minimal high density layering material': {'clinical finding': 'minimal high density layering material', 'existence': 'pos_dx', 'descriptive_term': 'minimal high density layering', 'observation': 'material', 'strength_term': 'minimal', 'quantity_term': 'minimal'}, 'sludge': {'clinical finding': 'sludge', 'cf_snomed': {'sludge': 44901006}, 'existence': 'unc_dx', 'observation': 'sludge'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral atrophic': {'clinical finding': 'bilateral atrophic', 'existence': 'pos_dx', 'descriptive_term': 'bilateral', 'observation': 'atrophic'}}clinical findings_fin: {'hydronephrosis': {'clinical finding': 'hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'neg_dx', 'observation': 'hydronephrosis'}}clinical findings_fin: {'scattered nonspecific periportal lymph nodes': {'clinical finding': 'scattered nonspecific periportal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'scattered nonspecific periportal lymph', 'observation': 'node'}}anatomical entity_fin: {'body': {}}object_fin: ['tube']anatomical entity_fin: {'bowel': {}, 'lumen': {}}clinical findings_fin: {'hemorrhage': {'clinical finding': 'hemorrhage', 'cf_snomed': {'hemorrhage': 50960005}, 'existence': 'unc_dx', 'observation': 'hemorrhage'}}clinical findings_fin: {'obvious arterial contrast extravasation': {'clinical finding': 'obvious arterial contrast extravasation', 'cf_snomed': {'extravasation': 76676007}, 'existence': 'neg_dx', 'descriptive_term': 'obvious arterial contrast', 'observation': 'extravasation'}, 'active or recent hemorrhage': {'clinical finding': 'active or recent hemorrhage', 'cf_snomed': {'hemorrhage': 50960005}, 'existence': 'unc_dx', 'descriptive_term': 'active or recent', 'observation': 'hemorrhage', 'strength_term': 'active'}}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: {'diverticulosis': {'clinical finding': 'diverticulosis', 'existence': 'pos_dx', 'observation': 'diverticulosis'}, 'complication': {'clinical finding': 'complication', 'existence': 'neg_dx', 'observation': 'complication'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'calcified uterine fibroids': {'clinical finding': 'calcified uterine fibroids', 'change_term': 'calcified'}}anatomical entity_fin: {'bladder': {}}object_fin: ['catheter']clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'body': {}}object_fin: ['tube']anatomical entity_fin: {'bowel': {}, 'lumen': {}}clinical findings_fin: {'hemorrhage': {'clinical finding': 'hemorrhage', 'cf_snomed': {'hemorrhage': 50960005}, 'existence': 'unc_dx', 'observation': 'hemorrhage'}}clinical findings_fin: {'obvious arterial contrast extravasation': {'clinical finding': 'obvious arterial contrast extravasation', 'cf_snomed': {'extravasation': 76676007}, 'existence': 'neg_dx', 'descriptive_term': 'obvious arterial contrast', 'observation': 'extravasation'}, 'active or recent hemorrhage': {'clinical finding': 'active or recent hemorrhage', 'cf_snomed': {'hemorrhage': 50960005}, 'existence': 'unc_dx', 'descriptive_term': 'active or recent', 'observation': 'hemorrhage', 'strength_term': 'active'}}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: {'diverticulosis': {'clinical finding': 'diverticulosis', 'existence': 'pos_dx', 'observation': 'diverticulosis'}, 'complication': {'clinical finding': 'complication', 'existence': 'neg_dx', 'observation': 'complication'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}location descriptor_fin: ['anterior']clinical findings_fin: {'edema': {'clinical finding': 'edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'unc_dx', 'observation': 'edema'}} [/INST] . The abdominal aorta, celiac axis, SMA, renal arteries, and proximal iliac arteries are patent without evidence of dissection or flow-limiting stenosis. However, these vessels demonstrate extensive atherosclerotic disease, particularly at the celiac axis and SMA origins. No obvious arterial contrast extravasation or venous pooling to suggest active or recent hemorrhage. Moderate bilateral pleural effusions with overlying compressive atelectasis. Nonspecific skin thickening and dystrophic calcification involving the right breast consider mammographic correlation. Scattered hepatic hypodensities are too small to definitively characterize. No biliary ductal dilatation. Minimal high density layering material in the gallbladder may represent sludge. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Bilateral atrophic kidneys. No hydronephrosis. Scattered nonspecific periportal lymph nodes. Significant. Enteric tube terminates in the gastric body. High-density material within the bowel lumen makes evaluation for hemorrhage suboptimal please correlate with any prior imaging history. However, given this limitation, there is no obvious arterial contrast extravasation or venous pooling to suggest active or recent hemorrhage. No bowel obstruction or free air. Diverticulosis without evidence of complication. No significant abnormality noted. No significant abnormality noted. Calcified uterine fibroids. Foley catheter terminates in the bladder. No significant abnormality noted. Enteric tube terminates in the gastric body. High-density material within the bowel lumen makes evaluation for hemorrhage suboptimal please correlate with any prior imaging history. However, given this limitation, there is no obvious arterial contrast extravasation or venous pooling to suggest active or recent hemorrhage. No bowel obstruction or free air. Diverticulosis without evidence of complication. No significant abnormality noted. Extensive infiltration or edema in the anterior pelvic subcutaneous tissues. </s>

. Right upper lobe granuloma again noted. Smoothly marginated solid pulmonary nodule located in the anterior aspect of the left upper lobe measures 16 x 10 mm , unchanged. The reference right upper lobe nodule is also unchanged at 7 mm and remains with smooth margins. Central airways are patent. No focal consolidation, pneumothorax, or pleural effusion. No new suspicious nodules or masses are identified. Cardiac size is within normal limits without significant pericardial effusion. Aorta is borderline ectatic measuring 39 mm. Main pulmonary artery is normal caliber. No hilar or mediastinal lymphadenopathy. Calcified mediastinal lymph nodes noted. Mild. No lymphadenopathy. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. No significant abnormality noted. Splenic calcifications noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Absence of enteric contrast material limits sensitivity for GI pathology. No gross abnormalities noted. Dextroscoliosis of the thoracic spine is noted. Mild degenerative changes of the spine. Atherosclerosis of the aorta and its major branches.

anatomical entity_fin: {'lobe': {'location descriptor': 'right upper'}}location descriptor_fin: ['right', 'upper']clinical findings_fin: {'right upper lobe granuloma': {'clinical finding': 'right upper lobe granuloma', 'cf_snomed': {'granuloma': 45647009}, 'existence': 'pos_dx', 'descriptive_term': 'right upper lobe', 'observation': 'granuloma'}}size_fin: [{'size': '16 x 10 mm', 'size_descriptor': 'nodule'}]anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}}location descriptor_fin: ['anterior', 'left', 'upper']clinical findings_fin: {'smoothly marginated solid pulmonary nodule': {'clinical finding': 'smoothly marginated solid pulmonary nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'smoothly marginated solid pulmonary', 'observation': 'nodule'}}size_fin: [{'size': '7 mm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right upper'}}imaging observation_fin: ['smooth margins']location descriptor_fin: ['right', 'upper']clinical findings_fin: {'reference right upper lobe nodule': {'clinical finding': 'reference right upper lobe nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'reference right upper lobe', 'observation': 'nodule'}}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: {'focal consolidation': {'clinical finding': 'focal consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'consolidation'}, '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: {'new suspicious nodules': {'clinical finding': 'new suspicious nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'new suspicious', 'observation': 'nodule', 'temporal_term': 'new'}, 'masses': {'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass'}}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'}}size_fin: [{'size': '39 mm', 'size_descriptor': 'aorta'}]anatomical entity_fin: {'aorta': {}}clinical findings_fin: {'ectatic': {'clinical finding': 'ectatic', 'existence': 'pos_dx', 'observation': 'ectatic'}}anatomical entity_fin: {'main pulmonary artery': {}}clinical findings_fin: {'main pulmonary artery is normal caliber': {'clinical finding': 'main pulmonary artery is normal caliber'}}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'}}anatomical entity_fin: {'mediastinal lymph nodes': {}}clinical findings_fin: {'calcified mediastinal lymph nodes': {'clinical finding': 'calcified mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'calcified mediastinal lymph', 'observation': 'node', 'change_term': 'calcified'}}clinical findings_fin: {'lymphadenopathy': {'clinical finding': 'lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'observation': 'lymphadenopathy'}}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'}}clinical findings_fin: {'splenic calcifications': {'clinical finding': 'splenic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'splenic', '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: {'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'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'dextroscoliosis': {'clinical finding': 'dextroscoliosis', 'cf_snomed': {'dextroscoliosis': 431001000124101}, 'existence': 'pos_dx', 'observation': 'dextroscoliosis'}}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'}}anatomical entity_fin: {'aorta': {}}clinical findings_fin: {'atherosclerosis': {'clinical finding': 'atherosclerosis', 'cf_snomed': {'atherosclerosis': 38716007}, 'existence': 'pos_dx', 'observation': 'atherosclerosis'}}

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 upper'}}location descriptor_fin: ['right', 'upper']clinical findings_fin: {'right upper lobe granuloma': {'clinical finding': 'right upper lobe granuloma', 'cf_snomed': {'granuloma': 45647009}, 'existence': 'pos_dx', 'descriptive_term': 'right upper lobe', 'observation': 'granuloma'}}size_fin: [{'size': '16 x 10 mm', 'size_descriptor': 'nodule'}]anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}}location descriptor_fin: ['anterior', 'left', 'upper']clinical findings_fin: {'smoothly marginated solid pulmonary nodule': {'clinical finding': 'smoothly marginated solid pulmonary nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'smoothly marginated solid pulmonary', 'observation': 'nodule'}}size_fin: [{'size': '7 mm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right upper'}}imaging observation_fin: ['smooth margins']location descriptor_fin: ['right', 'upper']clinical findings_fin: {'reference right upper lobe nodule': {'clinical finding': 'reference right upper lobe nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'reference right upper lobe', 'observation': 'nodule'}}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: {'focal consolidation': {'clinical finding': 'focal consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'consolidation'}, '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: {'new suspicious nodules': {'clinical finding': 'new suspicious nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'new suspicious', 'observation': 'nodule', 'temporal_term': 'new'}, 'masses': {'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass'}}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'}}size_fin: [{'size': '39 mm', 'size_descriptor': 'aorta'}]anatomical entity_fin: {'aorta': {}}clinical findings_fin: {'ectatic': {'clinical finding': 'ectatic', 'existence': 'pos_dx', 'observation': 'ectatic'}}anatomical entity_fin: {'main pulmonary artery': {}}clinical findings_fin: {'main pulmonary artery is normal caliber': {'clinical finding': 'main pulmonary artery is normal caliber'}}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'}}anatomical entity_fin: {'mediastinal lymph nodes': {}}clinical findings_fin: {'calcified mediastinal lymph nodes': {'clinical finding': 'calcified mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'calcified mediastinal lymph', 'observation': 'node', 'change_term': 'calcified'}}clinical findings_fin: {'lymphadenopathy': {'clinical finding': 'lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'observation': 'lymphadenopathy'}}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'}}clinical findings_fin: {'splenic calcifications': {'clinical finding': 'splenic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'splenic', '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: {'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'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'dextroscoliosis': {'clinical finding': 'dextroscoliosis', 'cf_snomed': {'dextroscoliosis': 431001000124101}, 'existence': 'pos_dx', 'observation': 'dextroscoliosis'}}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'}}anatomical entity_fin: {'aorta': {}}clinical findings_fin: {'atherosclerosis': {'clinical finding': 'atherosclerosis', 'cf_snomed': {'atherosclerosis': 38716007}, 'existence': 'pos_dx', 'observation': 'atherosclerosis'}} [/INST] . Right upper lobe granuloma again noted. Smoothly marginated solid pulmonary nodule located in the anterior aspect of the left upper lobe measures 16 x 10 mm , unchanged. The reference right upper lobe nodule is also unchanged at 7 mm and remains with smooth margins. Central airways are patent. No focal consolidation, pneumothorax, or pleural effusion. No new suspicious nodules or masses are identified. Cardiac size is within normal limits without significant pericardial effusion. Aorta is borderline ectatic measuring 39 mm. Main pulmonary artery is normal caliber. No hilar or mediastinal lymphadenopathy. Calcified mediastinal lymph nodes noted. Mild. No lymphadenopathy. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. No significant abnormality noted. Splenic calcifications noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Absence of enteric contrast material limits sensitivity for GI pathology. No gross abnormalities noted. Dextroscoliosis of the thoracic spine is noted. Mild degenerative changes of the spine. Atherosclerosis of the aorta and its major branches. </s>

There are postoperative findings related to right parotid tail resection and neck dissection. There is nodular structure in the remaining right parotid gland adjacent to the resection bed that measures up to 5 mm, which appears to be new from the preoperative CT. Otherwise, a subcentimeter lymph node in the anterior portion of the superficial right parotid gland is unchanged and there is no significant lymphadenopathy elsewhere in the neck. The other salivary glands are unremarkable. There is unchanged asymmetric prominence of the left palatine tonsil. The thyroid gland appears unremarkable. The major cervical vessels are patent. There is degenerative cervical spondylosis, which is most pronounced at C5-6. There is a right maxillary sinus mucous retention cyst and minimal mucosal thickening in the left maxillary sinus. The imaged intracranial structures are unremarkable. The imaged portions of the lungs are clear.

anatomical entity_fin: {'neck': {}}location descriptor_fin: ['right']clinical findings_fin: {'postoperative': {'clinical finding': 'postoperative', 'existence': 'pos_dx', 'observation': 'postoperative'}, 'right parotid tail': {'clinical finding': 'right parotid tail', 'existence': 'pos_dx', 'descriptive_term': 'right parotid', 'observation': 'tail'}, 'neck dissection': {'clinical finding': 'neck dissection', 'existence': 'pos_dx', 'descriptive_term': 'neck', 'observation': 'dissection'}}size_fin: [{'size': '5 mm', 'size_descriptor': 'structure'}]anatomical entity_fin: {'right parotid gland': {}}location descriptor_fin: ['adjacent']clinical findings_fin: {'nodular structure': {'clinical finding': 'nodular structure', 'existence': 'pos_dx', 'descriptive_term': 'nodular', 'observation': 'structure'}}anatomical entity_fin: {'right parotid gland': {'location descriptor': 'superficial'}, 'neck': {}}location descriptor_fin: ['anterior', 'superficial']clinical findings_fin: {'subcentimeter lymph node': {'clinical finding': 'subcentimeter lymph node', 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter lymph', 'observation': 'node'}, 'significant lymphadenopathy': {'clinical finding': 'significant lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'salivary glands': {}}clinical findings_fin: {'other salivary glands are unremarkable': {'clinical finding': 'other salivary glands are unremarkable'}}anatomical entity_fin: {'palatine tonsil': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'left palatine tonsil': {'clinical finding': 'left palatine tonsil', 'existence': 'pos_dx', 'descriptive_term': 'left palatine', 'observation': 'tonsil'}}anatomical entity_fin: {'thyroid gland': {}}clinical findings_fin: {'thyroid gland appears unremarkable': {'clinical finding': 'thyroid gland appears unremarkable'}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}anatomical entity_fin: {'cervical': {}}clinical findings_fin: {'degenerative cervical spondylosis': {'clinical finding': 'degenerative cervical spondylosis', 'cf_snomed': {'cervical spondylosis': 387800004}, 'existence': 'pos_dx', 'descriptive_term': 'degenerative cervical', 'observation': 'spondylosis'}}anatomical entity_fin: {'maxillary sinus': {'location descriptor': 'left'}}location descriptor_fin: ['right', 'left']clinical findings_fin: {'right maxillary sinus mucous retention cyst': {'clinical finding': 'right maxillary sinus mucous retention cyst', 'cf_snomed': {'sinus': 419351001, 'retention': 36850000, 'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'right maxillary sinus mucous retention', 'observation': 'cyst'}, 'minimal mucosal thickening': {'clinical finding': 'minimal mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'minimal mucosal', 'observation': 'thickening', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}clinical findings_fin: {'imaged intracranial structures are unremarkable': {'clinical finding': 'imaged intracranial structures are unremarkable'}}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: anatomical entity_fin: {'neck': {}}location descriptor_fin: ['right']clinical findings_fin: {'postoperative': {'clinical finding': 'postoperative', 'existence': 'pos_dx', 'observation': 'postoperative'}, 'right parotid tail': {'clinical finding': 'right parotid tail', 'existence': 'pos_dx', 'descriptive_term': 'right parotid', 'observation': 'tail'}, 'neck dissection': {'clinical finding': 'neck dissection', 'existence': 'pos_dx', 'descriptive_term': 'neck', 'observation': 'dissection'}}size_fin: [{'size': '5 mm', 'size_descriptor': 'structure'}]anatomical entity_fin: {'right parotid gland': {}}location descriptor_fin: ['adjacent']clinical findings_fin: {'nodular structure': {'clinical finding': 'nodular structure', 'existence': 'pos_dx', 'descriptive_term': 'nodular', 'observation': 'structure'}}anatomical entity_fin: {'right parotid gland': {'location descriptor': 'superficial'}, 'neck': {}}location descriptor_fin: ['anterior', 'superficial']clinical findings_fin: {'subcentimeter lymph node': {'clinical finding': 'subcentimeter lymph node', 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter lymph', 'observation': 'node'}, 'significant lymphadenopathy': {'clinical finding': 'significant lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'salivary glands': {}}clinical findings_fin: {'other salivary glands are unremarkable': {'clinical finding': 'other salivary glands are unremarkable'}}anatomical entity_fin: {'palatine tonsil': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'left palatine tonsil': {'clinical finding': 'left palatine tonsil', 'existence': 'pos_dx', 'descriptive_term': 'left palatine', 'observation': 'tonsil'}}anatomical entity_fin: {'thyroid gland': {}}clinical findings_fin: {'thyroid gland appears unremarkable': {'clinical finding': 'thyroid gland appears unremarkable'}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}anatomical entity_fin: {'cervical': {}}clinical findings_fin: {'degenerative cervical spondylosis': {'clinical finding': 'degenerative cervical spondylosis', 'cf_snomed': {'cervical spondylosis': 387800004}, 'existence': 'pos_dx', 'descriptive_term': 'degenerative cervical', 'observation': 'spondylosis'}}anatomical entity_fin: {'maxillary sinus': {'location descriptor': 'left'}}location descriptor_fin: ['right', 'left']clinical findings_fin: {'right maxillary sinus mucous retention cyst': {'clinical finding': 'right maxillary sinus mucous retention cyst', 'cf_snomed': {'sinus': 419351001, 'retention': 36850000, 'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'right maxillary sinus mucous retention', 'observation': 'cyst'}, 'minimal mucosal thickening': {'clinical finding': 'minimal mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'minimal mucosal', 'observation': 'thickening', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}clinical findings_fin: {'imaged intracranial structures are unremarkable': {'clinical finding': 'imaged intracranial structures are unremarkable'}}anatomical entity_fin: {'lungs': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}} [/INST] There are postoperative findings related to right parotid tail resection and neck dissection. There is nodular structure in the remaining right parotid gland adjacent to the resection bed that measures up to 5 mm, which appears to be new from the preoperative CT. Otherwise, a subcentimeter lymph node in the anterior portion of the superficial right parotid gland is unchanged and there is no significant lymphadenopathy elsewhere in the neck. The other salivary glands are unremarkable. There is unchanged asymmetric prominence of the left palatine tonsil. The thyroid gland appears unremarkable. The major cervical vessels are patent. There is degenerative cervical spondylosis, which is most pronounced at C5-6. There is a right maxillary sinus mucous retention cyst and minimal mucosal thickening in the left maxillary sinus. The imaged intracranial structures are unremarkable. The imaged portions of the lungs are clear. </s>

. The ascending aorta at the level of the main pulmonary artery measures 3.5 cm in maximal diameter. The outer wall to outer wall of the descending aorta at the level of the left main pulmonary artery measures 5.6 cm, with enhancing intraluminal component measuring 3.8 cm. There is a extraluminal high density material at the aortic arch arising just distal to the takeoff of the great vessels and extending to the left renal vein. This does not enhance on postcontrast imaging, suggestive of thrombosed descending aortic dissection. The eccentric semilunar thrombus along the left descending aorta is best identified on series 80259, image 83. Thickness of the thrombosed wall measures up to 1 cm. There is an accessory right renal artery. There are multiple areas of deep ulceration. There is aneurysmal dilatation of the left common iliac artery measuring up to 2.1 cm, with marked narrowing due to mural thrombus versus thrombosed dissection. Bibasilar atelectasis. Right middle lobe nodule measures 0.7 x 0.6 cm. Centrilobular emphysema. Mild cardiomegaly. No adenopathy. No significant abnormality noted. No central pulmonary embolus. Hypoattenuating bilobar hepatic lesions, some of which appear cystic. However, there are multiple additional subcentimeter hypodense lesions that are too small to characterize. There is an additional lesion within segment 8 which is higher in density and has suggestion of peripheral nodular enhancement , favor hemangioma. Accessory splenules incidentally noted. No significant abnormality noted. No significant abnormality noted. Left lower pole simple renal cyst. Additional left subcentimeter hypodense lesion, too small to characterize, probably cyst. No significant abnormality noted. No significant abnormality noted. Midline abdominal scar. Focal subcutaneous subcutaneous inflammation within the right lower abdominal wall, probably secondary to injections. No significant abnormality noted. Prostatic hypertrophy. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality.

size_fin: [{'size': '3.5 cm', 'size_descriptor': 'aorta'}]anatomical entity_fin: {'ascending aorta': {}, 'main pulmonary artery': {}}size_fin: [{'size': '5.6 cm'}, {'size': '3.8 cm'}]anatomical entity_fin: {'wall': {}, 'descending aorta': {}, 'main pulmonary artery': {'location descriptor': 'left'}}imaging observation_fin: ['enhancing']location descriptor_fin: ['left']anatomical entity_fin: {'aortic arch': {}, 'left renal vein': {}}location descriptor_fin: ['distal']clinical findings_fin: {'extraluminal high density': {'clinical finding': 'extraluminal high density', 'existence': 'pos_dx', 'descriptive_term': 'extraluminal high', 'observation': 'density'}}clinical findings_fin: {'thrombosed descending aortic dissection': {'clinical finding': 'thrombosed descending aortic dissection', 'existence': 'unc_dx', 'descriptive_term': 'thrombosed descending aortic', 'observation': 'dissection', 'change_term': 'thrombosed'}}anatomical entity_fin: {'descending aorta': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'eccentric semilunar thrombus': {'clinical finding': 'eccentric semilunar thrombus', 'cf_snomed': {'thrombus': 396339007}, 'existence': 'pos_dx', 'descriptive_term': 'eccentric semilunar', 'observation': 'thrombus'}}size_fin: [{'size': '1 cm', 'size_descriptor': 'thickness'}]anatomical entity_fin: {'wall': {}}clinical findings_fin: {'thickness of the thrombosed wall measures': {'clinical finding': 'thickness of the thrombosed wall measures', 'change_term': 'thrombosed'}}anatomical entity_fin: {'right renal artery': {}}clinical findings_fin: {'deep ulceration': {'clinical finding': 'deep ulceration', 'existence': 'pos_dx', 'descriptive_term': 'deep', 'observation': 'ulceration'}}size_fin: [{'size': '2.1 cm', 'size_descriptor': 'dilatation'}]anatomical entity_fin: {'common iliac artery': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'aneurysmal dilatation': {'clinical finding': 'aneurysmal dilatation', 'cf_snomed': {'dilatation': 25322007}, 'existence': 'pos_dx', 'descriptive_term': 'aneurysmal', 'observation': 'dilatation'}, 'marked narrowing': {'clinical finding': 'marked narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'marked', 'observation': 'narrowing'}, 'mural thrombus': {'clinical finding': 'mural thrombus', 'cf_snomed': {'mural thrombus': 51670003}, 'existence': 'pos_dx', 'descriptive_term': 'mural', 'observation': 'thrombus'}, 'thrombosed dissection': {'clinical finding': 'thrombosed dissection', 'existence': 'pos_dx', 'descriptive_term': 'thrombosed', 'observation': 'dissection', 'change_term': 'thrombosed'}}clinical findings_fin: {'bibasilar atelectasis': {'clinical finding': 'bibasilar atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'bibasilar', 'observation': 'atelectasis'}}size_fin: [{'size': '0.7 x 0.6 cm', 'size_descriptor': 'nodule'}]anatomical entity_fin: {'middle': {'location descriptor': 'right'}, 'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'right middle lobe nodule': {'clinical finding': 'right middle lobe nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'right middle lobe', 'observation': 'nodule'}}clinical findings_fin: {'centrilobular emphysema': {'clinical finding': 'centrilobular emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'descriptive_term': 'centrilobular', 'observation': 'emphysema'}}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: {'adenopathy': {'clinical finding': 'adenopathy', 'existence': 'neg_dx', 'observation': 'adenopathy'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}location descriptor_fin: ['central']clinical findings_fin: {'central pulmonary embolus': {'clinical finding': 'central pulmonary embolus', 'cf_snomed': {'embolus': 55584005}, 'existence': 'neg_dx', 'descriptive_term': 'central pulmonary', 'observation': 'embolus'}}clinical findings_fin: {'hypoattenuating bilobar hepatic lesions': {'clinical finding': 'hypoattenuating bilobar hepatic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'hypoattenuating bilobar hepatic', 'observation': 'lesion'}}clinical findings_fin: {'multiple additional subcentimeter hypodense lesions': {'clinical finding': 'multiple additional subcentimeter hypodense lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'multiple additional subcentimeter hypodense', 'observation': 'lesion', 'quantity_term': 'multiple'}}location descriptor_fin: ['peripheral']clinical findings_fin: {'additional lesion': {'clinical finding': 'additional lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'additional', 'observation': 'lesion'}, 'density': {'clinical finding': 'density', 'existence': 'pos_dx', 'observation': 'density'}, 'peripheral nodular enhancement': {'clinical finding': 'peripheral nodular enhancement', 'existence': 'unc_dx', 'descriptive_term': 'peripheral nodular', 'observation': 'enhancement'}, 'hemangioma': {'clinical finding': 'hemangioma', 'cf_snomed': {'hemangioma': 400210000}, 'existence': 'pos_dx', 'observation': 'hemangioma'}}clinical findings_fin: {'accessory splenules': {'clinical finding': 'accessory splenules', 'existence': 'pos_dx', 'descriptive_term': 'accessory', 'observation': 'splenule'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'left lower pole simple renal cyst': {'clinical finding': 'left lower pole simple renal cyst', 'cf_snomed': {'simple renal cyst': 77945009}, 'existence': 'pos_dx', 'descriptive_term': 'left lower pole simple renal', 'observation': 'cyst'}}location descriptor_fin: ['left']clinical findings_fin: {'additional left subcentimeter hypodense lesion': {'clinical finding': 'additional left subcentimeter hypodense lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'additional left subcentimeter hypodense', 'observation': 'lesion'}, 'probably cyst': {'clinical finding': 'probably cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'probably', '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'}}anatomical entity_fin: {'abdominal': {'location descriptor': 'midline'}}location descriptor_fin: ['midline']clinical findings_fin: {'midline abdominal scar': {'clinical finding': 'midline abdominal scar', 'cf_snomed': {'scar': 275322007}, 'existence': 'pos_dx', 'descriptive_term': 'midline abdominal', 'observation': 'scar'}}anatomical entity_fin: {'abdominal': {'location descriptor': 'right lower'}, 'wall': {}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'focal subcutaneous subcutaneous inflammation': {'clinical finding': 'focal subcutaneous subcutaneous inflammation', 'existence': 'pos_dx', 'descriptive_term': 'focal subcutaneous subcutaneous', 'observation': 'inflammation'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'prostatic hypertrophy': {'clinical finding': 'prostatic hypertrophy', 'cf_snomed': {'hypertrophy': 56246009}, 'existence': 'pos_dx', 'descriptive_term': 'prostatic', 'observation': 'hypertrophy'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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': '3.5 cm', 'size_descriptor': 'aorta'}]anatomical entity_fin: {'ascending aorta': {}, 'main pulmonary artery': {}}size_fin: [{'size': '5.6 cm'}, {'size': '3.8 cm'}]anatomical entity_fin: {'wall': {}, 'descending aorta': {}, 'main pulmonary artery': {'location descriptor': 'left'}}imaging observation_fin: ['enhancing']location descriptor_fin: ['left']anatomical entity_fin: {'aortic arch': {}, 'left renal vein': {}}location descriptor_fin: ['distal']clinical findings_fin: {'extraluminal high density': {'clinical finding': 'extraluminal high density', 'existence': 'pos_dx', 'descriptive_term': 'extraluminal high', 'observation': 'density'}}clinical findings_fin: {'thrombosed descending aortic dissection': {'clinical finding': 'thrombosed descending aortic dissection', 'existence': 'unc_dx', 'descriptive_term': 'thrombosed descending aortic', 'observation': 'dissection', 'change_term': 'thrombosed'}}anatomical entity_fin: {'descending aorta': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'eccentric semilunar thrombus': {'clinical finding': 'eccentric semilunar thrombus', 'cf_snomed': {'thrombus': 396339007}, 'existence': 'pos_dx', 'descriptive_term': 'eccentric semilunar', 'observation': 'thrombus'}}size_fin: [{'size': '1 cm', 'size_descriptor': 'thickness'}]anatomical entity_fin: {'wall': {}}clinical findings_fin: {'thickness of the thrombosed wall measures': {'clinical finding': 'thickness of the thrombosed wall measures', 'change_term': 'thrombosed'}}anatomical entity_fin: {'right renal artery': {}}clinical findings_fin: {'deep ulceration': {'clinical finding': 'deep ulceration', 'existence': 'pos_dx', 'descriptive_term': 'deep', 'observation': 'ulceration'}}size_fin: [{'size': '2.1 cm', 'size_descriptor': 'dilatation'}]anatomical entity_fin: {'common iliac artery': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'aneurysmal dilatation': {'clinical finding': 'aneurysmal dilatation', 'cf_snomed': {'dilatation': 25322007}, 'existence': 'pos_dx', 'descriptive_term': 'aneurysmal', 'observation': 'dilatation'}, 'marked narrowing': {'clinical finding': 'marked narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'marked', 'observation': 'narrowing'}, 'mural thrombus': {'clinical finding': 'mural thrombus', 'cf_snomed': {'mural thrombus': 51670003}, 'existence': 'pos_dx', 'descriptive_term': 'mural', 'observation': 'thrombus'}, 'thrombosed dissection': {'clinical finding': 'thrombosed dissection', 'existence': 'pos_dx', 'descriptive_term': 'thrombosed', 'observation': 'dissection', 'change_term': 'thrombosed'}}clinical findings_fin: {'bibasilar atelectasis': {'clinical finding': 'bibasilar atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'bibasilar', 'observation': 'atelectasis'}}size_fin: [{'size': '0.7 x 0.6 cm', 'size_descriptor': 'nodule'}]anatomical entity_fin: {'middle': {'location descriptor': 'right'}, 'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'right middle lobe nodule': {'clinical finding': 'right middle lobe nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'right middle lobe', 'observation': 'nodule'}}clinical findings_fin: {'centrilobular emphysema': {'clinical finding': 'centrilobular emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'descriptive_term': 'centrilobular', 'observation': 'emphysema'}}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: {'adenopathy': {'clinical finding': 'adenopathy', 'existence': 'neg_dx', 'observation': 'adenopathy'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}location descriptor_fin: ['central']clinical findings_fin: {'central pulmonary embolus': {'clinical finding': 'central pulmonary embolus', 'cf_snomed': {'embolus': 55584005}, 'existence': 'neg_dx', 'descriptive_term': 'central pulmonary', 'observation': 'embolus'}}clinical findings_fin: {'hypoattenuating bilobar hepatic lesions': {'clinical finding': 'hypoattenuating bilobar hepatic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'hypoattenuating bilobar hepatic', 'observation': 'lesion'}}clinical findings_fin: {'multiple additional subcentimeter hypodense lesions': {'clinical finding': 'multiple additional subcentimeter hypodense lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'multiple additional subcentimeter hypodense', 'observation': 'lesion', 'quantity_term': 'multiple'}}location descriptor_fin: ['peripheral']clinical findings_fin: {'additional lesion': {'clinical finding': 'additional lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'additional', 'observation': 'lesion'}, 'density': {'clinical finding': 'density', 'existence': 'pos_dx', 'observation': 'density'}, 'peripheral nodular enhancement': {'clinical finding': 'peripheral nodular enhancement', 'existence': 'unc_dx', 'descriptive_term': 'peripheral nodular', 'observation': 'enhancement'}, 'hemangioma': {'clinical finding': 'hemangioma', 'cf_snomed': {'hemangioma': 400210000}, 'existence': 'pos_dx', 'observation': 'hemangioma'}}clinical findings_fin: {'accessory splenules': {'clinical finding': 'accessory splenules', 'existence': 'pos_dx', 'descriptive_term': 'accessory', 'observation': 'splenule'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'left lower pole simple renal cyst': {'clinical finding': 'left lower pole simple renal cyst', 'cf_snomed': {'simple renal cyst': 77945009}, 'existence': 'pos_dx', 'descriptive_term': 'left lower pole simple renal', 'observation': 'cyst'}}location descriptor_fin: ['left']clinical findings_fin: {'additional left subcentimeter hypodense lesion': {'clinical finding': 'additional left subcentimeter hypodense lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'additional left subcentimeter hypodense', 'observation': 'lesion'}, 'probably cyst': {'clinical finding': 'probably cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'probably', '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'}}anatomical entity_fin: {'abdominal': {'location descriptor': 'midline'}}location descriptor_fin: ['midline']clinical findings_fin: {'midline abdominal scar': {'clinical finding': 'midline abdominal scar', 'cf_snomed': {'scar': 275322007}, 'existence': 'pos_dx', 'descriptive_term': 'midline abdominal', 'observation': 'scar'}}anatomical entity_fin: {'abdominal': {'location descriptor': 'right lower'}, 'wall': {}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'focal subcutaneous subcutaneous inflammation': {'clinical finding': 'focal subcutaneous subcutaneous inflammation', 'existence': 'pos_dx', 'descriptive_term': 'focal subcutaneous subcutaneous', 'observation': 'inflammation'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'prostatic hypertrophy': {'clinical finding': 'prostatic hypertrophy', 'cf_snomed': {'hypertrophy': 56246009}, 'existence': 'pos_dx', 'descriptive_term': 'prostatic', 'observation': 'hypertrophy'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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 ascending aorta at the level of the main pulmonary artery measures 3.5 cm in maximal diameter. The outer wall to outer wall of the descending aorta at the level of the left main pulmonary artery measures 5.6 cm, with enhancing intraluminal component measuring 3.8 cm. There is a extraluminal high density material at the aortic arch arising just distal to the takeoff of the great vessels and extending to the left renal vein. This does not enhance on postcontrast imaging, suggestive of thrombosed descending aortic dissection. The eccentric semilunar thrombus along the left descending aorta is best identified on series 80259, image 83. Thickness of the thrombosed wall measures up to 1 cm. There is an accessory right renal artery. There are multiple areas of deep ulceration. There is aneurysmal dilatation of the left common iliac artery measuring up to 2.1 cm, with marked narrowing due to mural thrombus versus thrombosed dissection. Bibasilar atelectasis. Right middle lobe nodule measures 0.7 x 0.6 cm. Centrilobular emphysema. Mild cardiomegaly. No adenopathy. No significant abnormality noted. No central pulmonary embolus. Hypoattenuating bilobar hepatic lesions, some of which appear cystic. However, there are multiple additional subcentimeter hypodense lesions that are too small to characterize. There is an additional lesion within segment 8 which is higher in density and has suggestion of peripheral nodular enhancement , favor hemangioma. Accessory splenules incidentally noted. No significant abnormality noted. No significant abnormality noted. Left lower pole simple renal cyst. Additional left subcentimeter hypodense lesion, too small to characterize, probably cyst. No significant abnormality noted. No significant abnormality noted. Midline abdominal scar. Focal subcutaneous subcutaneous inflammation within the right lower abdominal wall, probably secondary to injections. No significant abnormality noted. Prostatic hypertrophy. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality. </s>

. Centrilobar emphysema predominantly noted in the bilateral upper lobes. Few areas of reticular nodular opacities in the right upper lobe and bilateral basilar region are noted. Subcentimeter mediastinal nodes are redemonstrated, unchanged from prior study. Chemotherapy port projected over the right axillary region with the tip of the Port-A-Cath at the junction of right atrium and SVC. Normal axillary lymph nodes noted. Stable and enlarged paracardiac lymph nodes noted. Mild. No significant abnormality noted. Cirrhotic morphology of the liver. The portal vasculature is patent. A common bile duct stent is in place with expected intrahepatic pneumobilia. Mild to moderate Splenomegaly noted. Pancreatic head mass measures 2.7 x 3 cm, previously measured 3.5 x 2.8 cm, minimally reduced from prior study. Dilated pancreatic duct has foci of air within it. No significant abnormality noted. No significant abnormality noted. Redemonstrated enlarged peripancreatic, portacaval, and retroperitoneal lymph nodes. The reference portacaval lymph node measures approximately 2.1 x 1.1 cm , stable. Moderate. Redemonstrated is omental nodularity and thickening of the small bowel loops and large bowel loops. No significant abnormality noted. Abdominal ascites is stable. Gastric and perirectal varices compatible with portal hypertension. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Ascites is stable

anatomical entity_fin: {'lobes': {'location descriptor': 'bilateral upper'}}location descriptor_fin: ['bilateral', 'upper']clinical findings_fin: {'centrilobar emphysema': {'clinical finding': 'centrilobar emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'descriptive_term': 'centrilobar', 'observation': 'emphysema'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right upper'}}location descriptor_fin: ['right', 'upper', 'bilateral']clinical findings_fin: {'reticular nodular opacities': {'clinical finding': 'reticular nodular opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'neg_dx', 'descriptive_term': 'reticular nodular', 'observation': 'opacity'}}clinical findings_fin: {'subcentimeter mediastinal nodes': {'clinical finding': 'subcentimeter mediastinal nodes', 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter mediastinal', 'observation': 'node'}}anatomical entity_fin: {'axillary region': {'location descriptor': 'right'}, 'right atrium': {}}location descriptor_fin: ['right']object_fin: ['port']procedure_fin: ['chemotherapy']clinical findings_fin: {'port-a-cath': {'clinical finding': 'port-a-cath', 'existence': 'pos_dx', 'observation': 'port-a-'}}anatomical entity_fin: {'axillary lymph nodes': {}}clinical findings_fin: {'normal axillary lymph nodes': {'clinical finding': 'normal axillary lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'normal axillary lymph', 'observation': 'node', 'strength_term': 'normal'}}anatomical entity_fin: {'paracardiac lymph nodes': {}}clinical findings_fin: {'stable and enlarged paracardiac lymph nodes': {'clinical finding': 'stable and enlarged paracardiac lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'stable and enlarged paracardiac lymph', 'observation': 'node', 'strength_term': 'stable - enlarged', 'change_term': 'stable - enlarged'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'cirrhotic': {'clinical finding': 'cirrhotic', 'existence': 'pos_dx', 'observation': 'cirrhotic'}}anatomical entity_fin: {'vasculature': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}anatomical entity_fin: {'common bile duct': {}}clinical findings_fin: {'common bile duct stent': {'clinical finding': 'common bile duct stent', 'existence': 'pos_dx', 'descriptive_term': 'common bile duct', 'observation': 'stent'}, 'expected intrahepatic pneumobilia': {'clinical finding': 'expected intrahepatic pneumobilia', 'existence': 'pos_dx', 'descriptive_term': 'expected intrahepatic', 'observation': 'pneumobilia'}}clinical findings_fin: {'mild to moderate splenomegaly': {'clinical finding': 'mild to moderate splenomegaly', 'cf_snomed': {'splenomegaly': 16294009}, 'existence': 'pos_dx', 'descriptive_term': 'mild to moderate', 'observation': 'splenomegaly', 'strength_term': 'mild - moderate'}}size_fin: [{'size': '2.7 x 3 cm'}, {'size': '3.5 x 2.8 cm'}]anatomical entity_fin: {'head': {}}clinical findings_fin: {'pancreatic head mass': {'clinical finding': 'pancreatic head mass', 'existence': 'pos_dx', 'descriptive_term': 'pancreatic head', 'observation': 'mass'}}anatomical entity_fin: {'pancreatic duct': {}}imaging observation_fin: ['foci']clinical findings_fin: {'foci': {'clinical finding': 'foci', 'existence': 'pos_dx', 'observation': 'foci'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_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 peripancreatic, portacaval, and retroperitoneal lymph nodes': {'clinical finding': 'enlarged peripancreatic, portacaval, and retroperitoneal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'enlarged peripancreatic portacaval and retroperitoneal lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'}}size_fin: [{'size': '2.1 x 1.1 cm', 'size_descriptor': 'node'}]clinical findings_fin: {'reference portacaval lymph node': {'clinical finding': 'reference portacaval lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference portacaval lymph', 'observation': 'node'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'omental nodularity': {'clinical finding': 'omental nodularity', 'existence': 'pos_dx', 'descriptive_term': 'omental', 'observation': 'nodularity'}, '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'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'abdominal ascites': {'clinical finding': 'abdominal ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'abdominal', 'observation': 'ascite'}}clinical findings_fin: {'gastric and perirectal varices': {'clinical finding': 'gastric and perirectal varices', 'existence': 'pos_dx', 'descriptive_term': 'gastric and perirectal', 'observation': 'varice'}, 'portal hypertension': {'clinical finding': 'portal hypertension', 'cf_snomed': {'portal hypertension': 34742003}, 'existence': 'pos_dx', 'descriptive_term': 'portal', 'observation': 'hypertension'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'ascites': {'clinical finding': 'ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'observation': 'ascite'}}

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: {'lobes': {'location descriptor': 'bilateral upper'}}location descriptor_fin: ['bilateral', 'upper']clinical findings_fin: {'centrilobar emphysema': {'clinical finding': 'centrilobar emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'descriptive_term': 'centrilobar', 'observation': 'emphysema'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right upper'}}location descriptor_fin: ['right', 'upper', 'bilateral']clinical findings_fin: {'reticular nodular opacities': {'clinical finding': 'reticular nodular opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'neg_dx', 'descriptive_term': 'reticular nodular', 'observation': 'opacity'}}clinical findings_fin: {'subcentimeter mediastinal nodes': {'clinical finding': 'subcentimeter mediastinal nodes', 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter mediastinal', 'observation': 'node'}}anatomical entity_fin: {'axillary region': {'location descriptor': 'right'}, 'right atrium': {}}location descriptor_fin: ['right']object_fin: ['port']procedure_fin: ['chemotherapy']clinical findings_fin: {'port-a-cath': {'clinical finding': 'port-a-cath', 'existence': 'pos_dx', 'observation': 'port-a-'}}anatomical entity_fin: {'axillary lymph nodes': {}}clinical findings_fin: {'normal axillary lymph nodes': {'clinical finding': 'normal axillary lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'normal axillary lymph', 'observation': 'node', 'strength_term': 'normal'}}anatomical entity_fin: {'paracardiac lymph nodes': {}}clinical findings_fin: {'stable and enlarged paracardiac lymph nodes': {'clinical finding': 'stable and enlarged paracardiac lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'stable and enlarged paracardiac lymph', 'observation': 'node', 'strength_term': 'stable - enlarged', 'change_term': 'stable - enlarged'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'cirrhotic': {'clinical finding': 'cirrhotic', 'existence': 'pos_dx', 'observation': 'cirrhotic'}}anatomical entity_fin: {'vasculature': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}anatomical entity_fin: {'common bile duct': {}}clinical findings_fin: {'common bile duct stent': {'clinical finding': 'common bile duct stent', 'existence': 'pos_dx', 'descriptive_term': 'common bile duct', 'observation': 'stent'}, 'expected intrahepatic pneumobilia': {'clinical finding': 'expected intrahepatic pneumobilia', 'existence': 'pos_dx', 'descriptive_term': 'expected intrahepatic', 'observation': 'pneumobilia'}}clinical findings_fin: {'mild to moderate splenomegaly': {'clinical finding': 'mild to moderate splenomegaly', 'cf_snomed': {'splenomegaly': 16294009}, 'existence': 'pos_dx', 'descriptive_term': 'mild to moderate', 'observation': 'splenomegaly', 'strength_term': 'mild - moderate'}}size_fin: [{'size': '2.7 x 3 cm'}, {'size': '3.5 x 2.8 cm'}]anatomical entity_fin: {'head': {}}clinical findings_fin: {'pancreatic head mass': {'clinical finding': 'pancreatic head mass', 'existence': 'pos_dx', 'descriptive_term': 'pancreatic head', 'observation': 'mass'}}anatomical entity_fin: {'pancreatic duct': {}}imaging observation_fin: ['foci']clinical findings_fin: {'foci': {'clinical finding': 'foci', 'existence': 'pos_dx', 'observation': 'foci'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_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 peripancreatic, portacaval, and retroperitoneal lymph nodes': {'clinical finding': 'enlarged peripancreatic, portacaval, and retroperitoneal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'enlarged peripancreatic portacaval and retroperitoneal lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'}}size_fin: [{'size': '2.1 x 1.1 cm', 'size_descriptor': 'node'}]clinical findings_fin: {'reference portacaval lymph node': {'clinical finding': 'reference portacaval lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference portacaval lymph', 'observation': 'node'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'omental nodularity': {'clinical finding': 'omental nodularity', 'existence': 'pos_dx', 'descriptive_term': 'omental', 'observation': 'nodularity'}, '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'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'abdominal ascites': {'clinical finding': 'abdominal ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'abdominal', 'observation': 'ascite'}}clinical findings_fin: {'gastric and perirectal varices': {'clinical finding': 'gastric and perirectal varices', 'existence': 'pos_dx', 'descriptive_term': 'gastric and perirectal', 'observation': 'varice'}, 'portal hypertension': {'clinical finding': 'portal hypertension', 'cf_snomed': {'portal hypertension': 34742003}, 'existence': 'pos_dx', 'descriptive_term': 'portal', 'observation': 'hypertension'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'ascites': {'clinical finding': 'ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'observation': 'ascite'}} [/INST] . Centrilobar emphysema predominantly noted in the bilateral upper lobes. Few areas of reticular nodular opacities in the right upper lobe and bilateral basilar region are noted. Subcentimeter mediastinal nodes are redemonstrated, unchanged from prior study. Chemotherapy port projected over the right axillary region with the tip of the Port-A-Cath at the junction of right atrium and SVC. Normal axillary lymph nodes noted. Stable and enlarged paracardiac lymph nodes noted. Mild. No significant abnormality noted. Cirrhotic morphology of the liver. The portal vasculature is patent. A common bile duct stent is in place with expected intrahepatic pneumobilia. Mild to moderate Splenomegaly noted. Pancreatic head mass measures 2.7 x 3 cm, previously measured 3.5 x 2.8 cm, minimally reduced from prior study. Dilated pancreatic duct has foci of air within it. No significant abnormality noted. No significant abnormality noted. Redemonstrated enlarged peripancreatic, portacaval, and retroperitoneal lymph nodes. The reference portacaval lymph node measures approximately 2.1 x 1.1 cm , stable. Moderate. Redemonstrated is omental nodularity and thickening of the small bowel loops and large bowel loops. No significant abnormality noted. Abdominal ascites is stable. Gastric and perirectal varices compatible with portal hypertension. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Ascites is stable </s>

. The referenced left upper lobe mass measures 47 x 46 mm , previously 45 x 41 mm this mass is again seen encasing and obliterating the left main pulmonary artery and its branches. Adjacent post radiation changes are not significant changed. Scattered areas of peripheral groundglass nodules and tree-in-bud opacities are again seen, suggestive of chronic aspiration or angulated. Mild upper lobe predominant centrilobular emphysema is not significantly changed. Heart size is within normal limits with persistent mild anterior pericardial thickening or fluid. The mediastinum is shifted to the left secondary to post radiation fibrosis. Enlarged mediastinal lymph nodes are not significantly changed. The previously described left upper lobe mass encases the left hilum making evaluation of hilar lymphadenopathy difficult. The main pulmonary artery is of normal caliber. However, multiple segmental pulmonary emboli are seen adjacent to the mass, which are either new or increased from prior study. Mild. Mildly prominent left axillary lymph nodes are similar to prior. Multinodular thyroid gland is again seen. Absence of enteric contrast material limits sensitivity for abdominal pathology. No significant abnormality noted. Status post splenectomy. No significant abnormality noted. Subcentimeter renal lesions are again seen, likely representing benign cysts. Postoperative changes are again noted. Multiple new enlarged and centrally necrotic peripancreatic and gastrohepatic lymph nodes which are concerning for metastatic disease. Peripancreatic inflammatory changes may be related to metastatic disease. No significant abnormality noted. Absence of enteric contrast material limits sensitivity for GI pathology. Postsurgical changes related to bowel resection are seen in the right lower quadrant. Multiple prominent mesenteric lymph nodes are new from prior study. The previously described left upper quadrant mesenteric nodule is similar to prior measuring 9 x 12 mm. Widemouth ventral hernia containing loops of bowel without evidence of obstruction or strangulation. No significant abnormality noted.

size_fin: [{'size': '47 x 46 mm'}, {'size': '45 x 41 mm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}, 'main pulmonary artery': {'location descriptor': 'left'}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'referenced left upper lobe mass': {'clinical finding': 'referenced left upper lobe mass', 'existence': 'pos_dx', 'descriptive_term': 'referenced left upper lobe', 'observation': 'mass'}, 'this mass': {'clinical finding': 'this mass', 'existence': 'pos_dx', 'descriptive_term': 'this', 'observation': 'mass'}}location descriptor_fin: ['adjacent']clinical findings_fin: {'adjacent post radiation changes': {'clinical finding': 'adjacent post radiation changes', 'existence': 'neg_dx', 'descriptive_term': 'adjacent post radiation', 'observation': 'change'}}imaging observation_fin: ['tree-in-bud']location descriptor_fin: ['peripheral']clinical findings_fin: {'peripheral groundglass nodules': {'clinical finding': 'peripheral groundglass nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'peripheral groundglass', 'observation': 'nodule'}, 'opacities': {'clinical finding': 'opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'observation': 'opacity'}, 'chronic aspiration': {'clinical finding': 'chronic aspiration', 'existence': 'unc_dx', 'descriptive_term': 'chronic', 'observation': 'aspiration', 'temporal_term': 'chronic'}, 'angulated': {'clinical finding': 'angulated', 'existence': 'unc_dx', 'observation': 'angulated'}}anatomical entity_fin: {'lobe': {'location descriptor': 'upper'}}location descriptor_fin: ['upper']clinical findings_fin: {'mild upper lobe predominant centrilobular emphysema': {'clinical finding': 'mild upper lobe predominant centrilobular emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'neg_dx', 'descriptive_term': 'mild upper lobe predominant centrilobular', 'observation': 'emphysema', 'strength_term': 'mild'}}anatomical entity_fin: {'heart': {}, 'fluid': {}}location descriptor_fin: ['anterior']clinical findings_fin: {'persistent mild anterior pericardial thickening': {'clinical finding': 'persistent mild anterior pericardial thickening', 'existence': 'pos_dx', 'descriptive_term': 'persistent mild anterior pericardial', 'observation': 'thickening', 'strength_term': 'mild', 'temporal_term': 'persistent'}}anatomical entity_fin: {'mediastinum': {}}location descriptor_fin: ['shifted', 'left']clinical findings_fin: {'shifted': {'clinical finding': 'shifted', 'existence': 'pos_dx', 'observation': 'shifted'}, 'post radiation fibrosis': {'clinical finding': 'post radiation fibrosis', 'existence': 'pos_dx', 'descriptive_term': 'post radiation', 'observation': 'fibrosis'}}anatomical entity_fin: {'mediastinal lymph nodes': {}}clinical findings_fin: {'enlarged mediastinal lymph nodes': {'clinical finding': 'enlarged mediastinal lymph nodes', 'existence': 'neg_dx', 'descriptive_term': 'enlarged mediastinal lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}, 'hilum': {'location descriptor': 'left'}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'previously described left upper lobe mass': {'clinical finding': 'previously described left upper lobe mass', 'existence': 'pos_dx', 'descriptive_term': 'previously described left upper lobe', 'observation': 'mass'}, 'hilar lymphadenopathy': {'clinical finding': 'hilar lymphadenopathy', 'cf_snomed': {'hilar lymphadenopathy': 87500009}, 'existence': 'unc_dx', 'descriptive_term': 'hilar', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'main pulmonary artery': {}}clinical findings_fin: {'main pulmonary artery is of normal caliber': {'clinical finding': 'main pulmonary artery is of normal caliber'}}location descriptor_fin: ['adjacent']clinical findings_fin: {'multiple segmental pulmonary emboli': {'clinical finding': 'multiple segmental pulmonary emboli', 'existence': 'pos_dx', 'descriptive_term': 'multiple segmental pulmonary', 'observation': 'emboli', 'quantity_term': 'multiple'}, 'mass': {'clinical finding': 'mass', 'existence': 'pos_dx', 'observation': 'mass'}}anatomical entity_fin: {'axillary lymph nodes': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'mildly prominent left axillary lymph nodes': {'clinical finding': 'mildly prominent left axillary lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'mildly prominent left axillary lymph', 'observation': 'node', 'strength_term': 'mildly - prominent'}}anatomical entity_fin: {'thyroid gland': {}}clinical findings_fin: {'multinodular thyroid gland': {'clinical finding': 'multinodular thyroid gland', 'existence': 'pos_dx', 'descriptive_term': 'multinodular thyroid', 'observation': 'gland'}}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'}}procedure_fin: ['splenectomy']clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'subcentimeter renal lesions': {'clinical finding': 'subcentimeter renal lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter renal', 'observation': 'lesion'}, 'benign cysts': {'clinical finding': 'benign cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'unc_dx', 'descriptive_term': 'benign', 'observation': 'cyst', 'strength_term': 'benign'}}clinical findings_fin: {'multiple new enlarged and centrally necrotic peripancreatic and gastrohepatic lymph nodes': {'clinical finding': 'multiple new enlarged and centrally necrotic peripancreatic and gastrohepatic lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'multiple new enlarged and centrally necrotic peripancreatic and gastrohepatic lymph', 'observation': 'node', 'strength_term': 'enlarged', 'quantity_term': 'multiple', 'temporal_term': 'new', 'change_term': 'enlarged'}, 'metastatic disease': {'clinical finding': 'metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'unc_dx', 'descriptive_term': 'metastatic', 'observation': 'disease'}}clinical findings_fin: {'peripancreatic inflammatory changes': {'clinical finding': 'peripancreatic inflammatory changes', 'existence': 'unc_dx', 'descriptive_term': 'peripancreatic inflammatory', 'observation': 'change'}, '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: {'gi': {'clinical finding': 'gi', 'existence': 'unc_dx', 'observation': 'gi'}}anatomical entity_fin: {'bowel': {}, 'quadrant': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'postsurgical changes': {'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'}}anatomical entity_fin: {'mesenteric lymph nodes': {}}clinical findings_fin: {'multiple prominent mesenteric lymph nodes': {'clinical finding': 'multiple prominent mesenteric lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'multiple prominent mesenteric lymph', 'observation': 'node', 'strength_term': 'prominent', 'quantity_term': 'multiple'}}size_fin: [{'size': '9 x 12 mm', 'size_descriptor': 'nodule'}]anatomical entity_fin: {'quadrant': {'location descriptor': 'left upper'}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'previously described left upper quadrant mesenteric nodule': {'clinical finding': 'previously described left upper quadrant mesenteric nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'previously described left upper quadrant mesenteric', 'observation': 'nodule'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'widemouth ventral hernia': {'clinical finding': 'widemouth ventral hernia', 'cf_snomed': {'hernia': 414403008}, 'existence': 'pos_dx', 'descriptive_term': 'widemouth ventral', 'observation': 'hernia'}, 'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'observation': 'obstruction'}, 'strangulation': {'clinical finding': 'strangulation', 'existence': 'neg_dx', 'observation': 'strangulation'}}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': '47 x 46 mm'}, {'size': '45 x 41 mm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}, 'main pulmonary artery': {'location descriptor': 'left'}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'referenced left upper lobe mass': {'clinical finding': 'referenced left upper lobe mass', 'existence': 'pos_dx', 'descriptive_term': 'referenced left upper lobe', 'observation': 'mass'}, 'this mass': {'clinical finding': 'this mass', 'existence': 'pos_dx', 'descriptive_term': 'this', 'observation': 'mass'}}location descriptor_fin: ['adjacent']clinical findings_fin: {'adjacent post radiation changes': {'clinical finding': 'adjacent post radiation changes', 'existence': 'neg_dx', 'descriptive_term': 'adjacent post radiation', 'observation': 'change'}}imaging observation_fin: ['tree-in-bud']location descriptor_fin: ['peripheral']clinical findings_fin: {'peripheral groundglass nodules': {'clinical finding': 'peripheral groundglass nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'peripheral groundglass', 'observation': 'nodule'}, 'opacities': {'clinical finding': 'opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'observation': 'opacity'}, 'chronic aspiration': {'clinical finding': 'chronic aspiration', 'existence': 'unc_dx', 'descriptive_term': 'chronic', 'observation': 'aspiration', 'temporal_term': 'chronic'}, 'angulated': {'clinical finding': 'angulated', 'existence': 'unc_dx', 'observation': 'angulated'}}anatomical entity_fin: {'lobe': {'location descriptor': 'upper'}}location descriptor_fin: ['upper']clinical findings_fin: {'mild upper lobe predominant centrilobular emphysema': {'clinical finding': 'mild upper lobe predominant centrilobular emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'neg_dx', 'descriptive_term': 'mild upper lobe predominant centrilobular', 'observation': 'emphysema', 'strength_term': 'mild'}}anatomical entity_fin: {'heart': {}, 'fluid': {}}location descriptor_fin: ['anterior']clinical findings_fin: {'persistent mild anterior pericardial thickening': {'clinical finding': 'persistent mild anterior pericardial thickening', 'existence': 'pos_dx', 'descriptive_term': 'persistent mild anterior pericardial', 'observation': 'thickening', 'strength_term': 'mild', 'temporal_term': 'persistent'}}anatomical entity_fin: {'mediastinum': {}}location descriptor_fin: ['shifted', 'left']clinical findings_fin: {'shifted': {'clinical finding': 'shifted', 'existence': 'pos_dx', 'observation': 'shifted'}, 'post radiation fibrosis': {'clinical finding': 'post radiation fibrosis', 'existence': 'pos_dx', 'descriptive_term': 'post radiation', 'observation': 'fibrosis'}}anatomical entity_fin: {'mediastinal lymph nodes': {}}clinical findings_fin: {'enlarged mediastinal lymph nodes': {'clinical finding': 'enlarged mediastinal lymph nodes', 'existence': 'neg_dx', 'descriptive_term': 'enlarged mediastinal lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}, 'hilum': {'location descriptor': 'left'}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'previously described left upper lobe mass': {'clinical finding': 'previously described left upper lobe mass', 'existence': 'pos_dx', 'descriptive_term': 'previously described left upper lobe', 'observation': 'mass'}, 'hilar lymphadenopathy': {'clinical finding': 'hilar lymphadenopathy', 'cf_snomed': {'hilar lymphadenopathy': 87500009}, 'existence': 'unc_dx', 'descriptive_term': 'hilar', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'main pulmonary artery': {}}clinical findings_fin: {'main pulmonary artery is of normal caliber': {'clinical finding': 'main pulmonary artery is of normal caliber'}}location descriptor_fin: ['adjacent']clinical findings_fin: {'multiple segmental pulmonary emboli': {'clinical finding': 'multiple segmental pulmonary emboli', 'existence': 'pos_dx', 'descriptive_term': 'multiple segmental pulmonary', 'observation': 'emboli', 'quantity_term': 'multiple'}, 'mass': {'clinical finding': 'mass', 'existence': 'pos_dx', 'observation': 'mass'}}anatomical entity_fin: {'axillary lymph nodes': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'mildly prominent left axillary lymph nodes': {'clinical finding': 'mildly prominent left axillary lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'mildly prominent left axillary lymph', 'observation': 'node', 'strength_term': 'mildly - prominent'}}anatomical entity_fin: {'thyroid gland': {}}clinical findings_fin: {'multinodular thyroid gland': {'clinical finding': 'multinodular thyroid gland', 'existence': 'pos_dx', 'descriptive_term': 'multinodular thyroid', 'observation': 'gland'}}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'}}procedure_fin: ['splenectomy']clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'subcentimeter renal lesions': {'clinical finding': 'subcentimeter renal lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter renal', 'observation': 'lesion'}, 'benign cysts': {'clinical finding': 'benign cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'unc_dx', 'descriptive_term': 'benign', 'observation': 'cyst', 'strength_term': 'benign'}}clinical findings_fin: {'multiple new enlarged and centrally necrotic peripancreatic and gastrohepatic lymph nodes': {'clinical finding': 'multiple new enlarged and centrally necrotic peripancreatic and gastrohepatic lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'multiple new enlarged and centrally necrotic peripancreatic and gastrohepatic lymph', 'observation': 'node', 'strength_term': 'enlarged', 'quantity_term': 'multiple', 'temporal_term': 'new', 'change_term': 'enlarged'}, 'metastatic disease': {'clinical finding': 'metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'unc_dx', 'descriptive_term': 'metastatic', 'observation': 'disease'}}clinical findings_fin: {'peripancreatic inflammatory changes': {'clinical finding': 'peripancreatic inflammatory changes', 'existence': 'unc_dx', 'descriptive_term': 'peripancreatic inflammatory', 'observation': 'change'}, '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: {'gi': {'clinical finding': 'gi', 'existence': 'unc_dx', 'observation': 'gi'}}anatomical entity_fin: {'bowel': {}, 'quadrant': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'postsurgical changes': {'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'}}anatomical entity_fin: {'mesenteric lymph nodes': {}}clinical findings_fin: {'multiple prominent mesenteric lymph nodes': {'clinical finding': 'multiple prominent mesenteric lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'multiple prominent mesenteric lymph', 'observation': 'node', 'strength_term': 'prominent', 'quantity_term': 'multiple'}}size_fin: [{'size': '9 x 12 mm', 'size_descriptor': 'nodule'}]anatomical entity_fin: {'quadrant': {'location descriptor': 'left upper'}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'previously described left upper quadrant mesenteric nodule': {'clinical finding': 'previously described left upper quadrant mesenteric nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'previously described left upper quadrant mesenteric', 'observation': 'nodule'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'widemouth ventral hernia': {'clinical finding': 'widemouth ventral hernia', 'cf_snomed': {'hernia': 414403008}, 'existence': 'pos_dx', 'descriptive_term': 'widemouth ventral', 'observation': 'hernia'}, 'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'observation': 'obstruction'}, 'strangulation': {'clinical finding': 'strangulation', 'existence': 'neg_dx', 'observation': 'strangulation'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . The referenced left upper lobe mass measures 47 x 46 mm , previously 45 x 41 mm this mass is again seen encasing and obliterating the left main pulmonary artery and its branches. Adjacent post radiation changes are not significant changed. Scattered areas of peripheral groundglass nodules and tree-in-bud opacities are again seen, suggestive of chronic aspiration or angulated. Mild upper lobe predominant centrilobular emphysema is not significantly changed. Heart size is within normal limits with persistent mild anterior pericardial thickening or fluid. The mediastinum is shifted to the left secondary to post radiation fibrosis. Enlarged mediastinal lymph nodes are not significantly changed. The previously described left upper lobe mass encases the left hilum making evaluation of hilar lymphadenopathy difficult. The main pulmonary artery is of normal caliber. However, multiple segmental pulmonary emboli are seen adjacent to the mass, which are either new or increased from prior study. Mild. Mildly prominent left axillary lymph nodes are similar to prior. Multinodular thyroid gland is again seen. Absence of enteric contrast material limits sensitivity for abdominal pathology. No significant abnormality noted. Status post splenectomy. No significant abnormality noted. Subcentimeter renal lesions are again seen, likely representing benign cysts. Postoperative changes are again noted. Multiple new enlarged and centrally necrotic peripancreatic and gastrohepatic lymph nodes which are concerning for metastatic disease. Peripancreatic inflammatory changes may be related to metastatic disease. No significant abnormality noted. Absence of enteric contrast material limits sensitivity for GI pathology. Postsurgical changes related to bowel resection are seen in the right lower quadrant. Multiple prominent mesenteric lymph nodes are new from prior study. The previously described left upper quadrant mesenteric nodule is similar to prior measuring 9 x 12 mm. Widemouth ventral hernia containing loops of bowel without evidence of obstruction or strangulation. No significant abnormality noted. </s>

. There is bibasilar scarring with mild associated atelectasis. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No lymphadenopathy or other significant abnormalities. Mild. There is concentric wall thickening of the rectosigmoid colon with overhanging edge, concerning for cancer. There is also mild pericolonic fat stranding raising the possibility of the infectious or inflammatory process, possibly diverticulitis, although only a few scattered diverticula are noted in the area. No evidence of small bowel obstruction. Osteoarthritis affects the spinal facet joints in the lumbar area. No significant abnormality noted. Right adnexal cystic lesion appears similar to prior study. No significant abnormality noted. No significant abnormality noted. Rectosigmoid bowel wall thickening as noted above. No significant abnormality noted. No significant abnormality noted

clinical findings_fin: {'scarring': {'clinical finding': 'scarring', 'existence': 'pos_dx', 'observation': 'scarr'}, 'mild associated atelectasis': {'clinical finding': 'mild associated atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'mild associated', 'observation': 'atelectasis', '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: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'lymphadenopathy': {'clinical finding': 'lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'observation': 'lymphadenopathy'}, 'other significant abnormalities': {'clinical finding': 'other significant abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'other significant', 'observation': 'abnormality'}}imaging observation_fin: ['colon']clinical findings_fin: {'concentric wall thickening': {'clinical finding': 'concentric wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'concentric wall', 'observation': 'thickening'}, 'overhanging edge': {'clinical finding': 'overhanging edge', 'existence': 'pos_dx', 'descriptive_term': 'overhanging', 'observation': 'edge'}, 'cancer': {'clinical finding': 'cancer', 'existence': 'unc_dx', 'observation': 'cancer'}}imaging observation_fin: ['fat']clinical findings_fin: {'mild pericolonic fat stranding': {'clinical finding': 'mild pericolonic fat stranding', 'existence': 'pos_dx', 'descriptive_term': 'mild pericolonic fat', 'observation': 'strand', 'strength_term': 'mild'}, 'possibly diverticulitis': {'clinical finding': 'possibly diverticulitis', 'cf_snomed': {'diverticulitis': 307496006}, 'existence': 'pos_dx', 'descriptive_term': 'possibly', 'observation': 'diverticulitis'}, 'only a few scattered diverticula': {'clinical finding': 'only a few scattered diverticula', 'existence': 'pos_dx', 'descriptive_term': 'only a few scattered', 'observation': 'diverticula', 'quantity_term': 'few'}}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'}}anatomical entity_fin: {'facet': {}, 'joints': {}}clinical findings_fin: {'osteoarthritis': {'clinical finding': 'osteoarthritis', 'cf_snomed': {'osteoarthritis': 396275006}, 'existence': 'pos_dx', 'observation': 'osteoarthritis'}}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 adnexal cystic lesion': {'clinical finding': 'right adnexal cystic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'right adnexal cystic', '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'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'rectosigmoid bowel wall thickening': {'clinical finding': 'rectosigmoid bowel wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'rectosigmoid bowel wall', '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'}}

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: {'scarring': {'clinical finding': 'scarring', 'existence': 'pos_dx', 'observation': 'scarr'}, 'mild associated atelectasis': {'clinical finding': 'mild associated atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'mild associated', 'observation': 'atelectasis', '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: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'lymphadenopathy': {'clinical finding': 'lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'observation': 'lymphadenopathy'}, 'other significant abnormalities': {'clinical finding': 'other significant abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'other significant', 'observation': 'abnormality'}}imaging observation_fin: ['colon']clinical findings_fin: {'concentric wall thickening': {'clinical finding': 'concentric wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'concentric wall', 'observation': 'thickening'}, 'overhanging edge': {'clinical finding': 'overhanging edge', 'existence': 'pos_dx', 'descriptive_term': 'overhanging', 'observation': 'edge'}, 'cancer': {'clinical finding': 'cancer', 'existence': 'unc_dx', 'observation': 'cancer'}}imaging observation_fin: ['fat']clinical findings_fin: {'mild pericolonic fat stranding': {'clinical finding': 'mild pericolonic fat stranding', 'existence': 'pos_dx', 'descriptive_term': 'mild pericolonic fat', 'observation': 'strand', 'strength_term': 'mild'}, 'possibly diverticulitis': {'clinical finding': 'possibly diverticulitis', 'cf_snomed': {'diverticulitis': 307496006}, 'existence': 'pos_dx', 'descriptive_term': 'possibly', 'observation': 'diverticulitis'}, 'only a few scattered diverticula': {'clinical finding': 'only a few scattered diverticula', 'existence': 'pos_dx', 'descriptive_term': 'only a few scattered', 'observation': 'diverticula', 'quantity_term': 'few'}}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'}}anatomical entity_fin: {'facet': {}, 'joints': {}}clinical findings_fin: {'osteoarthritis': {'clinical finding': 'osteoarthritis', 'cf_snomed': {'osteoarthritis': 396275006}, 'existence': 'pos_dx', 'observation': 'osteoarthritis'}}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 adnexal cystic lesion': {'clinical finding': 'right adnexal cystic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'right adnexal cystic', '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'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'rectosigmoid bowel wall thickening': {'clinical finding': 'rectosigmoid bowel wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'rectosigmoid bowel wall', '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'}} [/INST] . There is bibasilar scarring with mild associated atelectasis. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No lymphadenopathy or other significant abnormalities. Mild. There is concentric wall thickening of the rectosigmoid colon with overhanging edge, concerning for cancer. There is also mild pericolonic fat stranding raising the possibility of the infectious or inflammatory process, possibly diverticulitis, although only a few scattered diverticula are noted in the area. No evidence of small bowel obstruction. Osteoarthritis affects the spinal facet joints in the lumbar area. No significant abnormality noted. Right adnexal cystic lesion appears similar to prior study. No significant abnormality noted. No significant abnormality noted. Rectosigmoid bowel wall thickening as noted above. No significant abnormality noted. No significant abnormality noted </s>

The cervical lymph node are unchanged. For example, a left level 2A lymph node measures 5 x 10 mm, previously also 5 x 10 mm, and a left level 4 lymph node measures 1 x 1 mm, previously also 1 x 1 mm. The salivary glands are unremarkable. There is an unchanged heterogeneous appearance of the thyroid gland with a subcentimeter right thyroid lobe nodule. The major cervical vessels are patent. There are multiple sclerotic bone metastases and a chronic right clavicle fracture, which appear unchanged. The airways are patent. The is suggestion of a developmental venous anomaly or telangiectasia in the pons. There is a persistent infiltrative lesion in the medial left orbit. There is unchanged bilateral upper lobe scarring, right greater the left, with areas of calcification.

clinical findings_fin: {'cervical lymph node': {'clinical finding': 'cervical lymph node', 'existence': 'pos_dx', 'descriptive_term': 'cervical lymph', 'observation': 'node'}}size_fin: [{'size': '5 x 10 mm'}, {'size': '5 x 10 mm'}, {'size': '1 x 1 mm'}, {'size': '1 x 1 mm'}]location descriptor_fin: ['left']clinical findings_fin: {'left level 2a lymph node': {'clinical finding': 'left level 2a lymph node', 'existence': 'pos_dx', 'descriptive_term': 'left level 2a lymph', 'observation': 'node'}, 'lymph node': {'clinical finding': 'lymph node', 'existence': 'pos_dx', 'descriptive_term': 'lymph', 'observation': 'node'}}anatomical entity_fin: {'salivary glands': {}}clinical findings_fin: {'salivary glands are unremarkable': {'clinical finding': 'salivary glands are unremarkable'}}anatomical entity_fin: {'thyroid gland': {}, 'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'unchanged heterogeneous': {'clinical finding': 'unchanged heterogeneous', 'existence': 'pos_dx', 'descriptive_term': 'unchanged', 'observation': 'heterogeneous', 'strength_term': 'unchanged', 'change_term': 'unchanged'}, 'subcentimeter right thyroid lobe nodule': {'clinical finding': 'subcentimeter right thyroid lobe nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter right thyroid lobe', 'observation': 'nodule'}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}anatomical entity_fin: {'right clavicle': {}}clinical findings_fin: {'multiple sclerotic bone metastases': {'clinical finding': 'multiple sclerotic bone metastases', 'existence': 'pos_dx', 'descriptive_term': 'multiple sclerotic bone', 'observation': 'metastase', 'quantity_term': 'multiple'}, 'chronic right clavicle fracture': {'clinical finding': 'chronic right clavicle fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'chronic right clavicle', 'observation': 'fracture', 'temporal_term': 'chronic'}}anatomical entity_fin: {'airways': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}anatomical entity_fin: {'pons': {}}clinical findings_fin: {'developmental venous anomaly': {'clinical finding': 'developmental venous anomaly', 'existence': 'unc_dx', 'descriptive_term': 'developmental venous', 'observation': 'anomaly'}, 'telangiectasia': {'clinical finding': 'telangiectasia', 'existence': 'unc_dx', 'observation': 'telangiectasia'}}anatomical entity_fin: {'orbit': {'location descriptor': 'medial left'}}location descriptor_fin: ['medial', 'left']clinical findings_fin: {'persistent infiltrative lesion': {'clinical finding': 'persistent infiltrative lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'persistent infiltrative', 'observation': 'lesion', 'temporal_term': 'persistent'}}anatomical entity_fin: {'lobe': {'location descriptor': 'bilateral upper'}}location descriptor_fin: ['bilateral', 'upper', 'right', 'left']clinical findings_fin: {'unchanged bilateral upper lobe scarring': {'clinical finding': 'unchanged bilateral upper lobe scarring', 'existence': 'pos_dx', 'descriptive_term': 'unchanged bilateral upper lobe', 'observation': 'scarr', 'strength_term': 'unchanged', 'change_term': 'unchanged'}, 'calcification': {'clinical finding': 'calcification', 'existence': 'pos_dx', '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: clinical findings_fin: {'cervical lymph node': {'clinical finding': 'cervical lymph node', 'existence': 'pos_dx', 'descriptive_term': 'cervical lymph', 'observation': 'node'}}size_fin: [{'size': '5 x 10 mm'}, {'size': '5 x 10 mm'}, {'size': '1 x 1 mm'}, {'size': '1 x 1 mm'}]location descriptor_fin: ['left']clinical findings_fin: {'left level 2a lymph node': {'clinical finding': 'left level 2a lymph node', 'existence': 'pos_dx', 'descriptive_term': 'left level 2a lymph', 'observation': 'node'}, 'lymph node': {'clinical finding': 'lymph node', 'existence': 'pos_dx', 'descriptive_term': 'lymph', 'observation': 'node'}}anatomical entity_fin: {'salivary glands': {}}clinical findings_fin: {'salivary glands are unremarkable': {'clinical finding': 'salivary glands are unremarkable'}}anatomical entity_fin: {'thyroid gland': {}, 'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'unchanged heterogeneous': {'clinical finding': 'unchanged heterogeneous', 'existence': 'pos_dx', 'descriptive_term': 'unchanged', 'observation': 'heterogeneous', 'strength_term': 'unchanged', 'change_term': 'unchanged'}, 'subcentimeter right thyroid lobe nodule': {'clinical finding': 'subcentimeter right thyroid lobe nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter right thyroid lobe', 'observation': 'nodule'}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}anatomical entity_fin: {'right clavicle': {}}clinical findings_fin: {'multiple sclerotic bone metastases': {'clinical finding': 'multiple sclerotic bone metastases', 'existence': 'pos_dx', 'descriptive_term': 'multiple sclerotic bone', 'observation': 'metastase', 'quantity_term': 'multiple'}, 'chronic right clavicle fracture': {'clinical finding': 'chronic right clavicle fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'chronic right clavicle', 'observation': 'fracture', 'temporal_term': 'chronic'}}anatomical entity_fin: {'airways': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}anatomical entity_fin: {'pons': {}}clinical findings_fin: {'developmental venous anomaly': {'clinical finding': 'developmental venous anomaly', 'existence': 'unc_dx', 'descriptive_term': 'developmental venous', 'observation': 'anomaly'}, 'telangiectasia': {'clinical finding': 'telangiectasia', 'existence': 'unc_dx', 'observation': 'telangiectasia'}}anatomical entity_fin: {'orbit': {'location descriptor': 'medial left'}}location descriptor_fin: ['medial', 'left']clinical findings_fin: {'persistent infiltrative lesion': {'clinical finding': 'persistent infiltrative lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'persistent infiltrative', 'observation': 'lesion', 'temporal_term': 'persistent'}}anatomical entity_fin: {'lobe': {'location descriptor': 'bilateral upper'}}location descriptor_fin: ['bilateral', 'upper', 'right', 'left']clinical findings_fin: {'unchanged bilateral upper lobe scarring': {'clinical finding': 'unchanged bilateral upper lobe scarring', 'existence': 'pos_dx', 'descriptive_term': 'unchanged bilateral upper lobe', 'observation': 'scarr', 'strength_term': 'unchanged', 'change_term': 'unchanged'}, 'calcification': {'clinical finding': 'calcification', 'existence': 'pos_dx', 'observation': 'calcification'}} [/INST] The cervical lymph node are unchanged. For example, a left level 2A lymph node measures 5 x 10 mm, previously also 5 x 10 mm, and a left level 4 lymph node measures 1 x 1 mm, previously also 1 x 1 mm. The salivary glands are unremarkable. There is an unchanged heterogeneous appearance of the thyroid gland with a subcentimeter right thyroid lobe nodule. The major cervical vessels are patent. There are multiple sclerotic bone metastases and a chronic right clavicle fracture, which appear unchanged. The airways are patent. The is suggestion of a developmental venous anomaly or telangiectasia in the pons. There is a persistent infiltrative lesion in the medial left orbit. There is unchanged bilateral upper lobe scarring, right greater the left, with areas of calcification. </s>

. There has been endovascular aneurysm repair of the ascending aorta, aortic arch, and descending thoracic aorta, extending into the abdominal aorta to the level of the celiac axis. There has been interval enlargement of the aneurysm sac, most significant adjacent to the descending thoracic aorta compared to prior study from 7/22/2015. There is evidence of contrast extravasation distal to the aortic arch, best seen on image #73, series #13. There is no evidence of type II endoleak or feeding vessels into the aneurysm sac. Contrast extravasation appears to begin within the mid descending thoracic aorta at the junction of modular components, strongly suggesting a large type III endoleak. There is a normal branching pattern to the rest of the aortic branches. Distal branches are patent. Bibasilar atelectasis. Moderate coronary artery calcifications. The ascending aorta measures 4.6 cm, unchanged. There is evidence of endovascular aneurysm repair of the ascending aorta, aortic arch, and descending thoracic aorta, with stent graft extending into the proximal abdominal aorta. Interval enlargement of the aneurysm sac, most prominent just distal to the aortic arch. No pericardial effusion. No evidence of dissection. Moderate. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Generalized pancreatic atrophy. No significant abnormality noted. There are several small hypodensities within the right renal parenchyma, too small to characterize. No significant abnormality noted. Moderate. 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. There are multiple calcifications within the posterior subcutaneous tissues, possibly representing calcified granulomas, lymph nodes, or old hematoma. No significant abnormality noted.

anatomical entity_fin: {'ascending aorta': {}, 'aortic arch': {}, 'descending thoracic aorta': {}, 'abdominal aorta': {}, 'axis': {}}procedure_fin: ['repair']clinical findings_fin: {'endovascular aneurysm': {'clinical finding': 'endovascular aneurysm', 'cf_snomed': {'aneurysm': 432119003}, 'existence': 'pos_dx', 'descriptive_term': 'endovascular', 'observation': 'aneurysm'}}anatomical entity_fin: {'descending thoracic aorta': {}}location descriptor_fin: ['adjacent']clinical findings_fin: {'aneurysm': {'clinical finding': 'aneurysm', 'cf_snomed': {'aneurysm': 432119003}, 'existence': 'pos_dx', 'observation': 'aneurysm'}}anatomical entity_fin: {'aortic arch': {}}location descriptor_fin: ['distal']clinical findings_fin: {'contrast extravasation': {'clinical finding': 'contrast extravasation', 'cf_snomed': {'extravasation': 76676007}, 'existence': 'pos_dx', 'descriptive_term': 'contrast', 'observation': 'extravasation'}}imaging observation_fin: ['feeding vessels']clinical findings_fin: {'type ii endoleak': {'clinical finding': 'type ii endoleak', 'existence': 'neg_dx', 'descriptive_term': 'type ii', 'observation': 'endoleak'}, 'feeding vessels': {'clinical finding': 'feeding vessels', 'existence': 'neg_dx', 'descriptive_term': 'feeding', 'observation': 'vessel'}, 'aneurysm': {'clinical finding': 'aneurysm', 'cf_snomed': {'aneurysm': 432119003}, 'existence': 'neg_dx', 'observation': 'aneurysm'}}anatomical entity_fin: {'descending thoracic aorta': {}}clinical findings_fin: {'contrast extravasation': {'clinical finding': 'contrast extravasation', 'cf_snomed': {'extravasation': 76676007}, 'existence': 'pos_dx', 'descriptive_term': 'contrast', 'observation': 'extravasation'}, 'large type iii endoleak': {'clinical finding': 'large type iii endoleak', 'existence': 'unc_dx', 'descriptive_term': 'large type iii', 'observation': 'endoleak', 'strength_term': 'large'}}clinical findings_fin: {'normal branching pattern': {'clinical finding': 'normal branching pattern', 'existence': 'pos_dx', 'descriptive_term': 'normal branching', 'observation': 'pattern', 'strength_term': 'normal'}}location descriptor_fin: ['distal']clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}clinical findings_fin: {'bibasilar atelectasis': {'clinical finding': 'bibasilar atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'bibasilar', 'observation': 'atelectasis'}}clinical findings_fin: {'moderate coronary artery calcifications': {'clinical finding': 'moderate coronary artery calcifications', 'existence': 'pos_dx', 'descriptive_term': 'moderate coronary artery', 'observation': 'calcification', 'strength_term': 'moderate'}}size_fin: [{'size': '4.6 cm', 'size_descriptor': 'aorta'}]anatomical entity_fin: {'ascending aorta': {}}clinical findings_fin: {'ascending aorta measures 4.6 cm , unchanged': {'clinical finding': 'ascending aorta measures 4.6 cm , unchanged', 'change_term': 'unchanged'}}anatomical entity_fin: {'ascending aorta': {}, 'aortic arch': {}, 'descending thoracic aorta': {}, 'graft': {}, 'abdominal aorta': {'location descriptor': 'proximal'}}location descriptor_fin: ['proximal']procedure_fin: ['repair']clinical findings_fin: {'endovascular aneurysm': {'clinical finding': 'endovascular aneurysm', 'cf_snomed': {'aneurysm': 432119003}, 'existence': 'pos_dx', 'descriptive_term': 'endovascular', 'observation': 'aneurysm'}}anatomical entity_fin: {'aortic arch': {}}location descriptor_fin: ['distal']clinical findings_fin: {'aneurysm': {'clinical finding': 'aneurysm', 'cf_snomed': {'aneurysm': 432119003}, 'existence': 'pos_dx', 'observation': 'aneurysm'}}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: {'dissection': {'clinical finding': 'dissection', 'existence': 'neg_dx', 'observation': 'dissection'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'generalized pancreatic atrophy': {'clinical finding': 'generalized pancreatic atrophy', 'cf_snomed': {'atrophy': 13331008}, 'existence': 'pos_dx', 'descriptive_term': 'generalized pancreatic', 'observation': 'atrophy'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'parenchyma': {}}location descriptor_fin: ['right']clinical findings_fin: {'several small hypodensities': {'clinical finding': 'several small hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'several small', 'observation': 'hypodensity', 'strength_term': 'small', 'quantity_term': 'several'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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: ['hematoma']location descriptor_fin: ['posterior']clinical findings_fin: {'multiple calcifications': {'clinical finding': 'multiple calcifications', 'existence': 'pos_dx', 'descriptive_term': 'multiple', 'observation': 'calcification', 'quantity_term': 'multiple'}, 'calcified granulomas': {'clinical finding': 'calcified granulomas', 'cf_snomed': {'calcified granuloma': 48391002}, 'existence': 'unc_dx', 'descriptive_term': 'calcified', 'observation': 'granuloma', 'change_term': 'calcified'}, 'lymph nodes': {'clinical finding': 'lymph nodes', 'existence': 'unc_dx', 'descriptive_term': 'lymph', 'observation': 'node'}, 'old hematoma': {'clinical finding': 'old hematoma', 'cf_snomed': {'hematoma': 385494008}, 'existence': 'unc_dx', 'descriptive_term': 'old', 'observation': 'hematoma', 'temporal_term': 'old'}}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: {'ascending aorta': {}, 'aortic arch': {}, 'descending thoracic aorta': {}, 'abdominal aorta': {}, 'axis': {}}procedure_fin: ['repair']clinical findings_fin: {'endovascular aneurysm': {'clinical finding': 'endovascular aneurysm', 'cf_snomed': {'aneurysm': 432119003}, 'existence': 'pos_dx', 'descriptive_term': 'endovascular', 'observation': 'aneurysm'}}anatomical entity_fin: {'descending thoracic aorta': {}}location descriptor_fin: ['adjacent']clinical findings_fin: {'aneurysm': {'clinical finding': 'aneurysm', 'cf_snomed': {'aneurysm': 432119003}, 'existence': 'pos_dx', 'observation': 'aneurysm'}}anatomical entity_fin: {'aortic arch': {}}location descriptor_fin: ['distal']clinical findings_fin: {'contrast extravasation': {'clinical finding': 'contrast extravasation', 'cf_snomed': {'extravasation': 76676007}, 'existence': 'pos_dx', 'descriptive_term': 'contrast', 'observation': 'extravasation'}}imaging observation_fin: ['feeding vessels']clinical findings_fin: {'type ii endoleak': {'clinical finding': 'type ii endoleak', 'existence': 'neg_dx', 'descriptive_term': 'type ii', 'observation': 'endoleak'}, 'feeding vessels': {'clinical finding': 'feeding vessels', 'existence': 'neg_dx', 'descriptive_term': 'feeding', 'observation': 'vessel'}, 'aneurysm': {'clinical finding': 'aneurysm', 'cf_snomed': {'aneurysm': 432119003}, 'existence': 'neg_dx', 'observation': 'aneurysm'}}anatomical entity_fin: {'descending thoracic aorta': {}}clinical findings_fin: {'contrast extravasation': {'clinical finding': 'contrast extravasation', 'cf_snomed': {'extravasation': 76676007}, 'existence': 'pos_dx', 'descriptive_term': 'contrast', 'observation': 'extravasation'}, 'large type iii endoleak': {'clinical finding': 'large type iii endoleak', 'existence': 'unc_dx', 'descriptive_term': 'large type iii', 'observation': 'endoleak', 'strength_term': 'large'}}clinical findings_fin: {'normal branching pattern': {'clinical finding': 'normal branching pattern', 'existence': 'pos_dx', 'descriptive_term': 'normal branching', 'observation': 'pattern', 'strength_term': 'normal'}}location descriptor_fin: ['distal']clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}clinical findings_fin: {'bibasilar atelectasis': {'clinical finding': 'bibasilar atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'bibasilar', 'observation': 'atelectasis'}}clinical findings_fin: {'moderate coronary artery calcifications': {'clinical finding': 'moderate coronary artery calcifications', 'existence': 'pos_dx', 'descriptive_term': 'moderate coronary artery', 'observation': 'calcification', 'strength_term': 'moderate'}}size_fin: [{'size': '4.6 cm', 'size_descriptor': 'aorta'}]anatomical entity_fin: {'ascending aorta': {}}clinical findings_fin: {'ascending aorta measures 4.6 cm , unchanged': {'clinical finding': 'ascending aorta measures 4.6 cm , unchanged', 'change_term': 'unchanged'}}anatomical entity_fin: {'ascending aorta': {}, 'aortic arch': {}, 'descending thoracic aorta': {}, 'graft': {}, 'abdominal aorta': {'location descriptor': 'proximal'}}location descriptor_fin: ['proximal']procedure_fin: ['repair']clinical findings_fin: {'endovascular aneurysm': {'clinical finding': 'endovascular aneurysm', 'cf_snomed': {'aneurysm': 432119003}, 'existence': 'pos_dx', 'descriptive_term': 'endovascular', 'observation': 'aneurysm'}}anatomical entity_fin: {'aortic arch': {}}location descriptor_fin: ['distal']clinical findings_fin: {'aneurysm': {'clinical finding': 'aneurysm', 'cf_snomed': {'aneurysm': 432119003}, 'existence': 'pos_dx', 'observation': 'aneurysm'}}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: {'dissection': {'clinical finding': 'dissection', 'existence': 'neg_dx', 'observation': 'dissection'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'generalized pancreatic atrophy': {'clinical finding': 'generalized pancreatic atrophy', 'cf_snomed': {'atrophy': 13331008}, 'existence': 'pos_dx', 'descriptive_term': 'generalized pancreatic', 'observation': 'atrophy'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'parenchyma': {}}location descriptor_fin: ['right']clinical findings_fin: {'several small hypodensities': {'clinical finding': 'several small hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'several small', 'observation': 'hypodensity', 'strength_term': 'small', 'quantity_term': 'several'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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: ['hematoma']location descriptor_fin: ['posterior']clinical findings_fin: {'multiple calcifications': {'clinical finding': 'multiple calcifications', 'existence': 'pos_dx', 'descriptive_term': 'multiple', 'observation': 'calcification', 'quantity_term': 'multiple'}, 'calcified granulomas': {'clinical finding': 'calcified granulomas', 'cf_snomed': {'calcified granuloma': 48391002}, 'existence': 'unc_dx', 'descriptive_term': 'calcified', 'observation': 'granuloma', 'change_term': 'calcified'}, 'lymph nodes': {'clinical finding': 'lymph nodes', 'existence': 'unc_dx', 'descriptive_term': 'lymph', 'observation': 'node'}, 'old hematoma': {'clinical finding': 'old hematoma', 'cf_snomed': {'hematoma': 385494008}, 'existence': 'unc_dx', 'descriptive_term': 'old', 'observation': 'hematoma', 'temporal_term': 'old'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . There has been endovascular aneurysm repair of the ascending aorta, aortic arch, and descending thoracic aorta, extending into the abdominal aorta to the level of the celiac axis. There has been interval enlargement of the aneurysm sac, most significant adjacent to the descending thoracic aorta compared to prior study from 7/22/2015. There is evidence of contrast extravasation distal to the aortic arch, best seen on image #73, series #13. There is no evidence of type II endoleak or feeding vessels into the aneurysm sac. Contrast extravasation appears to begin within the mid descending thoracic aorta at the junction of modular components, strongly suggesting a large type III endoleak. There is a normal branching pattern to the rest of the aortic branches. Distal branches are patent. Bibasilar atelectasis. Moderate coronary artery calcifications. The ascending aorta measures 4.6 cm, unchanged. There is evidence of endovascular aneurysm repair of the ascending aorta, aortic arch, and descending thoracic aorta, with stent graft extending into the proximal abdominal aorta. Interval enlargement of the aneurysm sac, most prominent just distal to the aortic arch. No pericardial effusion. No evidence of dissection. Moderate. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Generalized pancreatic atrophy. No significant abnormality noted. There are several small hypodensities within the right renal parenchyma, too small to characterize. No significant abnormality noted. Moderate. 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. There are multiple calcifications within the posterior subcutaneous tissues, possibly representing calcified granulomas, lymph nodes, or old hematoma. No significant abnormality noted. </s>

. 6 mm nodular lesion within the right lower lobe on image 72 of series 4 is not substantially different compared to 10/2012 long-term stability is highly reassuring. 7 mm left basilar nodule on image 72 of series 4 appears slightly larger than previous study and may represent a reactive lymph node within the lung parenchyma. This can be reevaluated on close imaging follow-up. Upper lung preponderant smoking related lung disease as well as mild basilar pulmonary fibrosis again noted this study was not optimized for their evaluation. Patent central airways. Slight interval increase in size of mediastinal and hilar lymph nodes. For example, a level 3P lymph node on image 16 of series 3 currently measures 7 mm compared to 6 mm in short axis. A left hilar lymph node on image 35 of series 3 currently measures 9 mm in short axis compared to 5 mm on previous study. Decreased enhancement of the LV apex in a subendocardial pattern, again noted. Mild diffuse esophageal dilation and thickening, as before. Tiny thyroid nodule again noted within the left thyroid lobe. Moderate. No significant abnormality noted. Absence of enteric contrast material limits sensitivity for abdominal pathology. Unchanged hepatic hypodensities. Unchanged. No significant abnormality noted. No significant abnormality noted. Unchanged renal hypodensities. Left extrarenal pelvis again noted. No significant abnormality noted. No significant abnormality noted. Absence of enteric contrast material limits sensitivity for GI pathology. No gross abnormalities noted. No suspicious lytic or blastic lesion. Unchanged abdominal aortic dilation measuring up to 3.9 cm.

size_fin: [{'size': '6 mm', 'size_descriptor': 'lesion'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'6 mm nodular lesion': {'clinical finding': '6 mm nodular lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': '6 mm nodular', 'observation': 'lesion'}}size_fin: [{'size': '7 mm', 'size_descriptor': 'nodule'}]anatomical entity_fin: {'lung parenchyma': {}}location descriptor_fin: ['left']clinical findings_fin: {'7 mm left basilar nodule': {'clinical finding': '7 mm left basilar nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': '7 mm left basilar', 'observation': 'nodule'}, 'reactive lymph node': {'clinical finding': 'reactive lymph node', 'existence': 'unc_dx', 'descriptive_term': 'reactive lymph', 'observation': 'node'}}follow-up_fin: follow-up recommendedanatomical entity_fin: {'lung': {}}location descriptor_fin: ['upper']clinical findings_fin: {'upper lung preponderant smoking related lung disease': {'clinical finding': 'upper lung preponderant smoking related lung disease', 'cf_snomed': {'related': 262094002, 'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'upper lung preponderant smoking related lung', 'observation': 'disease'}, 'mild basilar pulmonary fibrosis': {'clinical finding': 'mild basilar pulmonary fibrosis', 'existence': 'pos_dx', 'descriptive_term': 'mild basilar pulmonary', 'observation': 'fibrosis', 'strength_term': 'mild'}}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'}}clinical findings_fin: {'mediastinal and hilar lymph nodes': {'clinical finding': 'mediastinal and hilar lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'mediastinal and hilar lymph', 'observation': 'node'}}size_fin: [{'size': '7 mm'}, {'size': '6 mm'}]anatomical entity_fin: {'axis': {}}clinical findings_fin: {'level 3p lymph node': {'clinical finding': 'level 3p lymph node', 'existence': 'pos_dx', 'descriptive_term': 'level 3p lymph', 'observation': 'node'}}size_fin: [{'size': '9 mm'}, {'size': '5 mm'}]anatomical entity_fin: {'axis': {}}location descriptor_fin: ['left']clinical findings_fin: {'left hilar lymph node': {'clinical finding': 'left hilar lymph node', 'existence': 'pos_dx', 'descriptive_term': 'left hilar lymph', 'observation': 'node'}}anatomical entity_fin: {'apex': {}}clinical findings_fin: {'decreased enhancement': {'clinical finding': 'decreased enhancement', 'existence': 'pos_dx', 'descriptive_term': 'decreased', 'observation': 'enhancement', 'strength_term': 'decreased', 'change_term': 'decreased'}, 'subendocardial pattern': {'clinical finding': 'subendocardial pattern', 'existence': 'pos_dx', 'descriptive_term': 'subendocardial', 'observation': 'pattern'}}clinical findings_fin: {'mild diffuse esophageal dilation': {'clinical finding': 'mild diffuse esophageal dilation', 'existence': 'pos_dx', 'descriptive_term': 'mild diffuse esophageal', 'observation': 'dilation', 'strength_term': 'mild'}, 'thickening': {'clinical finding': 'thickening', 'existence': 'pos_dx', 'observation': 'thickening'}}anatomical entity_fin: {'lobe': {}}location descriptor_fin: ['left']clinical findings_fin: {'tiny thyroid nodule': {'clinical finding': 'tiny thyroid nodule', 'cf_snomed': {'thyroid nodule': 237495005}, 'existence': 'pos_dx', 'descriptive_term': 'tiny thyroid', 'observation': 'nodule', 'strength_term': 'tiny'}}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: {'unchanged hepatic hypodensities': {'clinical finding': 'unchanged hepatic hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'unchanged hepatic', 'observation': 'hypodensity', '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: {'unchanged renal hypodensities': {'clinical finding': 'unchanged renal hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'unchanged renal', 'observation': 'hypodensity', 'strength_term': 'unchanged', 'change_term': 'unchanged'}}anatomical entity_fin: {'pelvis': {}}location descriptor_fin: ['left']clinical findings_fin: {'left extrarenal pelvis again noted': {'clinical finding': 'left extrarenal pelvis again 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: {'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: {'suspicious lytic or blastic lesion': {'clinical finding': 'suspicious lytic or blastic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious lytic or blastic', 'observation': 'lesion'}}size_fin: [{'size': '3.9 cm', 'size_descriptor': 'dilation'}]anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'unchanged abdominal aortic dilation': {'clinical finding': 'unchanged abdominal aortic dilation', 'existence': 'pos_dx', 'descriptive_term': 'unchanged abdominal aortic', 'observation': 'dilation', 'strength_term': 'unchanged', 'change_term': 'unchanged'}}

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': '6 mm', 'size_descriptor': 'lesion'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'6 mm nodular lesion': {'clinical finding': '6 mm nodular lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': '6 mm nodular', 'observation': 'lesion'}}size_fin: [{'size': '7 mm', 'size_descriptor': 'nodule'}]anatomical entity_fin: {'lung parenchyma': {}}location descriptor_fin: ['left']clinical findings_fin: {'7 mm left basilar nodule': {'clinical finding': '7 mm left basilar nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': '7 mm left basilar', 'observation': 'nodule'}, 'reactive lymph node': {'clinical finding': 'reactive lymph node', 'existence': 'unc_dx', 'descriptive_term': 'reactive lymph', 'observation': 'node'}}follow-up_fin: follow-up recommendedanatomical entity_fin: {'lung': {}}location descriptor_fin: ['upper']clinical findings_fin: {'upper lung preponderant smoking related lung disease': {'clinical finding': 'upper lung preponderant smoking related lung disease', 'cf_snomed': {'related': 262094002, 'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'upper lung preponderant smoking related lung', 'observation': 'disease'}, 'mild basilar pulmonary fibrosis': {'clinical finding': 'mild basilar pulmonary fibrosis', 'existence': 'pos_dx', 'descriptive_term': 'mild basilar pulmonary', 'observation': 'fibrosis', 'strength_term': 'mild'}}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'}}clinical findings_fin: {'mediastinal and hilar lymph nodes': {'clinical finding': 'mediastinal and hilar lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'mediastinal and hilar lymph', 'observation': 'node'}}size_fin: [{'size': '7 mm'}, {'size': '6 mm'}]anatomical entity_fin: {'axis': {}}clinical findings_fin: {'level 3p lymph node': {'clinical finding': 'level 3p lymph node', 'existence': 'pos_dx', 'descriptive_term': 'level 3p lymph', 'observation': 'node'}}size_fin: [{'size': '9 mm'}, {'size': '5 mm'}]anatomical entity_fin: {'axis': {}}location descriptor_fin: ['left']clinical findings_fin: {'left hilar lymph node': {'clinical finding': 'left hilar lymph node', 'existence': 'pos_dx', 'descriptive_term': 'left hilar lymph', 'observation': 'node'}}anatomical entity_fin: {'apex': {}}clinical findings_fin: {'decreased enhancement': {'clinical finding': 'decreased enhancement', 'existence': 'pos_dx', 'descriptive_term': 'decreased', 'observation': 'enhancement', 'strength_term': 'decreased', 'change_term': 'decreased'}, 'subendocardial pattern': {'clinical finding': 'subendocardial pattern', 'existence': 'pos_dx', 'descriptive_term': 'subendocardial', 'observation': 'pattern'}}clinical findings_fin: {'mild diffuse esophageal dilation': {'clinical finding': 'mild diffuse esophageal dilation', 'existence': 'pos_dx', 'descriptive_term': 'mild diffuse esophageal', 'observation': 'dilation', 'strength_term': 'mild'}, 'thickening': {'clinical finding': 'thickening', 'existence': 'pos_dx', 'observation': 'thickening'}}anatomical entity_fin: {'lobe': {}}location descriptor_fin: ['left']clinical findings_fin: {'tiny thyroid nodule': {'clinical finding': 'tiny thyroid nodule', 'cf_snomed': {'thyroid nodule': 237495005}, 'existence': 'pos_dx', 'descriptive_term': 'tiny thyroid', 'observation': 'nodule', 'strength_term': 'tiny'}}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: {'unchanged hepatic hypodensities': {'clinical finding': 'unchanged hepatic hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'unchanged hepatic', 'observation': 'hypodensity', '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: {'unchanged renal hypodensities': {'clinical finding': 'unchanged renal hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'unchanged renal', 'observation': 'hypodensity', 'strength_term': 'unchanged', 'change_term': 'unchanged'}}anatomical entity_fin: {'pelvis': {}}location descriptor_fin: ['left']clinical findings_fin: {'left extrarenal pelvis again noted': {'clinical finding': 'left extrarenal pelvis again 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: {'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: {'suspicious lytic or blastic lesion': {'clinical finding': 'suspicious lytic or blastic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious lytic or blastic', 'observation': 'lesion'}}size_fin: [{'size': '3.9 cm', 'size_descriptor': 'dilation'}]anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'unchanged abdominal aortic dilation': {'clinical finding': 'unchanged abdominal aortic dilation', 'existence': 'pos_dx', 'descriptive_term': 'unchanged abdominal aortic', 'observation': 'dilation', 'strength_term': 'unchanged', 'change_term': 'unchanged'}} [/INST] . 6 mm nodular lesion within the right lower lobe on image 72 of series 4 is not substantially different compared to 10/2012 long-term stability is highly reassuring. 7 mm left basilar nodule on image 72 of series 4 appears slightly larger than previous study and may represent a reactive lymph node within the lung parenchyma. This can be reevaluated on close imaging follow-up. Upper lung preponderant smoking related lung disease as well as mild basilar pulmonary fibrosis again noted this study was not optimized for their evaluation. Patent central airways. Slight interval increase in size of mediastinal and hilar lymph nodes. For example, a level 3P lymph node on image 16 of series 3 currently measures 7 mm compared to 6 mm in short axis. A left hilar lymph node on image 35 of series 3 currently measures 9 mm in short axis compared to 5 mm on previous study. Decreased enhancement of the LV apex in a subendocardial pattern, again noted. Mild diffuse esophageal dilation and thickening, as before. Tiny thyroid nodule again noted within the left thyroid lobe. Moderate. No significant abnormality noted. Absence of enteric contrast material limits sensitivity for abdominal pathology. Unchanged hepatic hypodensities. Unchanged. No significant abnormality noted. No significant abnormality noted. Unchanged renal hypodensities. Left extrarenal pelvis again noted. No significant abnormality noted. No significant abnormality noted. Absence of enteric contrast material limits sensitivity for GI pathology. No gross abnormalities noted. No suspicious lytic or blastic lesion. Unchanged abdominal aortic dilation measuring up to 3.9 cm. </s>

. Central airways are patent. No pneumothorax or pleural effusion. Mild biapical scarring. Scattered subcentimeter nonspecific micronodules unchanged when compared to prior exam. No suspicious nodule or mass is evident. No significant mediastinal or hilar lymphadenopathy. Heart size is normal without pericardial effusion. Left vertebral artery origin is from the aorta. None. No significant lymphadenopathy. Moderate degenerative disease affects the osseous structures. Mild rightward curvature of the thoracic spine and leftward curvature of the lumbar spine is unchanged. No suspicious osseous lesions. Absence of enteric contrast material limits sensitivity for abdominal pathology. Centimeter hypoattenuating lesion in the left lobe of the liver is unchanged and is too small to further characterize. No additional focal liver lesions. The gallbladder is within normal limits. No intrahepatic or extrahepatic biliary ductal dilatation. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Absence of enteric contrast material limits sensitivity for GI pathology. No gross abnormalities noted. Moderate degenerative disease affects the osseous structures. Mild rightward curvature of the thoracic spine and leftward curvature of the lumbar spine is unchanged. No suspicious osseous lesions. No significant abnormality noted.

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 biapical scarring': {'clinical finding': 'mild biapical scarring', 'existence': 'pos_dx', 'descriptive_term': 'mild biapical', 'observation': 'scarr', 'strength_term': 'mild'}}clinical findings_fin: {'scattered subcentimeter nonspecific micronodules': {'clinical finding': 'scattered subcentimeter nonspecific micronodules', 'existence': 'pos_dx', 'descriptive_term': 'scattered subcentimeter nonspecific', 'observation': 'micronodule'}}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: {'significant mediastinal or hilar lymphadenopathy': {'clinical finding': 'significant mediastinal or hilar lymphadenopathy', 'cf_snomed': {'hilar lymphadenopathy': 87500009}, 'existence': 'neg_dx', 'descriptive_term': 'significant mediastinal or hilar', 'observation': 'lymphadenopathy'}}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: {'left vertebral artery': {}, 'origin': {}, 'aorta': {}}clinical findings_fin: {'significant lymphadenopathy': {'clinical finding': 'significant lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'moderate degenerative disease': {'clinical finding': 'moderate degenerative disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'moderate degenerative', 'observation': 'disease', 'strength_term': 'moderate'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'mild rightward curvature': {'clinical finding': 'mild rightward curvature', 'existence': 'pos_dx', 'descriptive_term': 'mild rightward', 'observation': 'curvature', 'strength_term': 'mild'}, 'leftward curvature': {'clinical finding': 'leftward curvature', 'existence': 'pos_dx', 'descriptive_term': 'leftward', 'observation': 'curvature'}}clinical findings_fin: {'suspicious osseous lesions': {'clinical finding': 'suspicious osseous lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious osseous', 'observation': 'lesion'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left'}, 'liver': {}}location descriptor_fin: ['left']clinical findings_fin: {'centimeter hypoattenuating lesion': {'clinical finding': 'centimeter hypoattenuating lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'centimeter hypoattenuating', 'observation': 'lesion'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'additional focal liver lesions': {'clinical finding': 'additional focal liver lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'additional focal liver', 'observation': 'lesion'}}anatomical entity_fin: {'gallbladder': {}}clinical findings_fin: {'gallbladder is within normal limits': {'clinical finding': 'gallbladder is within normal limits'}}clinical findings_fin: {'intrahepatic or extrahepatic biliary ductal dilatation': {'clinical finding': 'intrahepatic or extrahepatic biliary ductal dilatation', 'cf_snomed': {'dilatation': 25322007}, 'existence': 'neg_dx', 'descriptive_term': 'intrahepatic or extrahepatic biliary ductal', 'observation': 'dilatation'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_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: {'moderate degenerative disease': {'clinical finding': 'moderate degenerative disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'moderate degenerative', 'observation': 'disease', 'strength_term': 'moderate'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'mild rightward curvature': {'clinical finding': 'mild rightward curvature', 'existence': 'pos_dx', 'descriptive_term': 'mild rightward', 'observation': 'curvature', 'strength_term': 'mild'}, 'leftward curvature': {'clinical finding': 'leftward curvature', 'existence': 'pos_dx', 'descriptive_term': 'leftward', 'observation': 'curvature'}}clinical findings_fin: {'suspicious osseous lesions': {'clinical finding': 'suspicious osseous lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious osseous', 'observation': 'lesion'}}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: {'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 biapical scarring': {'clinical finding': 'mild biapical scarring', 'existence': 'pos_dx', 'descriptive_term': 'mild biapical', 'observation': 'scarr', 'strength_term': 'mild'}}clinical findings_fin: {'scattered subcentimeter nonspecific micronodules': {'clinical finding': 'scattered subcentimeter nonspecific micronodules', 'existence': 'pos_dx', 'descriptive_term': 'scattered subcentimeter nonspecific', 'observation': 'micronodule'}}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: {'significant mediastinal or hilar lymphadenopathy': {'clinical finding': 'significant mediastinal or hilar lymphadenopathy', 'cf_snomed': {'hilar lymphadenopathy': 87500009}, 'existence': 'neg_dx', 'descriptive_term': 'significant mediastinal or hilar', 'observation': 'lymphadenopathy'}}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: {'left vertebral artery': {}, 'origin': {}, 'aorta': {}}clinical findings_fin: {'significant lymphadenopathy': {'clinical finding': 'significant lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'moderate degenerative disease': {'clinical finding': 'moderate degenerative disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'moderate degenerative', 'observation': 'disease', 'strength_term': 'moderate'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'mild rightward curvature': {'clinical finding': 'mild rightward curvature', 'existence': 'pos_dx', 'descriptive_term': 'mild rightward', 'observation': 'curvature', 'strength_term': 'mild'}, 'leftward curvature': {'clinical finding': 'leftward curvature', 'existence': 'pos_dx', 'descriptive_term': 'leftward', 'observation': 'curvature'}}clinical findings_fin: {'suspicious osseous lesions': {'clinical finding': 'suspicious osseous lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious osseous', 'observation': 'lesion'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left'}, 'liver': {}}location descriptor_fin: ['left']clinical findings_fin: {'centimeter hypoattenuating lesion': {'clinical finding': 'centimeter hypoattenuating lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'centimeter hypoattenuating', 'observation': 'lesion'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'additional focal liver lesions': {'clinical finding': 'additional focal liver lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'additional focal liver', 'observation': 'lesion'}}anatomical entity_fin: {'gallbladder': {}}clinical findings_fin: {'gallbladder is within normal limits': {'clinical finding': 'gallbladder is within normal limits'}}clinical findings_fin: {'intrahepatic or extrahepatic biliary ductal dilatation': {'clinical finding': 'intrahepatic or extrahepatic biliary ductal dilatation', 'cf_snomed': {'dilatation': 25322007}, 'existence': 'neg_dx', 'descriptive_term': 'intrahepatic or extrahepatic biliary ductal', 'observation': 'dilatation'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_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: {'moderate degenerative disease': {'clinical finding': 'moderate degenerative disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'moderate degenerative', 'observation': 'disease', 'strength_term': 'moderate'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'mild rightward curvature': {'clinical finding': 'mild rightward curvature', 'existence': 'pos_dx', 'descriptive_term': 'mild rightward', 'observation': 'curvature', 'strength_term': 'mild'}, 'leftward curvature': {'clinical finding': 'leftward curvature', 'existence': 'pos_dx', 'descriptive_term': 'leftward', 'observation': 'curvature'}}clinical findings_fin: {'suspicious osseous lesions': {'clinical finding': 'suspicious osseous lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious osseous', 'observation': 'lesion'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . Central airways are patent. No pneumothorax or pleural effusion. Mild biapical scarring. Scattered subcentimeter nonspecific micronodules unchanged when compared to prior exam. No suspicious nodule or mass is evident. No significant mediastinal or hilar lymphadenopathy. Heart size is normal without pericardial effusion. Left vertebral artery origin is from the aorta. None. No significant lymphadenopathy. Moderate degenerative disease affects the osseous structures. Mild rightward curvature of the thoracic spine and leftward curvature of the lumbar spine is unchanged. No suspicious osseous lesions. Absence of enteric contrast material limits sensitivity for abdominal pathology. Centimeter hypoattenuating lesion in the left lobe of the liver is unchanged and is too small to further characterize. No additional focal liver lesions. The gallbladder is within normal limits. No intrahepatic or extrahepatic biliary ductal dilatation. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Absence of enteric contrast material limits sensitivity for GI pathology. No gross abnormalities noted. Moderate degenerative disease affects the osseous structures. Mild rightward curvature of the thoracic spine and leftward curvature of the lumbar spine is unchanged. No suspicious osseous lesions. No significant abnormality noted. </s>

There a partially imaged centrally necrotic mass in the anterior mediastinum. However, there is no evidence of measurable mass lesions or significant cervical lymphadenopathy in the neck. 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 a left maxillary sinus retention cyst or polyp.

anatomical entity_fin: {'anterior mediastinum': {}}clinical findings_fin: {'there a partially imaged centrally necrotic mass': {'clinical finding': 'there a partially imaged centrally necrotic mass', 'existence': 'pos_dx', 'descriptive_term': 'there a partially imaged centrally necrotic', 'observation': 'mass', 'strength_term': 'partially'}}anatomical entity_fin: {'neck': {}}clinical findings_fin: {'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: {'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: {'maxillary sinus': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'left maxillary sinus retention cyst': {'clinical finding': 'left maxillary sinus retention cyst', 'cf_snomed': {'sinus': 419351001, 'retention': 36850000, 'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'left maxillary sinus retention', 'observation': 'cyst'}, 'polyp': {'clinical finding': 'polyp', 'cf_snomed': {'polyp': 441456002}, 'existence': 'unc_dx', 'observation': 'polyp'}}

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: {'anterior mediastinum': {}}clinical findings_fin: {'there a partially imaged centrally necrotic mass': {'clinical finding': 'there a partially imaged centrally necrotic mass', 'existence': 'pos_dx', 'descriptive_term': 'there a partially imaged centrally necrotic', 'observation': 'mass', 'strength_term': 'partially'}}anatomical entity_fin: {'neck': {}}clinical findings_fin: {'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: {'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: {'maxillary sinus': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'left maxillary sinus retention cyst': {'clinical finding': 'left maxillary sinus retention cyst', 'cf_snomed': {'sinus': 419351001, 'retention': 36850000, 'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'left maxillary sinus retention', 'observation': 'cyst'}, 'polyp': {'clinical finding': 'polyp', 'cf_snomed': {'polyp': 441456002}, 'existence': 'unc_dx', 'observation': 'polyp'}} [/INST] There a partially imaged centrally necrotic mass in the anterior mediastinum. However, there is no evidence of measurable mass lesions or significant cervical lymphadenopathy in the neck. 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 a left maxillary sinus retention cyst or polyp. </s>

Todays CT portion grossly demonstrates sinus thickening of the right ethmoid sinus. Vocal cords are without focal mass. Todays PET examination demonstrates asymmetric metabolism of the vocal cords, with the left demonstrating greater metabolic activity than the right. There is symmetric bilateral axillary lymph node uptake that is unchanged from previous exam. Mild activity in the right sternoclavicular joint is likely secondary to arthritis. Small right inguinal lymph nodes demonstrate mild activity and are unchanged from previous exam.

anatomical entity_fin: {'ethmoid sinus': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'sinus thickening': {'clinical finding': 'sinus thickening', 'cf_snomed': {'sinus': 419351001}, 'existence': 'pos_dx', 'descriptive_term': 'sinus', 'observation': 'thickening'}}imaging observation_fin: ['cords']clinical findings_fin: {'focal mass': {'clinical finding': 'focal mass', 'existence': 'pos_dx', 'descriptive_term': 'focal', 'observation': 'mass'}}imaging observation_fin: ['cords']location descriptor_fin: ['left', 'right']clinical findings_fin: {'asymmetric metabolism': {'clinical finding': 'asymmetric metabolism', 'existence': 'unc_dx', 'descriptive_term': 'asymmetric', 'observation': 'metabolism'}, 'greater metabolic activity': {'clinical finding': 'greater metabolic activity', 'existence': 'unc_dx', 'descriptive_term': 'greater metabolic', 'observation': 'activity', 'change_term': 'greater'}}anatomical entity_fin: {'axillary lymph node': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'symmetric bilateral axillary lymph node uptake': {'clinical finding': 'symmetric bilateral axillary lymph node uptake', 'existence': 'pos_dx', 'descriptive_term': 'symmetric bilateral axillary lymph node', 'observation': 'uptake'}}anatomical entity_fin: {'right sternoclavicular joint': {}}clinical findings_fin: {'mild': {'clinical finding': 'mild', 'existence': 'pos_dx', 'observation': 'mild'}, 'arthritis': {'clinical finding': 'arthritis', 'cf_snomed': {'arthritis': 3723001}, 'existence': 'pos_dx', 'observation': 'arthritis'}}anatomical entity_fin: {'inguinal lymph nodes': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'small right inguinal lymph nodes': {'clinical finding': 'small right inguinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small right inguinal lymph', 'observation': 'node', '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: anatomical entity_fin: {'ethmoid sinus': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'sinus thickening': {'clinical finding': 'sinus thickening', 'cf_snomed': {'sinus': 419351001}, 'existence': 'pos_dx', 'descriptive_term': 'sinus', 'observation': 'thickening'}}imaging observation_fin: ['cords']clinical findings_fin: {'focal mass': {'clinical finding': 'focal mass', 'existence': 'pos_dx', 'descriptive_term': 'focal', 'observation': 'mass'}}imaging observation_fin: ['cords']location descriptor_fin: ['left', 'right']clinical findings_fin: {'asymmetric metabolism': {'clinical finding': 'asymmetric metabolism', 'existence': 'unc_dx', 'descriptive_term': 'asymmetric', 'observation': 'metabolism'}, 'greater metabolic activity': {'clinical finding': 'greater metabolic activity', 'existence': 'unc_dx', 'descriptive_term': 'greater metabolic', 'observation': 'activity', 'change_term': 'greater'}}anatomical entity_fin: {'axillary lymph node': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'symmetric bilateral axillary lymph node uptake': {'clinical finding': 'symmetric bilateral axillary lymph node uptake', 'existence': 'pos_dx', 'descriptive_term': 'symmetric bilateral axillary lymph node', 'observation': 'uptake'}}anatomical entity_fin: {'right sternoclavicular joint': {}}clinical findings_fin: {'mild': {'clinical finding': 'mild', 'existence': 'pos_dx', 'observation': 'mild'}, 'arthritis': {'clinical finding': 'arthritis', 'cf_snomed': {'arthritis': 3723001}, 'existence': 'pos_dx', 'observation': 'arthritis'}}anatomical entity_fin: {'inguinal lymph nodes': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'small right inguinal lymph nodes': {'clinical finding': 'small right inguinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small right inguinal lymph', 'observation': 'node', 'strength_term': 'small'}} [/INST] Todays CT portion grossly demonstrates sinus thickening of the right ethmoid sinus. Vocal cords are without focal mass. Todays PET examination demonstrates asymmetric metabolism of the vocal cords, with the left demonstrating greater metabolic activity than the right. There is symmetric bilateral axillary lymph node uptake that is unchanged from previous exam. Mild activity in the right sternoclavicular joint is likely secondary to arthritis. Small right inguinal lymph nodes demonstrate mild activity and are unchanged from previous exam. </s>

There has been interval revision of the left frontal approach ventriculostomy catheter, with placement of a new ventriculostomy shunt catheter with valve via left frontal approach with tip at the level of the foramina of Monro. There is small amount of air in the left frontal horn, likely postprocedural. The old right parietal approach ventriculostomy catheter is unchanged with tip in the left frontal horn. There is persistent mild hyperdensity surrounding the catheter tip. The lateral and third ventricles remains unchanged compared to previous exam, the third ventricle measuring 12 mm in transverse dimension, previously 12 mm. There is dependent blood layering above the vermis, which may be within and extension of the third ventricle or some other cystic space, unchanged from previous. There is redemonstration of extensive white matter hypoattenuation in the periventricular region, similar to previous exam. There bilateral partially calcified subdural hematomas, right greater than the left, unchanged from previous. There is stable localized mass effect and midline shift of approximately 8 mm. There is right frontoparietal scalp thickening along with multiple foci of air which is related to the recent procedure.

anatomical entity_fin: {'foramina': {}}location descriptor_fin: ['left']object_fin: ['catheter', 'shunt catheter', 'valve']procedure_fin: ['ventriculostomy']clinical findings_fin: {'interval revision of the left frontal approach ventriculostomy catheter , with placement of a new ventriculostomy shunt catheter with valve via left frontal approach with tip at the level of the foramina of monro': {'clinical finding': 'interval revision of the left frontal approach ventriculostomy catheter , with placement of a new ventriculostomy shunt catheter with valve via left frontal approach with tip at the level of the foramina of monro'}}location descriptor_fin: ['left']clinical findings_fin: {'is small amount of air in the left frontal horn , likely postprocedural': {'clinical finding': 'is small amount of air in the left frontal horn , likely postprocedural'}}location descriptor_fin: ['right', 'left']object_fin: ['catheter']procedure_fin: ['ventriculostomy']clinical findings_fin: {'old right parietal approach ventriculostomy catheter is unchanged with tip in the left frontal horn': {'clinical finding': 'old right parietal approach ventriculostomy catheter is unchanged with tip in the left frontal horn', 'change_term': 'unchanged'}}object_fin: ['catheter']clinical findings_fin: {'persistent mild hyperdensity': {'clinical finding': 'persistent mild hyperdensity', 'existence': 'pos_dx', 'descriptive_term': 'persistent mild', 'observation': 'hyperdensity', 'strength_term': 'mild', 'temporal_term': 'persistent'}}size_fin: [{'size': '12 mm'}, {'size': '12 mm'}]anatomical entity_fin: {'third ventricles': {}, 'third ventricle': {}}location descriptor_fin: ['lateral']clinical findings_fin: {'unchanged': {'clinical finding': 'unchanged', 'existence': 'pos_dx', 'observation': 'unchanged'}}anatomical entity_fin: {'third ventricle': {}}imaging observation_fin: ['blood']clinical findings_fin: {'blood layering': {'clinical finding': 'blood layering', 'existence': 'pos_dx', 'descriptive_term': 'blood', 'observation': 'layering'}, 'some other cystic': {'clinical finding': 'some other cystic', 'existence': 'unc_dx', 'descriptive_term': 'some other', 'observation': 'cystic', 'quantity_term': 'some'}}clinical findings_fin: {'extensive white matter hypoattenuation': {'clinical finding': 'extensive white matter hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'extensive white matter', 'observation': 'hypoattenuation', 'strength_term': 'extensive'}}location descriptor_fin: ['bilateral', 'right', 'left']clinical findings_fin: {'there bilateral partially calcified subdural hematomas': {'clinical finding': 'there bilateral partially calcified subdural hematomas', 'cf_snomed': {'subdural hematoma': 95453001}, 'existence': 'pos_dx', 'descriptive_term': 'there bilateral partially calcified subdural', 'observation': 'hematoma', 'strength_term': 'partially', 'change_term': 'calcified'}}size_fin: [{'size': '8 mm'}]location descriptor_fin: ['midline']clinical findings_fin: {'stable localized mass effect': {'clinical finding': 'stable localized mass effect', 'existence': 'pos_dx', 'descriptive_term': 'stable localized mass', 'observation': 'effect', 'strength_term': 'stable', 'change_term': 'stable'}}anatomical entity_fin: {'scalp': {}}imaging observation_fin: ['foci']location descriptor_fin: ['right']clinical findings_fin: {'right frontoparietal scalp thickening': {'clinical finding': 'right frontoparietal scalp thickening', 'existence': 'pos_dx', 'descriptive_term': 'right frontoparietal scalp', 'observation': 'thickening'}, 'multiple foci': {'clinical finding': 'multiple foci', 'existence': 'pos_dx', 'descriptive_term': 'multiple', 'observation': 'foci', 'quantity_term': 'multiple'}, 'recent procedure': {'clinical finding': 'recent procedure', 'existence': 'pos_dx', 'descriptive_term': 'recent', 'observation': 'procedure'}}

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: {'foramina': {}}location descriptor_fin: ['left']object_fin: ['catheter', 'shunt catheter', 'valve']procedure_fin: ['ventriculostomy']clinical findings_fin: {'interval revision of the left frontal approach ventriculostomy catheter , with placement of a new ventriculostomy shunt catheter with valve via left frontal approach with tip at the level of the foramina of monro': {'clinical finding': 'interval revision of the left frontal approach ventriculostomy catheter , with placement of a new ventriculostomy shunt catheter with valve via left frontal approach with tip at the level of the foramina of monro'}}location descriptor_fin: ['left']clinical findings_fin: {'is small amount of air in the left frontal horn , likely postprocedural': {'clinical finding': 'is small amount of air in the left frontal horn , likely postprocedural'}}location descriptor_fin: ['right', 'left']object_fin: ['catheter']procedure_fin: ['ventriculostomy']clinical findings_fin: {'old right parietal approach ventriculostomy catheter is unchanged with tip in the left frontal horn': {'clinical finding': 'old right parietal approach ventriculostomy catheter is unchanged with tip in the left frontal horn', 'change_term': 'unchanged'}}object_fin: ['catheter']clinical findings_fin: {'persistent mild hyperdensity': {'clinical finding': 'persistent mild hyperdensity', 'existence': 'pos_dx', 'descriptive_term': 'persistent mild', 'observation': 'hyperdensity', 'strength_term': 'mild', 'temporal_term': 'persistent'}}size_fin: [{'size': '12 mm'}, {'size': '12 mm'}]anatomical entity_fin: {'third ventricles': {}, 'third ventricle': {}}location descriptor_fin: ['lateral']clinical findings_fin: {'unchanged': {'clinical finding': 'unchanged', 'existence': 'pos_dx', 'observation': 'unchanged'}}anatomical entity_fin: {'third ventricle': {}}imaging observation_fin: ['blood']clinical findings_fin: {'blood layering': {'clinical finding': 'blood layering', 'existence': 'pos_dx', 'descriptive_term': 'blood', 'observation': 'layering'}, 'some other cystic': {'clinical finding': 'some other cystic', 'existence': 'unc_dx', 'descriptive_term': 'some other', 'observation': 'cystic', 'quantity_term': 'some'}}clinical findings_fin: {'extensive white matter hypoattenuation': {'clinical finding': 'extensive white matter hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'extensive white matter', 'observation': 'hypoattenuation', 'strength_term': 'extensive'}}location descriptor_fin: ['bilateral', 'right', 'left']clinical findings_fin: {'there bilateral partially calcified subdural hematomas': {'clinical finding': 'there bilateral partially calcified subdural hematomas', 'cf_snomed': {'subdural hematoma': 95453001}, 'existence': 'pos_dx', 'descriptive_term': 'there bilateral partially calcified subdural', 'observation': 'hematoma', 'strength_term': 'partially', 'change_term': 'calcified'}}size_fin: [{'size': '8 mm'}]location descriptor_fin: ['midline']clinical findings_fin: {'stable localized mass effect': {'clinical finding': 'stable localized mass effect', 'existence': 'pos_dx', 'descriptive_term': 'stable localized mass', 'observation': 'effect', 'strength_term': 'stable', 'change_term': 'stable'}}anatomical entity_fin: {'scalp': {}}imaging observation_fin: ['foci']location descriptor_fin: ['right']clinical findings_fin: {'right frontoparietal scalp thickening': {'clinical finding': 'right frontoparietal scalp thickening', 'existence': 'pos_dx', 'descriptive_term': 'right frontoparietal scalp', 'observation': 'thickening'}, 'multiple foci': {'clinical finding': 'multiple foci', 'existence': 'pos_dx', 'descriptive_term': 'multiple', 'observation': 'foci', 'quantity_term': 'multiple'}, 'recent procedure': {'clinical finding': 'recent procedure', 'existence': 'pos_dx', 'descriptive_term': 'recent', 'observation': 'procedure'}} [/INST] There has been interval revision of the left frontal approach ventriculostomy catheter, with placement of a new ventriculostomy shunt catheter with valve via left frontal approach with tip at the level of the foramina of Monro. There is small amount of air in the left frontal horn, likely postprocedural. The old right parietal approach ventriculostomy catheter is unchanged with tip in the left frontal horn. There is persistent mild hyperdensity surrounding the catheter tip. The lateral and third ventricles remains unchanged compared to previous exam, the third ventricle measuring 12 mm in transverse dimension, previously 12 mm. There is dependent blood layering above the vermis, which may be within and extension of the third ventricle or some other cystic space, unchanged from previous. There is redemonstration of extensive white matter hypoattenuation in the periventricular region, similar to previous exam. There bilateral partially calcified subdural hematomas, right greater than the left, unchanged from previous. There is stable localized mass effect and midline shift of approximately 8 mm. There is right frontoparietal scalp thickening along with multiple foci of air which is related to the recent procedure. </s>

. Bibasilar linear scarring or atelectasis. No focal consolidation. The pleural spaces are clear. No significant abnormality noted. No significant abnormality noted. There are multiple hepatic lesions which have decreased in size. The reference lesion near the hepatic dome in segment 8 measures 0.9 x 0.9 cm previously, 1.6 x 1.4 cm. There is moderate intrahepatic biliary ductal dilatation which is new due to the obstructing mass at the head of the pancreas. Intrahepatic hepatic and portal veins are patent. Splenic vein is thrombosed. Pancreatic body mass measures 7.3 x 5.2 cm previously measurement measures 5.8 x 4.6 cm the pancreatic mass extends to head of pancreas obstructs the common bile duct. The portal vein and superior mesenteric veins are thrombosed with reconstitution. No significant abnormality noted. Left renal cyst appears mildly hyperdense. No hydronephrosis. There is retroperitoneal and upper abdominal lymphadenopathy. Subtle nodularity of the upper abdominal omentum with small pockets of upper abdominal ascites suggestive of peritoneal disease. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Lucent lesion in the right ilium is nonspecific and can be followed on subsequent studies. Small amount of pelvic ascites.

clinical findings_fin: {'bibasilar linear scarring': {'clinical finding': 'bibasilar linear scarring', 'existence': 'unc_dx', 'descriptive_term': 'bibasilar linear', 'observation': 'scarr'}, 'atelectasis': {'clinical finding': 'atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'unc_dx', 'observation': 'atelectasis'}}clinical findings_fin: {'focal consolidation': {'clinical finding': 'focal consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'consolidation'}}anatomical entity_fin: {'pleural spaces': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_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 hepatic lesions': {'clinical finding': 'multiple hepatic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'multiple hepatic', 'observation': 'lesion', 'quantity_term': 'multiple'}}size_fin: [{'size': '0.9 x 0.9 cm'}, {'size': '1.6 x 1.4 cm'}]clinical findings_fin: {'reference lesion': {'clinical finding': 'reference lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'reference', 'observation': 'lesion'}}anatomical entity_fin: {'head': {}, 'pancreas': {}}clinical findings_fin: {'moderate intrahepatic biliary ductal dilatation': {'clinical finding': 'moderate intrahepatic biliary ductal dilatation', 'cf_snomed': {'dilatation': 25322007}, 'existence': 'pos_dx', 'descriptive_term': 'moderate intrahepatic biliary ductal', 'observation': 'dilatation', 'strength_term': 'moderate'}, 'obstructing mass': {'clinical finding': 'obstructing mass', 'existence': 'pos_dx', 'descriptive_term': 'obstructing', 'observation': 'mass'}}anatomical entity_fin: {'portal veins': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'pos_dx', 'observation': 'patent'}}anatomical entity_fin: {'splenic vein': {}}clinical findings_fin: {'splenic vein is thrombosed': {'clinical finding': 'splenic vein is thrombosed', 'change_term': 'thrombosed'}}size_fin: [{'size': '7.3 x 5.2 cm'}, {'size': '5.8 x 4.6 cm'}]anatomical entity_fin: {'body': {}, 'head of pancreas': {}, 'common bile duct': {}}clinical findings_fin: {'pancreatic body mass': {'clinical finding': 'pancreatic body mass', 'existence': 'pos_dx', 'descriptive_term': 'pancreatic body', 'observation': 'mass'}, 'pancreatic mass': {'clinical finding': 'pancreatic mass', 'existence': 'pos_dx', 'descriptive_term': 'pancreatic', 'observation': 'mass'}, 'obstructs': {'clinical finding': 'obstructs', 'existence': 'pos_dx', 'observation': 'obstruct'}}anatomical entity_fin: {'portal vein': {}, 'superior mesenteric veins': {}}clinical findings_fin: {'portal vein and superior mesenteric veins are thrombosed with reconstitution': {'clinical finding': 'portal vein and superior mesenteric veins are thrombosed with reconstitution', 'change_term': 'thrombosed'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}location descriptor_fin: ['left']clinical findings_fin: {'left renal cyst': {'clinical finding': 'left renal cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'left renal', 'observation': 'cyst'}, 'hyperdense': {'clinical finding': 'hyperdense', 'existence': 'pos_dx', 'observation': 'hyperdense'}}clinical findings_fin: {'hydronephrosis': {'clinical finding': 'hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'neg_dx', 'observation': 'hydronephrosis'}}anatomical entity_fin: {'abdominal': {'location descriptor': 'upper'}}location descriptor_fin: ['upper']clinical findings_fin: {'retroperitoneal and upper abdominal lymphadenopathy': {'clinical finding': 'retroperitoneal and upper abdominal lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'pos_dx', 'descriptive_term': 'retroperitoneal and upper abdominal', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'abdominal': {'location descriptor': 'upper'}, 'omentum': {}}location descriptor_fin: ['upper']clinical findings_fin: {'subtle nodularity': {'clinical finding': 'subtle nodularity', 'existence': 'pos_dx', 'descriptive_term': 'subtle', 'observation': 'nodularity', 'strength_term': 'subtle'}, 'upper abdominal ascites': {'clinical finding': 'upper abdominal ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'upper abdominal', 'observation': 'ascite'}, 'peritoneal disease': {'clinical finding': 'peritoneal disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'unc_dx', 'descriptive_term': 'peritoneal', '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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'ilium': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'lucent lesion': {'clinical finding': 'lucent lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'lucent', 'observation': 'lesion'}, 'nonspecific': {'clinical finding': 'nonspecific', 'existence': 'pos_dx', 'observation': 'nonspecific'}}clinical findings_fin: {'pelvic ascites': {'clinical finding': 'pelvic ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'pelvic', 'observation': 'ascite'}}

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 linear scarring': {'clinical finding': 'bibasilar linear scarring', 'existence': 'unc_dx', 'descriptive_term': 'bibasilar linear', 'observation': 'scarr'}, 'atelectasis': {'clinical finding': 'atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'unc_dx', 'observation': 'atelectasis'}}clinical findings_fin: {'focal consolidation': {'clinical finding': 'focal consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'consolidation'}}anatomical entity_fin: {'pleural spaces': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_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 hepatic lesions': {'clinical finding': 'multiple hepatic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'multiple hepatic', 'observation': 'lesion', 'quantity_term': 'multiple'}}size_fin: [{'size': '0.9 x 0.9 cm'}, {'size': '1.6 x 1.4 cm'}]clinical findings_fin: {'reference lesion': {'clinical finding': 'reference lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'reference', 'observation': 'lesion'}}anatomical entity_fin: {'head': {}, 'pancreas': {}}clinical findings_fin: {'moderate intrahepatic biliary ductal dilatation': {'clinical finding': 'moderate intrahepatic biliary ductal dilatation', 'cf_snomed': {'dilatation': 25322007}, 'existence': 'pos_dx', 'descriptive_term': 'moderate intrahepatic biliary ductal', 'observation': 'dilatation', 'strength_term': 'moderate'}, 'obstructing mass': {'clinical finding': 'obstructing mass', 'existence': 'pos_dx', 'descriptive_term': 'obstructing', 'observation': 'mass'}}anatomical entity_fin: {'portal veins': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'pos_dx', 'observation': 'patent'}}anatomical entity_fin: {'splenic vein': {}}clinical findings_fin: {'splenic vein is thrombosed': {'clinical finding': 'splenic vein is thrombosed', 'change_term': 'thrombosed'}}size_fin: [{'size': '7.3 x 5.2 cm'}, {'size': '5.8 x 4.6 cm'}]anatomical entity_fin: {'body': {}, 'head of pancreas': {}, 'common bile duct': {}}clinical findings_fin: {'pancreatic body mass': {'clinical finding': 'pancreatic body mass', 'existence': 'pos_dx', 'descriptive_term': 'pancreatic body', 'observation': 'mass'}, 'pancreatic mass': {'clinical finding': 'pancreatic mass', 'existence': 'pos_dx', 'descriptive_term': 'pancreatic', 'observation': 'mass'}, 'obstructs': {'clinical finding': 'obstructs', 'existence': 'pos_dx', 'observation': 'obstruct'}}anatomical entity_fin: {'portal vein': {}, 'superior mesenteric veins': {}}clinical findings_fin: {'portal vein and superior mesenteric veins are thrombosed with reconstitution': {'clinical finding': 'portal vein and superior mesenteric veins are thrombosed with reconstitution', 'change_term': 'thrombosed'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}location descriptor_fin: ['left']clinical findings_fin: {'left renal cyst': {'clinical finding': 'left renal cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'left renal', 'observation': 'cyst'}, 'hyperdense': {'clinical finding': 'hyperdense', 'existence': 'pos_dx', 'observation': 'hyperdense'}}clinical findings_fin: {'hydronephrosis': {'clinical finding': 'hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'neg_dx', 'observation': 'hydronephrosis'}}anatomical entity_fin: {'abdominal': {'location descriptor': 'upper'}}location descriptor_fin: ['upper']clinical findings_fin: {'retroperitoneal and upper abdominal lymphadenopathy': {'clinical finding': 'retroperitoneal and upper abdominal lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'pos_dx', 'descriptive_term': 'retroperitoneal and upper abdominal', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'abdominal': {'location descriptor': 'upper'}, 'omentum': {}}location descriptor_fin: ['upper']clinical findings_fin: {'subtle nodularity': {'clinical finding': 'subtle nodularity', 'existence': 'pos_dx', 'descriptive_term': 'subtle', 'observation': 'nodularity', 'strength_term': 'subtle'}, 'upper abdominal ascites': {'clinical finding': 'upper abdominal ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'upper abdominal', 'observation': 'ascite'}, 'peritoneal disease': {'clinical finding': 'peritoneal disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'unc_dx', 'descriptive_term': 'peritoneal', '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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'ilium': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'lucent lesion': {'clinical finding': 'lucent lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'lucent', 'observation': 'lesion'}, 'nonspecific': {'clinical finding': 'nonspecific', 'existence': 'pos_dx', 'observation': 'nonspecific'}}clinical findings_fin: {'pelvic ascites': {'clinical finding': 'pelvic ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'pelvic', 'observation': 'ascite'}} [/INST] . Bibasilar linear scarring or atelectasis. No focal consolidation. The pleural spaces are clear. No significant abnormality noted. No significant abnormality noted. There are multiple hepatic lesions which have decreased in size. The reference lesion near the hepatic dome in segment 8 measures 0.9 x 0.9 cm previously, 1.6 x 1.4 cm. There is moderate intrahepatic biliary ductal dilatation which is new due to the obstructing mass at the head of the pancreas. Intrahepatic hepatic and portal veins are patent. Splenic vein is thrombosed. Pancreatic body mass measures 7.3 x 5.2 cm previously measurement measures 5.8 x 4.6 cm the pancreatic mass extends to head of pancreas obstructs the common bile duct. The portal vein and superior mesenteric veins are thrombosed with reconstitution. No significant abnormality noted. Left renal cyst appears mildly hyperdense. No hydronephrosis. There is retroperitoneal and upper abdominal lymphadenopathy. Subtle nodularity of the upper abdominal omentum with small pockets of upper abdominal ascites suggestive of peritoneal disease. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Lucent lesion in the right ilium is nonspecific and can be followed on subsequent studies. Small amount of pelvic ascites. </s>

For the purposes of localization, there are 5 lumbar type vertebral bodies. And the lowest lumbar type vertebral body was called as L5. The patient has undergone a L2-L5 posterior spinal fusion with pedicle screw fixation on the right from L2 through L5 and on the left at L2 and L5 with bilateral rods. There are interbody spacers also present in the L2-3, L3-4 and L4-5 intervertebral disc spaces. There is no significant spinal canal stenosis. At the lower thoracic levels there is some mild loss of disc space height of the T11-12 level with mild degenerative endplate changes. No significant spinal canal stenosis or neural foraminal narrowing at the lower thoracic levels. At L1-2 there is is evidence of a small central disc protrusion with mild spinal canal narrowing and mild left neuroforaminal stenosis. At L2-3 and L3-4 there is evidence of a posterior spinal fusion and interbody spacer without significant spinal canal stenosis or neuroforaminal narrowing. At L4-5 there is evidence of a posterior spinal fusion and interbody spacer without central spinal canal stenosis. Mild right and moderate left neuroforaminal stenosis. At L5-S1 there is no significant compromise to spinal canal or neural foramina. There are midline surgical skin staples and a small foci of gas within the soft tissues extending into the retroperitoneal spaces compatible with recent surgery.

anatomical entity_fin: {'vertebral bodies': {}}procedure_fin: ['localization']anatomical entity_fin: {'lumbar': {}, 'vertebral body': {}}anatomical entity_fin: {'spinal': {'location descriptor': 'posterior'}}location descriptor_fin: ['posterior', 'right', 'left', 'bilateral']object_fin: ['pedicle screw']procedure_fin: ['spinal fusion']clinical findings_fin: {'l2-l5 posterior spinal fusion': {'clinical finding': 'l2-l5 posterior spinal fusion', 'existence': 'pos_dx', 'descriptive_term': 'l2-l5 posterior spinal', 'observation': 'fusion'}, 'bilateral rods': {'clinical finding': 'bilateral rods', 'existence': 'pos_dx', 'descriptive_term': 'bilateral', 'observation': 'rod'}}anatomical entity_fin: {'disc': {}}clinical findings_fin: {'interbody spacers': {'clinical finding': 'interbody spacers', 'existence': 'pos_dx', 'descriptive_term': 'interbody', 'observation': 'spacer'}}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'}}anatomical entity_fin: {'thoracic': {'location descriptor': 'lower'}}location descriptor_fin: ['lower']clinical findings_fin: {'disc space': {'clinical finding': 'disc space', 'existence': 'pos_dx', 'descriptive_term': 'disc', 'observation': 'space'}, 'mild degenerative endplate changes': {'clinical finding': 'mild degenerative endplate changes', 'existence': 'pos_dx', 'descriptive_term': 'mild degenerative endplate', 'observation': 'change', 'strength_term': 'mild'}}anatomical entity_fin: {'spinal canal': {}}location descriptor_fin: ['lower']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'}, 'neural foraminal narrowing': {'clinical finding': 'neural foraminal narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'neg_dx', 'descriptive_term': 'neural foraminal', 'observation': 'narrowing'}}anatomical entity_fin: {'disc': {'location descriptor': 'central'}, 'spinal canal': {}, 'neuroforaminal': {'location descriptor': 'left'}}location descriptor_fin: ['central', 'left']clinical findings_fin: {'small central disc protrusion': {'clinical finding': 'small central disc protrusion', 'cf_snomed': {'protrusion': 112639008}, 'existence': 'pos_dx', 'descriptive_term': 'small central disc', 'observation': 'protrusion', 'strength_term': 'small'}, 'mild spinal canal narrowing': {'clinical finding': 'mild spinal canal narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'mild spinal canal', 'observation': 'narrowing', 'strength_term': 'mild'}, 'mild left neuroforaminal stenosis': {'clinical finding': 'mild left neuroforaminal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'mild left neuroforaminal', 'observation': 'stenosis', 'strength_term': 'mild'}}anatomical entity_fin: {'spinal': {'location descriptor': 'posterior'}, 'spinal canal': {}}location descriptor_fin: ['posterior']procedure_fin: ['spinal fusion']clinical findings_fin: {'posterior spinal fusion': {'clinical finding': 'posterior spinal fusion', 'existence': 'neg_dx', 'descriptive_term': 'posterior spinal', 'observation': 'fusion'}, 'interbody spacer': {'clinical finding': 'interbody spacer', 'existence': 'neg_dx', 'descriptive_term': 'interbody', 'observation': 'spacer'}, 'significant spinal canal stenosis': {'clinical finding': 'significant spinal canal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'neg_dx', 'descriptive_term': 'significant spinal canal', 'observation': 'stenosis'}, 'neuroforaminal narrowing': {'clinical finding': 'neuroforaminal narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'neg_dx', 'descriptive_term': 'neuroforaminal', 'observation': 'narrowing'}}anatomical entity_fin: {'spinal': {'location descriptor': 'posterior'}, 'spinal canal': {'location descriptor': 'central'}}location descriptor_fin: ['posterior', 'central']procedure_fin: ['spinal fusion']clinical findings_fin: {'posterior spinal fusion': {'clinical finding': 'posterior spinal fusion', 'existence': 'pos_dx', 'descriptive_term': 'posterior spinal', 'observation': 'fusion'}, 'interbody spacer': {'clinical finding': 'interbody spacer', 'existence': 'pos_dx', 'descriptive_term': 'interbody', 'observation': 'spacer'}, 'central spinal canal stenosis': {'clinical finding': 'central spinal canal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'central spinal canal', 'observation': 'stenosis'}}location descriptor_fin: ['right', 'left']clinical findings_fin: {'mild right and moderate left neuroforaminal stenosis': {'clinical finding': 'mild right and moderate left neuroforaminal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'mild right and moderate left neuroforaminal', 'observation': 'stenosis', 'strength_term': 'mild - moderate'}}anatomical entity_fin: {'spinal canal': {}, 'neural foramina': {}}clinical findings_fin: {'l5 - s1 there is no significant compromise to spinal canal or neural foramina': {'clinical finding': 'l5 - s1 there is no significant compromise to spinal canal or neural foramina'}}anatomical entity_fin: {'skin': {}}imaging observation_fin: ['foci']location descriptor_fin: ['midline']clinical findings_fin: {'midline surgical skin staples': {'clinical finding': 'midline surgical skin staples', 'existence': 'pos_dx', 'descriptive_term': 'midline surgical skin', 'observation': 'staple'}, 'gas': {'clinical finding': 'gas', 'existence': 'pos_dx', 'observation': 'gas'}}

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: {'vertebral bodies': {}}procedure_fin: ['localization']anatomical entity_fin: {'lumbar': {}, 'vertebral body': {}}anatomical entity_fin: {'spinal': {'location descriptor': 'posterior'}}location descriptor_fin: ['posterior', 'right', 'left', 'bilateral']object_fin: ['pedicle screw']procedure_fin: ['spinal fusion']clinical findings_fin: {'l2-l5 posterior spinal fusion': {'clinical finding': 'l2-l5 posterior spinal fusion', 'existence': 'pos_dx', 'descriptive_term': 'l2-l5 posterior spinal', 'observation': 'fusion'}, 'bilateral rods': {'clinical finding': 'bilateral rods', 'existence': 'pos_dx', 'descriptive_term': 'bilateral', 'observation': 'rod'}}anatomical entity_fin: {'disc': {}}clinical findings_fin: {'interbody spacers': {'clinical finding': 'interbody spacers', 'existence': 'pos_dx', 'descriptive_term': 'interbody', 'observation': 'spacer'}}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'}}anatomical entity_fin: {'thoracic': {'location descriptor': 'lower'}}location descriptor_fin: ['lower']clinical findings_fin: {'disc space': {'clinical finding': 'disc space', 'existence': 'pos_dx', 'descriptive_term': 'disc', 'observation': 'space'}, 'mild degenerative endplate changes': {'clinical finding': 'mild degenerative endplate changes', 'existence': 'pos_dx', 'descriptive_term': 'mild degenerative endplate', 'observation': 'change', 'strength_term': 'mild'}}anatomical entity_fin: {'spinal canal': {}}location descriptor_fin: ['lower']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'}, 'neural foraminal narrowing': {'clinical finding': 'neural foraminal narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'neg_dx', 'descriptive_term': 'neural foraminal', 'observation': 'narrowing'}}anatomical entity_fin: {'disc': {'location descriptor': 'central'}, 'spinal canal': {}, 'neuroforaminal': {'location descriptor': 'left'}}location descriptor_fin: ['central', 'left']clinical findings_fin: {'small central disc protrusion': {'clinical finding': 'small central disc protrusion', 'cf_snomed': {'protrusion': 112639008}, 'existence': 'pos_dx', 'descriptive_term': 'small central disc', 'observation': 'protrusion', 'strength_term': 'small'}, 'mild spinal canal narrowing': {'clinical finding': 'mild spinal canal narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'mild spinal canal', 'observation': 'narrowing', 'strength_term': 'mild'}, 'mild left neuroforaminal stenosis': {'clinical finding': 'mild left neuroforaminal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'mild left neuroforaminal', 'observation': 'stenosis', 'strength_term': 'mild'}}anatomical entity_fin: {'spinal': {'location descriptor': 'posterior'}, 'spinal canal': {}}location descriptor_fin: ['posterior']procedure_fin: ['spinal fusion']clinical findings_fin: {'posterior spinal fusion': {'clinical finding': 'posterior spinal fusion', 'existence': 'neg_dx', 'descriptive_term': 'posterior spinal', 'observation': 'fusion'}, 'interbody spacer': {'clinical finding': 'interbody spacer', 'existence': 'neg_dx', 'descriptive_term': 'interbody', 'observation': 'spacer'}, 'significant spinal canal stenosis': {'clinical finding': 'significant spinal canal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'neg_dx', 'descriptive_term': 'significant spinal canal', 'observation': 'stenosis'}, 'neuroforaminal narrowing': {'clinical finding': 'neuroforaminal narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'neg_dx', 'descriptive_term': 'neuroforaminal', 'observation': 'narrowing'}}anatomical entity_fin: {'spinal': {'location descriptor': 'posterior'}, 'spinal canal': {'location descriptor': 'central'}}location descriptor_fin: ['posterior', 'central']procedure_fin: ['spinal fusion']clinical findings_fin: {'posterior spinal fusion': {'clinical finding': 'posterior spinal fusion', 'existence': 'pos_dx', 'descriptive_term': 'posterior spinal', 'observation': 'fusion'}, 'interbody spacer': {'clinical finding': 'interbody spacer', 'existence': 'pos_dx', 'descriptive_term': 'interbody', 'observation': 'spacer'}, 'central spinal canal stenosis': {'clinical finding': 'central spinal canal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'central spinal canal', 'observation': 'stenosis'}}location descriptor_fin: ['right', 'left']clinical findings_fin: {'mild right and moderate left neuroforaminal stenosis': {'clinical finding': 'mild right and moderate left neuroforaminal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'mild right and moderate left neuroforaminal', 'observation': 'stenosis', 'strength_term': 'mild - moderate'}}anatomical entity_fin: {'spinal canal': {}, 'neural foramina': {}}clinical findings_fin: {'l5 - s1 there is no significant compromise to spinal canal or neural foramina': {'clinical finding': 'l5 - s1 there is no significant compromise to spinal canal or neural foramina'}}anatomical entity_fin: {'skin': {}}imaging observation_fin: ['foci']location descriptor_fin: ['midline']clinical findings_fin: {'midline surgical skin staples': {'clinical finding': 'midline surgical skin staples', 'existence': 'pos_dx', 'descriptive_term': 'midline surgical skin', 'observation': 'staple'}, 'gas': {'clinical finding': 'gas', 'existence': 'pos_dx', 'observation': 'gas'}} [/INST] For the purposes of localization, there are 5 lumbar type vertebral bodies. And the lowest lumbar type vertebral body was called as L5. The patient has undergone a L2-L5 posterior spinal fusion with pedicle screw fixation on the right from L2 through L5 and on the left at L2 and L5 with bilateral rods. There are interbody spacers also present in the L2-3, L3-4 and L4-5 intervertebral disc spaces. There is no significant spinal canal stenosis. At the lower thoracic levels there is some mild loss of disc space height of the T11-12 level with mild degenerative endplate changes. No significant spinal canal stenosis or neural foraminal narrowing at the lower thoracic levels. At L1-2 there is is evidence of a small central disc protrusion with mild spinal canal narrowing and mild left neuroforaminal stenosis. At L2-3 and L3-4 there is evidence of a posterior spinal fusion and interbody spacer without significant spinal canal stenosis or neuroforaminal narrowing. At L4-5 there is evidence of a posterior spinal fusion and interbody spacer without central spinal canal stenosis. Mild right and moderate left neuroforaminal stenosis. At L5-S1 there is no significant compromise to spinal canal or neural foramina. There are midline surgical skin staples and a small foci of gas within the soft tissues extending into the retroperitoneal spaces compatible with recent surgery. </s>

. Severe emphysema, centrilobular predominant, not significantly changed since the prior CT study. Lingular scarring and possible surgical clips or calcification unchanged. Borderline lower lung zone bronchiectasis. Heterogeneous thyroid enlargement. There is no mediastinal or hilar lymphadenopathy, although there are calcified lymph nodes from prior granulomatous disease. Moderate coronary artery calcifications are present, the heart and pericardium otherwise unremarkable. No significant abnormality noted. Absence of enteric contrast material limits sensitivity for abdominal pathology. Numerous splenic and hepatic granulomata, consistent with prior histoplasmosis. Cholelithiasis.

location descriptor_fin: ['centrilobular']clinical findings_fin: {'severe emphysema': {'clinical finding': 'severe emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'descriptive_term': 'severe', 'observation': 'emphysema', 'strength_term': 'severe'}}object_fin: ['surgical clips']clinical findings_fin: {'lingular scarring': {'clinical finding': 'lingular scarring', 'existence': 'pos_dx', 'descriptive_term': 'lingular', 'observation': 'scarr'}, 'possible surgical clips': {'clinical finding': 'possible surgical clips', 'existence': 'unc_dx', 'descriptive_term': 'possible surgical', 'observation': 'clip'}, 'calcification': {'clinical finding': 'calcification', 'existence': 'unc_dx', 'observation': 'calcification'}}anatomical entity_fin: {'lower lung zone': {}}clinical findings_fin: {'borderline lower lung zone bronchiectasis': {'clinical finding': 'borderline lower lung zone bronchiectasis', 'cf_snomed': {'bronchiectasis': 12295008}, 'existence': 'pos_dx', 'descriptive_term': 'borderline lower lung zone', 'observation': 'bronchiectasis', 'strength_term': 'borderline'}}clinical findings_fin: {'heterogeneous thyroid enlargement': {'clinical finding': 'heterogeneous thyroid enlargement', 'cf_snomed': {'enlargement': 442021009}}}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'}, 'calcified lymph nodes': {'clinical finding': 'calcified lymph nodes', 'cf_snomed': {'calcified lymph nodes': 191394000}, 'existence': 'pos_dx', 'descriptive_term': 'calcified 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'}}anatomical entity_fin: {'heart': {}, 'pericardium': {}}clinical findings_fin: {'moderate coronary artery calcifications': {'clinical finding': 'moderate coronary artery calcifications', 'existence': 'pos_dx', 'descriptive_term': 'moderate coronary artery', 'observation': 'calcification', 'strength_term': 'moderate'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'numerous splenic and hepatic granulomata': {'clinical finding': 'numerous splenic and hepatic granulomata', 'existence': 'pos_dx', 'descriptive_term': 'numerous splenic and hepatic', 'observation': 'granulomata', 'quantity_term': 'numerous'}, 'prior histoplasmosis': {'clinical finding': 'prior histoplasmosis', 'cf_snomed': {'histoplasmosis': 12962009}, 'existence': 'pos_dx', 'descriptive_term': 'prior', 'observation': 'histoplasmosis'}}

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: ['centrilobular']clinical findings_fin: {'severe emphysema': {'clinical finding': 'severe emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'descriptive_term': 'severe', 'observation': 'emphysema', 'strength_term': 'severe'}}object_fin: ['surgical clips']clinical findings_fin: {'lingular scarring': {'clinical finding': 'lingular scarring', 'existence': 'pos_dx', 'descriptive_term': 'lingular', 'observation': 'scarr'}, 'possible surgical clips': {'clinical finding': 'possible surgical clips', 'existence': 'unc_dx', 'descriptive_term': 'possible surgical', 'observation': 'clip'}, 'calcification': {'clinical finding': 'calcification', 'existence': 'unc_dx', 'observation': 'calcification'}}anatomical entity_fin: {'lower lung zone': {}}clinical findings_fin: {'borderline lower lung zone bronchiectasis': {'clinical finding': 'borderline lower lung zone bronchiectasis', 'cf_snomed': {'bronchiectasis': 12295008}, 'existence': 'pos_dx', 'descriptive_term': 'borderline lower lung zone', 'observation': 'bronchiectasis', 'strength_term': 'borderline'}}clinical findings_fin: {'heterogeneous thyroid enlargement': {'clinical finding': 'heterogeneous thyroid enlargement', 'cf_snomed': {'enlargement': 442021009}}}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'}, 'calcified lymph nodes': {'clinical finding': 'calcified lymph nodes', 'cf_snomed': {'calcified lymph nodes': 191394000}, 'existence': 'pos_dx', 'descriptive_term': 'calcified 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'}}anatomical entity_fin: {'heart': {}, 'pericardium': {}}clinical findings_fin: {'moderate coronary artery calcifications': {'clinical finding': 'moderate coronary artery calcifications', 'existence': 'pos_dx', 'descriptive_term': 'moderate coronary artery', 'observation': 'calcification', 'strength_term': 'moderate'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'numerous splenic and hepatic granulomata': {'clinical finding': 'numerous splenic and hepatic granulomata', 'existence': 'pos_dx', 'descriptive_term': 'numerous splenic and hepatic', 'observation': 'granulomata', 'quantity_term': 'numerous'}, 'prior histoplasmosis': {'clinical finding': 'prior histoplasmosis', 'cf_snomed': {'histoplasmosis': 12962009}, 'existence': 'pos_dx', 'descriptive_term': 'prior', 'observation': 'histoplasmosis'}} [/INST] . Severe emphysema, centrilobular predominant, not significantly changed since the prior CT study. Lingular scarring and possible surgical clips or calcification unchanged. Borderline lower lung zone bronchiectasis. Heterogeneous thyroid enlargement. There is no mediastinal or hilar lymphadenopathy, although there are calcified lymph nodes from prior granulomatous disease. Moderate coronary artery calcifications are present, the heart and pericardium otherwise unremarkable. No significant abnormality noted. Absence of enteric contrast material limits sensitivity for abdominal pathology. Numerous splenic and hepatic granulomata, consistent with prior histoplasmosis. Cholelithiasis. </s>

The bones are osteopenic. Multilevel decrease in the intervertebral disc space is seen, most pronounced at L4-L5, which is nearly fused now and progressed since the previous study. Narrowing of the disc space of L2-L3 is progressed since the previous study. Sclerosis of the endplates of L2-L3 and L5-S1 is seen that is also progressed since previous study. There is minimal anterolisthesis of L3 on L4. The degenerative cyst that was seen in the posterosuperior aspect of the T2 vertebral body in the previous study became sclerotic. The degenerative air-filled cyst that was seen previously in the inferior endplate of T12 is progressed. Vaccum phenomena are seen at the level of T12-L1, L2-L3, L3-L4, and L5-S1. Multilevel osteophyte formation are seen. Mild rightward convexity of the lower lumbar spine is seen. At T11-T12 there is bilateral facet hypertrophy with mild spinal stenosis and moderate neural foraminal stenosis bilaterally. At T12-L1 there is no spinal or neural foraminal compromise. At L1-L2 there is no spinal or neural foraminal compromise. At L2-L3 there is disc bulge with moderate to severe spinal stenosis that is progressed since the previous study. There is moderate neural foramina stenosis bilaterally, right more than the left. There is severe thickening of the ligamentum flavum and bilateral facet hypertrophy. At L3-L4 there is uncovering of the disc with superimposed mild disc bulge. There is severe spinal stenosis. There is hypertrophy of the ligamentum flavum and and the facets bilaterally. There is a moderate to severe right neural foraminal stenosis and mild to moderate left neural foraminal stenosis. At L4-L5 there is moderate disc bulging with moderate spinal stenosis. There is ligamentum flavum and bilateral facet hypertrophy, with facet autofusion since the prior exam. The upper portion of the lateral recesses are narrowed. There is mild to moderate left neural foraminal stenosis with no neural foraminal stenosis in the right. At L5-S1 there is mild spinal stenosis and moderate neural foraminal stenosis bilaterally. There is hypertrophy of the ligamentum flavum and bilateral facet hypertrophy. Ill defined thickening of the left adrenal gland is again seen. There are calcifications of the aorta.

clinical findings_fin: {'osteopenic': {'clinical finding': 'osteopenic', 'existence': 'pos_dx', 'observation': 'osteopenic'}}anatomical entity_fin: {'disc': {}}clinical findings_fin: {'fused': {'clinical finding': 'fused', 'existence': 'pos_dx', 'observation': 'fuse'}}anatomical entity_fin: {'disc': {}}clinical findings_fin: {'narrowing': {'clinical finding': 'narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'observation': 'narrowing'}}anatomical entity_fin: {'endplates': {}}clinical findings_fin: {'sclerosis': {'clinical finding': 'sclerosis', 'cf_snomed': {'sclerosis': 43846000}, 'existence': 'pos_dx', 'observation': 'sclerosis'}}clinical findings_fin: {'minimal anterolisthesis': {'clinical finding': 'minimal anterolisthesis', 'existence': 'pos_dx', 'descriptive_term': 'minimal', 'observation': 'anterolisthesis', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}anatomical entity_fin: {'t2 vertebral body': {}}clinical findings_fin: {'degenerative cyst': {'clinical finding': 'degenerative cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'cyst'}, 'sclerotic': {'clinical finding': 'sclerotic', 'existence': 'pos_dx', 'observation': 'sclerotic'}}anatomical entity_fin: {'endplate': {'location descriptor': 'inferior'}}location descriptor_fin: ['inferior']clinical findings_fin: {'degenerative air-filled cyst': {'clinical finding': 'degenerative air-filled cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'degenerative air-filled', 'observation': 'cyst', 'change_term': 'filled'}}clinical findings_fin: {'vaccum phenomena': {'clinical finding': 'vaccum phenomena', 'existence': 'pos_dx', 'descriptive_term': 'vaccum', 'observation': 'phenomenon'}}clinical findings_fin: {'multilevel osteophyte': {'clinical finding': 'multilevel osteophyte', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'multilevel', 'observation': 'osteophyte'}}anatomical entity_fin: {'convexity': {}, 'spine': {}}location descriptor_fin: ['lower']clinical findings_fin: {'mild rightward convexity of the lower lumbar spine is seen': {'clinical finding': 'mild rightward convexity of the lower lumbar spine is seen'}}anatomical entity_fin: {'facet': {'location descriptor': 'bilateral'}, 'spinal': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral facet hypertrophy': {'clinical finding': 'bilateral facet hypertrophy', 'cf_snomed': {'hypertrophy': 56246009}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral facet', 'observation': 'hypertrophy'}, 'mild spinal stenosis': {'clinical finding': 'mild spinal stenosis', 'cf_snomed': {'spinal stenosis': 76107001}, 'existence': 'pos_dx', 'descriptive_term': 'mild spinal', 'observation': 'stenosis', 'strength_term': 'mild'}, 'moderate neural foraminal stenosis': {'clinical finding': 'moderate neural foraminal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'moderate neural foraminal', 'observation': 'stenosis', 'strength_term': 'moderate'}}anatomical entity_fin: {'spinal': {}, 'foraminal': {}}anatomical entity_fin: {'spinal': {}, 'foraminal': {}}anatomical entity_fin: {'disc': {}, 'spinal': {}}clinical findings_fin: {'disc bulge': {'clinical finding': 'disc bulge', 'existence': 'pos_dx', 'descriptive_term': 'disc', 'observation': 'bulge'}, 'moderate to severe spinal stenosis': {'clinical finding': 'moderate to severe spinal stenosis', 'cf_snomed': {'spinal stenosis': 76107001}, 'existence': 'pos_dx', 'descriptive_term': 'moderate to severe spinal', 'observation': 'stenosis', 'strength_term': 'moderate - severe'}}anatomical entity_fin: {'foramina': {}}location descriptor_fin: ['right', 'left']clinical findings_fin: {'moderate neural foramina stenosis': {'clinical finding': 'moderate neural foramina stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'moderate neural foramina', 'observation': 'stenosis', 'strength_term': 'moderate'}}anatomical entity_fin: {'ligamentum flavum': {}, 'facet': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'severe thickening': {'clinical finding': 'severe thickening', 'existence': 'pos_dx', 'descriptive_term': 'severe', 'observation': 'thickening', 'strength_term': 'severe'}, 'bilateral facet hypertrophy': {'clinical finding': 'bilateral facet hypertrophy', 'cf_snomed': {'hypertrophy': 56246009}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral facet', 'observation': 'hypertrophy'}}anatomical entity_fin: {'disc': {}}clinical findings_fin: {'superimposed mild disc bulge': {'clinical finding': 'superimposed mild disc bulge', 'existence': 'pos_dx', 'descriptive_term': 'superimposed mild disc', 'observation': 'bulge', 'strength_term': 'mild'}}clinical findings_fin: {'severe spinal stenosis': {'clinical finding': 'severe spinal stenosis', 'cf_snomed': {'spinal stenosis': 76107001}, 'existence': 'pos_dx', 'descriptive_term': 'severe spinal', 'observation': 'stenosis', 'strength_term': 'severe'}}anatomical entity_fin: {'ligamentum flavum': {}, 'facets': {}}clinical findings_fin: {'hypertrophy': {'clinical finding': 'hypertrophy', 'cf_snomed': {'hypertrophy': 56246009}, 'existence': 'pos_dx', 'observation': 'hypertrophy'}}location descriptor_fin: ['right', 'left']clinical findings_fin: {'moderate to severe right neural foraminal stenosis': {'clinical finding': 'moderate to severe right neural foraminal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'moderate to severe right neural foraminal', 'observation': 'stenosis', 'strength_term': 'moderate - severe'}, 'mild to moderate left neural foraminal stenosis': {'clinical finding': 'mild to moderate left neural foraminal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'mild to moderate left neural foraminal', 'observation': 'stenosis', 'strength_term': 'mild - moderate'}}anatomical entity_fin: {'disc': {}, 'spinal': {}}clinical findings_fin: {'moderate spinal stenosis': {'clinical finding': 'moderate spinal stenosis', 'cf_snomed': {'spinal stenosis': 76107001}, 'existence': 'pos_dx', 'descriptive_term': 'moderate spinal', 'observation': 'stenosis', 'strength_term': 'moderate'}}anatomical entity_fin: {'ligamentum flavum': {}, 'facet': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral facet hypertrophy': {'clinical finding': 'bilateral facet hypertrophy', 'cf_snomed': {'hypertrophy': 56246009}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral facet', 'observation': 'hypertrophy'}, 'facet autofusion': {'clinical finding': 'facet autofusion', 'existence': 'pos_dx', 'descriptive_term': 'facet', 'observation': 'autofusion'}}anatomical entity_fin: {'lateral recesses': {}}location descriptor_fin: ['upper']clinical findings_fin: {'narrowed': {'clinical finding': 'narrowed', 'existence': 'pos_dx', 'observation': 'narrow'}}location descriptor_fin: ['left', 'right']clinical findings_fin: {'mild to moderate left neural foraminal stenosis': {'clinical finding': 'mild to moderate left neural foraminal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'mild to moderate left neural foraminal', 'observation': 'stenosis', 'strength_term': 'mild - moderate'}, 'neural foraminal stenosis': {'clinical finding': 'neural foraminal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'neg_dx', 'descriptive_term': 'neural foraminal', 'observation': 'stenosis'}}anatomical entity_fin: {'spinal': {}}clinical findings_fin: {'mild spinal stenosis': {'clinical finding': 'mild spinal stenosis', 'cf_snomed': {'spinal stenosis': 76107001}, 'existence': 'pos_dx', 'descriptive_term': 'mild spinal', 'observation': 'stenosis', 'strength_term': 'mild'}, 'moderate neural foraminal stenosis': {'clinical finding': 'moderate neural foraminal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'moderate neural foraminal', 'observation': 'stenosis', 'strength_term': 'moderate'}}anatomical entity_fin: {'ligamentum flavum': {}, 'facet': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'hypertrophy': {'clinical finding': 'hypertrophy', 'cf_snomed': {'hypertrophy': 56246009}, 'existence': 'pos_dx', 'observation': 'hypertrophy'}, 'bilateral facet hypertrophy': {'clinical finding': 'bilateral facet hypertrophy', 'cf_snomed': {'hypertrophy': 56246009}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral facet', 'observation': 'hypertrophy'}}anatomical entity_fin: {'left adrenal gland': {}}clinical findings_fin: {'ill defined thickening': {'clinical finding': 'ill defined thickening', 'existence': 'pos_dx', 'descriptive_term': 'ill defined', 'observation': 'thickening'}}anatomical entity_fin: {'aorta': {}}clinical findings_fin: {'calcifications': {'clinical finding': 'calcifications', 'existence': 'pos_dx', '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: clinical findings_fin: {'osteopenic': {'clinical finding': 'osteopenic', 'existence': 'pos_dx', 'observation': 'osteopenic'}}anatomical entity_fin: {'disc': {}}clinical findings_fin: {'fused': {'clinical finding': 'fused', 'existence': 'pos_dx', 'observation': 'fuse'}}anatomical entity_fin: {'disc': {}}clinical findings_fin: {'narrowing': {'clinical finding': 'narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'observation': 'narrowing'}}anatomical entity_fin: {'endplates': {}}clinical findings_fin: {'sclerosis': {'clinical finding': 'sclerosis', 'cf_snomed': {'sclerosis': 43846000}, 'existence': 'pos_dx', 'observation': 'sclerosis'}}clinical findings_fin: {'minimal anterolisthesis': {'clinical finding': 'minimal anterolisthesis', 'existence': 'pos_dx', 'descriptive_term': 'minimal', 'observation': 'anterolisthesis', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}anatomical entity_fin: {'t2 vertebral body': {}}clinical findings_fin: {'degenerative cyst': {'clinical finding': 'degenerative cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'cyst'}, 'sclerotic': {'clinical finding': 'sclerotic', 'existence': 'pos_dx', 'observation': 'sclerotic'}}anatomical entity_fin: {'endplate': {'location descriptor': 'inferior'}}location descriptor_fin: ['inferior']clinical findings_fin: {'degenerative air-filled cyst': {'clinical finding': 'degenerative air-filled cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'degenerative air-filled', 'observation': 'cyst', 'change_term': 'filled'}}clinical findings_fin: {'vaccum phenomena': {'clinical finding': 'vaccum phenomena', 'existence': 'pos_dx', 'descriptive_term': 'vaccum', 'observation': 'phenomenon'}}clinical findings_fin: {'multilevel osteophyte': {'clinical finding': 'multilevel osteophyte', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'multilevel', 'observation': 'osteophyte'}}anatomical entity_fin: {'convexity': {}, 'spine': {}}location descriptor_fin: ['lower']clinical findings_fin: {'mild rightward convexity of the lower lumbar spine is seen': {'clinical finding': 'mild rightward convexity of the lower lumbar spine is seen'}}anatomical entity_fin: {'facet': {'location descriptor': 'bilateral'}, 'spinal': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral facet hypertrophy': {'clinical finding': 'bilateral facet hypertrophy', 'cf_snomed': {'hypertrophy': 56246009}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral facet', 'observation': 'hypertrophy'}, 'mild spinal stenosis': {'clinical finding': 'mild spinal stenosis', 'cf_snomed': {'spinal stenosis': 76107001}, 'existence': 'pos_dx', 'descriptive_term': 'mild spinal', 'observation': 'stenosis', 'strength_term': 'mild'}, 'moderate neural foraminal stenosis': {'clinical finding': 'moderate neural foraminal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'moderate neural foraminal', 'observation': 'stenosis', 'strength_term': 'moderate'}}anatomical entity_fin: {'spinal': {}, 'foraminal': {}}anatomical entity_fin: {'spinal': {}, 'foraminal': {}}anatomical entity_fin: {'disc': {}, 'spinal': {}}clinical findings_fin: {'disc bulge': {'clinical finding': 'disc bulge', 'existence': 'pos_dx', 'descriptive_term': 'disc', 'observation': 'bulge'}, 'moderate to severe spinal stenosis': {'clinical finding': 'moderate to severe spinal stenosis', 'cf_snomed': {'spinal stenosis': 76107001}, 'existence': 'pos_dx', 'descriptive_term': 'moderate to severe spinal', 'observation': 'stenosis', 'strength_term': 'moderate - severe'}}anatomical entity_fin: {'foramina': {}}location descriptor_fin: ['right', 'left']clinical findings_fin: {'moderate neural foramina stenosis': {'clinical finding': 'moderate neural foramina stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'moderate neural foramina', 'observation': 'stenosis', 'strength_term': 'moderate'}}anatomical entity_fin: {'ligamentum flavum': {}, 'facet': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'severe thickening': {'clinical finding': 'severe thickening', 'existence': 'pos_dx', 'descriptive_term': 'severe', 'observation': 'thickening', 'strength_term': 'severe'}, 'bilateral facet hypertrophy': {'clinical finding': 'bilateral facet hypertrophy', 'cf_snomed': {'hypertrophy': 56246009}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral facet', 'observation': 'hypertrophy'}}anatomical entity_fin: {'disc': {}}clinical findings_fin: {'superimposed mild disc bulge': {'clinical finding': 'superimposed mild disc bulge', 'existence': 'pos_dx', 'descriptive_term': 'superimposed mild disc', 'observation': 'bulge', 'strength_term': 'mild'}}clinical findings_fin: {'severe spinal stenosis': {'clinical finding': 'severe spinal stenosis', 'cf_snomed': {'spinal stenosis': 76107001}, 'existence': 'pos_dx', 'descriptive_term': 'severe spinal', 'observation': 'stenosis', 'strength_term': 'severe'}}anatomical entity_fin: {'ligamentum flavum': {}, 'facets': {}}clinical findings_fin: {'hypertrophy': {'clinical finding': 'hypertrophy', 'cf_snomed': {'hypertrophy': 56246009}, 'existence': 'pos_dx', 'observation': 'hypertrophy'}}location descriptor_fin: ['right', 'left']clinical findings_fin: {'moderate to severe right neural foraminal stenosis': {'clinical finding': 'moderate to severe right neural foraminal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'moderate to severe right neural foraminal', 'observation': 'stenosis', 'strength_term': 'moderate - severe'}, 'mild to moderate left neural foraminal stenosis': {'clinical finding': 'mild to moderate left neural foraminal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'mild to moderate left neural foraminal', 'observation': 'stenosis', 'strength_term': 'mild - moderate'}}anatomical entity_fin: {'disc': {}, 'spinal': {}}clinical findings_fin: {'moderate spinal stenosis': {'clinical finding': 'moderate spinal stenosis', 'cf_snomed': {'spinal stenosis': 76107001}, 'existence': 'pos_dx', 'descriptive_term': 'moderate spinal', 'observation': 'stenosis', 'strength_term': 'moderate'}}anatomical entity_fin: {'ligamentum flavum': {}, 'facet': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral facet hypertrophy': {'clinical finding': 'bilateral facet hypertrophy', 'cf_snomed': {'hypertrophy': 56246009}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral facet', 'observation': 'hypertrophy'}, 'facet autofusion': {'clinical finding': 'facet autofusion', 'existence': 'pos_dx', 'descriptive_term': 'facet', 'observation': 'autofusion'}}anatomical entity_fin: {'lateral recesses': {}}location descriptor_fin: ['upper']clinical findings_fin: {'narrowed': {'clinical finding': 'narrowed', 'existence': 'pos_dx', 'observation': 'narrow'}}location descriptor_fin: ['left', 'right']clinical findings_fin: {'mild to moderate left neural foraminal stenosis': {'clinical finding': 'mild to moderate left neural foraminal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'mild to moderate left neural foraminal', 'observation': 'stenosis', 'strength_term': 'mild - moderate'}, 'neural foraminal stenosis': {'clinical finding': 'neural foraminal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'neg_dx', 'descriptive_term': 'neural foraminal', 'observation': 'stenosis'}}anatomical entity_fin: {'spinal': {}}clinical findings_fin: {'mild spinal stenosis': {'clinical finding': 'mild spinal stenosis', 'cf_snomed': {'spinal stenosis': 76107001}, 'existence': 'pos_dx', 'descriptive_term': 'mild spinal', 'observation': 'stenosis', 'strength_term': 'mild'}, 'moderate neural foraminal stenosis': {'clinical finding': 'moderate neural foraminal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'moderate neural foraminal', 'observation': 'stenosis', 'strength_term': 'moderate'}}anatomical entity_fin: {'ligamentum flavum': {}, 'facet': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'hypertrophy': {'clinical finding': 'hypertrophy', 'cf_snomed': {'hypertrophy': 56246009}, 'existence': 'pos_dx', 'observation': 'hypertrophy'}, 'bilateral facet hypertrophy': {'clinical finding': 'bilateral facet hypertrophy', 'cf_snomed': {'hypertrophy': 56246009}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral facet', 'observation': 'hypertrophy'}}anatomical entity_fin: {'left adrenal gland': {}}clinical findings_fin: {'ill defined thickening': {'clinical finding': 'ill defined thickening', 'existence': 'pos_dx', 'descriptive_term': 'ill defined', 'observation': 'thickening'}}anatomical entity_fin: {'aorta': {}}clinical findings_fin: {'calcifications': {'clinical finding': 'calcifications', 'existence': 'pos_dx', 'observation': 'calcification'}} [/INST] The bones are osteopenic. Multilevel decrease in the intervertebral disc space is seen, most pronounced at L4-L5, which is nearly fused now and progressed since the previous study. Narrowing of the disc space of L2-L3 is progressed since the previous study. Sclerosis of the endplates of L2-L3 and L5-S1 is seen that is also progressed since previous study. There is minimal anterolisthesis of L3 on L4. The degenerative cyst that was seen in the posterosuperior aspect of the T2 vertebral body in the previous study became sclerotic. The degenerative air-filled cyst that was seen previously in the inferior endplate of T12 is progressed. Vaccum phenomena are seen at the level of T12-L1, L2-L3, L3-L4, and L5-S1. Multilevel osteophyte formation are seen. Mild rightward convexity of the lower lumbar spine is seen. At T11-T12 there is bilateral facet hypertrophy with mild spinal stenosis and moderate neural foraminal stenosis bilaterally. At T12-L1 there is no spinal or neural foraminal compromise. At L1-L2 there is no spinal or neural foraminal compromise. At L2-L3 there is disc bulge with moderate to severe spinal stenosis that is progressed since the previous study. There is moderate neural foramina stenosis bilaterally, right more than the left. There is severe thickening of the ligamentum flavum and bilateral facet hypertrophy. At L3-L4 there is uncovering of the disc with superimposed mild disc bulge. There is severe spinal stenosis. There is hypertrophy of the ligamentum flavum and and the facets bilaterally. There is a moderate to severe right neural foraminal stenosis and mild to moderate left neural foraminal stenosis. At L4-L5 there is moderate disc bulging with moderate spinal stenosis. There is ligamentum flavum and bilateral facet hypertrophy, with facet autofusion since the prior exam. The upper portion of the lateral recesses are narrowed. There is mild to moderate left neural foraminal stenosis with no neural foraminal stenosis in the right. At L5-S1 there is mild spinal stenosis and moderate neural foraminal stenosis bilaterally. There is hypertrophy of the ligamentum flavum and bilateral facet hypertrophy. Ill defined thickening of the left adrenal gland is again seen. There are calcifications of the aorta. </s>

There is no evidence of intracranial hemorrhage or mass. The grey-white matter differentiation appears to be intact. There are patchy periventricular and subcortical hypodensities. There is global parenchymal volume loss commensurate with patients age. No hydrocephalus. The basal cisterns are normal in size and configuration. There is no midline shift or herniation. Vascular calcifications. Soft tissue irregularity and thickening noted in the left frontal scalp. Mild mucosal thickening of the maxillary sinuses bilaterally.

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: {'patchy periventricular and subcortical hypodensities': {'clinical finding': 'patchy periventricular and subcortical hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'patchy periventricular and subcortical', 'observation': 'hypodensity'}}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: {'hydrocephalus': {'clinical finding': 'hydrocephalus', 'cf_snomed': {'hydrocephalus': 230745008}, 'existence': 'neg_dx', 'observation': 'hydrocephalus'}}clinical findings_fin: {'basal cisterns are normal in size and configuration': {'clinical finding': 'basal cisterns are normal in size and configuration'}}location descriptor_fin: ['midline']clinical findings_fin: {'herniation': {'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'}}clinical findings_fin: {'vascular calcifications': {'clinical finding': 'vascular calcifications', 'cf_snomed': {'vascular calcification': 237897009}, 'existence': 'pos_dx', 'descriptive_term': 'vascular', 'observation': 'calcification'}}anatomical entity_fin: {'scalp': {}}location descriptor_fin: ['left']clinical findings_fin: {'soft tissue irregularity': {'clinical finding': 'soft tissue irregularity', 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'irregularity'}, 'thickening': {'clinical finding': 'thickening', 'existence': 'pos_dx', 'observation': 'thickening'}}clinical findings_fin: {'mild mucosal thickening': {'clinical finding': 'mild mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild mucosal', 'observation': 'thickening', '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: 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: {'patchy periventricular and subcortical hypodensities': {'clinical finding': 'patchy periventricular and subcortical hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'patchy periventricular and subcortical', 'observation': 'hypodensity'}}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: {'hydrocephalus': {'clinical finding': 'hydrocephalus', 'cf_snomed': {'hydrocephalus': 230745008}, 'existence': 'neg_dx', 'observation': 'hydrocephalus'}}clinical findings_fin: {'basal cisterns are normal in size and configuration': {'clinical finding': 'basal cisterns are normal in size and configuration'}}location descriptor_fin: ['midline']clinical findings_fin: {'herniation': {'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'}}clinical findings_fin: {'vascular calcifications': {'clinical finding': 'vascular calcifications', 'cf_snomed': {'vascular calcification': 237897009}, 'existence': 'pos_dx', 'descriptive_term': 'vascular', 'observation': 'calcification'}}anatomical entity_fin: {'scalp': {}}location descriptor_fin: ['left']clinical findings_fin: {'soft tissue irregularity': {'clinical finding': 'soft tissue irregularity', 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'irregularity'}, 'thickening': {'clinical finding': 'thickening', 'existence': 'pos_dx', 'observation': 'thickening'}}clinical findings_fin: {'mild mucosal thickening': {'clinical finding': 'mild mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild mucosal', 'observation': 'thickening', 'strength_term': 'mild'}} [/INST] There is no evidence of intracranial hemorrhage or mass. The grey-white matter differentiation appears to be intact. There are patchy periventricular and subcortical hypodensities. There is global parenchymal volume loss commensurate with patients age. No hydrocephalus. The basal cisterns are normal in size and configuration. There is no midline shift or herniation. Vascular calcifications. Soft tissue irregularity and thickening noted in the left frontal scalp. Mild mucosal thickening of the maxillary sinuses bilaterally. </s>

.There is no evidence of fracture or traumatic subluxation in the cervical spine. The cervical vertebral bodies are appropriate in overall alignment and height. There is straightening of the cervical spine, which may be positional. There is no significant spinal canal stenosis or neural foraminal stenosis at any level. Minimal disc bulges are seen at the C4-C5 and C6-C7 levels. There is mild edema of the posterior lower cervical subcutaneous tissues, which is nonspecific and be related to prolonged decubitus status or hypervolemia, for example. There is a minimally displaced fracture of the T1 spinous process that appears corticated and is likely subacute to chronic. There is an additional minimally displaced fractures of the left transverse process of T12 which appears subacute. The thoracic vertebral bodies are appropriate in the overall alignment and height. There is no compromise of thoracic spinal canal or neural foramina. Patchy ground glass opacities are seen in the right upper and right lower lobes which may represent pneumonitis. Five lumbar type vertebral bodies are present which are appropriate in overall alignment and height. There are additional minimally displaced fractures of the left transverse processes L1, L2, L3, and L4 which also appear subacute. There is periosteal reaction with early callus formation. Sclerotic foci involving the right L5 pedicle and left iliac bone are compatible with bone islands. Minimal disc bulges in the lower lumbar spine. There is no significant spinal canal or neural foraminal stenosis at any level in the lumbar spine.

anatomical entity_fin: {'spine': {}}clinical findings_fin: {'fracture': {'clinical finding': 'fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'observation': 'fracture'}, 'traumatic subluxation': {'clinical finding': 'traumatic subluxation', 'cf_snomed': {'subluxation': 26396009}, 'existence': 'neg_dx', 'descriptive_term': 'traumatic', 'observation': 'subluxation'}}anatomical entity_fin: {'cervical vertebral bodies': {}}clinical findings_fin: {'overall alignment': {'clinical finding': 'overall alignment', 'existence': 'pos_dx', 'descriptive_term': 'overall', 'observation': 'alignment'}}anatomical entity_fin: {'spine': {}}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'}, 'neural foraminal stenosis': {'clinical finding': 'neural foraminal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'neg_dx', 'descriptive_term': 'neural foraminal', 'observation': 'stenosis'}}clinical findings_fin: {'minimal disc bulges': {'clinical finding': 'minimal disc bulges', 'existence': 'pos_dx', 'descriptive_term': 'minimal disc', 'observation': 'bulge', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}location descriptor_fin: ['posterior', 'lower']clinical findings_fin: {'mild edema': {'clinical finding': 'mild edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'edema', 'strength_term': 'mild'}, 'prolonged decubitus': {'clinical finding': 'prolonged decubitus', 'existence': 'unc_dx', 'descriptive_term': 'prolonged', 'observation': 'decubitus'}, 'hypervolemia': {'clinical finding': 'hypervolemia', 'cf_snomed': {'hypervolemia': 21639008}, 'existence': 'unc_dx', 'observation': 'hypervolemia'}}anatomical entity_fin: {'spinous': {}}location descriptor_fin: ['displaced']clinical findings_fin: {'minimally displaced fracture': {'clinical finding': 'minimally displaced fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'minimally displaced', 'observation': 'fracture', 'change_term': 'displaced'}}anatomical entity_fin: {'transverse process': {'location descriptor': 'left'}}location descriptor_fin: ['displaced', 'left']clinical findings_fin: {'additional minimally displaced fractures': {'clinical finding': 'additional minimally displaced fractures', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'additional minimally displaced', 'observation': 'fracture', 'change_term': 'displaced'}}anatomical entity_fin: {'thoracic vertebral bodies': {}}clinical findings_fin: {'overall alignment': {'clinical finding': 'overall alignment', 'existence': 'pos_dx', 'descriptive_term': 'overall', 'observation': 'alignment'}}anatomical entity_fin: {'spinal canal': {}, 'foramina': {}}anatomical entity_fin: {'lobes': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'upper', 'lower']clinical findings_fin: {'patchy ground glass opacities': {'clinical finding': 'patchy ground glass opacities', 'cf_snomed': {'ground glass opacity': 1217294009}, 'existence': 'pos_dx', 'descriptive_term': 'patchy ground glass', 'observation': 'opacity'}, 'pneumonitis': {'clinical finding': 'pneumonitis', 'cf_snomed': {'pneumonitis': 205237003}, 'existence': 'unc_dx', 'observation': 'pneumonitis'}}anatomical entity_fin: {'vertebral bodies': {}}clinical findings_fin: {'lumbar type vertebral bodies are present which are appropriate': {'clinical finding': 'lumbar type vertebral bodies are present which are appropriate'}}anatomical entity_fin: {'transverse processes': {'location descriptor': 'left'}}location descriptor_fin: ['displaced', 'left']clinical findings_fin: {'additional minimally displaced fractures': {'clinical finding': 'additional minimally displaced fractures', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'additional minimally displaced', 'observation': 'fracture', 'change_term': 'displaced'}}clinical findings_fin: {'periosteal reaction': {'clinical finding': 'periosteal reaction', 'existence': 'pos_dx', 'descriptive_term': 'periosteal', 'observation': 'reaction'}, 'early callus formation': {'clinical finding': 'early callus formation', 'existence': 'pos_dx', 'descriptive_term': 'early callus', 'observation': 'formation'}}anatomical entity_fin: {'bone': {}}imaging observation_fin: ['foci', 'pedicle']location descriptor_fin: ['right', 'left']clinical findings_fin: {'sclerotic foci': {'clinical finding': 'sclerotic foci', 'existence': 'pos_dx', 'descriptive_term': 'sclerotic', 'observation': 'foci'}}anatomical entity_fin: {'spine': {}}location descriptor_fin: ['lower']clinical findings_fin: {'disc bulges': {'clinical finding': 'disc bulges', 'existence': 'pos_dx', 'descriptive_term': 'disc', 'observation': 'bulge'}}anatomical entity_fin: {'spinal canal': {}, 'spine': {}}clinical findings_fin: {'neural foraminal stenosis': {'clinical finding': 'neural foraminal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'neg_dx', 'descriptive_term': 'neural foraminal', 'observation': 'stenosis'}}

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': {}}clinical findings_fin: {'fracture': {'clinical finding': 'fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'observation': 'fracture'}, 'traumatic subluxation': {'clinical finding': 'traumatic subluxation', 'cf_snomed': {'subluxation': 26396009}, 'existence': 'neg_dx', 'descriptive_term': 'traumatic', 'observation': 'subluxation'}}anatomical entity_fin: {'cervical vertebral bodies': {}}clinical findings_fin: {'overall alignment': {'clinical finding': 'overall alignment', 'existence': 'pos_dx', 'descriptive_term': 'overall', 'observation': 'alignment'}}anatomical entity_fin: {'spine': {}}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'}, 'neural foraminal stenosis': {'clinical finding': 'neural foraminal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'neg_dx', 'descriptive_term': 'neural foraminal', 'observation': 'stenosis'}}clinical findings_fin: {'minimal disc bulges': {'clinical finding': 'minimal disc bulges', 'existence': 'pos_dx', 'descriptive_term': 'minimal disc', 'observation': 'bulge', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}location descriptor_fin: ['posterior', 'lower']clinical findings_fin: {'mild edema': {'clinical finding': 'mild edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'edema', 'strength_term': 'mild'}, 'prolonged decubitus': {'clinical finding': 'prolonged decubitus', 'existence': 'unc_dx', 'descriptive_term': 'prolonged', 'observation': 'decubitus'}, 'hypervolemia': {'clinical finding': 'hypervolemia', 'cf_snomed': {'hypervolemia': 21639008}, 'existence': 'unc_dx', 'observation': 'hypervolemia'}}anatomical entity_fin: {'spinous': {}}location descriptor_fin: ['displaced']clinical findings_fin: {'minimally displaced fracture': {'clinical finding': 'minimally displaced fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'minimally displaced', 'observation': 'fracture', 'change_term': 'displaced'}}anatomical entity_fin: {'transverse process': {'location descriptor': 'left'}}location descriptor_fin: ['displaced', 'left']clinical findings_fin: {'additional minimally displaced fractures': {'clinical finding': 'additional minimally displaced fractures', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'additional minimally displaced', 'observation': 'fracture', 'change_term': 'displaced'}}anatomical entity_fin: {'thoracic vertebral bodies': {}}clinical findings_fin: {'overall alignment': {'clinical finding': 'overall alignment', 'existence': 'pos_dx', 'descriptive_term': 'overall', 'observation': 'alignment'}}anatomical entity_fin: {'spinal canal': {}, 'foramina': {}}anatomical entity_fin: {'lobes': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'upper', 'lower']clinical findings_fin: {'patchy ground glass opacities': {'clinical finding': 'patchy ground glass opacities', 'cf_snomed': {'ground glass opacity': 1217294009}, 'existence': 'pos_dx', 'descriptive_term': 'patchy ground glass', 'observation': 'opacity'}, 'pneumonitis': {'clinical finding': 'pneumonitis', 'cf_snomed': {'pneumonitis': 205237003}, 'existence': 'unc_dx', 'observation': 'pneumonitis'}}anatomical entity_fin: {'vertebral bodies': {}}clinical findings_fin: {'lumbar type vertebral bodies are present which are appropriate': {'clinical finding': 'lumbar type vertebral bodies are present which are appropriate'}}anatomical entity_fin: {'transverse processes': {'location descriptor': 'left'}}location descriptor_fin: ['displaced', 'left']clinical findings_fin: {'additional minimally displaced fractures': {'clinical finding': 'additional minimally displaced fractures', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'additional minimally displaced', 'observation': 'fracture', 'change_term': 'displaced'}}clinical findings_fin: {'periosteal reaction': {'clinical finding': 'periosteal reaction', 'existence': 'pos_dx', 'descriptive_term': 'periosteal', 'observation': 'reaction'}, 'early callus formation': {'clinical finding': 'early callus formation', 'existence': 'pos_dx', 'descriptive_term': 'early callus', 'observation': 'formation'}}anatomical entity_fin: {'bone': {}}imaging observation_fin: ['foci', 'pedicle']location descriptor_fin: ['right', 'left']clinical findings_fin: {'sclerotic foci': {'clinical finding': 'sclerotic foci', 'existence': 'pos_dx', 'descriptive_term': 'sclerotic', 'observation': 'foci'}}anatomical entity_fin: {'spine': {}}location descriptor_fin: ['lower']clinical findings_fin: {'disc bulges': {'clinical finding': 'disc bulges', 'existence': 'pos_dx', 'descriptive_term': 'disc', 'observation': 'bulge'}}anatomical entity_fin: {'spinal canal': {}, 'spine': {}}clinical findings_fin: {'neural foraminal stenosis': {'clinical finding': 'neural foraminal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'neg_dx', 'descriptive_term': 'neural foraminal', 'observation': 'stenosis'}} [/INST] .There is no evidence of fracture or traumatic subluxation in the cervical spine. The cervical vertebral bodies are appropriate in overall alignment and height. There is straightening of the cervical spine, which may be positional. There is no significant spinal canal stenosis or neural foraminal stenosis at any level. Minimal disc bulges are seen at the C4-C5 and C6-C7 levels. There is mild edema of the posterior lower cervical subcutaneous tissues, which is nonspecific and be related to prolonged decubitus status or hypervolemia, for example. There is a minimally displaced fracture of the T1 spinous process that appears corticated and is likely subacute to chronic. There is an additional minimally displaced fractures of the left transverse process of T12 which appears subacute. The thoracic vertebral bodies are appropriate in the overall alignment and height. There is no compromise of thoracic spinal canal or neural foramina. Patchy ground glass opacities are seen in the right upper and right lower lobes which may represent pneumonitis. Five lumbar type vertebral bodies are present which are appropriate in overall alignment and height. There are additional minimally displaced fractures of the left transverse processes L1, L2, L3, and L4 which also appear subacute. There is periosteal reaction with early callus formation. Sclerotic foci involving the right L5 pedicle and left iliac bone are compatible with bone islands. Minimal disc bulges in the lower lumbar spine. There is no significant spinal canal or neural foraminal stenosis at any level in the lumbar spine. </s>

The ventricles and sulci are within normal limits. There is no midline shift or mass effect. There is no intracranial hemorrhage. No abnormal attenuation is seen in the region of previously demonstrated small focal area of presumed FLAIR hyperintense gliosis involving the lateral right frontal lobe seen on MRI dated 10/20/2008. There is increased extracerebral spaces overlying the frontal and parietal convexities likely related to volume loss, perhaps slightly advanced for patients age. There is no extra-axial fluid collection. The visualized portions of the paranasal sinuses and mastoids or middle ears are grossly clear. A burr hole is seen in the right anterior parietal bone.

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: {'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'}}anatomical entity_fin: {'right frontal lobe': {'location descriptor': 'lateral'}}location descriptor_fin: ['lateral']clinical findings_fin: {'abnormal attenuation': {'clinical finding': 'abnormal attenuation', 'existence': 'neg_dx', 'descriptive_term': 'abnormal', 'observation': 'attenuation'}, 'presumed flair hyperintense gliosis': {'clinical finding': 'presumed flair hyperintense gliosis', 'cf_snomed': {'gliosis': 81415000}, 'existence': 'neg_dx', 'descriptive_term': 'presumed flair hyperintense', 'observation': 'gliosis'}}anatomical entity_fin: {'convexities': {}}clinical findings_fin: {'increased extracerebral spaces': {'clinical finding': 'increased extracerebral spaces', 'existence': 'pos_dx', 'descriptive_term': 'increased extracerebral', 'observation': 'space', 'strength_term': 'increased', 'change_term': 'increased'}, 'volume loss': {'clinical finding': 'volume loss', 'existence': 'unc_dx', 'descriptive_term': 'volume', 'observation': 'loss'}}clinical findings_fin: {'extra-axial fluid collection': {'clinical finding': 'extra-axial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'extra-axial fluid', 'observation': 'collection'}}anatomical entity_fin: {'paranasal sinuses': {}, 'middle ears': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'}}anatomical entity_fin: {'parietal bone': {'location descriptor': 'right anterior'}}location descriptor_fin: ['right', 'anterior']clinical findings_fin: {'burr hole': {'clinical finding': 'burr hole', 'existence': 'pos_dx', 'descriptive_term': 'burr', 'observation': 'hole'}}

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 within normal limits': {'clinical finding': 'ventricles and sulci are 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'}}anatomical entity_fin: {'right frontal lobe': {'location descriptor': 'lateral'}}location descriptor_fin: ['lateral']clinical findings_fin: {'abnormal attenuation': {'clinical finding': 'abnormal attenuation', 'existence': 'neg_dx', 'descriptive_term': 'abnormal', 'observation': 'attenuation'}, 'presumed flair hyperintense gliosis': {'clinical finding': 'presumed flair hyperintense gliosis', 'cf_snomed': {'gliosis': 81415000}, 'existence': 'neg_dx', 'descriptive_term': 'presumed flair hyperintense', 'observation': 'gliosis'}}anatomical entity_fin: {'convexities': {}}clinical findings_fin: {'increased extracerebral spaces': {'clinical finding': 'increased extracerebral spaces', 'existence': 'pos_dx', 'descriptive_term': 'increased extracerebral', 'observation': 'space', 'strength_term': 'increased', 'change_term': 'increased'}, 'volume loss': {'clinical finding': 'volume loss', 'existence': 'unc_dx', 'descriptive_term': 'volume', 'observation': 'loss'}}clinical findings_fin: {'extra-axial fluid collection': {'clinical finding': 'extra-axial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'extra-axial fluid', 'observation': 'collection'}}anatomical entity_fin: {'paranasal sinuses': {}, 'middle ears': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'}}anatomical entity_fin: {'parietal bone': {'location descriptor': 'right anterior'}}location descriptor_fin: ['right', 'anterior']clinical findings_fin: {'burr hole': {'clinical finding': 'burr hole', 'existence': 'pos_dx', 'descriptive_term': 'burr', 'observation': 'hole'}} [/INST] The ventricles and sulci are within normal limits. There is no midline shift or mass effect. There is no intracranial hemorrhage. No abnormal attenuation is seen in the region of previously demonstrated small focal area of presumed FLAIR hyperintense gliosis involving the lateral right frontal lobe seen on MRI dated 10/20/2008. There is increased extracerebral spaces overlying the frontal and parietal convexities likely related to volume loss, perhaps slightly advanced for patients age. There is no extra-axial fluid collection. The visualized portions of the paranasal sinuses and mastoids or middle ears are grossly clear. A burr hole is seen in the right anterior parietal bone. </s>

. No significant abnormality noted. No mediastinal or hilar lymphadenopathy. Normal-sized heart without pericardial effusion. Mild. No significant abnormality noted. Absence of enteric contrast material limits sensitivity for abdominal pathology. Subcentimeter hypoattenuating foci in the liver, which are incompletely characterized, possibly representing cysts. No significant abnormality noted. No significant abnormality noted. Bilateral hypoattenuating foci, which are incompletely characterized, possibly representing cysts. One of these, in the right upper pole contains layering hyperattenuation, compatible with a cyst with milk of calcium. No significant abnormality noted. Mild atherosclerotic calcification of the abdominal aorta, without aneurysm. Absence of enteric contrast material limits sensitivity for GI pathology. No gross abnormalities noted. Mild degenerative changes of the thoracolumbar spine

clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': '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'}}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'}}anatomical entity_fin: {'liver': {}}imaging observation_fin: ['foci']clinical findings_fin: {'subcentimeter hypoattenuating foci': {'clinical finding': 'subcentimeter hypoattenuating foci', 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter hypoattenuating', 'observation': 'foci'}, 'cysts': {'clinical finding': 'cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', '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'}}imaging observation_fin: ['foci']location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral hypoattenuating foci': {'clinical finding': 'bilateral hypoattenuating foci', 'existence': 'pos_dx', 'descriptive_term': 'bilateral hypoattenuating', 'observation': 'foci'}, 'cysts': {'clinical finding': 'cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'observation': 'cyst'}}anatomical entity_fin: {'pole': {'location descriptor': 'right upper'}}location descriptor_fin: ['right', 'upper']clinical findings_fin: {'layering hyperattenuation': {'clinical finding': 'layering hyperattenuation', 'existence': 'pos_dx', 'descriptive_term': 'layering', 'observation': 'hyperattenuation'}, 'cyst': {'clinical finding': 'cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'observation': 'cyst'}, 'milk of calcium': {'clinical finding': 'milk of calcium', 'existence': 'pos_dx', 'descriptive_term': 'milk of', 'observation': 'calcium'}}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: {'mild atherosclerotic calcification': {'clinical finding': 'mild atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'mild atherosclerotic', 'observation': 'calcification', 'strength_term': 'mild'}, 'aneurysm': {'clinical finding': 'aneurysm', 'cf_snomed': {'aneurysm': 432119003}, 'existence': 'neg_dx', 'observation': 'aneurysm'}}clinical findings_fin: {'gross abnormalities': {'clinical finding': 'gross abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'gross', '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'}}

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: {'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: {'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'}}anatomical entity_fin: {'liver': {}}imaging observation_fin: ['foci']clinical findings_fin: {'subcentimeter hypoattenuating foci': {'clinical finding': 'subcentimeter hypoattenuating foci', 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter hypoattenuating', 'observation': 'foci'}, 'cysts': {'clinical finding': 'cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', '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'}}imaging observation_fin: ['foci']location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral hypoattenuating foci': {'clinical finding': 'bilateral hypoattenuating foci', 'existence': 'pos_dx', 'descriptive_term': 'bilateral hypoattenuating', 'observation': 'foci'}, 'cysts': {'clinical finding': 'cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'observation': 'cyst'}}anatomical entity_fin: {'pole': {'location descriptor': 'right upper'}}location descriptor_fin: ['right', 'upper']clinical findings_fin: {'layering hyperattenuation': {'clinical finding': 'layering hyperattenuation', 'existence': 'pos_dx', 'descriptive_term': 'layering', 'observation': 'hyperattenuation'}, 'cyst': {'clinical finding': 'cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'observation': 'cyst'}, 'milk of calcium': {'clinical finding': 'milk of calcium', 'existence': 'pos_dx', 'descriptive_term': 'milk of', 'observation': 'calcium'}}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: {'mild atherosclerotic calcification': {'clinical finding': 'mild atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'mild atherosclerotic', 'observation': 'calcification', 'strength_term': 'mild'}, 'aneurysm': {'clinical finding': 'aneurysm', 'cf_snomed': {'aneurysm': 432119003}, 'existence': 'neg_dx', 'observation': 'aneurysm'}}clinical findings_fin: {'gross abnormalities': {'clinical finding': 'gross abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'gross', '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'}} [/INST] . No significant abnormality noted. No mediastinal or hilar lymphadenopathy. Normal-sized heart without pericardial effusion. Mild. No significant abnormality noted. Absence of enteric contrast material limits sensitivity for abdominal pathology. Subcentimeter hypoattenuating foci in the liver, which are incompletely characterized, possibly representing cysts. No significant abnormality noted. No significant abnormality noted. Bilateral hypoattenuating foci, which are incompletely characterized, possibly representing cysts. One of these, in the right upper pole contains layering hyperattenuation, compatible with a cyst with milk of calcium. No significant abnormality noted. Mild atherosclerotic calcification of the abdominal aorta, without aneurysm. Absence of enteric contrast material limits sensitivity for GI pathology. No gross abnormalities noted. Mild degenerative changes of the thoracolumbar spine </s>

Diffuse closure of the sulci has not changed since the previous examination. Relatively, gray-white differentiation continues to be preserved. Dilatation of the lateral ventricles remain mild and not significantly changed. The third ventricle remains largely compressed. The fourth ventricle is compressed. The third ventricle is also compressed the less severely. This has not changed since the previous examination. Crowding of structures at the level of foramen magnum with alteration of the CSF containing spaces at that level remain unchanged. The extent of cerebellar tonsillar descent is better assessed by MRI if clinically warranted. The ambient cisterns remain closed. There is no evidence of acute ischemia or hemorrhage. The osseous structures are unremarkable. The pituitary gland is preserved in volume. The sella turcica is not enlarged. The paranasal sinuses are clear. Opacification of the mastoid air cells is unchanged.

clinical findings_fin: {'diffuse closure': {'clinical finding': 'diffuse closure', 'existence': 'neg_dx', 'descriptive_term': 'diffuse', 'observation': 'closure'}}clinical findings_fin: {'relatively , gray-white differentiation continues to be preserved': {'clinical finding': 'relatively , gray-white differentiation continues to be preserved', 'change_term': 'preserved'}}anatomical entity_fin: {'lateral ventricles': {}}clinical findings_fin: {'mild': {'clinical finding': 'mild', 'existence': 'pos_dx', 'observation': 'mild'}}anatomical entity_fin: {'third ventricle': {}}clinical findings_fin: {'compressed': {'clinical finding': 'compressed', 'existence': 'pos_dx', 'observation': 'compress'}}anatomical entity_fin: {'fourth ventricle': {}}clinical findings_fin: {'compressed': {'clinical finding': 'compressed', 'existence': 'pos_dx', 'observation': 'compress'}}anatomical entity_fin: {'third ventricle': {}}clinical findings_fin: {'compressed': {'clinical finding': 'compressed', 'existence': 'pos_dx', 'observation': 'compress'}}clinical findings_fin: {'not changed since the previous examination': {'clinical finding': 'not changed since the previous examination', 'change_term': 'changed'}}anatomical entity_fin: {'foramen magnum': {}}clinical findings_fin: {'alteration': {'clinical finding': 'alteration', 'existence': 'pos_dx', 'observation': 'alteration'}}clinical findings_fin: {'better assessed by mri if clinically warranted': {'clinical finding': 'better assessed by mri if clinically warranted'}}anatomical entity_fin: {'ambient cisterns': {}}clinical findings_fin: {'ambient cisterns': {'clinical finding': 'ambient cisterns', 'existence': 'pos_dx', 'descriptive_term': 'ambient', 'observation': 'cistern'}, 'closed': {'clinical finding': 'closed', 'existence': 'pos_dx', 'observation': 'close'}}clinical findings_fin: {'acute ischemia': {'clinical finding': 'acute ischemia', 'cf_snomed': {'ischemia': 52674009}, 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'ischemia', 'strength_term': 'acute', 'temporal_term': 'acute'}, 'hemorrhage': {'clinical finding': 'hemorrhage', 'cf_snomed': {'hemorrhage': 50960005}, 'existence': 'neg_dx', 'observation': 'hemorrhage'}}clinical findings_fin: {'osseous structures are unremarkable': {'clinical finding': 'osseous structures are unremarkable'}}anatomical entity_fin: {'pituitary gland': {}}clinical findings_fin: {'pituitary gland is preserved in volume': {'clinical finding': 'pituitary gland is preserved in volume', 'change_term': 'preserved'}}anatomical entity_fin: {'sella turcica': {}}clinical findings_fin: {'enlarged': {'clinical finding': 'enlarged', 'existence': 'neg_dx', 'observation': 'enlarged'}}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: {'opacification': {'clinical finding': 'opacification', 'existence': 'pos_dx', 'observation': 'opacification'}, '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: clinical findings_fin: {'diffuse closure': {'clinical finding': 'diffuse closure', 'existence': 'neg_dx', 'descriptive_term': 'diffuse', 'observation': 'closure'}}clinical findings_fin: {'relatively , gray-white differentiation continues to be preserved': {'clinical finding': 'relatively , gray-white differentiation continues to be preserved', 'change_term': 'preserved'}}anatomical entity_fin: {'lateral ventricles': {}}clinical findings_fin: {'mild': {'clinical finding': 'mild', 'existence': 'pos_dx', 'observation': 'mild'}}anatomical entity_fin: {'third ventricle': {}}clinical findings_fin: {'compressed': {'clinical finding': 'compressed', 'existence': 'pos_dx', 'observation': 'compress'}}anatomical entity_fin: {'fourth ventricle': {}}clinical findings_fin: {'compressed': {'clinical finding': 'compressed', 'existence': 'pos_dx', 'observation': 'compress'}}anatomical entity_fin: {'third ventricle': {}}clinical findings_fin: {'compressed': {'clinical finding': 'compressed', 'existence': 'pos_dx', 'observation': 'compress'}}clinical findings_fin: {'not changed since the previous examination': {'clinical finding': 'not changed since the previous examination', 'change_term': 'changed'}}anatomical entity_fin: {'foramen magnum': {}}clinical findings_fin: {'alteration': {'clinical finding': 'alteration', 'existence': 'pos_dx', 'observation': 'alteration'}}clinical findings_fin: {'better assessed by mri if clinically warranted': {'clinical finding': 'better assessed by mri if clinically warranted'}}anatomical entity_fin: {'ambient cisterns': {}}clinical findings_fin: {'ambient cisterns': {'clinical finding': 'ambient cisterns', 'existence': 'pos_dx', 'descriptive_term': 'ambient', 'observation': 'cistern'}, 'closed': {'clinical finding': 'closed', 'existence': 'pos_dx', 'observation': 'close'}}clinical findings_fin: {'acute ischemia': {'clinical finding': 'acute ischemia', 'cf_snomed': {'ischemia': 52674009}, 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'ischemia', 'strength_term': 'acute', 'temporal_term': 'acute'}, 'hemorrhage': {'clinical finding': 'hemorrhage', 'cf_snomed': {'hemorrhage': 50960005}, 'existence': 'neg_dx', 'observation': 'hemorrhage'}}clinical findings_fin: {'osseous structures are unremarkable': {'clinical finding': 'osseous structures are unremarkable'}}anatomical entity_fin: {'pituitary gland': {}}clinical findings_fin: {'pituitary gland is preserved in volume': {'clinical finding': 'pituitary gland is preserved in volume', 'change_term': 'preserved'}}anatomical entity_fin: {'sella turcica': {}}clinical findings_fin: {'enlarged': {'clinical finding': 'enlarged', 'existence': 'neg_dx', 'observation': 'enlarged'}}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: {'opacification': {'clinical finding': 'opacification', 'existence': 'pos_dx', 'observation': 'opacification'}, 'mastoid air cells': {'clinical finding': 'mastoid air cells', 'existence': 'pos_dx', 'descriptive_term': 'mastoid air', 'observation': 'cell'}} [/INST] Diffuse closure of the sulci has not changed since the previous examination. Relatively, gray-white differentiation continues to be preserved. Dilatation of the lateral ventricles remain mild and not significantly changed. The third ventricle remains largely compressed. The fourth ventricle is compressed. The third ventricle is also compressed the less severely. This has not changed since the previous examination. Crowding of structures at the level of foramen magnum with alteration of the CSF containing spaces at that level remain unchanged. The extent of cerebellar tonsillar descent is better assessed by MRI if clinically warranted. The ambient cisterns remain closed. There is no evidence of acute ischemia or hemorrhage. The osseous structures are unremarkable. The pituitary gland is preserved in volume. The sella turcica is not enlarged. The paranasal sinuses are clear. Opacification of the mastoid air cells is unchanged. </s>

. Unchanged scattered calcified and noncalcified pulmonary micronodules, probably related to prior granulomatous infection. Calcified mediastinal and hilar lymph nodes, unchanged. None. Right chest wall port with tip terminating at the cavoatrial junction. Nonspecific subcentimeter segment 7 hypodense lesion, left conspicuous on todays study. Punctate soft tissue density within the nondependent portion of the gallbladder, possible polyp versus stone. No adjacent inflammatory signs to suggest cholecystitis. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Mildly prominent mesenteric lymph nodes. Index mesenteric lymph node measures 2.1 x 1.0 cm , previously 2.3 x 1.2 cm. None. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Decreased size of cervical mass inseparable from the normal cervix, measuring 6.4 x 2.7 cm , previously 6.6 x 5.0 cm. Multiloculated pelvic mass is again identified. No significant abnormality noted. Subcentimeter pelvic and inguinal lymph nodes, not meeting size criteria. Trace free pelvic fluid, unchanged. No significant abnormality noted. No significant abnormality noted.

clinical findings_fin: {'unchanged scattered calcified and noncalcified pulmonary micronodules': {'clinical finding': 'unchanged scattered calcified and noncalcified pulmonary micronodules', 'existence': 'pos_dx', 'descriptive_term': 'unchanged scattered calcified and noncalcified pulmonary', 'observation': 'micronodule', 'strength_term': 'unchanged', 'change_term': 'unchanged - calcified'}, 'prior granulomatous infection': {'clinical finding': 'prior granulomatous infection', 'existence': 'pos_dx', 'descriptive_term': 'prior granulomatous', 'observation': 'infection'}}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'}}anatomical entity_fin: {'chest wall': {'location descriptor': 'right'}}location descriptor_fin: ['right']object_fin: ['port']location descriptor_fin: ['left']clinical findings_fin: {'nonspecific subcentimeter segment 7 hypodense lesion': {'clinical finding': 'nonspecific subcentimeter segment 7 hypodense lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'nonspecific subcentimeter segment 7 hypodense', 'observation': 'lesion'}}anatomical entity_fin: {'gallbladder': {}}imaging observation_fin: ['soft tissue density']clinical findings_fin: {'punctate soft tissue density': {'clinical finding': 'punctate soft tissue density', 'existence': 'pos_dx', 'descriptive_term': 'punctate soft tissue', 'observation': 'density'}, 'possible polyp': {'clinical finding': 'possible polyp', 'cf_snomed': {'polyp': 441456002}, 'existence': 'pos_dx', 'descriptive_term': 'possible', 'observation': 'polyp'}}location descriptor_fin: ['adjacent']clinical findings_fin: {'cholecystitis': {'clinical finding': 'cholecystitis', 'cf_snomed': {'cholecystitis': 76581006}, 'existence': 'unc_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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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: {'mesenteric lymph nodes': {}}clinical findings_fin: {'mildly prominent mesenteric lymph nodes': {'clinical finding': 'mildly prominent mesenteric lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'mildly prominent mesenteric lymph', 'observation': 'node', 'strength_term': 'mildly - prominent'}}size_fin: [{'size': '2.1 x 1.0 cm'}, {'size': '2.3 x 1.2 cm'}]anatomical entity_fin: {'mesenteric lymph node': {}}clinical findings_fin: {'index mesenteric lymph node': {'clinical finding': 'index mesenteric lymph node', 'existence': 'pos_dx', 'descriptive_term': 'index mesenteric 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'}}size_fin: [{'size': '6.4 x 2.7 cm'}, {'size': '6.6 x 5.0 cm'}]clinical findings_fin: {'cervical mass': {'clinical finding': 'cervical mass', 'existence': 'pos_dx', 'descriptive_term': 'cervical', 'observation': 'mass'}}clinical findings_fin: {'multiloculated pelvic mass': {'clinical finding': 'multiloculated pelvic mass', 'cf_snomed': {'pelvic mass': 74285003}, 'existence': 'pos_dx', 'descriptive_term': 'multiloculated pelvic', 'observation': 'mass'}}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 pelvic and inguinal lymph nodes': {'clinical finding': 'subcentimeter pelvic and inguinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter pelvic and inguinal lymph', 'observation': 'node'}}anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'trace free pelvic fluid , unchanged': {'clinical finding': 'trace free pelvic fluid , 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'}}

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: {'unchanged scattered calcified and noncalcified pulmonary micronodules': {'clinical finding': 'unchanged scattered calcified and noncalcified pulmonary micronodules', 'existence': 'pos_dx', 'descriptive_term': 'unchanged scattered calcified and noncalcified pulmonary', 'observation': 'micronodule', 'strength_term': 'unchanged', 'change_term': 'unchanged - calcified'}, 'prior granulomatous infection': {'clinical finding': 'prior granulomatous infection', 'existence': 'pos_dx', 'descriptive_term': 'prior granulomatous', 'observation': 'infection'}}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'}}anatomical entity_fin: {'chest wall': {'location descriptor': 'right'}}location descriptor_fin: ['right']object_fin: ['port']location descriptor_fin: ['left']clinical findings_fin: {'nonspecific subcentimeter segment 7 hypodense lesion': {'clinical finding': 'nonspecific subcentimeter segment 7 hypodense lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'nonspecific subcentimeter segment 7 hypodense', 'observation': 'lesion'}}anatomical entity_fin: {'gallbladder': {}}imaging observation_fin: ['soft tissue density']clinical findings_fin: {'punctate soft tissue density': {'clinical finding': 'punctate soft tissue density', 'existence': 'pos_dx', 'descriptive_term': 'punctate soft tissue', 'observation': 'density'}, 'possible polyp': {'clinical finding': 'possible polyp', 'cf_snomed': {'polyp': 441456002}, 'existence': 'pos_dx', 'descriptive_term': 'possible', 'observation': 'polyp'}}location descriptor_fin: ['adjacent']clinical findings_fin: {'cholecystitis': {'clinical finding': 'cholecystitis', 'cf_snomed': {'cholecystitis': 76581006}, 'existence': 'unc_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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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: {'mesenteric lymph nodes': {}}clinical findings_fin: {'mildly prominent mesenteric lymph nodes': {'clinical finding': 'mildly prominent mesenteric lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'mildly prominent mesenteric lymph', 'observation': 'node', 'strength_term': 'mildly - prominent'}}size_fin: [{'size': '2.1 x 1.0 cm'}, {'size': '2.3 x 1.2 cm'}]anatomical entity_fin: {'mesenteric lymph node': {}}clinical findings_fin: {'index mesenteric lymph node': {'clinical finding': 'index mesenteric lymph node', 'existence': 'pos_dx', 'descriptive_term': 'index mesenteric 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'}}size_fin: [{'size': '6.4 x 2.7 cm'}, {'size': '6.6 x 5.0 cm'}]clinical findings_fin: {'cervical mass': {'clinical finding': 'cervical mass', 'existence': 'pos_dx', 'descriptive_term': 'cervical', 'observation': 'mass'}}clinical findings_fin: {'multiloculated pelvic mass': {'clinical finding': 'multiloculated pelvic mass', 'cf_snomed': {'pelvic mass': 74285003}, 'existence': 'pos_dx', 'descriptive_term': 'multiloculated pelvic', 'observation': 'mass'}}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 pelvic and inguinal lymph nodes': {'clinical finding': 'subcentimeter pelvic and inguinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter pelvic and inguinal lymph', 'observation': 'node'}}anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'trace free pelvic fluid , unchanged': {'clinical finding': 'trace free pelvic fluid , 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'}} [/INST] . Unchanged scattered calcified and noncalcified pulmonary micronodules, probably related to prior granulomatous infection. Calcified mediastinal and hilar lymph nodes, unchanged. None. Right chest wall port with tip terminating at the cavoatrial junction. Nonspecific subcentimeter segment 7 hypodense lesion, left conspicuous on todays study. Punctate soft tissue density within the nondependent portion of the gallbladder, possible polyp versus stone. No adjacent inflammatory signs to suggest cholecystitis. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Mildly prominent mesenteric lymph nodes. Index mesenteric lymph node measures 2.1 x 1.0 cm , previously 2.3 x 1.2 cm. None. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Decreased size of cervical mass inseparable from the normal cervix, measuring 6.4 x 2.7 cm , previously 6.6 x 5.0 cm. Multiloculated pelvic mass is again identified. No significant abnormality noted. Subcentimeter pelvic and inguinal lymph nodes, not meeting size criteria. Trace free pelvic fluid, unchanged. No significant abnormality noted. No significant abnormality noted. </s>

. 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. None. There is wall thickening of the appendix with hyperenhancement of the appendix wall. There is also periappendiceal mesenteric inflammatory changes. There is no free air or fluid collection. Clustered pericecal lymph nodes are likely reactive. 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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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': {}, 'appendix': {}}imaging observation_fin: ['hyperenhancement']clinical findings_fin: {'wall thickening': {'clinical finding': 'wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'wall', 'observation': 'thickening'}, 'hyperenhancement': {'clinical finding': 'hyperenhancement', 'existence': 'pos_dx', 'observation': 'hyperenhancement'}}clinical findings_fin: {'periappendiceal mesenteric inflammatory changes': {'clinical finding': 'periappendiceal mesenteric inflammatory changes', 'existence': 'pos_dx', 'descriptive_term': 'periappendiceal mesenteric inflammatory', 'observation': 'change'}}clinical findings_fin: {'free air or fluid collection': {'clinical finding': 'free air or fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'free air or fluid', 'observation': 'collection'}}clinical findings_fin: {'clustered pericecal lymph nodes': {'clinical finding': 'clustered pericecal lymph nodes', 'existence': 'unc_dx', 'descriptive_term': 'clustered pericecal 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'}}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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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': {}, 'appendix': {}}imaging observation_fin: ['hyperenhancement']clinical findings_fin: {'wall thickening': {'clinical finding': 'wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'wall', 'observation': 'thickening'}, 'hyperenhancement': {'clinical finding': 'hyperenhancement', 'existence': 'pos_dx', 'observation': 'hyperenhancement'}}clinical findings_fin: {'periappendiceal mesenteric inflammatory changes': {'clinical finding': 'periappendiceal mesenteric inflammatory changes', 'existence': 'pos_dx', 'descriptive_term': 'periappendiceal mesenteric inflammatory', 'observation': 'change'}}clinical findings_fin: {'free air or fluid collection': {'clinical finding': 'free air or fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'free air or fluid', 'observation': 'collection'}}clinical findings_fin: {'clustered pericecal lymph nodes': {'clinical finding': 'clustered pericecal lymph nodes', 'existence': 'unc_dx', 'descriptive_term': 'clustered pericecal 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'}}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. No significant abnormality noted. No significant abnormality noted. None. There is wall thickening of the appendix with hyperenhancement of the appendix wall. There is also periappendiceal mesenteric inflammatory changes. There is no free air or fluid collection. Clustered pericecal lymph nodes are likely reactive. 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. Status post cholecystectomy. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. None. No significant abnormality noted. Mild degenerative changes of the visualized spine. No significant abnormality noted. No significant abnormality noted. Mild bladder wall thickening may represent under distention or cystitis in the correct clinical context, correlate with the patient symptoms and urinalysis. No significant abnormality noted. No significant abnormality noted. Near complete resolution of the previously described multiloculated left pelvic side wall collection with only minimal residual fluid seen. There is new enlargement and heterogeneity of the bilateral adnexa, right greater than left, which may represent complex adnexal cystic changes. No significant abnormality noted

clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}procedure_fin: ['cholecystectomy']clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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: {'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'}}anatomical entity_fin: {'bladder': {}}clinical findings_fin: {'mild bladder wall thickening': {'clinical finding': 'mild bladder wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild bladder wall', 'observation': 'thickening', 'strength_term': 'mild'}, 'under distention': {'clinical finding': 'under distention', 'existence': 'unc_dx', 'descriptive_term': 'under', 'observation': 'distention'}, 'cystitis': {'clinical finding': 'cystitis', 'cf_snomed': {'cystitis': 38822007}, 'existence': 'unc_dx', 'observation': 'cystitis'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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': {}, 'fluid': {}}location descriptor_fin: ['left']clinical findings_fin: {'near complete resolution': {'clinical finding': 'near complete resolution', 'existence': 'pos_dx', 'descriptive_term': 'near complete', 'observation': 'resolution'}, 'only minimal residual': {'clinical finding': 'only minimal residual', 'existence': 'pos_dx', 'descriptive_term': 'only minimal', 'observation': 'residual', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}location descriptor_fin: ['bilateral', 'right', 'left']clinical findings_fin: {'bilateral adnexa': {'clinical finding': 'bilateral adnexa', 'existence': 'pos_dx', 'descriptive_term': 'bilateral', 'observation': 'adnexa'}, 'complex adnexal cystic changes': {'clinical finding': 'complex adnexal cystic changes', 'existence': 'unc_dx', 'descriptive_term': 'complex adnexal cystic', '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'}}procedure_fin: ['cholecystectomy']clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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: {'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'}}anatomical entity_fin: {'bladder': {}}clinical findings_fin: {'mild bladder wall thickening': {'clinical finding': 'mild bladder wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild bladder wall', 'observation': 'thickening', 'strength_term': 'mild'}, 'under distention': {'clinical finding': 'under distention', 'existence': 'unc_dx', 'descriptive_term': 'under', 'observation': 'distention'}, 'cystitis': {'clinical finding': 'cystitis', 'cf_snomed': {'cystitis': 38822007}, 'existence': 'unc_dx', 'observation': 'cystitis'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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': {}, 'fluid': {}}location descriptor_fin: ['left']clinical findings_fin: {'near complete resolution': {'clinical finding': 'near complete resolution', 'existence': 'pos_dx', 'descriptive_term': 'near complete', 'observation': 'resolution'}, 'only minimal residual': {'clinical finding': 'only minimal residual', 'existence': 'pos_dx', 'descriptive_term': 'only minimal', 'observation': 'residual', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}location descriptor_fin: ['bilateral', 'right', 'left']clinical findings_fin: {'bilateral adnexa': {'clinical finding': 'bilateral adnexa', 'existence': 'pos_dx', 'descriptive_term': 'bilateral', 'observation': 'adnexa'}, 'complex adnexal cystic changes': {'clinical finding': 'complex adnexal cystic changes', 'existence': 'unc_dx', 'descriptive_term': 'complex adnexal cystic', 'observation': 'change'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . No significant abnormality noted. Status post cholecystectomy. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. None. No significant abnormality noted. Mild degenerative changes of the visualized spine. No significant abnormality noted. No significant abnormality noted. Mild bladder wall thickening may represent under distention or cystitis in the correct clinical context, correlate with the patient symptoms and urinalysis. No significant abnormality noted. No significant abnormality noted. Near complete resolution of the previously described multiloculated left pelvic side wall collection with only minimal residual fluid seen. There is new enlargement and heterogeneity of the bilateral adnexa, right greater than left, which may represent complex adnexal cystic changes. No significant abnormality noted </s>

. There is no acute pulmonary or pleural abnormality. No mediastinal or hilar lymphadenopathy. Heart size is within normal limits with note made of a trace pericardial effusion. Moderate. A central venous catheter terminates in the distal SVC. There is subcentimeter mediastinal lymphadenopathy. There is streaky atelectasis or scarring at the left lung base. Evaluation of the lower abdomen and pelvis is significantly limited secondary to metal artifact caused by bilateral hip arthroplasty devices. There are multiple hypodense lesions within the liver that were not seen on the prior CT scan. A reference lesion measures 2.8 x 2.5 cm , which was seen on the previous MR dated 6/23/2015 and at that time measured 1.4 x 1.1 cm. There is omental and peritoneal disease and studding of the left hepatic lobe surface , with present maximal thickness measures approximately 5 mm. The right hepatic artery is noted to originate directly off the celiac artery, a normal variant. A caudate lobe metastatic lesion appears to displace the common hepatic artery anteriorly. There are numerous punctate and nodular calcifications within the spleen measuring up to 8 mm. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. There is a conglomerate of lymph nodes with reference porta hepatis lymph node measuring 2.8 x 2.5 cm not seen on prior comparison CT scan. A reference aortocaval lymph node measures 1.6 x 1.4 cm and is difficult to visualize clearly on the prior MR for comparison. There is a right upper quadrant lesion consistent with cystic serosal implant which appears to come off a thickened loop of bowel. There is increased thickening of this loop of bowel compared to the prior CT, likely worsening metastatic disease. There is severe degenerative disc disease as well as significant leftward scoliosis of the lumbar spine. There is no evidence of metastatic lesions to the bone. No significant abnormality noted. The patient is status post total abdominal hysterectomy with bilateral salpingo-oophorectomy. No significant abnormality noted. There are multiple enlarged pelvic lymph nodes including a reference partially calcified node along the left pelvic sidewall measuring 1.9 x 1.5 cm. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted.

clinical findings_fin: {'acute pulmonary or pleural abnormality': {'clinical finding': 'acute pulmonary or pleural abnormality', 'existence': 'neg_dx', 'descriptive_term': 'acute pulmonary or pleural', 'observation': 'abnormality', 'strength_term': 'acute', 'temporal_term': 'acute'}}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: {'heart': {}}clinical findings_fin: {'trace pericardial effusion': {'clinical finding': 'trace pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'pos_dx', 'descriptive_term': 'trace pericardial', 'observation': 'effusion'}}location descriptor_fin: ['distal']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'}}clinical findings_fin: {'subcentimeter mediastinal lymphadenopathy': {'clinical finding': 'subcentimeter mediastinal lymphadenopathy', 'cf_snomed': {'mediastinal lymphadenopathy': 52324001}, 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter mediastinal', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'left lung': {}, 'base': {}}clinical findings_fin: {'streaky atelectasis': {'clinical finding': 'streaky atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'unc_dx', 'descriptive_term': 'streaky', 'observation': 'atelectasis'}, 'scarring': {'clinical finding': 'scarring', 'existence': 'unc_dx', 'observation': 'scarr'}}anatomical entity_fin: {'lower abdomen': {}, 'pelvis': {}, 'hip': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']procedure_fin: ['arthroplasty']clinical findings_fin: {'metal artifact': {'clinical finding': 'metal artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'pos_dx', 'descriptive_term': 'metal', 'observation': 'artifact'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'multiple hypodense lesions': {'clinical finding': 'multiple hypodense lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'multiple hypodense', 'observation': 'lesion', 'quantity_term': 'multiple'}}size_fin: [{'size': '2.8 x 2.5 cm'}, {'size': '1.4 x 1.1 cm'}]clinical findings_fin: {'reference lesion': {'clinical finding': 'reference lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'reference', 'observation': 'lesion'}}size_fin: [{'size': '5 mm', 'size_descriptor': 'disease'}]anatomical entity_fin: {'lobe': {}}location descriptor_fin: ['left']clinical findings_fin: {'omental and peritoneal disease': {'clinical finding': 'omental and peritoneal disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'omental and peritoneal', 'observation': 'disease'}, 'studding': {'clinical finding': 'studding', 'existence': 'pos_dx', 'observation': 'studding'}}anatomical entity_fin: {'right hepatic artery': {}, 'celiac artery': {}, 'normal variant': {}}clinical findings_fin: {'normal variant': {'clinical finding': 'normal variant', 'existence': 'pos_dx', 'descriptive_term': 'normal', 'observation': 'variant', 'strength_term': 'normal'}}anatomical entity_fin: {'lobe': {}, 'common hepatic artery': {}}clinical findings_fin: {'caudate lobe metastatic lesion': {'clinical finding': 'caudate lobe metastatic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'caudate lobe metastatic', 'observation': 'lesion'}}size_fin: [{'size': '8 mm', 'size_descriptor': 'calcifications'}]anatomical entity_fin: {'spleen': {}}clinical findings_fin: {'numerous punctate and nodular calcifications': {'clinical finding': 'numerous punctate and nodular calcifications', 'existence': 'pos_dx', 'descriptive_term': 'numerous punctate and nodular', 'observation': 'calcification', 'quantity_term': 'numerous'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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': '2.8 x 2.5 cm', 'size_descriptor': 'conglomerate'}]anatomical entity_fin: {'porta hepatis': {}}clinical findings_fin: {'lymph nodes': {'clinical finding': 'lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'lymph', 'observation': 'node'}, 'reference porta hepatis lymph node': {'clinical finding': 'reference porta hepatis lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference porta hepatis lymph', 'observation': 'node'}}size_fin: [{'size': '1.6 x 1.4 cm', 'size_descriptor': 'node'}]clinical findings_fin: {'reference aortocaval lymph node': {'clinical finding': 'reference aortocaval lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference aortocaval lymph', 'observation': 'node'}}anatomical entity_fin: {'quadrant': {'location descriptor': 'right upper'}, 'bowel': {}}location descriptor_fin: ['right', 'upper']object_fin: ['implant']clinical findings_fin: {'right upper quadrant lesion': {'clinical finding': 'right upper quadrant lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'right upper quadrant', 'observation': 'lesion'}, 'thickened': {'clinical finding': 'thickened', 'existence': 'unc_dx', 'observation': 'thickened'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'increased thickening': {'clinical finding': 'increased thickening', 'existence': 'pos_dx', 'descriptive_term': 'increased', 'observation': 'thickening', 'strength_term': 'increased', 'change_term': 'increased'}, 'metastatic disease': {'clinical finding': 'metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'metastatic', 'observation': 'disease'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'severe degenerative disc disease': {'clinical finding': 'severe degenerative disc disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'severe degenerative disc', 'observation': 'disease', 'strength_term': 'severe'}, 'significant leftward scoliosis': {'clinical finding': 'significant leftward scoliosis', 'existence': 'pos_dx', 'descriptive_term': 'significant leftward', 'observation': 'scoliosis'}}clinical findings_fin: {'metastatic lesions': {'clinical finding': 'metastatic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'metastatic', 'observation': 'lesion'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'abdominal': {}}location descriptor_fin: ['bilateral']procedure_fin: ['hysterectomy', 'salpingo-oophorectomy']clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}size_fin: [{'size': '1.9 x 1.5 cm', 'size_descriptor': 'nodes'}]location descriptor_fin: ['left']clinical findings_fin: {'multiple enlarged pelvic lymph nodes': {'clinical finding': 'multiple enlarged pelvic lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'multiple enlarged pelvic lymph', 'observation': 'node', 'strength_term': 'enlarged', 'quantity_term': 'multiple', 'change_term': 'enlarged'}, 'reference partially calcified node': {'clinical finding': 'reference partially calcified node', 'existence': 'pos_dx', 'descriptive_term': 'reference partially calcified', 'observation': 'node', 'strength_term': 'partially', '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'}}

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 or pleural abnormality': {'clinical finding': 'acute pulmonary or pleural abnormality', 'existence': 'neg_dx', 'descriptive_term': 'acute pulmonary or pleural', 'observation': 'abnormality', 'strength_term': 'acute', 'temporal_term': 'acute'}}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: {'heart': {}}clinical findings_fin: {'trace pericardial effusion': {'clinical finding': 'trace pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'pos_dx', 'descriptive_term': 'trace pericardial', 'observation': 'effusion'}}location descriptor_fin: ['distal']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'}}clinical findings_fin: {'subcentimeter mediastinal lymphadenopathy': {'clinical finding': 'subcentimeter mediastinal lymphadenopathy', 'cf_snomed': {'mediastinal lymphadenopathy': 52324001}, 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter mediastinal', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'left lung': {}, 'base': {}}clinical findings_fin: {'streaky atelectasis': {'clinical finding': 'streaky atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'unc_dx', 'descriptive_term': 'streaky', 'observation': 'atelectasis'}, 'scarring': {'clinical finding': 'scarring', 'existence': 'unc_dx', 'observation': 'scarr'}}anatomical entity_fin: {'lower abdomen': {}, 'pelvis': {}, 'hip': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']procedure_fin: ['arthroplasty']clinical findings_fin: {'metal artifact': {'clinical finding': 'metal artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'pos_dx', 'descriptive_term': 'metal', 'observation': 'artifact'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'multiple hypodense lesions': {'clinical finding': 'multiple hypodense lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'multiple hypodense', 'observation': 'lesion', 'quantity_term': 'multiple'}}size_fin: [{'size': '2.8 x 2.5 cm'}, {'size': '1.4 x 1.1 cm'}]clinical findings_fin: {'reference lesion': {'clinical finding': 'reference lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'reference', 'observation': 'lesion'}}size_fin: [{'size': '5 mm', 'size_descriptor': 'disease'}]anatomical entity_fin: {'lobe': {}}location descriptor_fin: ['left']clinical findings_fin: {'omental and peritoneal disease': {'clinical finding': 'omental and peritoneal disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'omental and peritoneal', 'observation': 'disease'}, 'studding': {'clinical finding': 'studding', 'existence': 'pos_dx', 'observation': 'studding'}}anatomical entity_fin: {'right hepatic artery': {}, 'celiac artery': {}, 'normal variant': {}}clinical findings_fin: {'normal variant': {'clinical finding': 'normal variant', 'existence': 'pos_dx', 'descriptive_term': 'normal', 'observation': 'variant', 'strength_term': 'normal'}}anatomical entity_fin: {'lobe': {}, 'common hepatic artery': {}}clinical findings_fin: {'caudate lobe metastatic lesion': {'clinical finding': 'caudate lobe metastatic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'caudate lobe metastatic', 'observation': 'lesion'}}size_fin: [{'size': '8 mm', 'size_descriptor': 'calcifications'}]anatomical entity_fin: {'spleen': {}}clinical findings_fin: {'numerous punctate and nodular calcifications': {'clinical finding': 'numerous punctate and nodular calcifications', 'existence': 'pos_dx', 'descriptive_term': 'numerous punctate and nodular', 'observation': 'calcification', 'quantity_term': 'numerous'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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': '2.8 x 2.5 cm', 'size_descriptor': 'conglomerate'}]anatomical entity_fin: {'porta hepatis': {}}clinical findings_fin: {'lymph nodes': {'clinical finding': 'lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'lymph', 'observation': 'node'}, 'reference porta hepatis lymph node': {'clinical finding': 'reference porta hepatis lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference porta hepatis lymph', 'observation': 'node'}}size_fin: [{'size': '1.6 x 1.4 cm', 'size_descriptor': 'node'}]clinical findings_fin: {'reference aortocaval lymph node': {'clinical finding': 'reference aortocaval lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference aortocaval lymph', 'observation': 'node'}}anatomical entity_fin: {'quadrant': {'location descriptor': 'right upper'}, 'bowel': {}}location descriptor_fin: ['right', 'upper']object_fin: ['implant']clinical findings_fin: {'right upper quadrant lesion': {'clinical finding': 'right upper quadrant lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'right upper quadrant', 'observation': 'lesion'}, 'thickened': {'clinical finding': 'thickened', 'existence': 'unc_dx', 'observation': 'thickened'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'increased thickening': {'clinical finding': 'increased thickening', 'existence': 'pos_dx', 'descriptive_term': 'increased', 'observation': 'thickening', 'strength_term': 'increased', 'change_term': 'increased'}, 'metastatic disease': {'clinical finding': 'metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'metastatic', 'observation': 'disease'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'severe degenerative disc disease': {'clinical finding': 'severe degenerative disc disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'severe degenerative disc', 'observation': 'disease', 'strength_term': 'severe'}, 'significant leftward scoliosis': {'clinical finding': 'significant leftward scoliosis', 'existence': 'pos_dx', 'descriptive_term': 'significant leftward', 'observation': 'scoliosis'}}clinical findings_fin: {'metastatic lesions': {'clinical finding': 'metastatic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'metastatic', 'observation': 'lesion'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'abdominal': {}}location descriptor_fin: ['bilateral']procedure_fin: ['hysterectomy', 'salpingo-oophorectomy']clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}size_fin: [{'size': '1.9 x 1.5 cm', 'size_descriptor': 'nodes'}]location descriptor_fin: ['left']clinical findings_fin: {'multiple enlarged pelvic lymph nodes': {'clinical finding': 'multiple enlarged pelvic lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'multiple enlarged pelvic lymph', 'observation': 'node', 'strength_term': 'enlarged', 'quantity_term': 'multiple', 'change_term': 'enlarged'}, 'reference partially calcified node': {'clinical finding': 'reference partially calcified node', 'existence': 'pos_dx', 'descriptive_term': 'reference partially calcified', 'observation': 'node', 'strength_term': 'partially', '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'}} [/INST] . There is no acute pulmonary or pleural abnormality. No mediastinal or hilar lymphadenopathy. Heart size is within normal limits with note made of a trace pericardial effusion. Moderate. A central venous catheter terminates in the distal SVC. There is subcentimeter mediastinal lymphadenopathy. There is streaky atelectasis or scarring at the left lung base. Evaluation of the lower abdomen and pelvis is significantly limited secondary to metal artifact caused by bilateral hip arthroplasty devices. There are multiple hypodense lesions within the liver that were not seen on the prior CT scan. A reference lesion measures 2.8 x 2.5 cm , which was seen on the previous MR dated 6/23/2015 and at that time measured 1.4 x 1.1 cm. There is omental and peritoneal disease and studding of the left hepatic lobe surface , with present maximal thickness measures approximately 5 mm. The right hepatic artery is noted to originate directly off the celiac artery, a normal variant. A caudate lobe metastatic lesion appears to displace the common hepatic artery anteriorly. There are numerous punctate and nodular calcifications within the spleen measuring up to 8 mm. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. There is a conglomerate of lymph nodes with reference porta hepatis lymph node measuring 2.8 x 2.5 cm not seen on prior comparison CT scan. A reference aortocaval lymph node measures 1.6 x 1.4 cm and is difficult to visualize clearly on the prior MR for comparison. There is a right upper quadrant lesion consistent with cystic serosal implant which appears to come off a thickened loop of bowel. There is increased thickening of this loop of bowel compared to the prior CT, likely worsening metastatic disease. There is severe degenerative disc disease as well as significant leftward scoliosis of the lumbar spine. There is no evidence of metastatic lesions to the bone. No significant abnormality noted. The patient is status post total abdominal hysterectomy with bilateral salpingo-oophorectomy. No significant abnormality noted. There are multiple enlarged pelvic lymph nodes including a reference partially calcified node along the left pelvic sidewall measuring 1.9 x 1.5 cm. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. </s>

Hypodensity is present throughout the white matter without associated mass effect. There is diffuse volume loss without a specific lobar predominant atrophy pattern. There are no findings of ventricular hydrocephalus. 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. Note is made of vascular calcifications.

clinical findings_fin: {'hypodensity': {'clinical finding': 'hypodensity', 'existence': 'pos_dx', 'observation': 'hypodensity'}, 'associated mass effect': {'clinical finding': 'associated mass effect', 'existence': 'pos_dx', 'descriptive_term': 'associated mass', 'observation': 'effect'}}clinical findings_fin: {'diffuse volume loss': {'clinical finding': 'diffuse volume loss', 'existence': 'pos_dx', 'descriptive_term': 'diffuse volume', 'observation': 'loss'}, 'specific lobar predominant atrophy': {'clinical finding': 'specific lobar predominant atrophy', 'cf_snomed': {'atrophy': 13331008}, 'existence': 'neg_dx', 'descriptive_term': 'specific lobar predominant', 'observation': 'atrophy'}}clinical findings_fin: {'ventricular hydrocephalus': {'clinical finding': 'ventricular hydrocephalus', 'cf_snomed': {'hydrocephalus': 230745008}, 'existence': 'neg_dx', 'descriptive_term': 'ventricular', 'observation': 'hydrocephalus'}}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: {'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: clinical findings_fin: {'hypodensity': {'clinical finding': 'hypodensity', 'existence': 'pos_dx', 'observation': 'hypodensity'}, 'associated mass effect': {'clinical finding': 'associated mass effect', 'existence': 'pos_dx', 'descriptive_term': 'associated mass', 'observation': 'effect'}}clinical findings_fin: {'diffuse volume loss': {'clinical finding': 'diffuse volume loss', 'existence': 'pos_dx', 'descriptive_term': 'diffuse volume', 'observation': 'loss'}, 'specific lobar predominant atrophy': {'clinical finding': 'specific lobar predominant atrophy', 'cf_snomed': {'atrophy': 13331008}, 'existence': 'neg_dx', 'descriptive_term': 'specific lobar predominant', 'observation': 'atrophy'}}clinical findings_fin: {'ventricular hydrocephalus': {'clinical finding': 'ventricular hydrocephalus', 'cf_snomed': {'hydrocephalus': 230745008}, 'existence': 'neg_dx', 'descriptive_term': 'ventricular', 'observation': 'hydrocephalus'}}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: {'vascular calcifications': {'clinical finding': 'vascular calcifications', 'cf_snomed': {'vascular calcification': 237897009}, 'existence': 'pos_dx', 'descriptive_term': 'vascular', 'observation': 'calcification'}} [/INST] Hypodensity is present throughout the white matter without associated mass effect. There is diffuse volume loss without a specific lobar predominant atrophy pattern. There are no findings of ventricular hydrocephalus. 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. Note is made of vascular calcifications. </s>

. Left apical nodule unchanged measuring 6 mm. Interval resolution of the small left apical pneumothorax noted on the prior exam. 1.00 position 6 mm unchanged, 10:00 position 7 mm unchanged. 2.00 position measures 9 mm unchanged, 9:00 position measuring 13 mm unchanged. 00 position 15 mm unchanged and which was previously labeled at the 1.00 position 24 mm unchanged using comparable measurement and previously labeled at the 11:00 position. Left diaphragmatic patch unchanged. The right lung and right pleural space are unremarkable. No hilar or mediastinal lymphadenopathy. There is tumor involvement of the pericardium on the left with demonstration of a small pericardial effusion. Left hilar lymph node image 51 series 3 measuring 8 mm previously measuring 13 mm. Mild. Degenerative changes of thoracic spine. No axillary lymphadenopathy. Status post left sided thoracotomy with resection of left sixth rib. Absence of enteric contrast material limits sensitivity for abdominal pathology. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Stable left renal cyst. No significant abnormality noted. No significant abnormality noted. Absence of enteric contrast material limits sensitivity for GI pathology. No gross abnormalities noted. No significant abnormality noted. No significant abnormality noted.

size_fin: [{'size': '6 mm'}]imaging observation_fin: ['apical']location descriptor_fin: ['left']clinical findings_fin: {'apical nodule': {'clinical finding': 'apical nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'apical', 'observation': 'nodule'}}imaging observation_fin: ['apical']location descriptor_fin: ['left']clinical findings_fin: {'interval resolution': {'clinical finding': 'interval resolution', 'existence': 'pos_dx', 'descriptive_term': 'interval', 'observation': 'resolution'}, 'small left apical pneumothorax': {'clinical finding': 'small left apical pneumothorax', 'cf_snomed': {'pneumothorax': 36118008}, 'existence': 'pos_dx', 'descriptive_term': 'small left apical', 'observation': 'pneumothorax', 'strength_term': 'small'}}size_fin: [{'size': '6 mm'}, {'size': '7 mm'}]clinical findings_fin: {'position 6 mm unchanged': {'clinical finding': 'position 6 mm unchanged', 'change_term': 'unchanged'}}size_fin: [{'size': '9 mm'}, {'size': '13 mm'}]clinical findings_fin: {'position measures 9 mm unchanged': {'clinical finding': 'position measures 9 mm unchanged', 'change_term': 'unchanged'}}size_fin: [{'size': '15 mm'}, {'size': '24 mm'}]clinical findings_fin: {'position 15 mm unchanged and which was previously labeled': {'clinical finding': 'position 15 mm unchanged and which was previously labeled', 'change_term': 'unchanged'}}location descriptor_fin: ['left']clinical findings_fin: {'left diaphragmatic patch': {'clinical finding': 'left diaphragmatic patch', 'existence': 'pos_dx', 'descriptive_term': 'left diaphragmatic', 'observation': 'patch'}}anatomical entity_fin: {'right lung': {}, 'pleural space': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'right lung and right pleural space are unremarkable': {'clinical finding': 'right lung and right pleural space are unremarkable'}}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'}}anatomical entity_fin: {'pericardium': {}}location descriptor_fin: ['left']clinical findings_fin: {'tumor': {'clinical finding': 'tumor', 'existence': 'pos_dx', 'observation': 'tumor'}, 'small pericardial effusion': {'clinical finding': 'small pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'unc_dx', 'descriptive_term': 'small pericardial', 'observation': 'effusion', 'strength_term': 'small'}}size_fin: [{'size': '8 mm'}, {'size': '13 mm'}]location descriptor_fin: ['left']clinical findings_fin: {'left hilar lymph node': {'clinical finding': 'left hilar lymph node', 'existence': 'pos_dx', 'descriptive_term': 'left hilar lymph', 'observation': 'node'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'degenerative changes': {'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'}}clinical findings_fin: {'axillary lymphadenopathy': {'clinical finding': 'axillary lymphadenopathy', 'cf_snomed': {'axillary lymphadenopathy': 127189005}, 'existence': 'neg_dx', 'descriptive_term': 'axillary', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'rib': {}}location descriptor_fin: ['left']clinical findings_fin: {'status post left sided thoracotomy': {'clinical finding': 'status post left sided thoracotomy', 'existence': 'pos_dx', 'descriptive_term': 'status post left sided', 'observation': 'thoracotomy'}}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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}location descriptor_fin: ['left']clinical findings_fin: {'stable left renal cyst': {'clinical finding': 'stable left renal cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'stable left renal', 'observation': 'cyst', 'strength_term': 'stable', 'change_term': 'stable'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'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: size_fin: [{'size': '6 mm'}]imaging observation_fin: ['apical']location descriptor_fin: ['left']clinical findings_fin: {'apical nodule': {'clinical finding': 'apical nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'apical', 'observation': 'nodule'}}imaging observation_fin: ['apical']location descriptor_fin: ['left']clinical findings_fin: {'interval resolution': {'clinical finding': 'interval resolution', 'existence': 'pos_dx', 'descriptive_term': 'interval', 'observation': 'resolution'}, 'small left apical pneumothorax': {'clinical finding': 'small left apical pneumothorax', 'cf_snomed': {'pneumothorax': 36118008}, 'existence': 'pos_dx', 'descriptive_term': 'small left apical', 'observation': 'pneumothorax', 'strength_term': 'small'}}size_fin: [{'size': '6 mm'}, {'size': '7 mm'}]clinical findings_fin: {'position 6 mm unchanged': {'clinical finding': 'position 6 mm unchanged', 'change_term': 'unchanged'}}size_fin: [{'size': '9 mm'}, {'size': '13 mm'}]clinical findings_fin: {'position measures 9 mm unchanged': {'clinical finding': 'position measures 9 mm unchanged', 'change_term': 'unchanged'}}size_fin: [{'size': '15 mm'}, {'size': '24 mm'}]clinical findings_fin: {'position 15 mm unchanged and which was previously labeled': {'clinical finding': 'position 15 mm unchanged and which was previously labeled', 'change_term': 'unchanged'}}location descriptor_fin: ['left']clinical findings_fin: {'left diaphragmatic patch': {'clinical finding': 'left diaphragmatic patch', 'existence': 'pos_dx', 'descriptive_term': 'left diaphragmatic', 'observation': 'patch'}}anatomical entity_fin: {'right lung': {}, 'pleural space': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'right lung and right pleural space are unremarkable': {'clinical finding': 'right lung and right pleural space are unremarkable'}}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'}}anatomical entity_fin: {'pericardium': {}}location descriptor_fin: ['left']clinical findings_fin: {'tumor': {'clinical finding': 'tumor', 'existence': 'pos_dx', 'observation': 'tumor'}, 'small pericardial effusion': {'clinical finding': 'small pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'unc_dx', 'descriptive_term': 'small pericardial', 'observation': 'effusion', 'strength_term': 'small'}}size_fin: [{'size': '8 mm'}, {'size': '13 mm'}]location descriptor_fin: ['left']clinical findings_fin: {'left hilar lymph node': {'clinical finding': 'left hilar lymph node', 'existence': 'pos_dx', 'descriptive_term': 'left hilar lymph', 'observation': 'node'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'degenerative changes': {'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'}}clinical findings_fin: {'axillary lymphadenopathy': {'clinical finding': 'axillary lymphadenopathy', 'cf_snomed': {'axillary lymphadenopathy': 127189005}, 'existence': 'neg_dx', 'descriptive_term': 'axillary', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'rib': {}}location descriptor_fin: ['left']clinical findings_fin: {'status post left sided thoracotomy': {'clinical finding': 'status post left sided thoracotomy', 'existence': 'pos_dx', 'descriptive_term': 'status post left sided', 'observation': 'thoracotomy'}}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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}location descriptor_fin: ['left']clinical findings_fin: {'stable left renal cyst': {'clinical finding': 'stable left renal cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'stable left renal', 'observation': 'cyst', 'strength_term': 'stable', 'change_term': 'stable'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'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] . Left apical nodule unchanged measuring 6 mm. Interval resolution of the small left apical pneumothorax noted on the prior exam. 1.00 position 6 mm unchanged, 10:00 position 7 mm unchanged. 2.00 position measures 9 mm unchanged, 9:00 position measuring 13 mm unchanged. 00 position 15 mm unchanged and which was previously labeled at the 1.00 position 24 mm unchanged using comparable measurement and previously labeled at the 11:00 position. Left diaphragmatic patch unchanged. The right lung and right pleural space are unremarkable. No hilar or mediastinal lymphadenopathy. There is tumor involvement of the pericardium on the left with demonstration of a small pericardial effusion. Left hilar lymph node image 51 series 3 measuring 8 mm previously measuring 13 mm. Mild. Degenerative changes of thoracic spine. No axillary lymphadenopathy. Status post left sided thoracotomy with resection of left sixth rib. Absence of enteric contrast material limits sensitivity for abdominal pathology. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Stable left renal cyst. No significant abnormality noted. No significant abnormality noted. Absence of enteric contrast material limits sensitivity for GI pathology. No gross abnormalities noted. No significant abnormality noted. No significant abnormality noted. </s>

. The lung bases are clear. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. The appendix is not visualized, however, there are no secondary signs of appendicitis. Nonspecific small right lower quadrant mesenteric lymph nodes. 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

anatomical entity_fin: {'lung': {}, 'bases': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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: {'appendix': {}}clinical findings_fin: {'appendicitis': {'clinical finding': 'appendicitis', 'cf_snomed': {'appendicitis': 74400008}, 'existence': 'neg_dx', 'observation': 'appendicitis'}}anatomical entity_fin: {'quadrant': {'location descriptor': 'right lower'}, 'mesenteric lymph nodes': {}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'nonspecific small right lower quadrant mesenteric lymph nodes': {'clinical finding': 'nonspecific small right lower quadrant mesenteric lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'nonspecific small right lower quadrant mesenteric 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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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: {'lung': {}, 'bases': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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: {'appendix': {}}clinical findings_fin: {'appendicitis': {'clinical finding': 'appendicitis', 'cf_snomed': {'appendicitis': 74400008}, 'existence': 'neg_dx', 'observation': 'appendicitis'}}anatomical entity_fin: {'quadrant': {'location descriptor': 'right lower'}, 'mesenteric lymph nodes': {}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'nonspecific small right lower quadrant mesenteric lymph nodes': {'clinical finding': 'nonspecific small right lower quadrant mesenteric lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'nonspecific small right lower quadrant mesenteric 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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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 lung bases are clear. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. The appendix is not visualized, however, there are no secondary signs of appendicitis. Nonspecific small right lower quadrant mesenteric lymph nodes. 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>

Nonenhanced head. Similar to prior MRI exam there is revisualization of changes in the posterior fossa consistent with Dandy-Walker variant malformation. Large fourth ventricle measures similar to prior exam 23 mm in transverse axis and in midline. Images through the supratentorial space demonstrate stable asymmetric right lateral ventriculomegaly and surrounding parenchymal white matter low attenuation. The right lateral ventricle measures maximum of 23 mm in transverse axis similar to prior study. Normal size of the left lateral ventricle and the third similar to prior exam. Unremarkable cerebral cortex, cortical sulci and preserved gray-white differentiation. The cortical sulci and the CSF cisterns remain patent and is stable since prior study.

anatomical entity_fin: {'head': {}}clinical findings_fin: {'nonenhanced head': {'clinical finding': 'nonenhanced head'}}location descriptor_fin: ['posterior']clinical findings_fin: {'changes': {'clinical finding': 'changes', 'existence': 'pos_dx', 'observation': 'change'}, 'dandy-walker variant': {'clinical finding': 'dandy-walker variant', 'existence': 'pos_dx', 'descriptive_term': 'dandy-walker', 'observation': 'variant'}}size_fin: [{'size': '23 mm', 'size_descriptor': 'ventricle'}]anatomical entity_fin: {'fourth ventricle': {}, 'axis': {}}location descriptor_fin: ['midline']clinical findings_fin: {'large fourth ventricle measures similar to prior exam 23 mm in transverse axis and in midline': {'clinical finding': 'large fourth ventricle measures similar to prior exam 23 mm in transverse axis and in midline'}}location descriptor_fin: ['right', 'lateral']clinical findings_fin: {'stable asymmetric right lateral ventriculomegaly': {'clinical finding': 'stable asymmetric right lateral ventriculomegaly', 'existence': 'unc_dx', 'descriptive_term': 'stable asymmetric right lateral', 'observation': 'ventriculomegaly', 'strength_term': 'stable', 'change_term': 'stable'}, 'surrounding parenchymal white matter low attenuation': {'clinical finding': 'surrounding parenchymal white matter low attenuation', 'existence': 'pos_dx', 'descriptive_term': 'surrounding parenchymal white matter low', 'observation': 'attenuation'}}size_fin: [{'size': '23 mm', 'size_descriptor': 'ventricle'}]anatomical entity_fin: {'right lateral ventricle': {}, 'axis': {}}clinical findings_fin: {'maximum of 23 mm in transverse axis similar to prior study': {'clinical finding': 'maximum of 23 mm in transverse axis similar to prior study'}}anatomical entity_fin: {'left lateral ventricle': {}}clinical findings_fin: {'normal size of the left lateral ventricle and the third similar': {'clinical finding': 'normal size of the left lateral ventricle and the third similar', 'cf_snomed': {'normal size': 53461003}}}anatomical entity_fin: {'cerebral cortex': {}}clinical findings_fin: {'preserved gray-white differentiation': {'clinical finding': 'preserved gray-white differentiation', 'existence': 'pos_dx', 'descriptive_term': 'preserved gray-white', 'observation': 'differentiation', 'change_term': 'preserved'}}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: {'head': {}}clinical findings_fin: {'nonenhanced head': {'clinical finding': 'nonenhanced head'}}location descriptor_fin: ['posterior']clinical findings_fin: {'changes': {'clinical finding': 'changes', 'existence': 'pos_dx', 'observation': 'change'}, 'dandy-walker variant': {'clinical finding': 'dandy-walker variant', 'existence': 'pos_dx', 'descriptive_term': 'dandy-walker', 'observation': 'variant'}}size_fin: [{'size': '23 mm', 'size_descriptor': 'ventricle'}]anatomical entity_fin: {'fourth ventricle': {}, 'axis': {}}location descriptor_fin: ['midline']clinical findings_fin: {'large fourth ventricle measures similar to prior exam 23 mm in transverse axis and in midline': {'clinical finding': 'large fourth ventricle measures similar to prior exam 23 mm in transverse axis and in midline'}}location descriptor_fin: ['right', 'lateral']clinical findings_fin: {'stable asymmetric right lateral ventriculomegaly': {'clinical finding': 'stable asymmetric right lateral ventriculomegaly', 'existence': 'unc_dx', 'descriptive_term': 'stable asymmetric right lateral', 'observation': 'ventriculomegaly', 'strength_term': 'stable', 'change_term': 'stable'}, 'surrounding parenchymal white matter low attenuation': {'clinical finding': 'surrounding parenchymal white matter low attenuation', 'existence': 'pos_dx', 'descriptive_term': 'surrounding parenchymal white matter low', 'observation': 'attenuation'}}size_fin: [{'size': '23 mm', 'size_descriptor': 'ventricle'}]anatomical entity_fin: {'right lateral ventricle': {}, 'axis': {}}clinical findings_fin: {'maximum of 23 mm in transverse axis similar to prior study': {'clinical finding': 'maximum of 23 mm in transverse axis similar to prior study'}}anatomical entity_fin: {'left lateral ventricle': {}}clinical findings_fin: {'normal size of the left lateral ventricle and the third similar': {'clinical finding': 'normal size of the left lateral ventricle and the third similar', 'cf_snomed': {'normal size': 53461003}}}anatomical entity_fin: {'cerebral cortex': {}}clinical findings_fin: {'preserved gray-white differentiation': {'clinical finding': 'preserved gray-white differentiation', 'existence': 'pos_dx', 'descriptive_term': 'preserved gray-white', 'observation': 'differentiation', 'change_term': 'preserved'}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}} [/INST] Nonenhanced head. Similar to prior MRI exam there is revisualization of changes in the posterior fossa consistent with Dandy-Walker variant malformation. Large fourth ventricle measures similar to prior exam 23 mm in transverse axis and in midline. Images through the supratentorial space demonstrate stable asymmetric right lateral ventriculomegaly and surrounding parenchymal white matter low attenuation. The right lateral ventricle measures maximum of 23 mm in transverse axis similar to prior study. Normal size of the left lateral ventricle and the third similar to prior exam. Unremarkable cerebral cortex, cortical sulci and preserved gray-white differentiation. The cortical sulci and the CSF cisterns remain patent and is stable since prior study. </s>

. Redemonstration of marked nodular pleural thickening in the right lower hemithorax compatible with patients history of mesothelioma. At the level of the aortic arch. 00 position 3 mm previously 2 mm, 5:00 position 4 mm unchanged. At the level of the main pulmonary artery. 00 position measures 7 mm unchanged. 3.00 position measures 28 mm unchanged, 7:00 position measures 17 mm previously measuring 15 mm. Numerous new and increasing small predominantly left lower lobe pulmonary nodules most likely representing metastatic disease. Marked mediastinal and hilar lymphadenopathy redemonstrated. Reference subcarinal lymph node unchanged measuring 3.8 cm. Reference right hilar lymph node unchanged measuring 28 mm in short axis. Markedly enlarged paratracheal and precarinal lymphadenopathy is unchanged. Cardiac size is normal without evidence of pericardial effusion. Moderate. Left supraclavicular reference lymph node now measuring 22 mm in short axis previously measuring 19 mm. Additional left supraclavicular adenopathy unchanged. Soft tissue nodule along the right costovertebral junction at the level of the upper abdomen now measuring 21 mm previously measuring 19 mm on corresponding image. Right lateral chest wall soft tissue nodule stable measuring 15 mm. Prominent right internal mammary and intercostal lymphadenopathy redemonstrated. Right diaphragmatic patch redemonstrated. Absence of enteric contrast material limits sensitivity for abdominal pathology. Progressive interval increase in size of hepatic metastasis in perihepatic, perisplenic ascites, and retrocrural lymphadenopathy. See same day report for CT abdomen or pelvis.

anatomical entity_fin: {'right lower hemithorax': {}}clinical findings_fin: {'marked nodular pleural thickening': {'clinical finding': 'marked nodular pleural thickening', 'existence': 'pos_dx', 'descriptive_term': 'marked nodular pleural', 'observation': 'thickening'}, 'mesothelioma': {'clinical finding': 'mesothelioma', 'existence': 'pos_dx', 'observation': 'mesothelioma'}}anatomical entity_fin: {'aortic arch': {}}size_fin: [{'size': '3 mm'}, {'size': '2 mm'}, {'size': '4 mm'}]clinical findings_fin: {'unchanged': {'clinical finding': 'unchanged', 'change_term': 'unchanged'}}anatomical entity_fin: {'main pulmonary artery': {}}size_fin: [{'size': '7 mm', 'size_descriptor': 'position'}]clinical findings_fin: {'position measures 7 mm unchanged': {'clinical finding': 'position measures 7 mm unchanged', 'change_term': 'unchanged'}}size_fin: [{'size': '28 mm'}, {'size': '17 mm'}, {'size': '15 mm'}]clinical findings_fin: {'position measures 28 mm unchanged , 7:00 position measures': {'clinical finding': 'position measures 28 mm unchanged , 7:00 position measures', 'change_term': 'unchanged'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'numerous new and increasing small predominantly left lower lobe pulmonary nodules': {'clinical finding': 'numerous new and increasing small predominantly left lower lobe pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'numerous new and increasing small predominantly left lower lobe pulmonary', 'observation': 'nodule', 'strength_term': 'increasing - small', 'quantity_term': 'numerous', 'temporal_term': 'new', 'change_term': 'increasing'}, 'metastatic disease': {'clinical finding': 'metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'metastatic', 'observation': 'disease'}}clinical findings_fin: {'marked mediastinal and hilar lymphadenopathy': {'clinical finding': 'marked mediastinal and hilar lymphadenopathy', 'cf_snomed': {'hilar lymphadenopathy': 87500009}, 'existence': 'pos_dx', 'descriptive_term': 'marked mediastinal and hilar', 'observation': 'lymphadenopathy'}}size_fin: [{'size': '3.8 cm'}]anatomical entity_fin: {'subcarinal lymph node': {}}clinical findings_fin: {'reference subcarinal lymph node': {'clinical finding': 'reference subcarinal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference subcarinal lymph', 'observation': 'node'}}size_fin: [{'size': '28 mm'}]anatomical entity_fin: {'axis': {}}location descriptor_fin: ['right']clinical findings_fin: {'reference right hilar lymph node': {'clinical finding': 'reference right hilar lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference right hilar lymph', 'observation': 'node'}}clinical findings_fin: {'markedly enlarged paratracheal and precarinal lymphadenopathy': {'clinical finding': 'markedly enlarged paratracheal and precarinal lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'pos_dx', 'descriptive_term': 'markedly enlarged paratracheal and precarinal', 'observation': 'lymphadenopathy', 'strength_term': 'enlarged', 'change_term': 'enlarged'}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}size_fin: [{'size': '22 mm'}, {'size': '19 mm'}]anatomical entity_fin: {'axis': {}}location descriptor_fin: ['left']clinical findings_fin: {'left supraclavicular reference lymph node': {'clinical finding': 'left supraclavicular reference lymph node', 'existence': 'pos_dx', 'descriptive_term': 'left supraclavicular reference lymph', 'observation': 'node'}}location descriptor_fin: ['left']clinical findings_fin: {'additional left supraclavicular adenopathy': {'clinical finding': 'additional left supraclavicular adenopathy', 'existence': 'pos_dx', 'descriptive_term': 'additional left supraclavicular', 'observation': 'adenopathy'}}size_fin: [{'size': '21 mm'}, {'size': '19 mm'}]anatomical entity_fin: {'upper abdomen': {}}location descriptor_fin: ['right']clinical findings_fin: {'soft tissue nodule': {'clinical finding': 'soft tissue nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'nodule'}}size_fin: [{'size': '15 mm', 'size_descriptor': 'wall'}]anatomical entity_fin: {'right lateral chest wall': {}}clinical findings_fin: {'right lateral chest wall soft tissue nodule': {'clinical finding': 'right lateral chest wall soft tissue nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'right lateral chest wall soft tissue', 'observation': 'nodule'}}location descriptor_fin: ['right']clinical findings_fin: {'prominent right internal mammary and intercostal lymphadenopathy': {'clinical finding': 'prominent right internal mammary and intercostal lymphadenopathy', 'cf_snomed': {'intercostal lymphadenopathy': 127112005}, 'existence': 'pos_dx', 'descriptive_term': 'prominent right internal mammary and intercostal', 'observation': 'lymphadenopathy', 'strength_term': 'prominent'}}location descriptor_fin: ['right']clinical findings_fin: {'right diaphragmatic patch redemonstrated': {'clinical finding': 'right diaphragmatic patch redemonstrated'}}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 metastasis': {'clinical finding': 'hepatic metastasis', 'existence': 'pos_dx', 'descriptive_term': 'hepatic', 'observation': 'metastasis'}, 'perihepatic, perisplenic ascites': {'clinical finding': 'perihepatic, perisplenic ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'perihepatic perisplenic', 'observation': 'ascite'}, 'retrocrural lymphadenopathy': {'clinical finding': 'retrocrural lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'pos_dx', 'descriptive_term': 'retrocrural', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'abdomen': {}, 'pelvis': {}}

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 lower hemithorax': {}}clinical findings_fin: {'marked nodular pleural thickening': {'clinical finding': 'marked nodular pleural thickening', 'existence': 'pos_dx', 'descriptive_term': 'marked nodular pleural', 'observation': 'thickening'}, 'mesothelioma': {'clinical finding': 'mesothelioma', 'existence': 'pos_dx', 'observation': 'mesothelioma'}}anatomical entity_fin: {'aortic arch': {}}size_fin: [{'size': '3 mm'}, {'size': '2 mm'}, {'size': '4 mm'}]clinical findings_fin: {'unchanged': {'clinical finding': 'unchanged', 'change_term': 'unchanged'}}anatomical entity_fin: {'main pulmonary artery': {}}size_fin: [{'size': '7 mm', 'size_descriptor': 'position'}]clinical findings_fin: {'position measures 7 mm unchanged': {'clinical finding': 'position measures 7 mm unchanged', 'change_term': 'unchanged'}}size_fin: [{'size': '28 mm'}, {'size': '17 mm'}, {'size': '15 mm'}]clinical findings_fin: {'position measures 28 mm unchanged , 7:00 position measures': {'clinical finding': 'position measures 28 mm unchanged , 7:00 position measures', 'change_term': 'unchanged'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'numerous new and increasing small predominantly left lower lobe pulmonary nodules': {'clinical finding': 'numerous new and increasing small predominantly left lower lobe pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'numerous new and increasing small predominantly left lower lobe pulmonary', 'observation': 'nodule', 'strength_term': 'increasing - small', 'quantity_term': 'numerous', 'temporal_term': 'new', 'change_term': 'increasing'}, 'metastatic disease': {'clinical finding': 'metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'metastatic', 'observation': 'disease'}}clinical findings_fin: {'marked mediastinal and hilar lymphadenopathy': {'clinical finding': 'marked mediastinal and hilar lymphadenopathy', 'cf_snomed': {'hilar lymphadenopathy': 87500009}, 'existence': 'pos_dx', 'descriptive_term': 'marked mediastinal and hilar', 'observation': 'lymphadenopathy'}}size_fin: [{'size': '3.8 cm'}]anatomical entity_fin: {'subcarinal lymph node': {}}clinical findings_fin: {'reference subcarinal lymph node': {'clinical finding': 'reference subcarinal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference subcarinal lymph', 'observation': 'node'}}size_fin: [{'size': '28 mm'}]anatomical entity_fin: {'axis': {}}location descriptor_fin: ['right']clinical findings_fin: {'reference right hilar lymph node': {'clinical finding': 'reference right hilar lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference right hilar lymph', 'observation': 'node'}}clinical findings_fin: {'markedly enlarged paratracheal and precarinal lymphadenopathy': {'clinical finding': 'markedly enlarged paratracheal and precarinal lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'pos_dx', 'descriptive_term': 'markedly enlarged paratracheal and precarinal', 'observation': 'lymphadenopathy', 'strength_term': 'enlarged', 'change_term': 'enlarged'}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}size_fin: [{'size': '22 mm'}, {'size': '19 mm'}]anatomical entity_fin: {'axis': {}}location descriptor_fin: ['left']clinical findings_fin: {'left supraclavicular reference lymph node': {'clinical finding': 'left supraclavicular reference lymph node', 'existence': 'pos_dx', 'descriptive_term': 'left supraclavicular reference lymph', 'observation': 'node'}}location descriptor_fin: ['left']clinical findings_fin: {'additional left supraclavicular adenopathy': {'clinical finding': 'additional left supraclavicular adenopathy', 'existence': 'pos_dx', 'descriptive_term': 'additional left supraclavicular', 'observation': 'adenopathy'}}size_fin: [{'size': '21 mm'}, {'size': '19 mm'}]anatomical entity_fin: {'upper abdomen': {}}location descriptor_fin: ['right']clinical findings_fin: {'soft tissue nodule': {'clinical finding': 'soft tissue nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'nodule'}}size_fin: [{'size': '15 mm', 'size_descriptor': 'wall'}]anatomical entity_fin: {'right lateral chest wall': {}}clinical findings_fin: {'right lateral chest wall soft tissue nodule': {'clinical finding': 'right lateral chest wall soft tissue nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'right lateral chest wall soft tissue', 'observation': 'nodule'}}location descriptor_fin: ['right']clinical findings_fin: {'prominent right internal mammary and intercostal lymphadenopathy': {'clinical finding': 'prominent right internal mammary and intercostal lymphadenopathy', 'cf_snomed': {'intercostal lymphadenopathy': 127112005}, 'existence': 'pos_dx', 'descriptive_term': 'prominent right internal mammary and intercostal', 'observation': 'lymphadenopathy', 'strength_term': 'prominent'}}location descriptor_fin: ['right']clinical findings_fin: {'right diaphragmatic patch redemonstrated': {'clinical finding': 'right diaphragmatic patch redemonstrated'}}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 metastasis': {'clinical finding': 'hepatic metastasis', 'existence': 'pos_dx', 'descriptive_term': 'hepatic', 'observation': 'metastasis'}, 'perihepatic, perisplenic ascites': {'clinical finding': 'perihepatic, perisplenic ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'perihepatic perisplenic', 'observation': 'ascite'}, 'retrocrural lymphadenopathy': {'clinical finding': 'retrocrural lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'pos_dx', 'descriptive_term': 'retrocrural', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'abdomen': {}, 'pelvis': {}} [/INST] . Redemonstration of marked nodular pleural thickening in the right lower hemithorax compatible with patients history of mesothelioma. At the level of the aortic arch. 00 position 3 mm previously 2 mm, 5:00 position 4 mm unchanged. At the level of the main pulmonary artery. 00 position measures 7 mm unchanged. 3.00 position measures 28 mm unchanged, 7:00 position measures 17 mm previously measuring 15 mm. Numerous new and increasing small predominantly left lower lobe pulmonary nodules most likely representing metastatic disease. Marked mediastinal and hilar lymphadenopathy redemonstrated. Reference subcarinal lymph node unchanged measuring 3.8 cm. Reference right hilar lymph node unchanged measuring 28 mm in short axis. Markedly enlarged paratracheal and precarinal lymphadenopathy is unchanged. Cardiac size is normal without evidence of pericardial effusion. Moderate. Left supraclavicular reference lymph node now measuring 22 mm in short axis previously measuring 19 mm. Additional left supraclavicular adenopathy unchanged. Soft tissue nodule along the right costovertebral junction at the level of the upper abdomen now measuring 21 mm previously measuring 19 mm on corresponding image. Right lateral chest wall soft tissue nodule stable measuring 15 mm. Prominent right internal mammary and intercostal lymphadenopathy redemonstrated. Right diaphragmatic patch redemonstrated. Absence of enteric contrast material limits sensitivity for abdominal pathology. Progressive interval increase in size of hepatic metastasis in perihepatic, perisplenic ascites, and retrocrural lymphadenopathy. See same day report for CT abdomen or pelvis. </s>

Images of the left foot and ankle demonstrate a crescentic area of fluid density along the posteromedial aspect of the heel presumably representing patients blister. There is diffuse edema, however, we see no focal fluid collection to suggest abscess nor do we see imaging features of osteomyelitis. The tendons appear normal given limitations of CT. Arterial calcifications are noted. A subchondral cyst within the first metatarsal head is likely degenerative in etiology. Sclerosis of the medial sesamoid bone beneath the first metatarsal head could represent osteonecrosis but is of questionable clinical significance. No ankle joint effusion is identified.

anatomical entity_fin: {'foot': {'location descriptor': 'left'}, 'ankle': {}, 'fluid': {}, 'heel': {}}location descriptor_fin: ['left']clinical findings_fin: {'patients blister': {'clinical finding': 'patients blister', 'cf_snomed': {'blister': 417237009}, 'existence': 'unc_dx', 'descriptive_term': 'patients', 'observation': 'blister'}}clinical findings_fin: {'diffuse edema': {'clinical finding': 'diffuse edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'descriptive_term': 'diffuse', 'observation': 'edema'}, 'focal fluid collection': {'clinical finding': 'focal fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'focal fluid', 'observation': 'collection'}, 'abscess': {'clinical finding': 'abscess', 'cf_snomed': {'abscess': 128477000}, 'existence': 'neg_dx', 'observation': 'abscess'}, 'osteomyelitis': {'clinical finding': 'osteomyelitis', 'cf_snomed': {'osteomyelitis': 60168000}, 'existence': 'unc_dx', 'observation': 'osteomyelitis'}}anatomical entity_fin: {'tendons': {}}clinical findings_fin: {'arterial calcifications': {'clinical finding': 'arterial calcifications', 'existence': 'pos_dx', 'descriptive_term': 'arterial', 'observation': 'calcification'}}anatomical entity_fin: {'metatarsal': {}, 'head': {}}clinical findings_fin: {'subchondral cyst': {'clinical finding': 'subchondral cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'subchondral', 'observation': 'cyst'}}anatomical entity_fin: {'sesamoid bone': {'location descriptor': 'medial'}, 'metatarsal': {}, 'head': {}}location descriptor_fin: ['medial']clinical findings_fin: {'sclerosis': {'clinical finding': 'sclerosis', 'cf_snomed': {'sclerosis': 43846000}, 'existence': 'pos_dx', 'observation': 'sclerosis'}, 'osteonecrosis': {'clinical finding': 'osteonecrosis', 'existence': 'unc_dx', 'observation': 'osteonecrosis'}}anatomical entity_fin: {'ankle joint': {}}clinical findings_fin: {'ankle joint effusion': {'clinical finding': 'ankle joint effusion', 'cf_snomed': {'ankle joint effusion': 202383000}, 'existence': 'neg_dx', 'descriptive_term': 'ankle 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: anatomical entity_fin: {'foot': {'location descriptor': 'left'}, 'ankle': {}, 'fluid': {}, 'heel': {}}location descriptor_fin: ['left']clinical findings_fin: {'patients blister': {'clinical finding': 'patients blister', 'cf_snomed': {'blister': 417237009}, 'existence': 'unc_dx', 'descriptive_term': 'patients', 'observation': 'blister'}}clinical findings_fin: {'diffuse edema': {'clinical finding': 'diffuse edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'descriptive_term': 'diffuse', 'observation': 'edema'}, 'focal fluid collection': {'clinical finding': 'focal fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'focal fluid', 'observation': 'collection'}, 'abscess': {'clinical finding': 'abscess', 'cf_snomed': {'abscess': 128477000}, 'existence': 'neg_dx', 'observation': 'abscess'}, 'osteomyelitis': {'clinical finding': 'osteomyelitis', 'cf_snomed': {'osteomyelitis': 60168000}, 'existence': 'unc_dx', 'observation': 'osteomyelitis'}}anatomical entity_fin: {'tendons': {}}clinical findings_fin: {'arterial calcifications': {'clinical finding': 'arterial calcifications', 'existence': 'pos_dx', 'descriptive_term': 'arterial', 'observation': 'calcification'}}anatomical entity_fin: {'metatarsal': {}, 'head': {}}clinical findings_fin: {'subchondral cyst': {'clinical finding': 'subchondral cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'subchondral', 'observation': 'cyst'}}anatomical entity_fin: {'sesamoid bone': {'location descriptor': 'medial'}, 'metatarsal': {}, 'head': {}}location descriptor_fin: ['medial']clinical findings_fin: {'sclerosis': {'clinical finding': 'sclerosis', 'cf_snomed': {'sclerosis': 43846000}, 'existence': 'pos_dx', 'observation': 'sclerosis'}, 'osteonecrosis': {'clinical finding': 'osteonecrosis', 'existence': 'unc_dx', 'observation': 'osteonecrosis'}}anatomical entity_fin: {'ankle joint': {}}clinical findings_fin: {'ankle joint effusion': {'clinical finding': 'ankle joint effusion', 'cf_snomed': {'ankle joint effusion': 202383000}, 'existence': 'neg_dx', 'descriptive_term': 'ankle joint', 'observation': 'effusion'}} [/INST] Images of the left foot and ankle demonstrate a crescentic area of fluid density along the posteromedial aspect of the heel presumably representing patients blister. There is diffuse edema, however, we see no focal fluid collection to suggest abscess nor do we see imaging features of osteomyelitis. The tendons appear normal given limitations of CT. Arterial calcifications are noted. A subchondral cyst within the first metatarsal head is likely degenerative in etiology. Sclerosis of the medial sesamoid bone beneath the first metatarsal head could represent osteonecrosis but is of questionable clinical significance. No ankle joint effusion is identified. </s>

There is increased size of the right pontine tonsil compared to prior, with mass effect on the left pontine tonsil and narrowing of the oropharynx. Within the right pontine tonsil there is an area of low attenuation measuring 2.5 x 2.2 cm, previously 1.2 x 1.1 cm. There is swelling of the adjacent soft palate. There is no extension into the retropharyngeal space. There are few borderline enlarged jugulodigastric lymph nodes, the largest measuring 1.9 x 1.5 cm, unchanged. The nasopharyngeal adenoids are also enlarged, unchanged from prior. The orbits are unremarkable. Limited view of the brain parenchyma is unremarkable. The oral cavity, hypopharynx, larynx and subglottic airways are unremarkable or patent. The epiglottis, vallecula, piriform sinuses, and vocal cords are normal. The parotid, submandibular, and thyroid glands are unremarkable. The osseous structures are unremarkable. Limited view of the chest is unremarkable.

anatomical entity_fin: {'tonsil': {}, 'oropharynx': {}}location descriptor_fin: ['right', 'left']clinical findings_fin: {'mass effect': {'clinical finding': 'mass effect', 'existence': 'pos_dx', 'descriptive_term': 'mass', 'observation': 'effect'}, 'narrowing': {'clinical finding': 'narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'observation': 'narrowing'}}size_fin: [{'size': '2.5 x 2.2 cm'}, {'size': '1.2 x 1.1 cm'}]anatomical entity_fin: {'tonsil': {}}location descriptor_fin: ['right']clinical findings_fin: {'low attenuation': {'clinical finding': 'low attenuation', 'existence': 'pos_dx', 'descriptive_term': 'low', 'observation': 'attenuation'}}anatomical entity_fin: {'soft palate': {'location descriptor': 'adjacent'}}location descriptor_fin: ['adjacent']clinical findings_fin: {'swelling': {'clinical finding': 'swelling', 'cf_snomed': {'swelling': 65124004}, 'existence': 'pos_dx', 'observation': 'swell'}}size_fin: [{'size': '1.9 x 1.5 cm', 'size_descriptor': 'nodes'}]clinical findings_fin: {'few borderline enlarged jugulodigastric lymph nodes': {'clinical finding': 'few borderline enlarged jugulodigastric lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'few borderline enlarged jugulodigastric lymph', 'observation': 'node', 'strength_term': 'borderline - enlarged', 'quantity_term': 'few', 'change_term': 'enlarged'}}clinical findings_fin: {'nasopharyngeal adenoids': {'clinical finding': 'nasopharyngeal adenoids', 'existence': 'pos_dx', 'descriptive_term': 'nasopharyngeal', 'observation': 'adenoid'}, 'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}}anatomical entity_fin: {'orbits': {}}clinical findings_fin: {'orbits are unremarkable': {'clinical finding': 'orbits are unremarkable'}}anatomical entity_fin: {'brain': {}, 'parenchyma': {}}clinical findings_fin: {'limited view of the brain parenchyma': {'clinical finding': 'limited view of the brain parenchyma'}}anatomical entity_fin: {'oral cavity': {}, 'hypopharynx': {}, 'larynx': {}, 'airways': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}anatomical entity_fin: {'epiglottis': {}}imaging observation_fin: ['cords']clinical findings_fin: {'epiglottis , vallecula , piriform sinuses , and vocal cords are normal': {'clinical finding': 'epiglottis , vallecula , piriform sinuses , and vocal cords are normal'}}anatomical entity_fin: {'thyroid glands': {}}clinical findings_fin: {'parotid , submandibular , and thyroid glands are unremarkable': {'clinical finding': 'parotid , submandibular , and thyroid glands are unremarkable'}}clinical findings_fin: {'osseous structures are unremarkable': {'clinical finding': 'osseous structures are unremarkable'}}anatomical entity_fin: {'chest': {}}clinical findings_fin: {'limited view of the chest': {'clinical finding': 'limited view of the 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: anatomical entity_fin: {'tonsil': {}, 'oropharynx': {}}location descriptor_fin: ['right', 'left']clinical findings_fin: {'mass effect': {'clinical finding': 'mass effect', 'existence': 'pos_dx', 'descriptive_term': 'mass', 'observation': 'effect'}, 'narrowing': {'clinical finding': 'narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'observation': 'narrowing'}}size_fin: [{'size': '2.5 x 2.2 cm'}, {'size': '1.2 x 1.1 cm'}]anatomical entity_fin: {'tonsil': {}}location descriptor_fin: ['right']clinical findings_fin: {'low attenuation': {'clinical finding': 'low attenuation', 'existence': 'pos_dx', 'descriptive_term': 'low', 'observation': 'attenuation'}}anatomical entity_fin: {'soft palate': {'location descriptor': 'adjacent'}}location descriptor_fin: ['adjacent']clinical findings_fin: {'swelling': {'clinical finding': 'swelling', 'cf_snomed': {'swelling': 65124004}, 'existence': 'pos_dx', 'observation': 'swell'}}size_fin: [{'size': '1.9 x 1.5 cm', 'size_descriptor': 'nodes'}]clinical findings_fin: {'few borderline enlarged jugulodigastric lymph nodes': {'clinical finding': 'few borderline enlarged jugulodigastric lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'few borderline enlarged jugulodigastric lymph', 'observation': 'node', 'strength_term': 'borderline - enlarged', 'quantity_term': 'few', 'change_term': 'enlarged'}}clinical findings_fin: {'nasopharyngeal adenoids': {'clinical finding': 'nasopharyngeal adenoids', 'existence': 'pos_dx', 'descriptive_term': 'nasopharyngeal', 'observation': 'adenoid'}, 'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}}anatomical entity_fin: {'orbits': {}}clinical findings_fin: {'orbits are unremarkable': {'clinical finding': 'orbits are unremarkable'}}anatomical entity_fin: {'brain': {}, 'parenchyma': {}}clinical findings_fin: {'limited view of the brain parenchyma': {'clinical finding': 'limited view of the brain parenchyma'}}anatomical entity_fin: {'oral cavity': {}, 'hypopharynx': {}, 'larynx': {}, 'airways': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}anatomical entity_fin: {'epiglottis': {}}imaging observation_fin: ['cords']clinical findings_fin: {'epiglottis , vallecula , piriform sinuses , and vocal cords are normal': {'clinical finding': 'epiglottis , vallecula , piriform sinuses , and vocal cords are normal'}}anatomical entity_fin: {'thyroid glands': {}}clinical findings_fin: {'parotid , submandibular , and thyroid glands are unremarkable': {'clinical finding': 'parotid , submandibular , and thyroid glands are unremarkable'}}clinical findings_fin: {'osseous structures are unremarkable': {'clinical finding': 'osseous structures are unremarkable'}}anatomical entity_fin: {'chest': {}}clinical findings_fin: {'limited view of the chest': {'clinical finding': 'limited view of the chest'}} [/INST] There is increased size of the right pontine tonsil compared to prior, with mass effect on the left pontine tonsil and narrowing of the oropharynx. Within the right pontine tonsil there is an area of low attenuation measuring 2.5 x 2.2 cm, previously 1.2 x 1.1 cm. There is swelling of the adjacent soft palate. There is no extension into the retropharyngeal space. There are few borderline enlarged jugulodigastric lymph nodes, the largest measuring 1.9 x 1.5 cm, unchanged. The nasopharyngeal adenoids are also enlarged, unchanged from prior. The orbits are unremarkable. Limited view of the brain parenchyma is unremarkable. The oral cavity, hypopharynx, larynx and subglottic airways are unremarkable or patent. The epiglottis, vallecula, piriform sinuses, and vocal cords are normal. The parotid, submandibular, and thyroid glands are unremarkable. The osseous structures are unremarkable. Limited view of the chest is unremarkable. </s>

. Suboptimal contrast opacification and severe motion artifact both from patient respiration and tachycardia limit evaluation. Chronic thrombus in branches of the right descending pulmonary artery and left lower lobe pulmonary artery are less well visualized on the current examination but appear similar. No filling defects are identified within the main pulmonary arteries. The presence of emboli beyond the lobar level cannot be excluded by this study. Mosaic attenuation of the lung parenchyma consistent with chronic thromboembolic disease. Basilar scarring bilaterally. No new focal opacities. No pleural fluid or signs of pulmonary edema. Cardiomegaly unchanged. Increase in volume of pericardial fluid, now moderate. Straightening of the intraventricular septum consistent with right heart strain. Coronary artery calcifications again noted. Prominent axillary lymph nodes not significantly changed. Within the lateral aspect of the left breast, a new solid soft tissue lesion measuring approximately 4.1-cm in AP dimension is incompletely visualized. This is of unclear etiology and may be correlated with mammography and physical examination. Numerous fluid-filled cystic lesions in the left breast could reflect dilated ducts, nonspecific. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. Limited scanning range. Unchanged cyst-like lesion in the upper pole the left kidney, incompletely characterized. Splenulus and small lymph nodes unchanged.

artifact_fin: ['motion artifact']clinical findings_fin: {'suboptimal contrast opacification': {'clinical finding': 'suboptimal contrast opacification', 'existence': 'pos_dx', 'descriptive_term': 'suboptimal contrast', 'observation': 'opacification'}, 'severe motion artifact': {'clinical finding': 'severe motion artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'pos_dx', 'descriptive_term': 'severe motion', 'observation': 'artifact', 'strength_term': 'severe'}}anatomical entity_fin: {'pulmonary artery': {}, 'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['right', 'left', 'lower']clinical findings_fin: {'chronic thrombus': {'clinical finding': 'chronic thrombus', 'cf_snomed': {'thrombus': 396339007}, 'existence': 'pos_dx', 'descriptive_term': 'chronic', 'observation': 'thrombus', 'temporal_term': 'chronic'}}anatomical entity_fin: {'main pulmonary arteries': {}}clinical findings_fin: {'filling defects': {'clinical finding': 'filling defects', 'cf_snomed': {'filling defect': 43468004}, 'existence': 'neg_dx', 'descriptive_term': 'filling', 'observation': 'defect'}}clinical findings_fin: {'emboli': {'clinical finding': 'emboli', 'existence': 'unc_dx', 'observation': 'emboli'}}anatomical entity_fin: {'lung parenchyma': {}}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'}}clinical findings_fin: {'basilar scarring': {'clinical finding': 'basilar scarring', 'existence': 'pos_dx', 'descriptive_term': 'basilar', 'observation': 'scarr'}}clinical findings_fin: {'new focal opacities': {'clinical finding': 'new focal opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'neg_dx', 'descriptive_term': 'new focal', 'observation': 'opacity', 'temporal_term': 'new'}}clinical findings_fin: {'pleural fluid': {'clinical finding': 'pleural fluid', 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'fluid'}, 'pulmonary edema': {'clinical finding': 'pulmonary edema', 'cf_snomed': {'pulmonary edema': 19242006}, 'existence': 'neg_dx', 'descriptive_term': 'pulmonary', 'observation': 'edema'}}clinical findings_fin: {'cardiomegaly': {'clinical finding': 'cardiomegaly', 'cf_snomed': {'cardiomegaly': 8186001}, 'existence': 'pos_dx', 'observation': 'cardiomegaly'}}anatomical entity_fin: {'fluid': {}}anatomical entity_fin: {'heart': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'right heart strain': {'clinical finding': 'right heart strain', 'existence': 'pos_dx', 'descriptive_term': 'right heart', 'observation': 'strain'}}clinical findings_fin: {'coronary artery calcifications': {'clinical finding': 'coronary artery calcifications', 'existence': 'pos_dx', 'descriptive_term': 'coronary artery', 'observation': 'calcification'}}anatomical entity_fin: {'axillary lymph nodes': {}}clinical findings_fin: {'prominent axillary lymph nodes': {'clinical finding': 'prominent axillary lymph nodes', 'existence': 'neg_dx', 'descriptive_term': 'prominent axillary lymph', 'observation': 'node', 'strength_term': 'prominent'}}size_fin: [{'size': '4.1-cm'}]anatomical entity_fin: {'breast': {'location descriptor': 'left'}}location descriptor_fin: ['lateral', 'left']clinical findings_fin: {'new solid soft tissue lesion': {'clinical finding': 'new solid soft tissue lesion', 'cf_snomed': {'soft tissue lesion': 239953001}, 'existence': 'pos_dx', 'descriptive_term': 'new solid soft tissue', 'observation': 'lesion', 'temporal_term': 'new'}}imaging modality_fin: ['mammography']anatomical entity_fin: {'fluid': {}, 'breast': {'location descriptor': 'left'}, 'ducts': {}}location descriptor_fin: ['left']clinical findings_fin: {'numerous fluid-filled cystic lesions': {'clinical finding': 'numerous fluid-filled cystic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'numerous fluid-filled cystic', 'observation': 'lesion', 'quantity_term': 'numerous', 'change_term': 'filled'}, 'dilated': {'clinical finding': 'dilated', 'existence': 'unc_dx', 'observation': 'dilated'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}anatomical entity_fin: {'pole': {'location descriptor': 'upper'}, 'left kidney': {}}location descriptor_fin: ['upper']clinical findings_fin: {'unchanged cyst-like lesion': {'clinical finding': 'unchanged cyst-like lesion', 'cf_snomed': {'cyst': 441457006, 'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'unchanged cyst-like', 'observation': 'lesion', 'strength_term': 'unchanged', 'change_term': 'unchanged'}}clinical findings_fin: {'small lymph nodes': {'clinical finding': 'small lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small lymph', 'observation': 'node', '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: artifact_fin: ['motion artifact']clinical findings_fin: {'suboptimal contrast opacification': {'clinical finding': 'suboptimal contrast opacification', 'existence': 'pos_dx', 'descriptive_term': 'suboptimal contrast', 'observation': 'opacification'}, 'severe motion artifact': {'clinical finding': 'severe motion artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'pos_dx', 'descriptive_term': 'severe motion', 'observation': 'artifact', 'strength_term': 'severe'}}anatomical entity_fin: {'pulmonary artery': {}, 'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['right', 'left', 'lower']clinical findings_fin: {'chronic thrombus': {'clinical finding': 'chronic thrombus', 'cf_snomed': {'thrombus': 396339007}, 'existence': 'pos_dx', 'descriptive_term': 'chronic', 'observation': 'thrombus', 'temporal_term': 'chronic'}}anatomical entity_fin: {'main pulmonary arteries': {}}clinical findings_fin: {'filling defects': {'clinical finding': 'filling defects', 'cf_snomed': {'filling defect': 43468004}, 'existence': 'neg_dx', 'descriptive_term': 'filling', 'observation': 'defect'}}clinical findings_fin: {'emboli': {'clinical finding': 'emboli', 'existence': 'unc_dx', 'observation': 'emboli'}}anatomical entity_fin: {'lung parenchyma': {}}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'}}clinical findings_fin: {'basilar scarring': {'clinical finding': 'basilar scarring', 'existence': 'pos_dx', 'descriptive_term': 'basilar', 'observation': 'scarr'}}clinical findings_fin: {'new focal opacities': {'clinical finding': 'new focal opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'neg_dx', 'descriptive_term': 'new focal', 'observation': 'opacity', 'temporal_term': 'new'}}clinical findings_fin: {'pleural fluid': {'clinical finding': 'pleural fluid', 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'fluid'}, 'pulmonary edema': {'clinical finding': 'pulmonary edema', 'cf_snomed': {'pulmonary edema': 19242006}, 'existence': 'neg_dx', 'descriptive_term': 'pulmonary', 'observation': 'edema'}}clinical findings_fin: {'cardiomegaly': {'clinical finding': 'cardiomegaly', 'cf_snomed': {'cardiomegaly': 8186001}, 'existence': 'pos_dx', 'observation': 'cardiomegaly'}}anatomical entity_fin: {'fluid': {}}anatomical entity_fin: {'heart': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'right heart strain': {'clinical finding': 'right heart strain', 'existence': 'pos_dx', 'descriptive_term': 'right heart', 'observation': 'strain'}}clinical findings_fin: {'coronary artery calcifications': {'clinical finding': 'coronary artery calcifications', 'existence': 'pos_dx', 'descriptive_term': 'coronary artery', 'observation': 'calcification'}}anatomical entity_fin: {'axillary lymph nodes': {}}clinical findings_fin: {'prominent axillary lymph nodes': {'clinical finding': 'prominent axillary lymph nodes', 'existence': 'neg_dx', 'descriptive_term': 'prominent axillary lymph', 'observation': 'node', 'strength_term': 'prominent'}}size_fin: [{'size': '4.1-cm'}]anatomical entity_fin: {'breast': {'location descriptor': 'left'}}location descriptor_fin: ['lateral', 'left']clinical findings_fin: {'new solid soft tissue lesion': {'clinical finding': 'new solid soft tissue lesion', 'cf_snomed': {'soft tissue lesion': 239953001}, 'existence': 'pos_dx', 'descriptive_term': 'new solid soft tissue', 'observation': 'lesion', 'temporal_term': 'new'}}imaging modality_fin: ['mammography']anatomical entity_fin: {'fluid': {}, 'breast': {'location descriptor': 'left'}, 'ducts': {}}location descriptor_fin: ['left']clinical findings_fin: {'numerous fluid-filled cystic lesions': {'clinical finding': 'numerous fluid-filled cystic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'numerous fluid-filled cystic', 'observation': 'lesion', 'quantity_term': 'numerous', 'change_term': 'filled'}, 'dilated': {'clinical finding': 'dilated', 'existence': 'unc_dx', 'observation': 'dilated'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}anatomical entity_fin: {'pole': {'location descriptor': 'upper'}, 'left kidney': {}}location descriptor_fin: ['upper']clinical findings_fin: {'unchanged cyst-like lesion': {'clinical finding': 'unchanged cyst-like lesion', 'cf_snomed': {'cyst': 441457006, 'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'unchanged cyst-like', 'observation': 'lesion', 'strength_term': 'unchanged', 'change_term': 'unchanged'}}clinical findings_fin: {'small lymph nodes': {'clinical finding': 'small lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small lymph', 'observation': 'node', 'strength_term': 'small'}} [/INST] . Suboptimal contrast opacification and severe motion artifact both from patient respiration and tachycardia limit evaluation. Chronic thrombus in branches of the right descending pulmonary artery and left lower lobe pulmonary artery are less well visualized on the current examination but appear similar. No filling defects are identified within the main pulmonary arteries. The presence of emboli beyond the lobar level cannot be excluded by this study. Mosaic attenuation of the lung parenchyma consistent with chronic thromboembolic disease. Basilar scarring bilaterally. No new focal opacities. No pleural fluid or signs of pulmonary edema. Cardiomegaly unchanged. Increase in volume of pericardial fluid, now moderate. Straightening of the intraventricular septum consistent with right heart strain. Coronary artery calcifications again noted. Prominent axillary lymph nodes not significantly changed. Within the lateral aspect of the left breast, a new solid soft tissue lesion measuring approximately 4.1-cm in AP dimension is incompletely visualized. This is of unclear etiology and may be correlated with mammography and physical examination. Numerous fluid-filled cystic lesions in the left breast could reflect dilated ducts, nonspecific. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. Limited scanning range. Unchanged cyst-like lesion in the upper pole the left kidney, incompletely characterized. Splenulus and small lymph nodes unchanged. </s>

. The reference right upper lobe lesion measures 28 mm , previously 20 mm. However, this lesion is difficult to measure accurately due to surrounding atelectasis. Right lower lobe pulmonary nodules and micronodules are similar to prior. The right-sided nodular pleural thickening is increased diffusely. Slightly decreased size of the small loculated right apical hydropneumothorax. The previously seen subpulmonic loculated fluid is also decreased in size. The scattered groundglass and nodular opacities in the left lower lobe compatible with aspiration bronchiolitis are decreased. Moderate apical predominant paraseptal emphysema. The infiltrative confluent lymphadenopathy throughout the mediastinum is overall increased, with encasement and narrowing of the central airways. The left mainstem bronchus is narrowed to 2 to 3 mm in diameter. The reference right paramediastinal conglomerate lymphadenopathy measures 3.3 x 2.9 cm , previously 2.9 x 2.7 cm. The reference subcarinal lymph node measures 2.0 cm , previously 1.6 cm. There is a new small pericardial effusion, likely metastatic. The internal jugular or IVC stent is again noted. Mild. The referenced left axillary lymph node with fatty hilum is unchanged at 6 mm. The right anterior chest wall lesion is unchanged at 14 x 7 mm. The left brachiocephalic vein is diminutive, similar to prior. There is further enlargement of the supraclavicular and cardiophrenic lymph nodes. Absence of enteric contrast material limits sensitivity for abdominal pathology. Increased extensive findings in the upper abdomen compatible with worsening metastatic disease. Please see the separate CT abdomen report from the same day for further evaluation. Partially imaged catheter in the IVC, terminating at the inferior cavoatrial junction.

size_fin: [{'size': '28 mm'}, {'size': '20 mm'}]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'}}clinical findings_fin: {'this lesion': {'clinical finding': 'this lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'unc_dx', 'descriptive_term': 'this', 'observation': 'lesion'}, 'surrounding atelectasis': {'clinical finding': 'surrounding atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'surrounding', 'observation': 'atelectasis'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'lower lobe pulmonary nodules': {'clinical finding': 'lower lobe pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'lower lobe pulmonary', 'observation': 'nodule'}, 'micronodules': {'clinical finding': 'micronodules', 'existence': 'pos_dx', 'observation': 'micronodule'}}location descriptor_fin: ['right']clinical findings_fin: {'right-sided nodular pleural thickening': {'clinical finding': 'right-sided nodular pleural thickening', 'existence': 'pos_dx', 'descriptive_term': 'right-sided nodular pleural', 'observation': 'thickening'}}imaging observation_fin: ['apical']location descriptor_fin: ['right']clinical findings_fin: {'small loculated right apical hydropneumothorax': {'clinical finding': 'small loculated right apical hydropneumothorax', 'cf_snomed': {'hydropneumothorax': 65933003}, 'existence': 'pos_dx', 'descriptive_term': 'small loculated right apical', 'observation': 'hydropneumothorax', 'strength_term': 'small'}}anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'seen subpulmonic loculated fluid is also decreased in size': {'clinical finding': 'seen subpulmonic loculated fluid is also decreased in size', 'change_term': 'decreased'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'scattered groundglass and nodular opacities': {'clinical finding': 'scattered groundglass and nodular opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'scattered groundglass and nodular', 'observation': 'opacity'}, 'aspiration bronchiolitis': {'clinical finding': 'aspiration bronchiolitis', 'cf_snomed': {'bronchiolitis': 4120002}, 'existence': 'pos_dx', 'descriptive_term': 'aspiration', 'observation': 'bronchiolitis'}}imaging observation_fin: ['apical']clinical findings_fin: {'moderate apical predominant paraseptal emphysema': {'clinical finding': 'moderate apical predominant paraseptal emphysema', 'cf_snomed': {'paraseptal emphysema': 31898008}, 'existence': 'pos_dx', 'descriptive_term': 'moderate apical predominant paraseptal', 'observation': 'emphysema', 'strength_term': 'moderate'}}anatomical entity_fin: {'mediastinum': {}, 'airways': {'location descriptor': 'central'}}location descriptor_fin: ['central']clinical findings_fin: {'infiltrative confluent lymphadenopathy': {'clinical finding': 'infiltrative confluent lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'pos_dx', 'descriptive_term': 'infiltrative confluent', 'observation': 'lymphadenopathy'}, 'narrowing': {'clinical finding': 'narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'observation': 'narrowing'}}size_fin: [{'size': '3 mm'}]anatomical entity_fin: {'bronchus': {}}location descriptor_fin: ['left']clinical findings_fin: {'narrowed': {'clinical finding': 'narrowed', 'existence': 'pos_dx', 'observation': 'narrow'}}size_fin: [{'size': '3.3 x 2.9 cm'}, {'size': '2.9 x 2.7 cm'}]location descriptor_fin: ['right']clinical findings_fin: {'reference right paramediastinal conglomerate lymphadenopathy': {'clinical finding': 'reference right paramediastinal conglomerate lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'pos_dx', 'descriptive_term': 'reference right paramediastinal conglomerate', 'observation': 'lymphadenopathy'}}size_fin: [{'size': '2.0 cm'}, {'size': '1.6 cm'}]anatomical entity_fin: {'subcarinal lymph node': {}}clinical findings_fin: {'reference subcarinal lymph node': {'clinical finding': 'reference subcarinal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference subcarinal lymph', 'observation': 'node'}}clinical findings_fin: {'new small pericardial effusion': {'clinical finding': 'new small pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'pos_dx', 'descriptive_term': 'new small pericardial', 'observation': 'effusion', 'strength_term': 'small', 'temporal_term': 'new'}, 'metastatic': {'clinical finding': 'metastatic', 'existence': 'unc_dx', 'observation': 'metastatic'}}clinical findings_fin: {'internal jugular or ivc stent': {'clinical finding': 'internal jugular or ivc stent', 'existence': 'pos_dx', 'descriptive_term': 'internal jugular or ivc', 'observation': 'stent'}}size_fin: [{'size': '6 mm', 'size_descriptor': 'node'}]anatomical entity_fin: {'axillary lymph node': {'location descriptor': 'left'}, 'hilum': {}}location descriptor_fin: ['left']clinical findings_fin: {'referenced left axillary lymph node': {'clinical finding': 'referenced left axillary lymph node', 'existence': 'pos_dx', 'descriptive_term': 'referenced left axillary lymph', 'observation': 'node'}}size_fin: [{'size': '14 x 7 mm', 'size_descriptor': 'lesion'}]anatomical entity_fin: {'anterior chest wall': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'right anterior chest wall lesion': {'clinical finding': 'right anterior chest wall lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'right anterior chest wall', 'observation': 'lesion'}}anatomical entity_fin: {'brachiocephalic vein': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'left brachiocephalic vein is diminutive , similar to prior': {'clinical finding': 'left brachiocephalic vein is diminutive , similar to prior'}}clinical findings_fin: {'supraclavicular and cardiophrenic lymph nodes': {'clinical finding': 'supraclavicular and cardiophrenic lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'supraclavicular and cardiophrenic lymph', 'observation': 'node'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}anatomical entity_fin: {'upper abdomen': {}}clinical findings_fin: {'worsening metastatic disease': {'clinical finding': 'worsening metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'worsening metastatic', 'observation': 'disease', 'strength_term': 'worsening', 'change_term': 'worsening'}}anatomical entity_fin: {'abdomen': {}}location descriptor_fin: ['inferior']object_fin: ['catheter']clinical findings_fin: {'partially imaged catheter in the ivc': {'clinical finding': 'partially imaged catheter in the ivc'}}

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': '28 mm'}, {'size': '20 mm'}]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'}}clinical findings_fin: {'this lesion': {'clinical finding': 'this lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'unc_dx', 'descriptive_term': 'this', 'observation': 'lesion'}, 'surrounding atelectasis': {'clinical finding': 'surrounding atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'surrounding', 'observation': 'atelectasis'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'lower lobe pulmonary nodules': {'clinical finding': 'lower lobe pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'lower lobe pulmonary', 'observation': 'nodule'}, 'micronodules': {'clinical finding': 'micronodules', 'existence': 'pos_dx', 'observation': 'micronodule'}}location descriptor_fin: ['right']clinical findings_fin: {'right-sided nodular pleural thickening': {'clinical finding': 'right-sided nodular pleural thickening', 'existence': 'pos_dx', 'descriptive_term': 'right-sided nodular pleural', 'observation': 'thickening'}}imaging observation_fin: ['apical']location descriptor_fin: ['right']clinical findings_fin: {'small loculated right apical hydropneumothorax': {'clinical finding': 'small loculated right apical hydropneumothorax', 'cf_snomed': {'hydropneumothorax': 65933003}, 'existence': 'pos_dx', 'descriptive_term': 'small loculated right apical', 'observation': 'hydropneumothorax', 'strength_term': 'small'}}anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'seen subpulmonic loculated fluid is also decreased in size': {'clinical finding': 'seen subpulmonic loculated fluid is also decreased in size', 'change_term': 'decreased'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'scattered groundglass and nodular opacities': {'clinical finding': 'scattered groundglass and nodular opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'scattered groundglass and nodular', 'observation': 'opacity'}, 'aspiration bronchiolitis': {'clinical finding': 'aspiration bronchiolitis', 'cf_snomed': {'bronchiolitis': 4120002}, 'existence': 'pos_dx', 'descriptive_term': 'aspiration', 'observation': 'bronchiolitis'}}imaging observation_fin: ['apical']clinical findings_fin: {'moderate apical predominant paraseptal emphysema': {'clinical finding': 'moderate apical predominant paraseptal emphysema', 'cf_snomed': {'paraseptal emphysema': 31898008}, 'existence': 'pos_dx', 'descriptive_term': 'moderate apical predominant paraseptal', 'observation': 'emphysema', 'strength_term': 'moderate'}}anatomical entity_fin: {'mediastinum': {}, 'airways': {'location descriptor': 'central'}}location descriptor_fin: ['central']clinical findings_fin: {'infiltrative confluent lymphadenopathy': {'clinical finding': 'infiltrative confluent lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'pos_dx', 'descriptive_term': 'infiltrative confluent', 'observation': 'lymphadenopathy'}, 'narrowing': {'clinical finding': 'narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'observation': 'narrowing'}}size_fin: [{'size': '3 mm'}]anatomical entity_fin: {'bronchus': {}}location descriptor_fin: ['left']clinical findings_fin: {'narrowed': {'clinical finding': 'narrowed', 'existence': 'pos_dx', 'observation': 'narrow'}}size_fin: [{'size': '3.3 x 2.9 cm'}, {'size': '2.9 x 2.7 cm'}]location descriptor_fin: ['right']clinical findings_fin: {'reference right paramediastinal conglomerate lymphadenopathy': {'clinical finding': 'reference right paramediastinal conglomerate lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'pos_dx', 'descriptive_term': 'reference right paramediastinal conglomerate', 'observation': 'lymphadenopathy'}}size_fin: [{'size': '2.0 cm'}, {'size': '1.6 cm'}]anatomical entity_fin: {'subcarinal lymph node': {}}clinical findings_fin: {'reference subcarinal lymph node': {'clinical finding': 'reference subcarinal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference subcarinal lymph', 'observation': 'node'}}clinical findings_fin: {'new small pericardial effusion': {'clinical finding': 'new small pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'pos_dx', 'descriptive_term': 'new small pericardial', 'observation': 'effusion', 'strength_term': 'small', 'temporal_term': 'new'}, 'metastatic': {'clinical finding': 'metastatic', 'existence': 'unc_dx', 'observation': 'metastatic'}}clinical findings_fin: {'internal jugular or ivc stent': {'clinical finding': 'internal jugular or ivc stent', 'existence': 'pos_dx', 'descriptive_term': 'internal jugular or ivc', 'observation': 'stent'}}size_fin: [{'size': '6 mm', 'size_descriptor': 'node'}]anatomical entity_fin: {'axillary lymph node': {'location descriptor': 'left'}, 'hilum': {}}location descriptor_fin: ['left']clinical findings_fin: {'referenced left axillary lymph node': {'clinical finding': 'referenced left axillary lymph node', 'existence': 'pos_dx', 'descriptive_term': 'referenced left axillary lymph', 'observation': 'node'}}size_fin: [{'size': '14 x 7 mm', 'size_descriptor': 'lesion'}]anatomical entity_fin: {'anterior chest wall': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'right anterior chest wall lesion': {'clinical finding': 'right anterior chest wall lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'right anterior chest wall', 'observation': 'lesion'}}anatomical entity_fin: {'brachiocephalic vein': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'left brachiocephalic vein is diminutive , similar to prior': {'clinical finding': 'left brachiocephalic vein is diminutive , similar to prior'}}clinical findings_fin: {'supraclavicular and cardiophrenic lymph nodes': {'clinical finding': 'supraclavicular and cardiophrenic lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'supraclavicular and cardiophrenic lymph', 'observation': 'node'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}anatomical entity_fin: {'upper abdomen': {}}clinical findings_fin: {'worsening metastatic disease': {'clinical finding': 'worsening metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'worsening metastatic', 'observation': 'disease', 'strength_term': 'worsening', 'change_term': 'worsening'}}anatomical entity_fin: {'abdomen': {}}location descriptor_fin: ['inferior']object_fin: ['catheter']clinical findings_fin: {'partially imaged catheter in the ivc': {'clinical finding': 'partially imaged catheter in the ivc'}} [/INST] . The reference right upper lobe lesion measures 28 mm , previously 20 mm. However, this lesion is difficult to measure accurately due to surrounding atelectasis. Right lower lobe pulmonary nodules and micronodules are similar to prior. The right-sided nodular pleural thickening is increased diffusely. Slightly decreased size of the small loculated right apical hydropneumothorax. The previously seen subpulmonic loculated fluid is also decreased in size. The scattered groundglass and nodular opacities in the left lower lobe compatible with aspiration bronchiolitis are decreased. Moderate apical predominant paraseptal emphysema. The infiltrative confluent lymphadenopathy throughout the mediastinum is overall increased, with encasement and narrowing of the central airways. The left mainstem bronchus is narrowed to 2 to 3 mm in diameter. The reference right paramediastinal conglomerate lymphadenopathy measures 3.3 x 2.9 cm , previously 2.9 x 2.7 cm. The reference subcarinal lymph node measures 2.0 cm , previously 1.6 cm. There is a new small pericardial effusion, likely metastatic. The internal jugular or IVC stent is again noted. Mild. The referenced left axillary lymph node with fatty hilum is unchanged at 6 mm. The right anterior chest wall lesion is unchanged at 14 x 7 mm. The left brachiocephalic vein is diminutive, similar to prior. There is further enlargement of the supraclavicular and cardiophrenic lymph nodes. Absence of enteric contrast material limits sensitivity for abdominal pathology. Increased extensive findings in the upper abdomen compatible with worsening metastatic disease. Please see the separate CT abdomen report from the same day for further evaluation. Partially imaged catheter in the IVC, terminating at the inferior cavoatrial junction. </s>

. Small calcified granulomata, but no evidence of pulmonary or pleural metastases. Previously reported right basilar subsegmental atelectasis has resolved. There is no evidence of mediastinal or hilar lymphadenopathy. Mild coronary artery calcification is present, the heart and pericardium otherwise unremarkable. No significant abnormality noted. Absence of enteric contrast material limits sensitivity for abdominal pathology. Previously noted hepatic cystlike hypodensities are unchanged, likely benign.

clinical findings_fin: {'small calcified granulomata': {'clinical finding': 'small calcified granulomata', 'existence': 'pos_dx', 'descriptive_term': 'small calcified', 'observation': 'granulomata', 'strength_term': 'small', 'change_term': 'calcified'}, 'pulmonary or pleural metastases': {'clinical finding': 'pulmonary or pleural metastases', 'existence': 'neg_dx', 'descriptive_term': 'pulmonary or pleural', 'observation': 'metastase'}}location descriptor_fin: ['right', 'subsegmental']clinical findings_fin: {'previously reported right basilar subsegmental atelectasis': {'clinical finding': 'previously reported right basilar subsegmental atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'neg_dx', 'descriptive_term': 'previously reported right basilar subsegmental', 'observation': 'atelectasis'}}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: {'heart': {}, 'pericardium': {}}clinical findings_fin: {'mild coronary artery calcification': {'clinical finding': 'mild coronary artery calcification', 'existence': 'pos_dx', 'descriptive_term': 'mild coronary artery', 'observation': 'calcification', 'strength_term': 'mild'}}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: {'previously noted hepatic cystlike hypodensities': {'clinical finding': 'previously noted hepatic cystlike hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'previously noted hepatic cystlike', 'observation': 'hypodensity'}}

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: {'small calcified granulomata': {'clinical finding': 'small calcified granulomata', 'existence': 'pos_dx', 'descriptive_term': 'small calcified', 'observation': 'granulomata', 'strength_term': 'small', 'change_term': 'calcified'}, 'pulmonary or pleural metastases': {'clinical finding': 'pulmonary or pleural metastases', 'existence': 'neg_dx', 'descriptive_term': 'pulmonary or pleural', 'observation': 'metastase'}}location descriptor_fin: ['right', 'subsegmental']clinical findings_fin: {'previously reported right basilar subsegmental atelectasis': {'clinical finding': 'previously reported right basilar subsegmental atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'neg_dx', 'descriptive_term': 'previously reported right basilar subsegmental', 'observation': 'atelectasis'}}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: {'heart': {}, 'pericardium': {}}clinical findings_fin: {'mild coronary artery calcification': {'clinical finding': 'mild coronary artery calcification', 'existence': 'pos_dx', 'descriptive_term': 'mild coronary artery', 'observation': 'calcification', 'strength_term': 'mild'}}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: {'previously noted hepatic cystlike hypodensities': {'clinical finding': 'previously noted hepatic cystlike hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'previously noted hepatic cystlike', 'observation': 'hypodensity'}} [/INST] . Small calcified granulomata, but no evidence of pulmonary or pleural metastases. Previously reported right basilar subsegmental atelectasis has resolved. There is no evidence of mediastinal or hilar lymphadenopathy. Mild coronary artery calcification is present, the heart and pericardium otherwise unremarkable. No significant abnormality noted. Absence of enteric contrast material limits sensitivity for abdominal pathology. Previously noted hepatic cystlike hypodensities are unchanged, likely benign. </s>

There is a focus of hypodensity associated with volume loss located along the left occipital lobe which is centered in the the left calcarine cortex and lingual gyrus, not seen in the previous study associated with ex vacuo effect of the left occipital horn. In addition, small foci of a hypoattenuation are seen in the cerebellar lobes which were not present in the previous study. Since the prior exam the fourth ventricle appears somewhat larger. No evidence of acute intracranial hemorrhage. Periventricular and subcortical white matter hypodensities of a marked degree are present. Although this has not changed significantly since the 2014 exam, there is progression of the periventricular white matter hypodensities since 2004. There is loss of gray-white matter distinction in the thalami which appears to be chronic. Paranasal sinuses and mastoid air cells are clear. The visualized orbits appear intact.

anatomical entity_fin: {'left occipital lobe': {}, 'cortex': {}, 'lingual gyrus': {}}location descriptor_fin: ['left']clinical findings_fin: {'hypodensity': {'clinical finding': 'hypodensity', 'existence': 'pos_dx', 'observation': 'hypodensity'}, 'volume loss': {'clinical finding': 'volume loss', 'existence': 'pos_dx', 'descriptive_term': 'volume', 'observation': 'loss'}, 'ex vacuo effect': {'clinical finding': 'ex vacuo effect', 'existence': 'unc_dx', 'descriptive_term': 'ex vacuo', 'observation': 'effect'}}anatomical entity_fin: {'lobes': {}}imaging observation_fin: ['foci']clinical findings_fin: {'small foci': {'clinical finding': 'small foci', 'existence': 'pos_dx', 'descriptive_term': 'small', 'observation': 'foci', 'strength_term': 'small'}, 'hypoattenuation': {'clinical finding': 'hypoattenuation', 'existence': 'pos_dx', 'observation': 'hypoattenuation'}}anatomical entity_fin: {'fourth ventricle': {}}clinical findings_fin: {'larger': {'clinical finding': 'larger', 'existence': 'pos_dx', 'observation': 'large'}}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: {'periventricular and subcortical white matter hypodensities': {'clinical finding': 'periventricular and subcortical white matter hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'periventricular and subcortical white matter', 'observation': 'hypodensity'}}clinical findings_fin: {'progression': {'clinical finding': 'progression', 'existence': 'pos_dx', 'observation': 'progression'}, 'periventricular white matter hypodensities': {'clinical finding': 'periventricular white matter hypodensities', 'cf_snomed': {'periventricular white matter': 37065005}, 'existence': 'pos_dx', 'descriptive_term': 'periventricular white matter', 'observation': 'hypodensity'}}clinical findings_fin: {'thalami': {'clinical finding': 'thalami', 'existence': 'pos_dx', 'observation': 'thalami'}}anatomical entity_fin: {'paranasal sinuses': {}, 'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'}}anatomical entity_fin: {'orbits': {}}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: {'left occipital lobe': {}, 'cortex': {}, 'lingual gyrus': {}}location descriptor_fin: ['left']clinical findings_fin: {'hypodensity': {'clinical finding': 'hypodensity', 'existence': 'pos_dx', 'observation': 'hypodensity'}, 'volume loss': {'clinical finding': 'volume loss', 'existence': 'pos_dx', 'descriptive_term': 'volume', 'observation': 'loss'}, 'ex vacuo effect': {'clinical finding': 'ex vacuo effect', 'existence': 'unc_dx', 'descriptive_term': 'ex vacuo', 'observation': 'effect'}}anatomical entity_fin: {'lobes': {}}imaging observation_fin: ['foci']clinical findings_fin: {'small foci': {'clinical finding': 'small foci', 'existence': 'pos_dx', 'descriptive_term': 'small', 'observation': 'foci', 'strength_term': 'small'}, 'hypoattenuation': {'clinical finding': 'hypoattenuation', 'existence': 'pos_dx', 'observation': 'hypoattenuation'}}anatomical entity_fin: {'fourth ventricle': {}}clinical findings_fin: {'larger': {'clinical finding': 'larger', 'existence': 'pos_dx', 'observation': 'large'}}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: {'periventricular and subcortical white matter hypodensities': {'clinical finding': 'periventricular and subcortical white matter hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'periventricular and subcortical white matter', 'observation': 'hypodensity'}}clinical findings_fin: {'progression': {'clinical finding': 'progression', 'existence': 'pos_dx', 'observation': 'progression'}, 'periventricular white matter hypodensities': {'clinical finding': 'periventricular white matter hypodensities', 'cf_snomed': {'periventricular white matter': 37065005}, 'existence': 'pos_dx', 'descriptive_term': 'periventricular white matter', 'observation': 'hypodensity'}}clinical findings_fin: {'thalami': {'clinical finding': 'thalami', 'existence': 'pos_dx', 'observation': 'thalami'}}anatomical entity_fin: {'paranasal sinuses': {}, 'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'}}anatomical entity_fin: {'orbits': {}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'pos_dx', 'observation': 'intact'}} [/INST] There is a focus of hypodensity associated with volume loss located along the left occipital lobe which is centered in the the left calcarine cortex and lingual gyrus, not seen in the previous study associated with ex vacuo effect of the left occipital horn. In addition, small foci of a hypoattenuation are seen in the cerebellar lobes which were not present in the previous study. Since the prior exam the fourth ventricle appears somewhat larger. No evidence of acute intracranial hemorrhage. Periventricular and subcortical white matter hypodensities of a marked degree are present. Although this has not changed significantly since the 2014 exam, there is progression of the periventricular white matter hypodensities since 2004. There is loss of gray-white matter distinction in the thalami which appears to be chronic. Paranasal sinuses and mastoid air cells are clear. The visualized orbits appear intact. </s>

. New small bilateral pleural effusions and associated atelectasis. Additional scattered pulmonary micronodules are unchanged. The heart is upper limits of normal, without significant pericardial effusion. Right chest port tip terminates in the distal SVC. No mediastinal or hilar lymphadenopathy. Enteric tube terminates in the distal esophagus. Severe. Additionally, coronary stents are presumed. Scattered degenerative changes. No focal hepatic masses identified. No intra or extra hepatic biliary dilatation. The gallbladder is within normal limits. Free air is seen within the falciform ligament. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Unchanged left renal cyst. Subcentimeter right renal hypodensities are too small to characterize. No hydronephrosis or nephrolithiasis. Interval enlargement of multiple periportal and superior peripancreatic lymph nodes, many of which appear centrally necrotic. The reference portal lymph node measures 16 mm , previously 14 mm. Tumor continues to encase the hepatic artery and portal vein, but these vessels remain patent. Mild. Again seen is asymmetric heterogeneous thickening of the gastric antropyloric region, compatible with known gastric carcinoma. Although the margins of which are poorly defined, this appears to be more extensive than on previous study. Additionally, there are multiple clustered gaseous foci at the level of the mass, suggesting that this is the site of perforation. There is no progression of contrast beyond the level of the mass or suspected perforation, although no free intraperitoneal contrast is identified. Multifocal nodularity in the peritoneum and mesentery suggestive of peritoneal or mesenteric carcinomatosis. The previously described abnormal lymph node in the greater omentum currently measures 8 mm in short axis , previously 6 mm. No significant abnormality noted. Extensive pneumoperitoneum tracking along the anterior abdominal wall as well as the lesser sac, the falciform ligament, and the pelvis. New abdominopelvic ascites, measuring simple fluid density. The prostate is enlarged measuring 5.2 x 4.4 cm. No significant abnormality noted. No significant abnormality noted. The small bowel is normal in caliber and thickness without evidence of obstruction or inflammatory changes. Diverticulosis without evidence of acute diverticulitis. Normal-appearing appendix. Stable degenerative changes. Subtle peritoneal thickening in the pelvis suggests carcinomatosis.

location descriptor_fin: ['bilateral']clinical findings_fin: {'new small bilateral pleural effusions': {'clinical finding': 'new small bilateral pleural effusions', 'cf_snomed': {'bilateral pleural effusion': 425802001}, 'existence': 'pos_dx', 'descriptive_term': 'new small bilateral pleural', 'observation': 'effusion', 'strength_term': 'small', 'temporal_term': 'new'}, 'associated atelectasis': {'clinical finding': 'associated atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'associated', 'observation': 'atelectasis'}}clinical findings_fin: {'additional scattered pulmonary micronodules': {'clinical finding': 'additional scattered pulmonary micronodules', 'existence': 'pos_dx', 'descriptive_term': 'additional scattered pulmonary', 'observation': 'micronodule'}}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'}}anatomical entity_fin: {'chest': {'location descriptor': 'right'}}location descriptor_fin: ['right', 'distal']object_fin: ['port']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: {'esophagus': {'location descriptor': 'distal'}}location descriptor_fin: ['distal']object_fin: ['tube']clinical findings_fin: {'coronary stents': {'clinical finding': 'coronary stents', 'existence': 'unc_dx', 'descriptive_term': 'coronary', 'observation': 'stent'}}clinical findings_fin: {'scattered degenerative changes': {'clinical finding': 'scattered degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'scattered degenerative', 'observation': 'change'}}clinical findings_fin: {'focal hepatic masses': {'clinical finding': 'focal hepatic masses', 'existence': 'neg_dx', 'descriptive_term': 'focal hepatic', 'observation': 'mass'}}anatomical entity_fin: {'gallbladder': {}}clinical findings_fin: {'gallbladder is within normal limits': {'clinical finding': 'gallbladder is within normal limits'}}imaging observation_fin: ['falciform ligament']clinical findings_fin: {'free air': {'clinical finding': 'free air', 'existence': 'pos_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'}}location descriptor_fin: ['left']clinical findings_fin: {'unchanged left renal cyst': {'clinical finding': 'unchanged left renal cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'unchanged left renal', 'observation': 'cyst', 'strength_term': 'unchanged', 'change_term': 'unchanged'}}location descriptor_fin: ['right']clinical findings_fin: {'renal hypodensities': {'clinical finding': 'renal hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'renal', 'observation': 'hypodensity'}}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'}}location descriptor_fin: ['superior']clinical findings_fin: {'multiple periportal and superior peripancreatic lymph nodes': {'clinical finding': 'multiple periportal and superior peripancreatic lymph nodes', 'cf_snomed': {'peripancreatic lymph node': 245346008}, 'existence': 'pos_dx', 'descriptive_term': 'multiple periportal and superior peripancreatic lymph', 'observation': 'node', 'strength_term': 'superior', 'quantity_term': 'multiple'}}size_fin: [{'size': '16 mm'}, {'size': '14 mm'}]clinical findings_fin: {'reference portal lymph node': {'clinical finding': 'reference portal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference portal lymph', 'observation': 'node'}}anatomical entity_fin: {'hepatic artery': {}, 'portal vein': {}}clinical findings_fin: {'tumor': {'clinical finding': 'tumor', 'existence': 'pos_dx', 'observation': 'tumor'}, 'patent': {'clinical finding': 'patent', 'existence': 'pos_dx', 'observation': 'patent'}}clinical findings_fin: {'asymmetric heterogeneous thickening': {'clinical finding': 'asymmetric heterogeneous thickening', 'existence': 'pos_dx', 'descriptive_term': 'asymmetric heterogeneous', 'observation': 'thickening'}, 'known gastric carcinoma': {'clinical finding': 'known gastric carcinoma', 'cf_snomed': {'carcinoma': 1187425009}, 'existence': 'pos_dx', 'descriptive_term': 'known gastric', 'observation': 'carcinoma'}}imaging observation_fin: ['margins']clinical findings_fin: {'margins of which are poorly defined , this appears to be more extensive than on previous study': {'clinical finding': 'margins of which are poorly defined , this appears to be more extensive than on previous study'}}imaging observation_fin: ['foci']clinical findings_fin: {'multiple clustered gaseous foci': {'clinical finding': 'multiple clustered gaseous foci', 'existence': 'pos_dx', 'descriptive_term': 'multiple clustered gaseous', 'observation': 'foci', 'quantity_term': 'multiple'}, 'mass': {'clinical finding': 'mass', 'existence': 'pos_dx', 'observation': 'mass'}, 'perforation': {'clinical finding': 'perforation', 'cf_snomed': {'perforation': 36191001}, 'existence': 'unc_dx', 'observation': 'perforation'}}clinical findings_fin: {'progression': {'clinical finding': 'progression', 'existence': 'neg_dx', 'observation': 'progression'}, 'contrast': {'clinical finding': 'contrast', 'existence': 'neg_dx', 'observation': 'contrast'}, 'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}, 'suspected perforation': {'clinical finding': 'suspected perforation', 'cf_snomed': {'perforation': 36191001}, 'existence': 'neg_dx', 'descriptive_term': 'suspected', 'observation': 'perforation'}, 'free intraperitoneal contrast': {'clinical finding': 'free intraperitoneal contrast', 'existence': 'neg_dx', 'descriptive_term': 'free intraperitoneal', 'observation': 'contrast'}}anatomical entity_fin: {'peritoneum': {}, 'mesentery': {}}clinical findings_fin: {'multifocal nodularity': {'clinical finding': 'multifocal nodularity', 'existence': 'pos_dx', 'descriptive_term': 'multifocal', 'observation': 'nodularity'}, 'peritoneal or mesenteric carcinomatosis': {'clinical finding': 'peritoneal or mesenteric carcinomatosis', 'cf_snomed': {'carcinomatosis': 307593001}, 'existence': 'unc_dx', 'descriptive_term': 'peritoneal or mesenteric', 'observation': 'carcinomatosis'}}size_fin: [{'size': '8 mm'}, {'size': '6 mm'}]anatomical entity_fin: {'greater omentum': {}, 'axis': {}}clinical findings_fin: {'previously described abnormal lymph node': {'clinical finding': 'previously described abnormal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'previously described abnormal lymph', 'observation': 'node'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'anterior abdominal wall': {}, 'lesser sac': {}, 'pelvis': {}}imaging observation_fin: ['falciform ligament']clinical findings_fin: {'extensive pneumoperitoneum': {'clinical finding': 'extensive pneumoperitoneum', 'cf_snomed': {'pneumoperitoneum': 17204006}, 'existence': 'pos_dx', 'descriptive_term': 'extensive', 'observation': 'pneumoperitoneum', 'strength_term': 'extensive'}}anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'new abdominopelvic ascites': {'clinical finding': 'new abdominopelvic ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'new abdominopelvic', 'observation': 'ascite', 'temporal_term': 'new'}}size_fin: [{'size': '5.2 x 4.4 cm'}]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'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'observation': 'obstruction'}, 'inflammatory changes': {'clinical finding': 'inflammatory changes', 'existence': 'neg_dx', 'descriptive_term': 'inflammatory', 'observation': 'change'}}clinical findings_fin: {'diverticulosis': {'clinical finding': 'diverticulosis', 'existence': 'pos_dx', 'observation': 'diverticulosis'}, 'acute diverticulitis': {'clinical finding': 'acute diverticulitis', 'cf_snomed': {'diverticulitis': 307496006}, 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'diverticulitis', 'strength_term': 'acute', 'temporal_term': 'acute'}}anatomical entity_fin: {'appendix': {}}clinical findings_fin: {'normal -appearing appendix': {'clinical finding': 'normal -appearing appendix'}}clinical findings_fin: {'stable degenerative changes': {'clinical finding': 'stable degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'stable degenerative', 'observation': 'change', 'strength_term': 'stable', 'change_term': 'stable'}}anatomical entity_fin: {'pelvis': {}}clinical findings_fin: {'subtle peritoneal thickening': {'clinical finding': 'subtle peritoneal thickening', 'existence': 'pos_dx', 'descriptive_term': 'subtle peritoneal', 'observation': 'thickening', 'strength_term': 'subtle'}, 'carcinomatosis': {'clinical finding': 'carcinomatosis', 'cf_snomed': {'carcinomatosis': 307593001}, 'existence': 'pos_dx', 'observation': 'carcinomatosis'}}

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: {'new small bilateral pleural effusions': {'clinical finding': 'new small bilateral pleural effusions', 'cf_snomed': {'bilateral pleural effusion': 425802001}, 'existence': 'pos_dx', 'descriptive_term': 'new small bilateral pleural', 'observation': 'effusion', 'strength_term': 'small', 'temporal_term': 'new'}, 'associated atelectasis': {'clinical finding': 'associated atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'associated', 'observation': 'atelectasis'}}clinical findings_fin: {'additional scattered pulmonary micronodules': {'clinical finding': 'additional scattered pulmonary micronodules', 'existence': 'pos_dx', 'descriptive_term': 'additional scattered pulmonary', 'observation': 'micronodule'}}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'}}anatomical entity_fin: {'chest': {'location descriptor': 'right'}}location descriptor_fin: ['right', 'distal']object_fin: ['port']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: {'esophagus': {'location descriptor': 'distal'}}location descriptor_fin: ['distal']object_fin: ['tube']clinical findings_fin: {'coronary stents': {'clinical finding': 'coronary stents', 'existence': 'unc_dx', 'descriptive_term': 'coronary', 'observation': 'stent'}}clinical findings_fin: {'scattered degenerative changes': {'clinical finding': 'scattered degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'scattered degenerative', 'observation': 'change'}}clinical findings_fin: {'focal hepatic masses': {'clinical finding': 'focal hepatic masses', 'existence': 'neg_dx', 'descriptive_term': 'focal hepatic', 'observation': 'mass'}}anatomical entity_fin: {'gallbladder': {}}clinical findings_fin: {'gallbladder is within normal limits': {'clinical finding': 'gallbladder is within normal limits'}}imaging observation_fin: ['falciform ligament']clinical findings_fin: {'free air': {'clinical finding': 'free air', 'existence': 'pos_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'}}location descriptor_fin: ['left']clinical findings_fin: {'unchanged left renal cyst': {'clinical finding': 'unchanged left renal cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'unchanged left renal', 'observation': 'cyst', 'strength_term': 'unchanged', 'change_term': 'unchanged'}}location descriptor_fin: ['right']clinical findings_fin: {'renal hypodensities': {'clinical finding': 'renal hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'renal', 'observation': 'hypodensity'}}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'}}location descriptor_fin: ['superior']clinical findings_fin: {'multiple periportal and superior peripancreatic lymph nodes': {'clinical finding': 'multiple periportal and superior peripancreatic lymph nodes', 'cf_snomed': {'peripancreatic lymph node': 245346008}, 'existence': 'pos_dx', 'descriptive_term': 'multiple periportal and superior peripancreatic lymph', 'observation': 'node', 'strength_term': 'superior', 'quantity_term': 'multiple'}}size_fin: [{'size': '16 mm'}, {'size': '14 mm'}]clinical findings_fin: {'reference portal lymph node': {'clinical finding': 'reference portal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference portal lymph', 'observation': 'node'}}anatomical entity_fin: {'hepatic artery': {}, 'portal vein': {}}clinical findings_fin: {'tumor': {'clinical finding': 'tumor', 'existence': 'pos_dx', 'observation': 'tumor'}, 'patent': {'clinical finding': 'patent', 'existence': 'pos_dx', 'observation': 'patent'}}clinical findings_fin: {'asymmetric heterogeneous thickening': {'clinical finding': 'asymmetric heterogeneous thickening', 'existence': 'pos_dx', 'descriptive_term': 'asymmetric heterogeneous', 'observation': 'thickening'}, 'known gastric carcinoma': {'clinical finding': 'known gastric carcinoma', 'cf_snomed': {'carcinoma': 1187425009}, 'existence': 'pos_dx', 'descriptive_term': 'known gastric', 'observation': 'carcinoma'}}imaging observation_fin: ['margins']clinical findings_fin: {'margins of which are poorly defined , this appears to be more extensive than on previous study': {'clinical finding': 'margins of which are poorly defined , this appears to be more extensive than on previous study'}}imaging observation_fin: ['foci']clinical findings_fin: {'multiple clustered gaseous foci': {'clinical finding': 'multiple clustered gaseous foci', 'existence': 'pos_dx', 'descriptive_term': 'multiple clustered gaseous', 'observation': 'foci', 'quantity_term': 'multiple'}, 'mass': {'clinical finding': 'mass', 'existence': 'pos_dx', 'observation': 'mass'}, 'perforation': {'clinical finding': 'perforation', 'cf_snomed': {'perforation': 36191001}, 'existence': 'unc_dx', 'observation': 'perforation'}}clinical findings_fin: {'progression': {'clinical finding': 'progression', 'existence': 'neg_dx', 'observation': 'progression'}, 'contrast': {'clinical finding': 'contrast', 'existence': 'neg_dx', 'observation': 'contrast'}, 'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}, 'suspected perforation': {'clinical finding': 'suspected perforation', 'cf_snomed': {'perforation': 36191001}, 'existence': 'neg_dx', 'descriptive_term': 'suspected', 'observation': 'perforation'}, 'free intraperitoneal contrast': {'clinical finding': 'free intraperitoneal contrast', 'existence': 'neg_dx', 'descriptive_term': 'free intraperitoneal', 'observation': 'contrast'}}anatomical entity_fin: {'peritoneum': {}, 'mesentery': {}}clinical findings_fin: {'multifocal nodularity': {'clinical finding': 'multifocal nodularity', 'existence': 'pos_dx', 'descriptive_term': 'multifocal', 'observation': 'nodularity'}, 'peritoneal or mesenteric carcinomatosis': {'clinical finding': 'peritoneal or mesenteric carcinomatosis', 'cf_snomed': {'carcinomatosis': 307593001}, 'existence': 'unc_dx', 'descriptive_term': 'peritoneal or mesenteric', 'observation': 'carcinomatosis'}}size_fin: [{'size': '8 mm'}, {'size': '6 mm'}]anatomical entity_fin: {'greater omentum': {}, 'axis': {}}clinical findings_fin: {'previously described abnormal lymph node': {'clinical finding': 'previously described abnormal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'previously described abnormal lymph', 'observation': 'node'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'anterior abdominal wall': {}, 'lesser sac': {}, 'pelvis': {}}imaging observation_fin: ['falciform ligament']clinical findings_fin: {'extensive pneumoperitoneum': {'clinical finding': 'extensive pneumoperitoneum', 'cf_snomed': {'pneumoperitoneum': 17204006}, 'existence': 'pos_dx', 'descriptive_term': 'extensive', 'observation': 'pneumoperitoneum', 'strength_term': 'extensive'}}anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'new abdominopelvic ascites': {'clinical finding': 'new abdominopelvic ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'new abdominopelvic', 'observation': 'ascite', 'temporal_term': 'new'}}size_fin: [{'size': '5.2 x 4.4 cm'}]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'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'observation': 'obstruction'}, 'inflammatory changes': {'clinical finding': 'inflammatory changes', 'existence': 'neg_dx', 'descriptive_term': 'inflammatory', 'observation': 'change'}}clinical findings_fin: {'diverticulosis': {'clinical finding': 'diverticulosis', 'existence': 'pos_dx', 'observation': 'diverticulosis'}, 'acute diverticulitis': {'clinical finding': 'acute diverticulitis', 'cf_snomed': {'diverticulitis': 307496006}, 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'diverticulitis', 'strength_term': 'acute', 'temporal_term': 'acute'}}anatomical entity_fin: {'appendix': {}}clinical findings_fin: {'normal -appearing appendix': {'clinical finding': 'normal -appearing appendix'}}clinical findings_fin: {'stable degenerative changes': {'clinical finding': 'stable degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'stable degenerative', 'observation': 'change', 'strength_term': 'stable', 'change_term': 'stable'}}anatomical entity_fin: {'pelvis': {}}clinical findings_fin: {'subtle peritoneal thickening': {'clinical finding': 'subtle peritoneal thickening', 'existence': 'pos_dx', 'descriptive_term': 'subtle peritoneal', 'observation': 'thickening', 'strength_term': 'subtle'}, 'carcinomatosis': {'clinical finding': 'carcinomatosis', 'cf_snomed': {'carcinomatosis': 307593001}, 'existence': 'pos_dx', 'observation': 'carcinomatosis'}} [/INST] . New small bilateral pleural effusions and associated atelectasis. Additional scattered pulmonary micronodules are unchanged. The heart is upper limits of normal, without significant pericardial effusion. Right chest port tip terminates in the distal SVC. No mediastinal or hilar lymphadenopathy. Enteric tube terminates in the distal esophagus. Severe. Additionally, coronary stents are presumed. Scattered degenerative changes. No focal hepatic masses identified. No intra or extra hepatic biliary dilatation. The gallbladder is within normal limits. Free air is seen within the falciform ligament. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Unchanged left renal cyst. Subcentimeter right renal hypodensities are too small to characterize. No hydronephrosis or nephrolithiasis. Interval enlargement of multiple periportal and superior peripancreatic lymph nodes, many of which appear centrally necrotic. The reference portal lymph node measures 16 mm , previously 14 mm. Tumor continues to encase the hepatic artery and portal vein, but these vessels remain patent. Mild. Again seen is asymmetric heterogeneous thickening of the gastric antropyloric region, compatible with known gastric carcinoma. Although the margins of which are poorly defined, this appears to be more extensive than on previous study. Additionally, there are multiple clustered gaseous foci at the level of the mass, suggesting that this is the site of perforation. There is no progression of contrast beyond the level of the mass or suspected perforation, although no free intraperitoneal contrast is identified. Multifocal nodularity in the peritoneum and mesentery suggestive of peritoneal or mesenteric carcinomatosis. The previously described abnormal lymph node in the greater omentum currently measures 8 mm in short axis , previously 6 mm. No significant abnormality noted. Extensive pneumoperitoneum tracking along the anterior abdominal wall as well as the lesser sac, the falciform ligament, and the pelvis. New abdominopelvic ascites, measuring simple fluid density. The prostate is enlarged measuring 5.2 x 4.4 cm. No significant abnormality noted. No significant abnormality noted. The small bowel is normal in caliber and thickness without evidence of obstruction or inflammatory changes. Diverticulosis without evidence of acute diverticulitis. Normal-appearing appendix. Stable degenerative changes. Subtle peritoneal thickening in the pelvis suggests carcinomatosis. </s>

There is evidence of prior AVM embolization in the right parietal lobe. There is hypodensity in the right parietal lobe which may represent vasogenic edema and or or gliosis. There is mass-effect on the atrium of the right lateral ventricle and midline shift of 8 mm at the level of the foramen of Monro minimally worse compared to 1/14/2015. No evidence of acute hemorrhage. No significant change in asymmetric enlargement of the left lateral ventricle suggestive of a mild entrapment. There are small mucous retention cyst within the bilateral maxillary sinus. Mastoid air cells are clear. Calvarium is intact.

anatomical entity_fin: {'right parietal lobe': {}}procedure_fin: ['embolization']clinical findings_fin: {'prior avm': {'clinical finding': 'prior avm', 'existence': 'pos_dx', 'descriptive_term': 'prior', 'observation': 'avm'}}anatomical entity_fin: {'right parietal lobe': {}}clinical findings_fin: {'hypodensity': {'clinical finding': 'hypodensity', 'existence': 'pos_dx', 'observation': 'hypodensity'}, 'vasogenic edema': {'clinical finding': 'vasogenic edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'unc_dx', 'descriptive_term': 'vasogenic', 'observation': 'edema'}, 'gliosis': {'clinical finding': 'gliosis', 'cf_snomed': {'gliosis': 81415000}, 'existence': 'unc_dx', 'observation': 'gliosis'}}size_fin: [{'size': '8 mm', 'size_descriptor': '-effect'}]anatomical entity_fin: {'right lateral ventricle': {}, 'foramen': {}}location descriptor_fin: ['midline']clinical findings_fin: {'mass-effect': {'clinical finding': 'mass-effect', 'existence': 'pos_dx', 'observation': 'mass'}}clinical findings_fin: {'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'}}anatomical entity_fin: {'left lateral ventricle': {}}clinical findings_fin: {'significant change': {'clinical finding': 'significant change', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'change'}, 'mild entrapment': {'clinical finding': 'mild entrapment', 'cf_snomed': {'entrapment': 363563002}, 'existence': 'neg_dx', 'descriptive_term': 'mild', 'observation': 'entrapment', 'strength_term': 'mild'}}anatomical entity_fin: {'maxillary sinus': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'small mucous retention cyst': {'clinical finding': 'small mucous retention cyst', 'cf_snomed': {'retention': 36850000, 'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'small mucous retention', 'observation': 'cyst', 'strength_term': 'small'}}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: anatomical entity_fin: {'right parietal lobe': {}}procedure_fin: ['embolization']clinical findings_fin: {'prior avm': {'clinical finding': 'prior avm', 'existence': 'pos_dx', 'descriptive_term': 'prior', 'observation': 'avm'}}anatomical entity_fin: {'right parietal lobe': {}}clinical findings_fin: {'hypodensity': {'clinical finding': 'hypodensity', 'existence': 'pos_dx', 'observation': 'hypodensity'}, 'vasogenic edema': {'clinical finding': 'vasogenic edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'unc_dx', 'descriptive_term': 'vasogenic', 'observation': 'edema'}, 'gliosis': {'clinical finding': 'gliosis', 'cf_snomed': {'gliosis': 81415000}, 'existence': 'unc_dx', 'observation': 'gliosis'}}size_fin: [{'size': '8 mm', 'size_descriptor': '-effect'}]anatomical entity_fin: {'right lateral ventricle': {}, 'foramen': {}}location descriptor_fin: ['midline']clinical findings_fin: {'mass-effect': {'clinical finding': 'mass-effect', 'existence': 'pos_dx', 'observation': 'mass'}}clinical findings_fin: {'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'}}anatomical entity_fin: {'left lateral ventricle': {}}clinical findings_fin: {'significant change': {'clinical finding': 'significant change', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'change'}, 'mild entrapment': {'clinical finding': 'mild entrapment', 'cf_snomed': {'entrapment': 363563002}, 'existence': 'neg_dx', 'descriptive_term': 'mild', 'observation': 'entrapment', 'strength_term': 'mild'}}anatomical entity_fin: {'maxillary sinus': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'small mucous retention cyst': {'clinical finding': 'small mucous retention cyst', 'cf_snomed': {'retention': 36850000, 'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'small mucous retention', 'observation': 'cyst', 'strength_term': 'small'}}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 evidence of prior AVM embolization in the right parietal lobe. There is hypodensity in the right parietal lobe which may represent vasogenic edema and or or gliosis. There is mass-effect on the atrium of the right lateral ventricle and midline shift of 8 mm at the level of the foramen of Monro minimally worse compared to 1/14/2015. No evidence of acute hemorrhage. No significant change in asymmetric enlargement of the left lateral ventricle suggestive of a mild entrapment. There are small mucous retention cyst within the bilateral maxillary sinus. Mastoid air cells are clear. Calvarium is intact. </s>

. No focal lung opacity or pleural effusion. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. The appendix is normal. No significant abnormality noted. No significant abnormality noted. There is a large soft tissue mass measuring approximately 7 x 8 cm in the midline in the lower pelvis with calcification and fat within it. This mass is immediately superior to the bladder and displaces the bowel loops to the right and left. The uterus is displaced to the left. The ovaries are not definitively identified. There is a small cystic structure seen at the right adnexa and may represent the right ovary. There is a small amount of free fluid in the deep pelvis. No evidence of lymphadenopathy in the retroperitoneal or inguinal region. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted

anatomical entity_fin: {'lung': {}}clinical findings_fin: {'focal lung opacity': {'clinical finding': 'focal lung opacity', 'cf_snomed': {'opacity': 128305008}, 'existence': 'neg_dx', 'descriptive_term': 'focal lung', 'observation': 'opacity'}, 'pleural effusion': {'clinical finding': 'pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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: {'appendix': {}}clinical findings_fin: {'appendix is normal': {'clinical finding': 'appendix is 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'}}size_fin: [{'size': '7 x 8 cm', 'size_descriptor': 'mass'}]anatomical entity_fin: {'pelvis': {'location descriptor': 'lower'}}imaging observation_fin: ['fat']location descriptor_fin: ['midline', 'lower']clinical findings_fin: {'large soft tissue mass': {'clinical finding': 'large soft tissue mass', 'cf_snomed': {'soft tissue mass': 278002000}, 'existence': 'pos_dx', 'descriptive_term': 'large soft tissue', 'observation': 'mass', 'strength_term': 'large'}, 'calcification': {'clinical finding': 'calcification', 'existence': 'pos_dx', 'observation': 'calcification'}, 'fat': {'clinical finding': 'fat', 'existence': 'pos_dx', 'observation': 'fat'}}anatomical entity_fin: {'bladder': {}, 'bowel': {}}location descriptor_fin: ['superior', 'right', 'left']clinical findings_fin: {'this mass': {'clinical finding': 'this mass', 'existence': 'pos_dx', 'descriptive_term': 'this', 'observation': 'mass'}}anatomical entity_fin: {'uterus': {}}location descriptor_fin: ['displaced', 'left']clinical findings_fin: {'displaced': {'clinical finding': 'displaced', 'existence': 'pos_dx', 'observation': 'displace'}}anatomical entity_fin: {'ovaries': {}}clinical findings_fin: {'ovaries are not definitively identified': {'clinical finding': 'ovaries are not definitively identified'}}anatomical entity_fin: {'right ovary': {}}location descriptor_fin: ['right']clinical findings_fin: {'small cystic structure': {'clinical finding': 'small cystic structure', 'existence': 'pos_dx', 'descriptive_term': 'small cystic', 'observation': 'structure', 'strength_term': 'small'}}anatomical entity_fin: {'pelvis': {}}clinical findings_fin: {'free fluid': {'clinical finding': 'free fluid', 'existence': 'pos_dx', 'descriptive_term': 'free', 'observation': 'fluid'}}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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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: {'lung': {}}clinical findings_fin: {'focal lung opacity': {'clinical finding': 'focal lung opacity', 'cf_snomed': {'opacity': 128305008}, 'existence': 'neg_dx', 'descriptive_term': 'focal lung', 'observation': 'opacity'}, 'pleural effusion': {'clinical finding': 'pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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: {'appendix': {}}clinical findings_fin: {'appendix is normal': {'clinical finding': 'appendix is 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'}}size_fin: [{'size': '7 x 8 cm', 'size_descriptor': 'mass'}]anatomical entity_fin: {'pelvis': {'location descriptor': 'lower'}}imaging observation_fin: ['fat']location descriptor_fin: ['midline', 'lower']clinical findings_fin: {'large soft tissue mass': {'clinical finding': 'large soft tissue mass', 'cf_snomed': {'soft tissue mass': 278002000}, 'existence': 'pos_dx', 'descriptive_term': 'large soft tissue', 'observation': 'mass', 'strength_term': 'large'}, 'calcification': {'clinical finding': 'calcification', 'existence': 'pos_dx', 'observation': 'calcification'}, 'fat': {'clinical finding': 'fat', 'existence': 'pos_dx', 'observation': 'fat'}}anatomical entity_fin: {'bladder': {}, 'bowel': {}}location descriptor_fin: ['superior', 'right', 'left']clinical findings_fin: {'this mass': {'clinical finding': 'this mass', 'existence': 'pos_dx', 'descriptive_term': 'this', 'observation': 'mass'}}anatomical entity_fin: {'uterus': {}}location descriptor_fin: ['displaced', 'left']clinical findings_fin: {'displaced': {'clinical finding': 'displaced', 'existence': 'pos_dx', 'observation': 'displace'}}anatomical entity_fin: {'ovaries': {}}clinical findings_fin: {'ovaries are not definitively identified': {'clinical finding': 'ovaries are not definitively identified'}}anatomical entity_fin: {'right ovary': {}}location descriptor_fin: ['right']clinical findings_fin: {'small cystic structure': {'clinical finding': 'small cystic structure', 'existence': 'pos_dx', 'descriptive_term': 'small cystic', 'observation': 'structure', 'strength_term': 'small'}}anatomical entity_fin: {'pelvis': {}}clinical findings_fin: {'free fluid': {'clinical finding': 'free fluid', 'existence': 'pos_dx', 'descriptive_term': 'free', 'observation': 'fluid'}}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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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 focal lung opacity or pleural effusion. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. The appendix is normal. No significant abnormality noted. No significant abnormality noted. There is a large soft tissue mass measuring approximately 7 x 8 cm in the midline in the lower pelvis with calcification and fat within it. This mass is immediately superior to the bladder and displaces the bowel loops to the right and left. The uterus is displaced to the left. The ovaries are not definitively identified. There is a small cystic structure seen at the right adnexa and may represent the right ovary. There is a small amount of free fluid in the deep pelvis. No evidence of lymphadenopathy in the retroperitoneal or inguinal region. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted </s>

. Right pneumonectomy redemonstrated. Left upper lobe lobulated mass this appears unchanged in size compared to the prior. Additional multiple anterior relocated left upper lobe nodules are similar in appearance to the prior exams. Left lower lobe and solid subpleural mass has increased in size now measuring 5.7 cm x 4.5 cm previously measuring 4.1 cm x 3.8 cm. Associated left pleural effusion is unchanged. No hilar or mediastinal lymphadenopathy. Cardiac size is normal without evidence of pericardial effusion. Moderate. Right chest wall deformity secondary to prior surgery. Degenerative changes in the thoracic spine without evidence of osseous metastases. Absence of enteric contrast material limits sensitivity for abdominal pathology. Status post cholecystectomy. No significant abnormality noted. No significant abnormality noted. Stable renal cysts. No significant abnormality noted. Atherosclerotic disease of the aorta and its branches. Absence of enteric contrast material limits sensitivity for GI pathology. No gross abnormalities noted. No significant abnormality noted. No significant abnormality noted.

location descriptor_fin: ['right']clinical findings_fin: {'right pneumonectomy redemonstrated': {'clinical finding': 'right pneumonectomy redemonstrated'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'lobulated mass': {'clinical finding': 'lobulated mass', 'existence': 'pos_dx', 'descriptive_term': 'lobulated', 'observation': 'mass', 'change_term': 'lobulated'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}}location descriptor_fin: ['anterior', 'left', 'upper']clinical findings_fin: {'additional multiple anterior relocated left upper lobe nodules': {'clinical finding': 'additional multiple anterior relocated left upper lobe nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'additional multiple anterior relocated left upper lobe', 'observation': 'nodule', 'quantity_term': 'multiple'}}size_fin: [{'size': '5.7 cm x 4.5 cm'}, {'size': '4.1 cm x 3.8 cm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'solid subpleural mass': {'clinical finding': 'solid subpleural mass', 'existence': 'pos_dx', 'descriptive_term': 'solid subpleural', 'observation': 'mass'}}location descriptor_fin: ['left']clinical findings_fin: {'associated left pleural effusion': {'clinical finding': 'associated left pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'associated left 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'}}anatomical entity_fin: {'chest wall': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'right chest wall deformity': {'clinical finding': 'right chest wall deformity', 'cf_snomed': {'deformity': 417893002}, 'existence': 'pos_dx', 'descriptive_term': 'right chest wall', 'observation': 'deformity'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'degenerative changes': {'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'}, 'osseous metastases': {'clinical finding': 'osseous metastases', 'existence': 'neg_dx', 'descriptive_term': 'osseous', 'observation': 'metastase'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}procedure_fin: ['cholecystectomy']clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'stable renal cysts': {'clinical finding': 'stable renal cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'stable renal', 'observation': 'cyst', 'strength_term': 'stable', 'change_term': 'stable'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'aorta': {}}clinical findings_fin: {'atherosclerotic disease': {'clinical finding': 'atherosclerotic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'disease'}}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: location descriptor_fin: ['right']clinical findings_fin: {'right pneumonectomy redemonstrated': {'clinical finding': 'right pneumonectomy redemonstrated'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'lobulated mass': {'clinical finding': 'lobulated mass', 'existence': 'pos_dx', 'descriptive_term': 'lobulated', 'observation': 'mass', 'change_term': 'lobulated'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}}location descriptor_fin: ['anterior', 'left', 'upper']clinical findings_fin: {'additional multiple anterior relocated left upper lobe nodules': {'clinical finding': 'additional multiple anterior relocated left upper lobe nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'additional multiple anterior relocated left upper lobe', 'observation': 'nodule', 'quantity_term': 'multiple'}}size_fin: [{'size': '5.7 cm x 4.5 cm'}, {'size': '4.1 cm x 3.8 cm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'solid subpleural mass': {'clinical finding': 'solid subpleural mass', 'existence': 'pos_dx', 'descriptive_term': 'solid subpleural', 'observation': 'mass'}}location descriptor_fin: ['left']clinical findings_fin: {'associated left pleural effusion': {'clinical finding': 'associated left pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'associated left 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'}}anatomical entity_fin: {'chest wall': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'right chest wall deformity': {'clinical finding': 'right chest wall deformity', 'cf_snomed': {'deformity': 417893002}, 'existence': 'pos_dx', 'descriptive_term': 'right chest wall', 'observation': 'deformity'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'degenerative changes': {'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'}, 'osseous metastases': {'clinical finding': 'osseous metastases', 'existence': 'neg_dx', 'descriptive_term': 'osseous', 'observation': 'metastase'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}procedure_fin: ['cholecystectomy']clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'stable renal cysts': {'clinical finding': 'stable renal cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'stable renal', 'observation': 'cyst', 'strength_term': 'stable', 'change_term': 'stable'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'aorta': {}}clinical findings_fin: {'atherosclerotic disease': {'clinical finding': 'atherosclerotic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'disease'}}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] . Right pneumonectomy redemonstrated. Left upper lobe lobulated mass this appears unchanged in size compared to the prior. Additional multiple anterior relocated left upper lobe nodules are similar in appearance to the prior exams. Left lower lobe and solid subpleural mass has increased in size now measuring 5.7 cm x 4.5 cm previously measuring 4.1 cm x 3.8 cm. Associated left pleural effusion is unchanged. No hilar or mediastinal lymphadenopathy. Cardiac size is normal without evidence of pericardial effusion. Moderate. Right chest wall deformity secondary to prior surgery. Degenerative changes in the thoracic spine without evidence of osseous metastases. Absence of enteric contrast material limits sensitivity for abdominal pathology. Status post cholecystectomy. No significant abnormality noted. No significant abnormality noted. Stable renal cysts. No significant abnormality noted. Atherosclerotic disease of the aorta and its branches. Absence of enteric contrast material limits sensitivity for GI pathology. No gross abnormalities noted. No significant abnormality noted. No significant abnormality noted. </s>

. Multiple subpleural non-calcified nodules and micronodules are unchanged over the course of 2 years with exception to one new nodule in the left lower lobe periphery. Reference left lower lobe subpleural nodule measures 9 mm, unchanged from prior. Mild lower lobe predominant bronchiectasis not significantly changed from prior exam. Bibasilar atelectasis and or or scarring slightly increased from prior. No pleural effusion. Stable mediastinal lymphadenopathy. Reference left upper paratracheal lymph node measures 11 x 16 mm, similar in size to prior 11 x 17 mm. No cardiomegaly or pericardial effusion. Moderate. Degenerative changes of the spine. Absence of enteric contrast material limits sensitivity for abdominal pathology. No significant abnormality noted.

anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'multiple subpleural non-calcified nodules': {'clinical finding': 'multiple subpleural non-calcified nodules', 'cf_snomed': {'calcified nodule': 255003}, 'existence': 'pos_dx', 'descriptive_term': 'multiple subpleural non-calcified', 'observation': 'nodule', 'quantity_term': 'multiple', 'change_term': 'calcified'}, 'micronodules': {'clinical finding': 'micronodules', 'existence': 'pos_dx', 'observation': 'micronodule'}, 'one new nodule': {'clinical finding': 'one new nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'one new', 'observation': 'nodule', 'temporal_term': 'new'}}size_fin: [{'size': '9 mm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'reference left lower lobe subpleural nodule': {'clinical finding': 'reference left lower lobe subpleural nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'reference left lower lobe subpleural', 'observation': 'nodule'}}anatomical entity_fin: {'lobe': {'location descriptor': 'lower'}}location descriptor_fin: ['lower']clinical findings_fin: {'mild lower lobe predominant bronchiectasis': {'clinical finding': 'mild lower lobe predominant bronchiectasis', 'cf_snomed': {'bronchiectasis': 12295008}, 'existence': 'neg_dx', 'descriptive_term': 'mild lower lobe predominant', 'observation': 'bronchiectasis', 'strength_term': 'mild'}}clinical findings_fin: {'bibasilar atelectasis': {'clinical finding': 'bibasilar atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'bibasilar', 'observation': 'atelectasis'}, 'scarring': {'clinical finding': 'scarring', 'existence': 'unc_dx', 'observation': 'scarr'}}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: {'stable mediastinal lymphadenopathy': {'clinical finding': 'stable mediastinal lymphadenopathy', 'cf_snomed': {'mediastinal lymphadenopathy': 52324001}, 'existence': 'pos_dx', 'descriptive_term': 'stable mediastinal', 'observation': 'lymphadenopathy', 'strength_term': 'stable', 'change_term': 'stable'}}size_fin: [{'size': '11 x 16 mm'}, {'size': '11 x 17 mm'}]anatomical entity_fin: {'left upper paratracheal lymph node': {}}clinical findings_fin: {'reference left upper paratracheal lymph node': {'clinical finding': 'reference left upper paratracheal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference left upper paratracheal lymph', 'observation': 'node'}}clinical findings_fin: {'cardiomegaly': {'clinical finding': 'cardiomegaly', 'cf_snomed': {'cardiomegaly': 8186001}, 'existence': 'neg_dx', 'observation': 'cardiomegaly'}, 'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'degenerative changes': {'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'}}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: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'multiple subpleural non-calcified nodules': {'clinical finding': 'multiple subpleural non-calcified nodules', 'cf_snomed': {'calcified nodule': 255003}, 'existence': 'pos_dx', 'descriptive_term': 'multiple subpleural non-calcified', 'observation': 'nodule', 'quantity_term': 'multiple', 'change_term': 'calcified'}, 'micronodules': {'clinical finding': 'micronodules', 'existence': 'pos_dx', 'observation': 'micronodule'}, 'one new nodule': {'clinical finding': 'one new nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'one new', 'observation': 'nodule', 'temporal_term': 'new'}}size_fin: [{'size': '9 mm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'reference left lower lobe subpleural nodule': {'clinical finding': 'reference left lower lobe subpleural nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'reference left lower lobe subpleural', 'observation': 'nodule'}}anatomical entity_fin: {'lobe': {'location descriptor': 'lower'}}location descriptor_fin: ['lower']clinical findings_fin: {'mild lower lobe predominant bronchiectasis': {'clinical finding': 'mild lower lobe predominant bronchiectasis', 'cf_snomed': {'bronchiectasis': 12295008}, 'existence': 'neg_dx', 'descriptive_term': 'mild lower lobe predominant', 'observation': 'bronchiectasis', 'strength_term': 'mild'}}clinical findings_fin: {'bibasilar atelectasis': {'clinical finding': 'bibasilar atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'bibasilar', 'observation': 'atelectasis'}, 'scarring': {'clinical finding': 'scarring', 'existence': 'unc_dx', 'observation': 'scarr'}}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: {'stable mediastinal lymphadenopathy': {'clinical finding': 'stable mediastinal lymphadenopathy', 'cf_snomed': {'mediastinal lymphadenopathy': 52324001}, 'existence': 'pos_dx', 'descriptive_term': 'stable mediastinal', 'observation': 'lymphadenopathy', 'strength_term': 'stable', 'change_term': 'stable'}}size_fin: [{'size': '11 x 16 mm'}, {'size': '11 x 17 mm'}]anatomical entity_fin: {'left upper paratracheal lymph node': {}}clinical findings_fin: {'reference left upper paratracheal lymph node': {'clinical finding': 'reference left upper paratracheal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference left upper paratracheal lymph', 'observation': 'node'}}clinical findings_fin: {'cardiomegaly': {'clinical finding': 'cardiomegaly', 'cf_snomed': {'cardiomegaly': 8186001}, 'existence': 'neg_dx', 'observation': 'cardiomegaly'}, 'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'degenerative changes': {'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'}}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] . Multiple subpleural non-calcified nodules and micronodules are unchanged over the course of 2 years with exception to one new nodule in the left lower lobe periphery. Reference left lower lobe subpleural nodule measures 9 mm, unchanged from prior. Mild lower lobe predominant bronchiectasis not significantly changed from prior exam. Bibasilar atelectasis and or or scarring slightly increased from prior. No pleural effusion. Stable mediastinal lymphadenopathy. Reference left upper paratracheal lymph node measures 11 x 16 mm, similar in size to prior 11 x 17 mm. No cardiomegaly or pericardial effusion. Moderate. Degenerative changes of the spine. Absence of enteric contrast material limits sensitivity for abdominal pathology. No significant abnormality noted. </s>

. The liver is normal in morphology and size. There is moderate extrahepatic biliary ductal dilatation to 1.7 cm with mild intrahepatic biliary ductal dilatation. The common bile duct tapers smoothly at the level of the ampulla. No filling defect is evident on the limited sequences obtained. The patient is status post cholecystectomy which may be in part contributing to the biliary ductal dilatation. There is minimal fluid in the porta hepatis. No discrete liver lesion is identified. No significant abnormality noted. The findings of pancreas divisum seen on CT are difficult to confirm due to the limited imaging. There appears to be crossing of the main pancreatic duct and the common bile duct on the coronal images 16 through 18. Mild main pancreatic ductal prominence is noted. The pancreatic duct at the level of the pancreatic body is not visualized due to artifact. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Moderate right and small left pleural effusion with basilar consolidation or atelectasis.

anatomical entity_fin: {'liver': {}}clinical findings_fin: {'liver is normal in morphology and size': {'clinical finding': 'liver is normal in morphology and size'}}size_fin: [{'size': '1.7 cm', 'size_descriptor': 'dilatation'}]clinical findings_fin: {'moderate extrahepatic biliary ductal dilatation': {'clinical finding': 'moderate extrahepatic biliary ductal dilatation', 'cf_snomed': {'dilatation': 25322007}, 'existence': 'pos_dx', 'descriptive_term': 'moderate extrahepatic biliary ductal', 'observation': 'dilatation', 'strength_term': 'moderate'}, 'mild intrahepatic biliary ductal dilatation': {'clinical finding': 'mild intrahepatic biliary ductal dilatation', 'cf_snomed': {'dilatation': 25322007}, 'existence': 'pos_dx', 'descriptive_term': 'mild intrahepatic biliary ductal', 'observation': 'dilatation', 'strength_term': 'mild'}}anatomical entity_fin: {'common bile duct': {}}clinical findings_fin: {'filling defect': {'clinical finding': 'filling defect', 'cf_snomed': {'filling defect': 43468004}, 'existence': 'neg_dx', 'descriptive_term': 'filling', 'observation': 'defect'}}procedure_fin: ['cholecystectomy']clinical findings_fin: {'biliary ductal dilatation': {'clinical finding': 'biliary ductal dilatation', 'cf_snomed': {'dilatation': 25322007}, 'existence': 'unc_dx', 'descriptive_term': 'biliary ductal', 'observation': 'dilatation'}}anatomical entity_fin: {'fluid': {}, 'porta hepatis': {}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'discrete liver lesion': {'clinical finding': 'discrete liver lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'discrete liver', 'observation': 'lesion'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'pancreas': {}}clinical findings_fin: {'pancreas divisum': {'clinical finding': 'pancreas divisum', 'cf_snomed': {'pancreas divisum': 54554009}, 'existence': 'unc_dx', 'descriptive_term': 'pancreas', 'observation': 'divisum'}}anatomical entity_fin: {'main pancreatic duct': {}, 'common bile duct': {}}clinical findings_fin: {'crossing': {'clinical finding': 'crossing', 'existence': 'pos_dx', 'observation': 'cross'}}clinical findings_fin: {'mild main pancreatic ductal prominence is noted': {'clinical finding': 'mild main pancreatic ductal prominence is noted'}}anatomical entity_fin: {'pancreatic duct': {}, 'body': {}}clinical findings_fin: {'artifact': {'clinical finding': 'artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'pos_dx', 'observation': 'artifact'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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', 'left']clinical findings_fin: {'moderate right and small left pleural effusion': {'clinical finding': 'moderate right and small left pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'moderate right and small left pleural', 'observation': 'effusion', 'strength_term': 'moderate - small'}, 'basilar consolidation': {'clinical finding': 'basilar consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'pos_dx', 'descriptive_term': 'basilar', 'observation': 'consolidation'}, 'atelectasis': {'clinical finding': 'atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'unc_dx', 'observation': 'atelectasis'}}

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: {'liver': {}}clinical findings_fin: {'liver is normal in morphology and size': {'clinical finding': 'liver is normal in morphology and size'}}size_fin: [{'size': '1.7 cm', 'size_descriptor': 'dilatation'}]clinical findings_fin: {'moderate extrahepatic biliary ductal dilatation': {'clinical finding': 'moderate extrahepatic biliary ductal dilatation', 'cf_snomed': {'dilatation': 25322007}, 'existence': 'pos_dx', 'descriptive_term': 'moderate extrahepatic biliary ductal', 'observation': 'dilatation', 'strength_term': 'moderate'}, 'mild intrahepatic biliary ductal dilatation': {'clinical finding': 'mild intrahepatic biliary ductal dilatation', 'cf_snomed': {'dilatation': 25322007}, 'existence': 'pos_dx', 'descriptive_term': 'mild intrahepatic biliary ductal', 'observation': 'dilatation', 'strength_term': 'mild'}}anatomical entity_fin: {'common bile duct': {}}clinical findings_fin: {'filling defect': {'clinical finding': 'filling defect', 'cf_snomed': {'filling defect': 43468004}, 'existence': 'neg_dx', 'descriptive_term': 'filling', 'observation': 'defect'}}procedure_fin: ['cholecystectomy']clinical findings_fin: {'biliary ductal dilatation': {'clinical finding': 'biliary ductal dilatation', 'cf_snomed': {'dilatation': 25322007}, 'existence': 'unc_dx', 'descriptive_term': 'biliary ductal', 'observation': 'dilatation'}}anatomical entity_fin: {'fluid': {}, 'porta hepatis': {}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'discrete liver lesion': {'clinical finding': 'discrete liver lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'discrete liver', 'observation': 'lesion'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'pancreas': {}}clinical findings_fin: {'pancreas divisum': {'clinical finding': 'pancreas divisum', 'cf_snomed': {'pancreas divisum': 54554009}, 'existence': 'unc_dx', 'descriptive_term': 'pancreas', 'observation': 'divisum'}}anatomical entity_fin: {'main pancreatic duct': {}, 'common bile duct': {}}clinical findings_fin: {'crossing': {'clinical finding': 'crossing', 'existence': 'pos_dx', 'observation': 'cross'}}clinical findings_fin: {'mild main pancreatic ductal prominence is noted': {'clinical finding': 'mild main pancreatic ductal prominence is noted'}}anatomical entity_fin: {'pancreatic duct': {}, 'body': {}}clinical findings_fin: {'artifact': {'clinical finding': 'artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'pos_dx', 'observation': 'artifact'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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', 'left']clinical findings_fin: {'moderate right and small left pleural effusion': {'clinical finding': 'moderate right and small left pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'moderate right and small left pleural', 'observation': 'effusion', 'strength_term': 'moderate - small'}, 'basilar consolidation': {'clinical finding': 'basilar consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'pos_dx', 'descriptive_term': 'basilar', 'observation': 'consolidation'}, 'atelectasis': {'clinical finding': 'atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'unc_dx', 'observation': 'atelectasis'}} [/INST] . The liver is normal in morphology and size. There is moderate extrahepatic biliary ductal dilatation to 1.7 cm with mild intrahepatic biliary ductal dilatation. The common bile duct tapers smoothly at the level of the ampulla. No filling defect is evident on the limited sequences obtained. The patient is status post cholecystectomy which may be in part contributing to the biliary ductal dilatation. There is minimal fluid in the porta hepatis. No discrete liver lesion is identified. No significant abnormality noted. The findings of pancreas divisum seen on CT are difficult to confirm due to the limited imaging. There appears to be crossing of the main pancreatic duct and the common bile duct on the coronal images 16 through 18. Mild main pancreatic ductal prominence is noted. The pancreatic duct at the level of the pancreatic body is not visualized due to artifact. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Moderate right and small left pleural effusion with basilar consolidation or atelectasis. </s>